Castle Nicholas G, Ferguson-Rome Jamie C
Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania.
Gerontologist. 2015 Aug;55(4):605-15. doi: 10.1093/geront/gnt167. Epub 2014 Jan 7.
In this analysis, the association of nurse aide absenteeism with quality is examined. Absenteeism is the failure of nurse aides to report for work when they are scheduled to work.
Data used in this investigation came from survey responses from 3,941 nursing homes; Nursing Home Compare; the Online System for Survey, Certification and Administrative Reporting data; and the Area Resource File. Staffing characteristics, quality indicators, facility, and market information from these data sources were all measured in 2008. The specific quality indicators examined are physical restraint use, catheter use, pain management, and pressure sores using negative binomial regression.
An average rate of 9.2% for nurse aide absenteeism was reported in the prior week. We find that high levels of absenteeism are associated with poor performance on all four quality indicators examined.
The investigation presented, to our knowledge, is one of the first examining the implications of absenteeism in nursing homes. Absenteeism can be a costly staffing issue, one of the potential costs identified in this analysis is an impact on quality of care.
在本分析中，研究了护理助理旷工与质量之间的关联。旷工是指护理助理在排班工作时未报到上班。
本调查使用的数据来自3941家疗养院的调查回复、疗养院比较、调查、认证和行政报告在线系统数据以及区域资源文件。这些数据源中的人员配备特征、质量指标、机构和市场信息均于2008年进行测量。使用负二项回归分析所检查的具体质量指标包括身体约束使用情况、导尿管使用情况、疼痛管理和压疮情况。
报告称前一周护理助理的平均旷工率为9.2%。我们发现，高旷工率与所检查的所有四项质量指标的不佳表现相关。
据我们所知，本研究所进行的调查是首批研究疗养院旷工影响的调查之一。旷工可能是一个成本高昂的人员配备问题，本分析中确定的潜在成本之一是对护理质量的影响。
