| Summary: | 碩士 === 中臺科技大學 === 護理研究所 === 100 === Due to the rapid increase of the aging population and the decrease of care responsibility of the family, the demand for institutionalized care has seen rapidly grown. According to the statistics, the occupied led rate of institution was exceeding 70%. As for the Department of Health, nursing homes have to receive supervisory evaluations and accreditation to ascertain the quality of care. The tools of accreditations have not yet been evaluated with empirical data, it is unlikely to establish the reliability and validity of tool. This study has conducted secondary analysis from 287 nursing homes that received accreditation in 2007. There was four domains in the “Nursing Home Accreditation Scale”: administration management, resident’s safety, service content, and holistic environments. Cronbach''s α coefficient is used to reveal reliability and validity is seen in confirmatory factor analysis. The results showed that the Cronbach''s α coefficient for reliability of the Nursing Home Accreditation Scale is .871, and Cronbach''s α coefficient in administration management .710, resident’s safety .705, service content .765, and holistic environment .557 respectively. It meant that the scale is with a high homogeneity. Referencing the deletion of item to increase Cronbach''s α, there were domain of administration management item 5 ”nursing aides need to be familiarized with the clinical practice”, item 10 ” set contracts for residents”, and item 11” adhere to reporting system”. As for the domain of resident’s safety, item 4” nursing staff should receive emergency training”. In the domain of item 16” provide resident privacy and isolation space”. These items showed low consistency and can be deleted. Confirmatory factor analysis was used to test validity. There were six measurement models: management of working staff and resident rights of administration management, usage of necessary emergency equipment and infection control for resident’s safety, and diet care and care plan of service content. The indices of fitness were Chi-square value the degree of freedom, RMSEA, GFI, AGFI, and CFI. The results showed the Nursing Home Accreditation Scale is comprised of six first-order and three second-order factors. Their corresponding indices can be used to reflect and represent the care quality of nursing homes. Therefore, the Nursing Home Accreditation Scale is found with excellent reliability and validity. The results can provide reference for government and scholars to continue to enhance the care quality of nursing homes, and ensure the safety and rights of the general public.
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