TY - JOUR
T1 - Impact of nurse staffing, skill mix and stability on resident health outcomes in korean nursing homes
AU - Shin, Juh Hyun
AU - Choi, Gui Yun
AU - Lee, Jiyeon
N1 - Publisher Copyright:
© 2020 Korean Gerontological Nursing Society.
PY - 2020/11
Y1 - 2020/11
N2 - Purpose: The purpose of this study was to investigate the impact of nurse staffing, skill mix, and stability on resident health outcomes in nursing homes. Methods: This study used a cross-sectional design with proportionate stratified sampling. A total of 53 nursing homes of all 3,261 nursing homes in Korea participated in this study. The number of residents per nursing staff, hours per resident day (HPRD), skill mix, and turnover rate of each nursing staff were used as independent variables. Residents’ health-outcome indicators, and use of the emergency room and hospital were used as dependent variables. Multiple regression was used to investigate the impact of nurse staffing, skill mix, and turnover rate on resident health outcomes. Results: The impact of residents per director of nursing (DON) was supported in fall prevention, decreased aggressive behavior, decreased antipsychotic drug use, and increased hospital use (rate and frequency). The impact of registered nurse (RN) HPRD was supported in decreased weight loss, decreased deteriorated activities of daily living, and decreased deteriorated range of motion. High RN turnover related to higher antipsychotic drug use. Conclusion: Nursing homes should increase the staffing level of DONs and RNs to maintain and improve resident health outcomes. Further research is required to confirm the impact of nurse staffing on residents’ health outcomes in nursing homes.
AB - Purpose: The purpose of this study was to investigate the impact of nurse staffing, skill mix, and stability on resident health outcomes in nursing homes. Methods: This study used a cross-sectional design with proportionate stratified sampling. A total of 53 nursing homes of all 3,261 nursing homes in Korea participated in this study. The number of residents per nursing staff, hours per resident day (HPRD), skill mix, and turnover rate of each nursing staff were used as independent variables. Residents’ health-outcome indicators, and use of the emergency room and hospital were used as dependent variables. Multiple regression was used to investigate the impact of nurse staffing, skill mix, and turnover rate on resident health outcomes. Results: The impact of residents per director of nursing (DON) was supported in fall prevention, decreased aggressive behavior, decreased antipsychotic drug use, and increased hospital use (rate and frequency). The impact of registered nurse (RN) HPRD was supported in decreased weight loss, decreased deteriorated activities of daily living, and decreased deteriorated range of motion. High RN turnover related to higher antipsychotic drug use. Conclusion: Nursing homes should increase the staffing level of DONs and RNs to maintain and improve resident health outcomes. Further research is required to confirm the impact of nurse staffing on residents’ health outcomes in nursing homes.
KW - Health
KW - Nursing homes
KW - Nursing staff
KW - Patients
UR - http://www.scopus.com/inward/record.url?scp=85097005683&partnerID=8YFLogxK
U2 - 10.17079/jkgn.2020.22.4.291
DO - 10.17079/jkgn.2020.22.4.291
M3 - Article
AN - SCOPUS:85097005683
SN - 2384-1877
VL - 22
SP - 291
EP - 303
JO - Journal of Korean Gerontological Nursing
JF - Journal of Korean Gerontological Nursing
IS - 4
ER -