Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania 15261, USA.
J Aging Soc Policy. 2013;25(1):48-64. doi: 10.1080/08959420.2012.705647.
Consistent assignment refers to the same caregivers consistently caring for the same residents almost every time caregivers are on duty. This article examines the association of consistent assignment of nurse aides with turnover and absenteeism. Data came from a survey of nursing home administrators, the Online Survey Certification and Reporting data, and the Area Resource File. The measures were from 2007 and came from 3,941 nursing homes. Multivariate logistic regression models were used to examine turnover and absenteeism. An average of 68% of nursing homes reported using consistent assignment, with 28% of nursing homes using nurse aides consistent assignment at the often recommended level of 85% (or more). Nursing homes using recommended levels of consistent assignment had significantly lower rates of turnover and of absenteeism. In the multivariate analyses, consistent assignment was significantly associated with both lower turnover and lower absenteeism (p < .01). Consistent assignment is a practice recommended by many policy makers, government agencies, and industry advocates. The findings presented here provide some evidence that the use of this staffing practice can be beneficial.
一致分配是指同一批护理人员几乎每次值班时都照顾同一位居民。本文研究了护士助手的一致分配与离职和缺勤之间的关系。数据来自对养老院管理人员的调查、在线调查认证和报告数据以及地区资源文件。这些措施来自 2007 年，涉及 3941 家养老院。使用多变量逻辑回归模型来检查离职和缺勤情况。平均有 68%的养老院报告使用一致分配，其中 28%的养老院按照经常推荐的 85%（或更高）的标准使用护士助手一致分配。使用一致分配建议水平的养老院离职率和缺勤率显著较低。在多变量分析中，一致分配与较低的离职率和较低的缺勤率显著相关（p<.01）。一致分配是许多政策制定者、政府机构和行业倡导者推荐的做法。这里提出的研究结果提供了一些证据，表明使用这种人员配置做法可能是有益的。
