The Influence of Agency Staffing on Quality of Care in Nursing Homes

被引：22

作者：

Castle, Nicholas G. ^{[1
]}

Engberg, John B. ^{[2
]}

机构：

[1] Univ Pittsburgh, Dept Hlth Policy & Management, Pittsburgh, PA 15261 USA

[2] RAND, Pittsburgh, PA USA

来源：

JOURNAL OF AGING & SOCIAL POLICY | 2008年 / 20卷 / 04期

关键词：

Nurse aides; agency; agency staff; quality;

D O I：

10.1080/08959420802070130

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：

Data from a large sample of nursing homes were used to examine the cross-sectional association between use of agency staff, regular staff, and quality. Agency use data came from a survey conducted in 2003 (N = 1071 nursing homes). The agency and regular staff measures were for nurse aides, licensed practical nurses, and registered nurses. We used a single quality factor constructed from the 14 quality measures in Nursing Home Compare. More agency nurse aides resulted in a smaller increase in quality, compared to the use of an equivalent number of regular nurse aides. Agency registered nurse staff were associated with better quality factor scores, especially in the presence of high levels of regular licensed practical nurses. Our results have policy and practice implications, the most significant of which is that agency registered nurses may be beneficial in a wide variety of circumstances, whereas agency nurse aides and licensed practical nurses should be used with caution.

引用

页码：437 / 457

页数：21

共 24 条

[11] The influence of staffing characteristics on quality of care in nursing homes [J].

Castle, Nicholas G. ;

Engberg, John .

HEALTH SERVICES RESEARCH, 2007, 42 (05) :1822-1847

[12]

Davis M, 2003, PENNSYLVANIAS CARE G

[13]

Deitzer D, 1992, J Long Term Care Adm, V20, P29

[14] Nursing home staffing and its relationship to deficiencies [J].

Harrington, C ;

Zimmerman, D ;

Karon, SL ;

Robinson, J ;

Beutel, P .

JOURNALS OF GERONTOLOGY SERIES B-PSYCHOLOGICAL SCIENCES AND SOCIAL SCIENCES, 2000, 55 (05) :S278-S287

[15] Nursing home staffing, turnover, and case mix [J].

Harrington, C ;

Swan, JH .

MEDICAL CARE RESEARCH AND REVIEW, 2003, 60 (03) :366-392

[16]

Hegland A, 1992, Contemp Longterm Care, V15, P48

[17] Cross-training hospital nurses to reduce staffing costs [J].

Inman, RR ;

Blumenfeld, DE ;

Ko, A .

HEALTH CARE MANAGEMENT REVIEW, 2005, 30 (02) :116-125

[18]

LOUWE H, 2002, REPORT C APPROPRIATE

[19] Agency nursing work in acute care settings: perceptions of hospital nursing managers and agency nurse providers [J].

Manias, E ;

Aitken, R ;

Peerson, A ;

Parker, J ;

Wong, K .

JOURNAL OF CLINICAL NURSING, 2003, 12 (04) :457-466

[20]

Neter J., 1990, APPL STAT MODELS

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