Impact of Nurse, Nurses' Aid Staffing and Turnover Rate on Inpatient Health Outcomes in Long Term Care Hospitals.
10.4040/jkan.2014.44.1.21
- Author:
Yunmi KIM
1
;
Ji Yun LEE
;
Hyuncheol KANG
Author Information
1. College of Nursing, Eulji University, Sungnam, Korea.
- Publication Type:Original Article ; English Abstract
- Keywords:
Nurse staffing;
Registered nurse;
Patient outcome;
Turnover;
Long term care
- MeSH:
Activities of Daily Living;
Dementia/physiopathology;
Humans;
Inpatients/*psychology;
Long-Term Care;
National Health Programs;
Nursing Staff, Hospital/psychology/*statistics & numerical data;
Personnel Turnover;
Pressure Ulcer/etiology;
*Quality Indicators, Health Care;
Risk Factors
- From:Journal of Korean Academy of Nursing
2014;44(1):21-30
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: This study was conducted to explore the impact of registered nurse/nurses' aid (RN/NA) staffing and turnover rate on inpatient health outcomes in long term care hospitals. METHODS: A secondary analysis was done of national data from the Health Insurance Review and Assessment Services including evaluation of long term care hospitals in October-December 2010 and hospital general characteristics in July-September 2010. Final analysis of data from 610 hospitals included RN/NA staffing, turnover rate of nursing staff and 5 patient health outcome indicators. RESULTS: Finding showed that, when variables of organization and community level were controlled, patients per RN was a significant indicator of decline in ADL for patients with dementia, and new pressure ulcer development in the high risk group and worsening of pressure ulcers. Patients per NA was a significant indicator for new pressure ulcer development in the low risk group. Turnover rate was not significant for any variable. CONCLUSION: To maintain and improve patient health outcomes of ADL and pressure ulcers, policies should be developed to increase the staffing level of RN. Studies are also needed to examine causal relation of NA staffing level, RN staffing level and patient health outcomes with consideration of the details of nursing practice.
