View : 907 Download: 0
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
- 신주현
- Issue Date
- 2018
- Journal Title
- JOURNAL OF NURSING SCHOLARSHIP
- ISSN
- 1527-6546
1547-5069
- Citation
- JOURNAL OF NURSING SCHOLARSHIP vol. 50, no. 6, pp. 705 - 713
- Keywords
- Hierarchical linear model; nursing home; nursing staffing; quality of care
- Publisher
- WILEY
- Indexed
- SCIE; SSCI; SCOPUS
- 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
- Files in This Item:
There are no files associated with this item.
- Export
- RIS (EndNote)
- XLS (Excel)
- XML