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Nursing Staff Characteristics on Resident Outcomes in Nursing Homes

BACKGROUND: The outlook of administrative staff and registered nurses (RNs) plays a critical role in the management of nursing homes. No previous study has compared the outcomes of nursing homes with RNs on staff with those of nursing homes without RNs on staff in Korea. PURPOSE: The aim of this stu...

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Autor principal: SHIN, Juh Hyun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6369883/
https://www.ncbi.nlm.nih.gov/pubmed/30694225
http://dx.doi.org/10.1097/jnr.0000000000000269
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author SHIN, Juh Hyun
author_facet SHIN, Juh Hyun
author_sort SHIN, Juh Hyun
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description BACKGROUND: The outlook of administrative staff and registered nurses (RNs) plays a critical role in the management of nursing homes. No previous study has compared the outcomes of nursing homes with RNs on staff with those of nursing homes without RNs on staff in Korea. PURPOSE: The aim of this study was to investigate the association between nurse-led nursing homes, staff turnover, and resident outcomes in nursing homes in Korea. METHODS: Using a cross-sectional design, 36 nursing homes with 30 or more beds participated. Primary data included 15 quality indicators. RESULTS: Nursing homes with RNs had statistically significant better resident outcomes. RN turnover related positively to the prevalence of falls ( β = 1.68, p < .05) and tube feeding (β = 1.71, p < .01) and negatively to incontinence (β = −1.53, p < .01). Nursing homes with RNs with tenures greater than 1 year had statistically significant lower prevalence of falls (β = −0.47, p < .05), incontinence (β = −0.45, p < .05), weight loss (β = −0.53 p < .05), and bed rest (β = −0.54, p < .01) and increased range of motion (β = 0.51, p < .05). Interestingly, having a nurse as a director for more than 1 year related negatively to the incidence of urinary tract infection (β = −0.56, p < .05) in residents. The rate of RN turnover was found to impact fall prevalence (β = 1.68, p < .05) and tube feeding (β = 1.71, p < .01) positively and to impact incontinence (β = −1.53, p < .01) negatively. CONCLUSIONS: Turnover of nursing home staff and length of tenure may contribute to the more effective management of nursing homes, higher-quality long-term care insurance, and RN-staffing-related laws. Assessing staff characteristics and the tenure of employees promotes the effective management of nursing homes.
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spelling pubmed-63698832019-02-28 Nursing Staff Characteristics on Resident Outcomes in Nursing Homes SHIN, Juh Hyun J Nurs Res Original Articles BACKGROUND: The outlook of administrative staff and registered nurses (RNs) plays a critical role in the management of nursing homes. No previous study has compared the outcomes of nursing homes with RNs on staff with those of nursing homes without RNs on staff in Korea. PURPOSE: The aim of this study was to investigate the association between nurse-led nursing homes, staff turnover, and resident outcomes in nursing homes in Korea. METHODS: Using a cross-sectional design, 36 nursing homes with 30 or more beds participated. Primary data included 15 quality indicators. RESULTS: Nursing homes with RNs had statistically significant better resident outcomes. RN turnover related positively to the prevalence of falls ( β = 1.68, p < .05) and tube feeding (β = 1.71, p < .01) and negatively to incontinence (β = −1.53, p < .01). Nursing homes with RNs with tenures greater than 1 year had statistically significant lower prevalence of falls (β = −0.47, p < .05), incontinence (β = −0.45, p < .05), weight loss (β = −0.53 p < .05), and bed rest (β = −0.54, p < .01) and increased range of motion (β = 0.51, p < .05). Interestingly, having a nurse as a director for more than 1 year related negatively to the incidence of urinary tract infection (β = −0.56, p < .05) in residents. The rate of RN turnover was found to impact fall prevalence (β = 1.68, p < .05) and tube feeding (β = 1.71, p < .01) positively and to impact incontinence (β = −1.53, p < .01) negatively. CONCLUSIONS: Turnover of nursing home staff and length of tenure may contribute to the more effective management of nursing homes, higher-quality long-term care insurance, and RN-staffing-related laws. Assessing staff characteristics and the tenure of employees promotes the effective management of nursing homes. Lippincott Williams & Wilkins 2019-02 2019-02-05 /pmc/articles/PMC6369883/ /pubmed/30694225 http://dx.doi.org/10.1097/jnr.0000000000000269 Text en Copyright © 2019 The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC- ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Original Articles
SHIN, Juh Hyun
Nursing Staff Characteristics on Resident Outcomes in Nursing Homes
title Nursing Staff Characteristics on Resident Outcomes in Nursing Homes
title_full Nursing Staff Characteristics on Resident Outcomes in Nursing Homes
title_fullStr Nursing Staff Characteristics on Resident Outcomes in Nursing Homes
title_full_unstemmed Nursing Staff Characteristics on Resident Outcomes in Nursing Homes
title_short Nursing Staff Characteristics on Resident Outcomes in Nursing Homes
title_sort nursing staff characteristics on resident outcomes in nursing homes
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6369883/
https://www.ncbi.nlm.nih.gov/pubmed/30694225
http://dx.doi.org/10.1097/jnr.0000000000000269
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