Schnelle John F, Simmons Sandra F, Harrington Charlene, Cadogan Mary, Garcia Emily, M Bates-Jensen Barbara
UCLA Borun Center, 7150 Tampa Avenue Reseda, CA 91335, USA.
Health Serv Res. 2004 Apr;39(2):225-50. doi: 10.1111/j.1475-6773.2004.00225.x.
To compare nursing homes (NHs) that report different staffing statistics on quality of care.
Staffing information generated by California NHs on state cost reports and during onsite interviews. Data independently collected by research staff describing quality of care related to 27 care processes.
Two groups of NHs (n=21) that reported significantly different and stable staffing data from all data sources were compared on quality of care measures.
Direct observation, resident and staff interview, and chart abstraction methods.
Staff in the highest staffed homes (n=6), according to state cost reports, reported significantly lower resident care loads during onsite interviews across day and evening shifts (7.6 residents per nurse aide [NA]) compared to the remaining homes that reported between 9 to 10 residents per NA (n=15). The highest-staffed homes performed significantly better on 13 of 16 care processes implemented by NAs compared to lower-staffed homes.
The highest-staffed NHs reported significantly lower resident care loads on all staffing reports and provided better care than all other homes.
比较报告不同人员配置统计数据的养老院在护理质量方面的差异。
加利福尼亚州养老院在州成本报告及现场访谈中生成的人员配置信息。研究人员独立收集的描述与27项护理流程相关的护理质量的数据。
比较两组养老院（n = 21），这两组养老院从所有数据源报告的人员配置数据存在显著差异且稳定，比较其护理质量指标。
直接观察、居民及工作人员访谈和病历摘要方法。
根据州成本报告，人员配置最多的养老院（n = 6）在现场访谈中报告，与其余养老院（n = 15，每名护理助理护理9至10名居民）相比，白天和晚上班次期间每名护理助理的居民护理负担显著更低（每名护理助理护理7.6名居民）。与人员配置较少的养老院相比，人员配置最多的养老院在护理助理实施的16项护理流程中的13项上表现明显更好。
人员配置最多的养老院在所有人员配置报告中报告的居民护理负担显著更低，并且比所有其他养老院提供更好的护理。
