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  1. Scott-Cawiezell, Jill PhD, RN
  2. Schenkman, Margaret PhD, PT
  3. Moore, Laurie MPH
  4. Vojir, Carol PhD
  5. Connolly, Robert P. MSW
  6. Pratt, Mary MSN, RN
  7. Palmer, Laura BS


Leadership and clinical staff were surveyed to explore communication and leadership in nursing homes. Registered nurses and other professionals perceived communication as better than their nursing colleagues did. Overall, results suggest all factors of communication could improve. In terms of leadership, licensed practical nurses perceived less clarity of expectations, encouragement of initiative, and support than other groups. The study provides insight into what is organizationally necessary to improve quality of care in nursing homes.