Department of Sociology and Gerontology, Miami University, Oxford, OH, USA.
Department of Sociology and Gerontology, Miami University, Oxford, OH, USA.
J Am Med Dir Assoc. 2024 Apr;25(4):585-590. doi: 10.1016/j.jamda.2023.07.008. Epub 2023 Aug 11.
In recent years, Ohio nursing homes (NHs) have received an increasing number of complaints. The current study aims to gain a better understanding of the relationship between NH organizational characteristics and the number of complaints.
Secondary data analysis was used.
Four data sources on Ohio NHs were merged. Ohio NH complaints data reported in 2018 and 2019 was linked with the 2017 Ohio Biennial Survey of Long-Term Care Facilities, 2017 Ohio Nursing Home Resident Satisfaction Survey, and 2018 Ohio Nursing Home Family Satisfaction Survey.
Descriptive analysis, bivariate tests (ie, analysis of variance and χ test), and multinomial logistic regression analyses were conducted.
Findings included that urban location, NH administrator (NHA) and director of nursing (DON) turnover in the previous 3 years, NH size, occupancy rate, certified nursing assistant (CNA) retention, and overall family satisfaction were significantly associated with total complaints. NHA and DON turnover, NH size, CNA retention, and overall family satisfaction were found to be significantly associated with substantiated complaints.
The importance of leadership (ie, NHA and DON) turnover, CNA retention, and family satisfaction indicates that specifically targeted efforts to improve in these areas can have a positive impact on NH quality.
近年来，俄亥俄州养老院（NH）收到的投诉越来越多。本研究旨在更好地了解 NH 组织特征与投诉数量之间的关系。
二次数据分析。
合并了四个关于俄亥俄州 NH 的数据源。2018 年和 2019 年报告的俄亥俄州 NH 投诉数据与 2017 年俄亥俄州长期护理设施两年一度调查、2017 年俄亥俄州养老院居民满意度调查和 2018 年俄亥俄州养老院家庭满意度调查相关联。
进行描述性分析、双变量检验（即方差分析和 χ 检验）和多项逻辑回归分析。
研究结果表明，城市位置、NH 管理员（NHA）和护理主任（DON）在前 3 年内的更替、NH 规模、入住率、认证护理助理（CNA）保留率和整体家庭满意度与总投诉显著相关。NHA 和 DON 更替、NH 规模、CNA 保留率和整体家庭满意度与证实投诉显著相关。
领导层（即 NHA 和 DON）更替、CNA 保留率和家庭满意度的重要性表明，特别针对这些领域进行的改进努力可以对 NH 质量产生积极影响。
