探索俄亥俄州养老院以患者为中心的护理实施程度与人员配备水平之间的关系。
Exploring the Relationship Between Extent of Person-Centered Care Implementation and Staffing Levels in Ohio Nursing Homes.
作者信息
Kunkel Miranda C, Bowblis John R, Straker Jane K, Van Haitsma Kimberly, Abbott Katherine M
机构信息
Department of Sociology and Gerontology, Miami University, Oxford, OH, USA.
Scripps Gerontology Center, Miami University, Oxford, OH, USA.
出版信息
J Appl Gerontol. 2023 Nov;42(11):2189-2197. doi: 10.1177/07334648231185274. Epub 2023 Jun 20.
The Preferences for Everyday Living Inventory (PELI) is a person-centered care (PCC) tool that uncovers/honors older adults' important preferences. PCC implementation in nursing homes (NHs) often requires additional resources, such as staff time. We explored if PELI implementation is associated with NH staffing levels. Using NH-year as the unit of observation ( = 1307), 2015 and 2017 data from Ohio NHs was used to examine the relationship between complete versus partial PELI implementation and staffing levels, measured in hours per resident day, for various positions and total nursing staff. Complete PELI implementation was associated with higher nursing staff levels in both for-profits and not-for-profits; however, total nursing staff levels in not-for-profits were higher than for-profits (0.16 vs. 0.09 hours per resident day). The specific nursing staff associated with PELI implementation varied by ownership. For NHs to fully implement PCC, a multifaceted approach to improve staffing is needed.
日常生活偏好量表（PELI）是一种以个人为中心的护理（PCC）工具，用于揭示/尊重老年人的重要偏好。在养老院（NHs）实施PCC通常需要额外的资源，如员工时间。我们探讨了PELI的实施是否与NH的人员配备水平相关。以NH年作为观察单位（=1307），使用俄亥俄州NHs 2015年和2017年的数据，研究完全与部分实施PELI与不同职位和总护理人员的人员配备水平（以每位居民每天的小时数衡量）之间的关系。完全实施PELI与营利性和非营利性机构中更高的护理人员水平相关；然而，非营利性机构的总护理人员水平高于营利性机构（每位居民每天0.16小时对0.09小时）。与PELI实施相关的具体护理人员因机构所有权而异。对于NHs来说，要全面实施PCC，需要采取多方面的方法来改善人员配备。
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