退伍军人健康管理局社区生活中心的护士人员配备与退伍军人结局

Nurse Staffing and Veteran Outcomes in the Veterans Health Administration's Community Living Centers.

作者信息

Brown Lana M, Gauss C Heath, Billings Pamela, Minor Lisa, Moore Jade T, Sawyer Linda M, Sparks Diane, Sullivan Sheila Cox

机构信息

Central Arkansas Veterans Healthcare System, VISN 16/Geriatric Research Education, and Clinical Center (GRECC), North Little Rock (Drs Brown and Sawyer and Mr Gauss); College of Nursing (Drs Brown and Sawyer) and Department of Biostatistics, College of Public Health (Mr Gauss), University of Arkansas for Medical Sciences, Little Rock; MidSouth Veterans Healthcare Network, VISN 9, Nashville, Tennessee (Dr Billings); Geriatrics and Extended Care (Ms Minor) and Office of Nursing Services (Dr Sullivan and Ms Moore), Veterans Health Administration, Washington, District of Columbia; and Palo Alto Veterans Affairs Health Care System, Palo Alto, California (Ms Sparks).

出版信息

J Nurs Care Qual. 2023;38(4):297-303. doi: 10.1097/NCQ.0000000000000700. Epub 2023 Feb 24.

DOI:10.1097/NCQ.0000000000000700

PMID:36827702

Abstract

BACKGROUND

The demand for nursing care is rising in the long-term care setting. Nurse staffing is a crucial measure linked to health care quality measure outcomes.

PURPOSE

To assess for associations between nursing hours per patient day (NHPPD) and outcome measures in the Veterans Health Administration Community Living Centers.

METHODS

A retrospective data review of NHPPD and quality measures for 134 community living centers was conducted. Linear regression was used to assess for linear associations between average total NHPPD and 6 quality measures.

RESULTS

A significant linear association was found between average total NHPPD and falls with major injury ( P = .02) and help with activities of daily living ( P = .01). No associations were found between nurse staffing and 4 other quality measures.