The performance impact of context in TQM implementation: The nursing facility industry

Academic Article


  • This study develops a model and empirically assesses how# organizational context mediates the impact of total quality management (TQM) implementation on perceived performance in the nursing facility industry. Outcome are analysed for financial, human resources and resident-care performance. Contextual factors related to TQM implementation include managerial control, reward systems, organizational structure and the extent of implementation. Duration of TQM implementation is included as a control variable. Benchmarking has a positive impact on financial outcomes, and the extent of TQM implementation and required reporting of quality improvement activity results have a positive impact on both financial and human resources performance. The presence of a Quality Steering Council has a positive impact on financial performance, but only among larger facilities.
  • Published In

    Digital Object Identifier (doi)

    Author List

  • Weech-Maldonado R; Zinn JE; Hamilton RD
  • Start Page

  • 147
  • End Page

  • 158
  • Volume

  • 14
  • Issue

  • 3