The Influence of Nurse Staffing Levels on Quality of Care in Nursing Homes

被引：90

作者：

Hyer, Kathryn ^{[1
]}

Thomas, Kali S. ^{[1
]}

Branch, Laurence G. ^{[2
]}

Harman, Jeffrey S. ^{[3
]}

Johnson, Christopher E. ^{[4
]}

Weech-Maldonado, Robert ^{[5
]}

机构：

[1] Univ S Florida, Florida Policy Exchange Ctr Aging, Sch Aging Studies, Tampa, FL 33620 USA

[2] Univ S Florida, Dept Hlth Policy & Management, Coll Publ Hlth, Tampa, FL 33620 USA

[3] Univ Florida, Dept Hlth Serv Res Management & Policy, Coll Publ Hlth & Hlth Profess, Gainesville, FL USA

[4] Texas A&M Hlth Sci Ctr, Dept Hlth Policy & Management, Sch Rural Publ Hlth, College Stn, TX USA

[5] Univ Alabama Birmingham, Dept Hlth Serv Adm, Sch Hlth Profess, Birmingham, AL USA

来源：

GERONTOLOGIST | 2011年 / 51卷 / 05期

关键词：

Nursing home quality; State staffing standard; Deficiencies; Deficiency scores; DEFICIENCY CITATIONS; STANDARDS; PERFORMANCE;

D O I：

10.1093/geront/gnr050

中图分类号：

R4 [临床医学]; R592 [老年病学];

学科分类号：

1002 ; 100203 ; 100602 ;

摘要：

Objective: This study examines the relationship between increasing certified nursing assistants (CNAs) and licensed nurse staffing ratios and deficiencies in Florida nursing homes over a 4-year period. Methods: Data from Florida staffing reports and the Online Survey Certification and Reporting database examine the relationship among staffing levels and deficiency citations for 663 Florida nursing homes between 2002 and 2005. Using a generalized estimating equation approach in SAS Proc Genmod, we estimate the relationship between CNA and licensed nursing staff, and facilities' total deficiency score and quality of care deficiency scores-calculated using the Centers for Medicare and Medicaid Services' Nursing Home Compare Five-Star Quality Rating System, which accounts for the complexity of the scope and severity of the cittions. Results: Our results confirmed that higher CNA staffing levels were predictors of lower total deficiency scores and quality of care deficiency scores after controlling for facility characteristics. Conclusion: With a large sample size, repeated measure design, and advanced methods, we have found a relationship between CNA staffing and nursing home quality.

引用

页码：610 / 616

页数：7

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