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Why Do We Require Registered Nurses in Nursing Homes? Using Longitudinal Hierarchical Linear Modeling

Title
Why Do We Require Registered Nurses in Nursing Homes? Using Longitudinal Hierarchical Linear Modeling
Authors
Shin, Juh Hyun
Ewha Authors
신주현
SCOPUS Author ID
신주현scopus
Issue Date
2018
Journal Title
JOURNAL OF NURSING SCHOLARSHIP
ISSN
1527-6546JCR Link

1547-5069JCR Link
Citation
JOURNAL OF NURSING SCHOLARSHIP vol. 50, no. 6, pp. 705 - 713
Keywords
Hierarchical linear modelnursing homenursing staffingquality of care
Publisher
WILEY
Indexed
SCIE; SSCI; SCOPUS WOS
Document Type
Article
Abstract
Aims: To examine the relationship between nurse staffing and quality of care of nursing home residents, longitudinally. Background: Mixed results abound on the relationship between nurse staffing and quality of care of residents in nursing homes. Cross-sectional designs may underpin bias because the relationship between staffing and quality emerges over time, with latent unobserved variables. To offset this limitation, I used a longitudinal design in this study. Design: I used repeated quarterly survey methods. Methods: I measured staffing information with a formula developed by the Centers for Medicare & Medicaid Services. Outcome variables were 15 quality indicators and the Korean National Health Insurance Service 2015 nursing home evaluation manual. Results and Findings: As registered nurse hours per resident day increased by 1, the percentage of residents with depression decreased by 3.88%, and the prevalence of residents with nasogastric tubes increased by 1.17% in 3 months. Prevalence of residents with bed rest decreased by 5.72%, and residents with restraints decreased by 1.092%. More registered nurses and fewer certified nursing assistants or qualified care workers yielded a statistically significant negative influence on aggressive behavior, depression, weight loss, and bed rest. The higher turnover of total nursing staff related to more use of antidepressants. Conclusions: Results supported registered nurses' exclusive impact on resident outcomes. More longitudinal research is required to confirm the influence of nurses on nursing home residents' outcomes.
DOI
10.1111/jnu.12412
Appears in Collections:
간호대학 > 간호학전공 > Journal papers
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