The Relationship between Nurse Staffing and Nurse Outcomes in Nursing Homes: An Integrative Review
0
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Purpose The purpose of this review was to examine the relationship between nurse staffing (number and stability) and nurse outcomes such as turnover rate, retention rate, intent to leave, and job satisfaction for nurses in nursing homes. Methods An electronic search was conducted for English articles published between January 2009 and July 2019 using CINAHL, PubMed, Cochrane Library, and PsycINFO databases. Studies that met the inclusion criteria were included. Nine articles were reviewed and synthesized for the relationship between nurse staffing in nursing homes and nurse outcomes. Results In this review, six studies showed that an increased number of nursing staff and stable nurse staffing is associated with positive nurse outcomes, whereas three studies reported no relationship between nurse staffing and nurse outcomes. These inconsistent findings suggest that more research is needed. Conclusion Research needs to be conducted to include a more diverse nursing staff and nursing outcome variables. These results can provide evidence of the importance of nurse staffing in nursing homes and lead to a more effective deployment of nursing staff and help for nursing homes’ nurse-staffing policies.
Abstract
Purpose The purpose of this review was to examine the relationship between nurse staffing (number and stability) and nurse outcomes such as turnover rate, retention rate, intent to leave, and job satisfaction for nurses in nursing homes. Methods An electronic search was conducted for English articles published between January 2009 and July 2019 using CINAHL, PubMed, Cochrane Library, and PsycINFO databases. Studies that met the inclusion criteria were included. Nine articles were reviewed and synthesized for the relationship between nurse staffing in nursing homes and nurse outcomes. Results In this review, six studies showed that an increased number of nursing staff and stable nurse staffing is associated with positive nurse outcomes, whereas three studies reported no relationship between nurse staffing and nurse outcomes. These inconsistent findings suggest that more research is needed. Conclusion Research needs to be conducted to include a more diverse nursing staff and nursing outcome variables. These results can provide evidence of the importance of nurse staffing in nursing homes and lead to a more effective deployment of nursing staff and help for nursing homes’ nurse-staffing policies.
참고문헌 (22)
- "Long term care" (2018)[URL]
- Lin H, "Revisiting the relationship between nurse staffing and quality of care in nursing homes: an instrumental variables approach", Journal of Health Economics, 37, pp.13~24 (2014)[DOI]
- Chamberlain SA, "Influence of organizational context on nursing home staff burnout : a cross-sectional survey of care aides in Western Canada", International Journal of Nursing Studies, 71, pp.60~69 (2017)[DOI]
- Spilsbury K, "The relationship between nurse staffing and quality of care in nursing homes : a systematic review", International Journal of Nursing Studies, 48(6), pp.732~750 (2011)[DOI]
- Harrington C, "The need for higher minimum staffing standards in U.S. nursing homes", Health Services Insights, 9, pp.13~19 (2016)[DOI]
- Harrington C, "Experts recommend minimum nurse staffing standards for nursing facilities in the United States", The Gerontologist, 40(1), pp.5~16 (2000)[DOI]
- Dellefield ME, "The relationship between registered nurses and nursing home quality: an integrative review (2008-2014)", Nursing Economic, 33(2), pp.95~108 (2015)
- Shin JH, "Nurse staffing, quality of care, and quality of life in U.S. nursing homes, 1996-2011: an integrative review", Journal of Gerontological Nursing, 38(12), pp.46~53 (2012)[DOI]
- Moher D, "Preferred reporting items for systematic reviews and meta-analyses : the PRIS MA statement", Annals of Internal Medicine, 151(4), pp.264~269 (2009)[DOI]
- Min A, "An examination of nursing care quality efficiency in U.S. nursing homes: using data envelopment analysis", Western Journal of Nursing Research, 38(10), pp.1387~1388 (2016)[DOI]
- Castle NG, "Nursing home staff turnover : impact on nursing home compare quality measures", The Gerontologist, 47(5), pp.650~661 (2007)[DOI]
- Castle NG, "Organizational characteristics associated with staff turnover in nursing homes", The Gerontologist, 46(1), pp.62~73 (2006)[DOI]
- Maslach C, "Burnout in organizational settings", Applied Social Psychology Annual, 5, pp.133~153 (1984)
- American Nurses' Association, "Staff shortages hurting nursing homes the most", American Journal of Nursing, 91(1), pp.85~90 (1991)[DOI]
- Harrington C, "Failure to meet nurse staffing standards: a litigation case study of a large US nursing home chain", INQUIRY : The Journal of Health Care Organization, Provision, and Financing, 55, pp.1~12 (2018)[DOI]
- Harrington C, "Addressing the dramatic decline in RN staffing in nursing homes", American Journal of Nursing, 105(9), pp.25~26 (2005)[DOI]
- Harrington C, "Nursing indicators of quality in nursing homes", Journal of Gerontological Nursing, 29(10), pp.5~9 (2003)[DOI]
- Hunt SR, "Top nurse-management staffing collapse and care quality in nursing homes", Journal of Applied Gerontology, 33(1), pp.51~74 (2014)[DOI]
- Castle NG, "Staff turnover and quality of care in nursing homes", Medical care, 43(6), pp.616~626 (2005)[DOI]
- Cohen-Mansfield J, "Turnover among nursing home staff : a review", Nursing Management, 28(5), pp.59~62 (1997)[DOI]
- A survey on the health and medical status of the people. A Status Survey, "Park SK", Ministry of Health and Welfare, ~, pp.Report No. 11-1352000-000524-13 (2017)
- Shin S, "Nurse staffing and nurse outcomes : a systematic review and meta-analysis", Nursing Outlook, 66(3), pp.273~282 (2018)[DOI]