요양병원 간호인력 확보수준과 요양병원 등급에 따른 입원환자 간호결과
Effects of Nursing Staffing Level and Hospital Grades on Nursing Sensitive Patient Outcomes in Long-Term Care Hospitals
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Purpose: This study was conducted to examine the relationship between nursing outcomes of the elderly and the staffing level of registered nurses and nurse aids to enhance the quality of care in long-term care hospitals. Methods: A secondary data analysis was performed using a long-term care hospitals database collected by the Health Insurance Review and Assessment Services from October to December 2015. The database was collected from 1056 long-term care hospitals and includes variables such as Registered Nurse (RN), Nurse Aid (NA), RN and NA staffing; grade of hospitals; and 8 nursing outcome indicators. Results: Findings showed that the number of patients per RN & NA was a significant indicator of the ratio of patients with pressure ulcer improvement in the high-risk group, the decline in ADL of patients without dementia, and transfer abilities in both dementia and non-dementia groups. The nursing outcomes were closely related to the hospital grade. The better grade, the better nursing outcomes. Conclusion: Enhance nursing outcomes in elderly patients; it is required to reconsider the policies on the RN staffing ratio as a way to enhance the RN staffing ratio in long-term care hospitals
Abstract
Purpose: This study was conducted to examine the relationship between nursing outcomes of the elderly and the staffing level of registered nurses and nurse aids to enhance the quality of care in long-term care hospitals. Methods: A secondary data analysis was performed using a long-term care hospitals database collected by the Health Insurance Review and Assessment Services from October to December 2015. The database was collected from 1056 long-term care hospitals and includes variables such as Registered Nurse (RN), Nurse Aid (NA), RN and NA staffing; grade of hospitals; and 8 nursing outcome indicators. Results: Findings showed that the number of patients per RN & NA was a significant indicator of the ratio of patients with pressure ulcer improvement in the high-risk group, the decline in ADL of patients without dementia, and transfer abilities in both dementia and non-dementia groups. The nursing outcomes were closely related to the hospital grade. The better grade, the better nursing outcomes. Conclusion: Enhance nursing outcomes in elderly patients; it is required to reconsider the policies on the RN staffing ratio as a way to enhance the RN staffing ratio in long-term care hospitals
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