College of Nursing, Ewha Womans University, Seoul 03760, Korea.
School of Mathematical and Statistical Sciences, Arizona State University, Tempe, AZ 85281, USA.
Int J Environ Res Public Health. 2021 Jan 6;18(2):402. doi: 10.3390/ijerph18020402.
The purpose of this study was to estimate how much resident outcomes can improve with an increase in hours per resident day (HPRD) of registered nurses (RNs) staffing. Nursing home (NH) staff in Korea have serious problems with inappropriate nurse staffing standards and poor working conditions, which lead to poor quality of care for NH residents. This study used a longitudinal survey design. A quota sampling was used with a total of several repeated survey measurement from 2017 to 2020 ( = 74). The independent variable was the amount of nurse staffing HPRD and the outcome variable was the compiled outcome of 15 quality-of-care indicators. Data were directly collected from all participating NHs. A longitudinal, multilevel model was used for analysis. An increase of one unit of RN HPRD (60 min) corresponded to a decrease of about 10.5% of residents with deteriorated quality of care outcomes. This study emphasized that increasing RN HPRD decreased residents' deteriorated outcomes in NHs. This suggests that professional RNs must be secured to an appropriate level to improve the quality of care for NH residents.
本研究旨在估算注册护士（RN）每居民日工作时间（HPRD）增加多少，居民的预后可以改善多少。韩国的疗养院（NH）工作人员在护士人员配备标准和工作条件方面存在严重问题，这导致 NH 居民的护理质量较差。本研究采用纵向调查设计。使用配额抽样，从 2017 年到 2020 年进行了总共几次重复调查测量（n=74）。自变量是护士人员配备 HPRD 的数量，结果变量是 15 个护理质量指标的综合结果。数据直接从所有参与的 NH 收集。采用纵向多层次模型进行分析。RN HPRD 增加一个单位（60 分钟）对应于大约 10.5%的居民护理结果恶化的减少。本研究强调，增加 RN HPRD 可以降低 NH 居民预后恶化的情况。这表明，必须确保有足够数量的专业 RN 以提高 NH 居民的护理质量。
