Castle Nicholas G
Department of Health Policy and Management, University of Pittsburgh, Graduate School of Public Health, Pittsburgh, PA 15261, USA.
Res Gerontol Nurs. 2009 Jul;2(3):192-201. doi: 10.3928/19404921-20090428-01. Epub 2009 May 29.
This article describes the extent and degree of use of agency staff by nursing homes and examines the relationship between agency staffing levels and quality of care in a large sample of nursing homes (N = 3,876). The quality indicators came from the Nursing Home Compare Web site. It was found that many nursing homes used agency staff (approximately 60% used at least some), and a strong association between better quality and lower agency use existed for both nurse aides and RNs. The influence on quality for the highest levels of agency use, compared with no agency use, was clinically significant. On the basis of these findings, facilities considering using high levels of agency staff should do so carefully.
本文描述了疗养院使用代理员工的范围和程度，并在大量疗养院样本（N = 3876）中研究了代理员工配备水平与护理质量之间的关系。质量指标来自“疗养院比较”网站。研究发现，许多疗养院使用代理员工（约60%至少使用了一些），对于护士助理和注册护士而言，质量较高与较少使用代理员工之间存在密切关联。与不使用代理员工相比，最高水平的代理员工使用对质量的影响具有临床意义。基于这些发现，考虑大量使用代理员工的机构应谨慎行事。
