Causal Relationships between Perceived Quality of Care and Information Sharing among Workers in Care Facilities for the Elderly

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  • 高齢者介護施設におけるケアの質の認識と職員間の情報共有との因果関係
  • コウレイシャカイゴシセツ ニ オケル ケア ノ シツ ノ ニンシキ ト ショクイン カン ノ ジョウホウ キョウユウ ト ノ インガ カンケイ

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<p>The objective of the present study is to elucidate the causal relationship between information sharing among workers in care facilities for the elderly and perceived quality of care. Information sharing in work teams/groups was reported to be an antecedent of (perceived) quality of work (i.e., perceived quality of care in the present study) in previous studies. However, the opposite causal relationship is also possible since workers’ perception that they are able to practice and offer high-quality care in daily work could lead to a close cooperation and nurture trust and cohesive relationships among them, which then motivates them to be willing to share information in work teams/groups. Thus, although the possibility of the bidirectional causal relationship between information sharing and perceived quality of care cannot be eliminated, it has not been probed. For clarifying the causal relationship, panel research should be conducted, and for the present study, the data collected through two-wave panel research are analyzed using cross-lagged effects models. 850 questionnaires were distributed to workers in 22 care facilities from June to August 2014 as the first wave of the panel research, and a total of 356 completed questionnaires were returned directly to the researcher (for a response rate of 41.9%). Then, 719 questionnaires were distributed to workers in 21 care facilities from February to March 2015 as the second wave of the panel research, and a total of 389 completed questionnaires were returned (for a response rate of 53.69%). For the present study, the data of the respondents who participated in both of the two-wave research were analyzed. Of 249 respondents, the data of three who did not answer the questions related to the present study were excluded. As a result of Structural Equation Modeling (SEM) for cross-lagged effects models using Mplus, there were bidirectional relationships between the accuracy of information sharing and perceived quality of care, and the appropriate timing of informational sharing caused perceived quality of care while the opposite direction was not found. Based on those findings, academic and practical implications are discussed.</p>

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