Date of Conferral

4-28-2025

Date of Award

April 2025

Degree

Doctor of Healthcare Administration (D.H.A.)

School

Health Services

Advisor

Miriam Ross

Abstract

Patient satisfaction is a key performance indicator in nursing homes, influencing organizational success, clinical outcomes, and compliance with regulatory standards. This integrative review was conducted to identify strategies for improving patient satisfaction in Colorado nursing homes. By analyzing trends in patient care deficiencies and exploring evidence-based business strategies, the goal of this study was to enhance residents’ quality of life while fostering a patient-centered approach to care. An integrative literature review was conducted, in which peer-reviewed articles, government reports, and quality assessment tools published between 2019 and 2024 were analyzed. Lawton’s quality-of-life framework was used to assess factors influencing patient satisfaction and propose targeted improvement initiatives. Five main themes emerged from the review: quality improvement, organizational redesign, personalized treatment plans, patient-driven care, and quality of life models. The following 13 subthemes supported the main themes: enhanced resident care, increased safety, performance improvement, regulatory compliance, financial benefits, community trust, patient satisfaction, provider and patient collaboration, value-based purchasing model, higher Medicare reimbursements, improved patient outcomes, holistic care, and systematic assessment. Improving patient satisfaction in Colorado nursing homes requires a multidimensional approach that includes leadership reforms, quality improvement initiatives, and a stronger emphasis on individualized care. Implementing these evidence-based strategies can enhance the overall patient experience, ensure regulatory compliance, and contribute to positive social change within nursing home communities.

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