2.50
Hdl Handle:
http://hdl.handle.net/10755/160528
Type:
Presentation
Title:
Effect of Nursing Personnel on Nursing Home Care Quality
Abstract:
Effect of Nursing Personnel on Nursing Home Care Quality
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2002
Author:Bostick, Jane
P.I. Institution Name:University of Missouri-Columbia
Title:Assistant Professor
Contact Address:Sinclair School of Nursing, S419 Nursing Building, Columbia, MO, 65211, USA
Contact Telephone:573.882.0255
Although decades of nursing home reform legislation has sought to improve nursing home care, a great deal remains to be answered regarding staff mix (type) and staff ratios (number) and their effects on resident outcomes. Important questions regarding the link between quality nursing home care and nursing personnel are still unresolved. What is the essential ratio of staffing necessary to improve resident outcomes in nursing homes? Purpose: This cross-sectional descriptive survey study compared the effects of nurse staff mix and ratio on resident outcomes as measured by specific quality indicators derived from the nursing home Minimum Data Set (MDS). Major quality indicators explored were: prevalence of weight loss, prevalence of bladder or bowel incontinence, prevalence of stage 1-4 pressure ulcers for low-risk and high-risk residents, change in behavioral symptoms, prevalence of ADL decline, and prevalence of physical restraint use. Sample: The sample consisted of 485 Medicare/Medicaid certified nursing homes who electronically submitted data to the On-line Survey, Certification and Reporting System (OSCAR) maintained by the Health Care Financing Administration as well as MDS data in one state from 1999-2000. Method: Staffing data was statistically analyzed using SAS (SAS Institute Inc., 1990). Facility size, geographic location, case mix, chain ownership, and type of control (profit, non-profit, or government) were used as controlling variables. Results: Descriptive analysis of the data revealed that the mean staffing hours per resident per day was 0.54 for registered nurses, 1.37 for licensed practical nurses, and 2.94 for nurse's aides. Conclusions: In 1997, the national average for RN hours per resident day was 0.44, the average for LPN hours was 0.60, and the average for NA hours was 1.9. (Kovner, Mezey, & Harrington, 2000). The number of actual nursing hours, per resident, per day are higher in this state when compared to national norms.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleEffect of Nursing Personnel on Nursing Home Care Qualityen_GB
dc.identifier.urihttp://hdl.handle.net/10755/160528-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Effect of Nursing Personnel on Nursing Home Care Quality</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2002</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Bostick, Jane</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Missouri-Columbia</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">Sinclair School of Nursing, S419 Nursing Building, Columbia, MO, 65211, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">573.882.0255</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">BostickJ@missouri.edu</td></tr><tr><td colspan="2" class="item-abstract">Although decades of nursing home reform legislation has sought to improve nursing home care, a great deal remains to be answered regarding staff mix (type) and staff ratios (number) and their effects on resident outcomes. Important questions regarding the link between quality nursing home care and nursing personnel are still unresolved. What is the essential ratio of staffing necessary to improve resident outcomes in nursing homes? Purpose: This cross-sectional descriptive survey study compared the effects of nurse staff mix and ratio on resident outcomes as measured by specific quality indicators derived from the nursing home Minimum Data Set (MDS). Major quality indicators explored were: prevalence of weight loss, prevalence of bladder or bowel incontinence, prevalence of stage 1-4 pressure ulcers for low-risk and high-risk residents, change in behavioral symptoms, prevalence of ADL decline, and prevalence of physical restraint use. Sample: The sample consisted of 485 Medicare/Medicaid certified nursing homes who electronically submitted data to the On-line Survey, Certification and Reporting System (OSCAR) maintained by the Health Care Financing Administration as well as MDS data in one state from 1999-2000. Method: Staffing data was statistically analyzed using SAS (SAS Institute Inc., 1990). Facility size, geographic location, case mix, chain ownership, and type of control (profit, non-profit, or government) were used as controlling variables. Results: Descriptive analysis of the data revealed that the mean staffing hours per resident per day was 0.54 for registered nurses, 1.37 for licensed practical nurses, and 2.94 for nurse's aides. Conclusions: In 1997, the national average for RN hours per resident day was 0.44, the average for LPN hours was 0.60, and the average for NA hours was 1.9. (Kovner, Mezey, &amp; Harrington, 2000). The number of actual nursing hours, per resident, per day are higher in this state when compared to national norms.</td></tr></table>en_GB
dc.date.available2011-10-26T23:01:49Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T23:01:49Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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