护士人员配备水平对养老院护理质量的影响。
The influence of nurse staffing levels on quality of care in nursing homes.
机构信息
Florida Policy Exchange Center on Aging, School of Aging Studies, University of South Florida, Tampa, FL 33620, USA.
出版信息
Gerontologist. 2011 Oct;51(5):610-6. doi: 10.1093/geront/gnr050. Epub 2011 May 20.
OBJECTIVE
This study examines the relationship between increasing certified nursing assistants (CNAs) and licensed nurse staffing ratios and deficiencies in Florida nursing homes over a 4-year period.
METHODS
Data from Florida staffing reports and the Online Survey Certification and Reporting database examine the relationship among staffing levels and deficiency citations for 663 Florida nursing homes between 2002 and 2005. Using a generalized estimating equation approach in SAS Proc Genmod, we estimate the relationship between CNA and licensed nursing staff, and facilities' total deficiency score and quality of care deficiency scores-calculated using the Centers for Medicare and Medicaid Services' Nursing Home Compare Five-Star Quality Rating System, which accounts for the complexity of the scope and severity of the cittions.
RESULTS
Our results confirmed that higher CNA staffing levels were predictors of lower total deficiency scores and quality of care deficiency scores after controlling for facility characteristics.
CONCLUSION
With a large sample size, repeated measure design, and advanced methods, we have found a relationship between CNA staffing and nursing home quality.
目的
本研究在四年期间考察了注册护士助理（CNA）和注册护士人员配备比例的增加与佛罗里达州养老院人员配备不足之间的关系。
方法
本研究利用佛罗里达州人员配备报告和在线调查认证和报告数据库，调查了 2002 年至 2005 年间 663 家佛罗里达州养老院的人员配备水平与违规记录之间的关系。本研究使用 SAS Proc Genmod 中的广义估计方程方法，估计了 CNA 和注册护士人员与设施的总违规评分和护理质量违规评分之间的关系，该评分使用了医疗保险和医疗补助服务中心的养老院比较五星级质量评级系统计算得出，该系统考虑了违规的范围和严重程度的复杂性。
结果
在控制了设施特征后，我们的结果证实，更高的 CNA 人员配备水平是总违规评分和护理质量违规评分较低的预测因素。
结论
通过使用较大的样本量、重复测量设计和先进的方法，我们发现了 CNA 人员配备与养老院质量之间的关系。
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