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The effect of registered nurses on nursing home residents' outcomes, controlling for organizational and health care market factors

Title
The effect of registered nurses on nursing home residents' outcomes, controlling for organizational and health care market factors
Authors
Shin, Juh HyunShin, In-Soo
Ewha Authors
신주현
SCOPUS Author ID
신주현scopus
Issue Date
2019
Journal Title
GERIATRIC NURSING
ISSN
0197-4572JCR Link

1528-3984JCR Link
Citation
GERIATRIC NURSING vol. 40, no. 3, pp. 296 - 301
Keywords
Nursing staffNursing homeOrganizational characteristicsQuality of care
Publisher
MOSBY-ELSEVIER
Indexed
SCIE; SSCI; SCOPUS WOS
Document Type
Article
Abstract
Despite cumulative and integrative evidence of registered nurse (RN) staffing on nursing home residents' outcomes worldwide, few studies integrate the effects of residents' case mix, healthcare markets, and nurse staffing on psychotropic-medication use and weight loss in Korea. This article examined the relationship between nurse staffing and residents' quality-of-care outcomes, controlling for long-term healthcare market characteristics in Korea. Using a multilevel cross-sectional design, a disproportionate stratified random sampling was used. Of 87 nursing homes contacted, 60 agreed to participate. Weighted linear regression was used to test the hypotheses. RN hours per resident day (HPRD) had a statistically significant positive impact on reducing the number of residents with psychotropic medication (beta = -.331, p = .008). Greater RN HPRD positively marginally related to fewer residents with cognitive impairment (beta = - 0.201, p = .139). Higher turnover of RN staff related to decreased proportions of residents with weight loss (beta = -.331 p = .008). Policy-makers should cautiously consider requiring mandatory nurse staffing in nursing homes in Korea, where it is still acceptable to have certified nurse aids as substitutes for RNs. (C) 2018 Elsevier Inc. All rights reserved.
DOI
10.1016/j.gerinurse.2018.11.004
Appears in Collections:
간호대학 > 간호학전공 > Journal papers
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