Skip to main content
. Author manuscript; available in PMC: 2011 Jan 11.
Published in final edited form as: Arch Intern Med. 2010 Jan 11;170(1):83–88. doi: 10.1001/archinternmed.2009.467

Table 1.

Data Describing Organizational Culture Influencing Tube-Feeding Practice in Advanced Cognitive Impairment in 2 Nursing Homes

Data Element Collection Method
Facility characteristics
 Organizational features Minimum data set
 Resident features Medicare’s Nursing Home Compare Web sitea
 Staffing Direct observation
 Quality measures Observable Indicators of Nursing Home Care Quality Instrument, version 10b Direct observation
Physical environment Direct observation
 General atmosphere
 Structure of dining facilities
 Access to food
Mealtime processes
 Staffing Direct observation
 Quality of feeding assistance Mealtime observation protocolc
Decision-making processes for eating problems Semistructured interviews with key personnel
Values
 Explicit values Facility Web sites and printed brochures
 Implicit values Semistructured interviews with key personnel
a

The Nursing Home Compare page at the Medicare Web site.18

b

The Observable Indicators of Nursing Home Care Quality Instrument consists of 30 questions on a 5-point rating scale. Scores range from 30 to 150 with higher score indicating better quality.19

c

Mealtime observation protocol guides observations of mealtimes in nursing homes including environment, social and functional context of meal services,20 and quantity and quality of mealtime assistance.21