Graduate School GROW-Gerontological Research on Well-Being, Faculty of Human Sciences and Faculty of Medicine, University of Cologne, 50931 Cologne, Germany.
Institute of Medical Sociology, Health Services Research, and Rehabilitation Science (IMVR), Faculty of Human Sciences and Faculty of Medicine, University of Cologne and University Hospital Cologne, 50933 Cologne, Germany.
Int J Environ Res Public Health. 2021 Oct 27;18(21):11300. doi: 10.3390/ijerph182111300.
The relationship between nurse staffing, physical outcomes of residents, as well as quality of care receives major attention. The impact of staffing levels on residents' ability to organize their everyday life and maintain social contacts, however, has not been analyzed to date. This study examines whether a relationship between the staff-to-resident ratio for registered nurses and nursing home residents with and without dementia aged over 80 exists. Secondary data collected in the project inQS (indikatorengestützte Qualitätsförderung) were used ( = 1782, mean age = 88.14). The analyzed cross-sectional data were collected in winter 2019 in facilities of the Diocesan Caritas Association in Germany. A sum score formed from variables measuring residents' abilities to independently organize their everyday life and maintain social contacts functioned as the dependent variable. A multi-level regression analysis was performed. The results revealed that the ability of residents without dementia was significantly associated with the staff-to-resident ratio of registered nurses. This was not true for residents with dementia. For the latter, however, whether the facility offers a segregated care unit turned out to be significant. Additional and longitudinal research is indispensable to explain the inequality between the two groups analyzed.
护士配备、居民身体结果以及护理质量之间的关系受到高度关注。然而，迄今为止，人员配备水平对居民组织日常生活和维持社会联系的能力的影响尚未得到分析。本研究旨在检验注册护士与 80 岁以上患有和不患有痴呆症的养老院居民之间的注册护士与居民比例是否存在关系。本研究使用了在 inQS（基于指标的质量促进）项目中收集的二级数据（n = 1782，平均年龄 = 88.14）。分析的横截面数据于 2019 年冬季在德国教区慈善协会的设施中收集。一个由衡量居民独立组织日常生活和维持社会联系能力的变量组成的总和分数作为因变量。进行了多层次回归分析。结果表明，无痴呆症居民的能力与注册护士与居民的比例显著相关。对于患有痴呆症的居民来说并非如此。然而，对于后者，设施是否提供隔离护理单元则变得非常重要。需要进行额外的纵向研究来解释分析的两组之间的不平等。
