The Relationship between Nursing Staffing Levels and Nursing Home Outcomes

Dados Bibliográficos

ID12797141
AutoresMary Bliesmer (Minnesota State University, Mankato, autor correspondente), Mary M Bliesmer (Minnesota State University, Mankato), Miles Smayling (Minnesota State University, Mankato), Robert L Kane (0009-0005-8505-6218, University of Minnesota School of Public Health), Iris R Shannon (Rush University), Iris Shannon (Rush University)
Ano1998
Volume10
Fascículo3
Páginas351-371
Data de publicação1998-08-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoJournal of Aging and Health (JOURNAL)
Identificadores do periódicoISSN: 1552-6887 • E-ISSN: 0898-2643
EditoraSAGE Publishing (PUBLISHER • US)
DOI10.1177/089826439801000305
PMID10342936
OpenAlexW2000535404
IdiomaEN
Citações recebidas8
Referências citadas17

This study examined the effects of selected Minnesota nursing home attributes (size, ownership, noncompliance with a state correction order, and licensed and nonlicensed nursing hours) on specific outcomes (functional ability, discharge home, and death) for residents ages 65 and older, controlling for residents' age and previous functional ability. The functional outcome was operationalized by calculating the resident's Total Dependence Score (TDS), the total score on the assessment of eight activities of daily living (score range: 0-33). Ordinary least squares regression analysis was used to estimate the effects of facility attributes, admission TDS, and age on resident outcomes, and nonlinear probability analyses were used to estimate the effects of facility attributes, admission TDS, and age on the probability of death or discharge home. In the year after admission, licensed (but not nonlicensed) nursing hours were significantly related to improved functional ability, increased probability of discharge home, and decreased probability of death, but when limited to chronic residents, the role of professional nursing hours virtually disappears. Overall, the findings support greater use of licensed nurses in the nursing home setting

Nursing homes · Operationalization · Staffing · Dementia and Cognitive Impairment Research · Geriatric Care and Nursing Homes · Health disparities and outcomes · Medicine · Nursing · Gerontology