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Nurse Staffing and Quality of Care of Nursing Home Residents in Korea

Title
Nurse Staffing and Quality of Care of Nursing Home Residents in Korea
Authors
Shin, Juh HyunHyun, Ta Kyung
Ewha Authors
신주현
SCOPUS Author ID
신주현scopus
Issue Date
2015
Journal Title
JOURNAL OF NURSING SCHOLARSHIP
ISSN
1527-6546JCR Link1547-5069JCR Link
Citation
vol. 47, no. 6, pp. 555 - 564
Keywords
Nursing homenursing staffingquality of care
Publisher
WILEY-BLACKWELL
Indexed
SCIE; SSCI; SCOPUS WOS scopus
Abstract
PurposeTo investigate the relationship between nurse staffing and quality of care in nursing homes in Korea. MethodsThis study used a cross-sectional design to describe the relationship between nurse staffing and 15 quality-of-care outcomes. Independent variables were hours per resident day (HPRD), skill mix, and turnover of each nursing staff, developed with the definitions of the Centers for Medicare & Medicaid Services and the American Health Care Association. Dependent variables were prevalence of residents who experienced more than one fall in the recent 3 months, aggressive behaviors, depression, cognitive decline, pressure sores, incontinence, prescribed antibiotics because of urinary tract infection, weight loss, dehydration, tube feeding, bed rest, increased activities of daily living, decreased range of motion, use of antidepressants, and use of restraints. Outcome variables were quality indicators from the U.S. Centers for Medicare & Medicaid and 2013 nursing home evaluation manual by the Korean National Health Insurance Service. FindingsThe effects of registered nurse (RN) HPRD was supported in fall prevention, decreased tube feeding, decreased numbers of residents with deteriorated range of motion, and decreased aggressive behavior. Higher turnover of RNs related to more residents with dehydration, bed rest, and use of antipsychotic medication. ConclusionsStudy results supported RNs' unique contribution to resident outcomes in comparison to alternative nurse staffing in fall prevention, decreased use of tube feeding, better range of motion for residents, and decreased aggressive behaviors in nursing homes in Korea. More research is required to confirm the effects of nurse staffing on residents' outcomes in Korea.
DOI
10.1111/jnu.12166
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간호대학 > 간호학전공 > Journal papers
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