The Relationships Between Nursing Staff Factors and Quality of Care in Korean Long-Term Care Hospitals

2.50
Hdl Handle:
http://hdl.handle.net/10755/151745
Type:
Presentation
Title:
The Relationships Between Nursing Staff Factors and Quality of Care in Korean Long-Term Care Hospitals
Abstract:
The Relationships Between Nursing Staff Factors and Quality of Care in Korean Long-Term Care Hospitals
Conference Sponsor:Sigma Theta Tau International
Conference Year:2011
Author:Yoon, Ju Young, MS, RN
P.I. Institution Name:University of Wisconsin-Madison
Title:Doctoral student
Co-Authors:Barbara J. Bowers RN, PhD, FAAN, Professor
[22nd International Nursing Research Congress - Research Presentation] Purpose: In 2008, Korean long-term care hospitals (LTCHs) introduced a new nursing staff incentive system in response to concerns about the deterioration of quality of care. This new incentive system is a financial incentive policy that guarantees an adequate level of nursing staff to enhance the quality of care in LTCHs; however, few studies have explored factors that affect the quality of care at the system level due to Korea`s short history of emerging social awareness of aging issues. This proposed study is to examine how nursing staff factors influence the quality of care in Korean LTCHs.
Methods: For a more conceptually coherent approach, this proposed study is based on the research framework with some modification from Unruh & Wan (2004)`s structure, process, outcome systems model of nursing care quality in nursing homes. In particular, two factors of nursing staff are nursing staff level (the number of nursing staff) and nursing staff-mix (the ratio of RNs to the total nursing staff). The quality of care is measured using four patient outcomes: the decline of activities of daily living, the incidence of pressure ulcers, the incidence of urinary incontinence and weight loss. In addition, contextual factors, other organizational factors, and patient risk factors will be controlled. Data including patients and LTCHs will be from Health Insurance Review and Assessment Services, and include almost all older adults residing in Korean LTCHs (about 400,000 patients in 500 LTCHs). Multilevel structural equation modeling will be used for data analysis.
Results: Results will demonstrate the relationships between nursing staff factors and four separate patient outcomes.
Conclusion: These results will provide policy implications for the current nursing staff incentive system in Korean LTCHs, and practical implications for workforce management strategies to improve the quality of care in long-term care settings.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleThe Relationships Between Nursing Staff Factors and Quality of Care in Korean Long-Term Care Hospitalsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/151745-
dc.description.abstract<table><tr><td colspan="2" class="item-title">The Relationships Between Nursing Staff Factors and Quality of Care in Korean Long-Term Care Hospitals</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2011</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Yoon, Ju Young, MS, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Wisconsin-Madison</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Doctoral student</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">yoon26@wisc.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Barbara J. Bowers RN, PhD, FAAN, Professor</td></tr><tr><td colspan="2" class="item-abstract">[22nd International Nursing Research Congress - Research Presentation] Purpose: In 2008, Korean long-term care hospitals (LTCHs) introduced a new nursing staff incentive system in response to concerns about the deterioration of quality of care. This new incentive system is a financial incentive policy that guarantees an adequate level of nursing staff to enhance the quality of care in LTCHs; however, few studies have explored factors that affect the quality of care at the system level due to Korea`s short history of emerging social awareness of aging issues. This proposed study is to examine how nursing staff factors influence the quality of care in Korean LTCHs. <br/>Methods: For a more conceptually coherent approach, this proposed study is based on the research framework with some modification from Unruh &amp; Wan (2004)`s structure, process, outcome systems model of nursing care quality in nursing homes. In particular, two factors of nursing staff are nursing staff level (the number of nursing staff) and nursing staff-mix (the ratio of RNs to the total nursing staff). The quality of care is measured using four patient outcomes: the decline of activities of daily living, the incidence of pressure ulcers, the incidence of urinary incontinence and weight loss. In addition, contextual factors, other organizational factors, and patient risk factors will be controlled. Data including patients and LTCHs will be from Health Insurance Review and Assessment Services, and include almost all older adults residing in Korean LTCHs (about 400,000 patients in 500 LTCHs). Multilevel structural equation modeling will be used for data analysis. <br/>Results: Results will demonstrate the relationships between nursing staff factors and four separate patient outcomes. <br/>Conclusion: These results will provide policy implications for the current nursing staff incentive system in Korean LTCHs, and practical implications for workforce management strategies to improve the quality of care in long-term care settings.</td></tr></table>en_GB
dc.date.available2011-10-26T11:12:21Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T11:12:21Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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