养老院比较星级评分和飓风艾玛期间的日常直接护理护士人员配置。
Nursing Home Compare Star Rating and Daily Direct-Care Nurse Staffing During Hurricane Irma.
机构信息
Department of Psychiatry, University of California San Diego, La Jolla, CA, USA; Sam and Rose Stein Institute for Research on Aging, University of California San Diego, La Jolla, CA, USA; Florida Policy Exchange Center of Aging, School of Aging Studies, University of South Florida, Tampa, FL, USA.
Florida Policy Exchange Center of Aging, School of Aging Studies, University of South Florida, Tampa, FL, USA.
出版信息
J Am Med Dir Assoc. 2022 Aug;23(8):1409-1412.e1. doi: 10.1016/j.jamda.2021.09.038. Epub 2021 Nov 2.
OBJECTIVES
Nursing homes (NHs) are affected by major hurricanes and other natural disasters. To mitigate adverse effects of a major hurricane, NHs often increase their direct-care nurse staffing levels to meet the needs of their residents. However, the quality rating of the NH may affect the resources available to obtain and retain staff. This data brief provides estimates of direct-care nurse staffing levels by quality star rating during Hurricane Irma.
DESIGN
Retrospective cohort study from September 3, 2017, to September 10, 2017.
SETTING AND PARTICIPANTS
570 Florida NHs that sheltered in place during Hurricane Irma.
METHODS
We stratified NHs by their NH Compare overall quality star rating and then measured change in direct-care nurse staffing levels for registered nurses, licensed practical nurses, and certified nursing assistants.
RESULTS
We found that the NH Compare overall star rating was positively associated with a greater staffing level response during Hurricane Irma among registered nurses, licensed practical nurses, and certified nursing assistants. This change was largest for 5-star facilities and smallest for 1-star facilities.
CONCLUSIONS AND IMPLICATIONS
Higher-quality NHs may be more responsive and have the resources to be more responsive, to increased needs during a natural disaster. Our findings may serve as a platform for ongoing discussion on the role of the federal, state, and local governments in ensuring minimum staffing standards during natural disasters.
目的
养老院（NHs）容易受到重大飓风和其他自然灾害的影响。为了减轻重大飓风的不利影响，NHs 通常会增加直接护理护士的人员配备水平，以满足居民的需求。然而，NH 的质量等级可能会影响获得和留住员工的可用资源。本数据简报提供了飓风 Irma 期间按质量星级评定的直接护理护士人员配备水平的估计值。
设计
2017 年 9 月 3 日至 9 月 10 日的回顾性队列研究。
地点和参与者
570 家在飓风 Irma 期间就地避难的佛罗里达州 NHs。
方法
我们根据 NH Compare 的总体质量星级对 NHs 进行分层，然后衡量注册护士、执业护士和注册助理护士的直接护理护士人员配备水平的变化。
结果
我们发现，NH Compare 的总体星级与注册护士、执业护士和注册助理护士在飓风 Irma 期间的人员配备水平响应呈正相关。五星级设施的变化最大，一星级设施的变化最小。
结论和意义
更高质量的 NHs 可能更具响应能力，并且有资源更积极响应，以满足自然灾害期间的更高需求。我们的发现可以作为联邦、州和地方政府在确保自然灾害期间最低人员配备标准方面持续讨论的平台。
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