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Public Reporting on the Quality Ratings of Nursing Homes in the Republic of Korea

Title
Public Reporting on the Quality Ratings of Nursing Homes in the Republic of Korea
Authors
Lee, Hyang YuolShin, Juh Hyun
Ewha Authors
신주현
SCOPUS Author ID
신주현scopus
Issue Date
2019
Journal Title
JOURNAL OF KOREAN ACADEMY OF NURSING
ISSN
2005-3673JCR Link

2093-758XJCR Link
Citation
JOURNAL OF KOREAN ACADEMY OF NURSING vol. 49, no. 2, pp. 161 - 170
Keywords
KoreaNursing HomesQuality of Health CareAnnual Report
Publisher
KOREAN SOC NURSING SCIENCE
Indexed
SCIE; SSCI; SCOPUS; KCI WOS
Document Type
Article
Abstract
Background: Quality ratings could provide vital information to help people in choosing a nursing home. Purpose: This study investigated factors aligned with quality ratings of nursing homes. Methods: We employed a cross-sectional descriptive design to assess publicly available data on 1,354 nursing homes with 30 or more beds in the Republic of Korea. After excluding 289 nursing homes with no reported quality-evaluation ratings, we analyzed the 2015 data of 1,065 nursing homes, To prevent multicollinearity among independent variables, we carefully selected the final set of variables based on clinical and theoretical meaningfulness to direct nursing care. Quality, the ordinal outcome, was scored from 1 to 5 with a higher score indicating higher quality of the organization. We constructed a multivariate ordered logistic regression model. Results: Higher quality ratings of nursing homes was significantly related to the number of unoccupied beds (OR=0.99, p=.024), registered nurses (RNs) (OR=1.30, p=.003), qualified care workers (OR=1.03, p=.011), cognitive-improvement programs (OR=1.05, p=.024), and other programs for residents' activities (OR=1.09, p<.001). Conclusion: The number of RNs had the strongest influence on the publicly reported quality rating, while the rating of qualified care workers demonstrated little effect and that of nursing assistants had no effect. The number of RNs could be used as a crucial indicator for high-quality homes; more resident-engaging programs also demonstrated better quality of nursing home care.
DOI
10.4040/jkan.2019.49.2.161
Appears in Collections:
간호대학 > 간호학전공 > Journal papers
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