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- Title
QUALITY AND STAFFING: IS THERE A RELATIONSHIP IN RESIDENTIAL AGED CARE?
- Authors
Whitehead, Noeline; Parsons, Matthew; Dixon, Robyn; Robinson, Elizabeth
- Abstract
This paper explored whether there was a relationship between staffing and quality indicators in residential care for older people, in both rest homes and continuing care hospitals. A longitudinal survey of a sample of residential-care rest homes and continuing-care hospitals explored the relationship between direct-care staffing levels, skill mix and quality indicators. The study was conducted in r est homes (n=18) and continuing care hospitals (n=16) providing long-term care for people 65 years of age and over in the greater Auckland region in New Zealand. Participating rest homes and hospitals collected monthly data on direct-care staffing (registered nurses, enrolled nurses and support workers), quality indicators (falls, new fractures, pressure ulcers, weight loss, urinary tract infections, over nine medications a day, presence of indwelling catheters and use of daily restraints), over a six-month period. Logistic analysis revealed that in continuing care hospitals, as registered nurse/enrolled nurse time increased, there was a general trend of reduction in adverse events: falls, pressure ulcers, and daily restraint use. However , there were no significant associations between registered nurse/ enrolled nurse, or support worker staffing hours in rest homes in relation to the incidence of the five quality indicators: falls, weight loss, urinary tract infections, use of over nine medications, and the use of indwelling catheters. The study, utilising facility-level data, demonstrated a trend that increasing the combined time of registered and enrolled nurses to residents resulted in a decrease in adverse events in continuing-care hospitals. No other trends were identified.
- Subjects
NEW Zealand; CHI-squared test; CLINICAL medicine; CONCEPTUAL structures; WORKING hours; LONG-term health care; LONGITUDINAL method; RESEARCH methodology; MEDICAL quality control; MEDICAL personnel; NURSES; NURSING care facilities; NURSING home employees; PERSONNEL management; POISSON distribution; PRACTICAL nurses; QUESTIONNAIRES; STATISTICAL sampling; LOGISTIC regression analysis; PILOT projects; KEY performance indicators (Management); DATA analysis software; DESCRIPTIVE statistics
- Publication
Kaitiaki Nursing Research, 2015, Vol 6, Issue 1, p28
- ISSN
1179-772X
- Publication type
Article