Persistent Link:
http://hdl.handle.net/10150/194049
Title:
Describing the Essentials of Magnetism and Quality in Home Health
Author:
Mensik, Jennifer
Issue Date:
2006
Publisher:
The University of Arizona.
Rights:
Copyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction or presentation (such as public display or performance) of protected items is prohibited except with permission of the author.
Abstract:
The purpose of this descriptive study was to determine what Home Health nurses perceived to be the Essentials of Magnetism (EOM), the degree to which the EOM exists within each Home Health agency (HHA), and whether there was a relationship between quality HHAs and their scores on the EOM. HHAs were determined to be high or low quality agencies based on their published Home Health Compare results as obtained on the Medicare.gov website. The system research organizing model (SROM) was used as an organizing framework for this study.Research in this study was conducted with two different sets of RNs in two different phases. The first phase of RNs (N = 106) determined what Home Health nurses perceived to be the EOM from the 37-item Dimensions of Magnetism (DOM) instrument. The results showed that 7 of the top 8 EOM items chosen by the Home Health nurses were the same EOM items chosen by acute care nurses in previous studies. A test retest of the top 10 items revealed a high level of reliability (Spearman-Brown correlation of .77).Phase Two RNs (N = 125) determined the degree to which the EOM existed in each HHA and whether there was a significant difference between high and low quality agencies. RNs were given the new 10-item EOM instrument and were asked to rank each of the items based on the degree of its presence in their current work environment. The results showed that low quality agencies had a lower and better mean score (M = 1.40, SD = .34) than did higher quality agencies (M = 1.67, SD = .48). An independent sample t-test was significant t (110.91) = -3.63, p = .00, which is counter to the literature.While the results were not as expected, the high reliability of the instrument suggests that it is a reliable measure of attributes perceived by RNs that allow them to provide quality patient care. Several issues identified with the outcome variables such as time sensitivity and validity may provide some explanation of the results.
Type:
text; Electronic Dissertation
Degree Name:
PhD
Degree Level:
doctoral
Degree Program:
Nursing; Graduate College
Degree Grantor:
University of Arizona
Advisor:
Verran, Joyce A
Committee Chair:
Verran, Joyce A

Full metadata record

DC FieldValue Language
dc.language.isoENen_US
dc.titleDescribing the Essentials of Magnetism and Quality in Home Healthen_US
dc.creatorMensik, Jenniferen_US
dc.contributor.authorMensik, Jenniferen_US
dc.date.issued2006en_US
dc.publisherThe University of Arizona.en_US
dc.rightsCopyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction or presentation (such as public display or performance) of protected items is prohibited except with permission of the author.en_US
dc.description.abstractThe purpose of this descriptive study was to determine what Home Health nurses perceived to be the Essentials of Magnetism (EOM), the degree to which the EOM exists within each Home Health agency (HHA), and whether there was a relationship between quality HHAs and their scores on the EOM. HHAs were determined to be high or low quality agencies based on their published Home Health Compare results as obtained on the Medicare.gov website. The system research organizing model (SROM) was used as an organizing framework for this study.Research in this study was conducted with two different sets of RNs in two different phases. The first phase of RNs (N = 106) determined what Home Health nurses perceived to be the EOM from the 37-item Dimensions of Magnetism (DOM) instrument. The results showed that 7 of the top 8 EOM items chosen by the Home Health nurses were the same EOM items chosen by acute care nurses in previous studies. A test retest of the top 10 items revealed a high level of reliability (Spearman-Brown correlation of .77).Phase Two RNs (N = 125) determined the degree to which the EOM existed in each HHA and whether there was a significant difference between high and low quality agencies. RNs were given the new 10-item EOM instrument and were asked to rank each of the items based on the degree of its presence in their current work environment. The results showed that low quality agencies had a lower and better mean score (M = 1.40, SD = .34) than did higher quality agencies (M = 1.67, SD = .48). An independent sample t-test was significant t (110.91) = -3.63, p = .00, which is counter to the literature.While the results were not as expected, the high reliability of the instrument suggests that it is a reliable measure of attributes perceived by RNs that allow them to provide quality patient care. Several issues identified with the outcome variables such as time sensitivity and validity may provide some explanation of the results.en_US
dc.typetexten_US
dc.typeElectronic Dissertationen_US
thesis.degree.namePhDen_US
thesis.degree.leveldoctoralen_US
thesis.degree.disciplineNursingen_US
thesis.degree.disciplineGraduate Collegeen_US
thesis.degree.grantorUniversity of Arizonaen_US
dc.contributor.advisorVerran, Joyce Aen_US
dc.contributor.chairVerran, Joyce Aen_US
dc.contributor.committeememberLamb, Gerri S.en_US
dc.contributor.committeememberReed, Pamela G.en_US
dc.identifier.proquest1606en_US
dc.identifier.oclc137356610en_US
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