Rome Vincent, Harris-Kojetin Lauren D
Natl Health Stat Report. 2016 Feb 19(91):1-11.
This report presents national and state estimates of staffing levels in residential care communities for registered nurses, licensed practical or vocational nurses, and aides in the United States for 2014.
Data were drawn from the residential care community component of the 2014 wave of the biennial National Study of Long-Term Care Providers, conducted by the Centers for Disease Control and Prevention’s National Center for Health Statistics. For each staff type, the "staffing level" measure is presented as average hours per resident per day, defined as the total number of hours worked divided by the total number of residents, which does not necessarily reflect the amount of care given to a specific resident. Analyses examined the extent to which residential care community nurse and aide staffing levels varied by selected organizational characteristics and selected resident composition characteristics of the communities. Differences among subgroups were evaluated using two-sided t tests at the 0.05 level.
In 2014, the total registered nurse, licensed practical or vocational nurse, and aide staffing level among all residential care communities was about 2 hours and 50 minutes. Registered nurse staffing levels differed for two of the three organizational characteristics (size and metropolitan statistical area [MSA]) and for only one of the four resident composition characteristics (primarily serving residents needing any assistance with activities of daily living). Licensed practical or vocational nurse staffing levels differed for all three organizational characteristics (size, MSA, and ownership) and for only one of the four resident composition characteristics (primarily serving residents diagnosed with Alzheimer’s disease or other dementias). In contrast, differences in aide staffing levels were common when examining both community organizational and resident composition characteristics. Registered nursing, licensed practical and vocational nursing, and aide staffing levels varied geographically by state.
本报告呈现了2014年美国寄宿护理社区注册护士、执业护士或职业护士以及护理员的全国及各州人员配备水平估计值。
数据取自疾病控制与预防中心国家卫生统计中心开展的两年一次的《长期护理机构全国性研究》2014年调查中的寄宿护理社区部分。对于每种员工类型，“人员配备水平”指标以每位居民每天的平均工作小时数表示，计算方法为工作总小时数除以居民总数，这不一定反映给予特定居民的护理量。分析考察了寄宿护理社区护士和护理员的人员配备水平因社区选定的组织特征和选定的居民构成特征而变化的程度。亚组间差异使用双侧t检验在0.05水平进行评估。
2014年，所有寄宿护理社区的注册护士、执业护士或职业护士以及护理员的总人员配备水平约为2小时50分钟。注册护士的人员配备水平在三个组织特征中的两个（规模和大都市统计区[MSA]）以及四个居民构成特征中的一个（主要服务于在日常生活活动中需要任何帮助的居民）方面存在差异。执业护士或职业护士的人员配备水平在所有三个组织特征（规模、MSA和所有权）以及四个居民构成特征中的一个（主要服务于被诊断患有阿尔茨海默病或其他痴呆症的居民）方面存在差异。相比之下，在考察社区组织特征和居民构成特征时，护理员的人员配备水平差异较为常见。注册护士、执业护士和护理员的人员配备水平在各州存在地域差异。
