Licensed Nurse Staffing and Health Service Availability in Residential Care and Assisted Living

被引：34

作者：

Beeber, Anna S. ^{[1
,2
]}

Zimmerman, Sheryl ^{[2
,3
]}

Reed, David ^{[2
]}

Mitchell, C. Madeline ^{[2
]}

Sloane, Philip D. ^{[2
,4
]}

Harris-Wallace, Brandy ^{[5
,6
]}

Perez, Rosa ^{[6
]}

Schumacher, John G. ^{[5
,6
]}

机构：

[1] Univ N Carolina, Sch Nursing, Chapel Hill, NC 27599 USA

[2] Univ N Carolina, Cecil G Sheps Ctr Hlth Serv Res, Chapel Hill, NC 27599 USA

[3] Univ N Carolina, Sch Social Work, Chapel Hill, NC 27599 USA

[4] Univ N Carolina, Sch Med, Dept Family Med, Chapel Hill, NC 27599 USA

[5] Univ Maryland Baltimore Cty, Dept Sociol, Baltimore, MD 21228 USA

[6] Univ Maryland Baltimore Cty, Ctr Aging Studies, Baltimore, MD 21228 USA

来源：

JOURNAL OF THE AMERICAN GERIATRICS SOCIETY | 2014年 / 62卷 / 05期

基金：

美国国家卫生研究院;

关键词：

assisted living; residential care; nursing; staffing; health services; LONG-TERM-CARE; QUALITY; FACILITIES; ORANGES; APPLES; HOMES;

D O I：

10.1111/jgs.12786

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

ObjectivesTo create data-driven typologies of licensed nurse staffing and health services in residential care and assisted living (RC/AL). DesignCluster analysis was used to describe the patterns of licensed nurse staffing and 47 services and the extent to which these clusters were related. SettingRC/AL communities in the United States. ParticipantsA convenience sample of administrators and healthcare supervisors from 89 RC/AL communities in 22 states. MeasurementRC/AL characteristics, licensed nurse staffing (total number of hours that registered nurses (RNs) and licensed practical nurses (LPNs) worked), number of hours that contract nurses worked, and availability of 47 services. ResultsAnalysis revealed four licensed nurse staffing clusters defined according to total number of hours and the type of nurse providing the hours (RN, LPN, or a mix of both). They ranged from no or minimal RN and LPN hours to high nursing hours with a mix of RNs and LPNs. The 47 services clustered into five clusters: basic services; technically complex services; assessments, wound care, and therapies; testing and specialty services; and gastrostomy and intravenous medications. The availability of services was related to the presence of nurses (RNs and LPNs) except for the gastrostomy and intravenous medication services, which were not readily available. ConclusionThe amount and skill mix of licensed nurse staffing varies in RC/AL and is related to the types of services available. These findings may have implications for resident care and outcomes. Future work in this area, including extension to include nonnurse direct care workers, is needed.

引用

页码：805 / 811

页数：7

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