Impact of Nurse, Nurses' Aid Staffing and Turnover Rate on Inpatient Health Outcomes in Long Term Care Hospitals
Journal of Korean Academy of Nursing
;
: 21-30, 2014.
Artigo
em Coreano
| WPRIM
| ID: wpr-174872
ABSTRACT
PURPOSE:
This study was conducted to explore the impact of registered nurse/nurses' aid (RN/NA) staffing and turnover rate on inpatient health outcomes in long term care hospitals.METHODS:
A secondary analysis was done of national data from the Health Insurance Review and Assessment Services including evaluation of long term care hospitals in October-December 2010 and hospital general characteristics in July-September 2010. Final analysis of data from 610 hospitals included RN/NA staffing, turnover rate of nursing staff and 5 patient health outcome indicators.RESULTS:
Finding showed that, when variables of organization and community level were controlled, patients per RN was a significant indicator of decline in ADL for patients with dementia, and new pressure ulcer development in the high risk group and worsening of pressure ulcers. Patients per NA was a significant indicator for new pressure ulcer development in the low risk group. Turnover rate was not significant for any variable.CONCLUSION:
To maintain and improve patient health outcomes of ADL and pressure ulcers, policies should be developed to increase the staffing level of RN. Studies are also needed to examine causal relation of NA staffing level, RN staffing level and patient health outcomes with consideration of the details of nursing practice.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Reorganização de Recursos Humanos
/
Atividades Cotidianas
/
Fatores de Risco
/
Assistência de Longa Duração
/
Indicadores de Qualidade em Assistência à Saúde
/
Úlcera por Pressão
/
Demência
/
Pacientes Internados
/
Programas Nacionais de Saúde
/
Recursos Humanos de Enfermagem Hospitalar
Tipo de estudo:
Estudo de etiologia
/
Fatores de risco
Limite:
Humanos
Idioma:
Coreano
Revista:
Journal of Korean Academy of Nursing
Ano de publicação:
2014
Tipo de documento:
Artigo
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