Structure-process-outcome: a causal model for quality in nursing homes

In this paper, we explore the correlation structure between some indicators of quality in nursing homes. These indicators include Structure (Staff and Faculty), Process (Social Care, Medical Care, and Resident involvement), and Outcome indicators (Medical Outcome, Social Outcome, and Organizational Performance). Using path analysis, a causal model is also hypothesized and empirically tested based on these indicators and on data collected for 104 nursing homes in Wisconsin. This causal model constitutes a basis for formulating quality improvement strategies

Validity and Acceptability of a High-Fidelity Physical Simulation Model for Training of Laparoscopic Pyeloplasty

Purpose: The objective was to determine the acceptability and preliminary construct validity for a high-fidelity synthetic renal pelvis/ureter tissue analogue model for use as a simulation model for training of laparoscopic pyeloplasty. Materials and Methods: The pyeloplasty model was designed with incorporated assessment lines for use in post-task Black Light Assessment of Surgical Technique (BLAST)?. Practicing urologists participating in the 2011 and 2012 American Urological Association Mentored Renal Laparoscopy courses performed a simulated laparoscopic pyeloplasty procedure and completed a post-task evaluation of the model. Results: Practicing urologists found the model acceptable and rated the model favorably in terms of content and face validity. Urologists who had performed a laparoscopic pyeloplasty procedure in the last 5 years outperformed those who had not by demonstrating increased patency (P<0.05), decreased twisting (P<0.05), and decreased leakage (P<0.10) at the anastomosis. Conclusions: The BLAST? pyeloplasty model demonstrated evidence of acceptability and content, face, and construct validity for training practicing urologists to perform laparoscopic pyeloplasty.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/140376/1/end.2013.0678.pd