scholarly journals Effects of registered nurse staffing levels, work environment, and education levels on adverse events in nursing homes

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Seonhwa Choi ◽  
Eunhee Cho ◽  
Eunkyo Kim ◽  
Kyongeun Lee ◽  
Soo Jung Chang
Keyword(s):  
Nursing Education ◽  
Nursing Homes ◽  
Adverse Events ◽  
South Korea ◽  
Work Environment ◽  
Pressure Ulcers ◽  
Nurse Staffing ◽  
Staffing Levels ◽  
Education Levels ◽  
Tract Infections

AbstractThis study examined the effects of nurse staffing levels, work environment, and education levels on adverse events in nursing homes. A cross-sectional study was conducted involving 216 nurses working in 62 nursing homes in South Korea, using self-reported questionnaires and data from the National Health Insurance Service of South Korea. A logistic regression model was used to investigate the effects of nurse staffing levels, work environment, and nursing education levels on the adverse events experienced by residents. An increase of one resident per nurse was significantly associated with a higher incidence of medication error, pressure ulcers and urinary tract infections. A poor work environment increased the incidence of adverse events. Compared to nurses with a bachelor’s degree or higher, those with diplomas reported increased incidence rates of pressure ulcers. Improving the health outcomes of residents in nursing homes requires efforts that strengthen the nursing workforce in terms of numbers and educational level, and which improve their work environment at institutional and policy levels.

scholarly journals Effects of Nurse Staffing, Work Environment, Education on Adverse Events in Nursing Homes

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 84-84
Author(s):  
Seonhwa Choi ◽  
Eunhee Cho ◽  
Eunkyo Kim ◽  
Kyoungeun Lee ◽  
Soo Jung Chang
Keyword(s):  
Nursing Education ◽  
Nursing Homes ◽  
Adverse Events ◽  
Work Environment ◽  
Pressure Ulcers ◽  
Nurse Staffing ◽  
Education Level ◽  
Staffing Level ◽  
Cross Sectional ◽  
Environment Education

Abstract This study examined the effect of registered nurse (RN) staffing level, work environment, and education on adverse events experienced by residents in nursing homes. A cross-sectional study was conducted with 216 RNs working in nursing homes who were selected using random stratified sampling by location and bed size. Self-reported questionnaires regarding staffing level, work environment, education level, adverse events, and nurse characteristics were administered. Data from the National Health Insurance Service were used to describe nursing home characteristics. Both multiple and multinomial logistic regressions were used to control for the characteristics of nurses and nursing homes, and investigate the effects of nursing staffing level (number of older adults assigned to a nurse), work environment (Practice Environment Scale of the Nursing Working Index), and level of nursing education on the adverse events experienced by residents. An increase of one resident per RN was significantly associated with a higher incidence of pressure ulcers (OR= 1.019, 95% CI=1.004-1.035). Poor work environment increased the incidence of adverse events such as pressure ulcers (OR= 3.732, 95% CI=1.155-12.056) and sepsis (OR=3.871, 95%CI=1.086-13.800). Compared to RNs with a baccalaureate or higher, RNs with diplomas reported increased incidence rates of pressure ulcers (OR=2.772, 95%CI= 1.173-6.549). RN staffing, work environment, and education level affect the incidence of pressure ulcers, and the work environment affects the incidence of sepsis among residents in nursing homes. Policy-wise, improving the level of nurse staffing, nursing work environment, and nursing education will improve health outcomes of residents.

scholarly journals Nurse Staffing and Coronavirus Infections in California Nursing Homes

2020 ◽  
Vol 21 (3) ◽  
pp. 174-186 ◽  
Author(s):  
Charlene Harrington ◽  
Leslie Ross ◽  
Susan Chapman ◽  
Elizabeth Halifax ◽  
Bruce Spurlock ◽  
...  
Keyword(s):  
Los Angeles ◽  
Nursing Homes ◽  
Nursing Home Residents ◽  
Nurse Staffing ◽  
The United States ◽  
Study Data ◽  
Chronic Illnesses ◽  
Staffing Levels ◽  
Control Procedures ◽  
Relationship Of

In the United States, 1.4 million nursing home residents have been severely impacted by the COVID-19 pandemic with at least 25,923 resident and 449 staff deaths reported from the virus by June 1, 2020. The majority of residents have chronic illnesses and conditions and are vulnerable to infections and many share rooms and have congregate meals. There was evidence of inadequate registered nurse (RN) staffing levels and infection control procedures in many nursing homes prior to the outbreak of the virus. The aim of this study was to examine the relationship of nurse staffing in California nursing homes and compare homes with and without COVID-19 residents. Study data were from both the California and Los Angeles Departments of Public Health and as well as news organizations on nursing homes reporting COVID-19 infections between March and May 4, 2020. Results indicate that nursing homes with total RN staffing levels under the recommended minimum standard (0.75 hours per resident day) had a two times greater probability of having COVID-19 resident infections. Nursing homes with lower Medicare five-star ratings on total nurse and RN staffing levels (adjusted for acuity), higher total health deficiencies, and more beds had a higher probability of having COVID-19 residents. Nursing homes with low RN and total staffing levels appear to leave residents vulnerable to COVID-19 infections. Establishing minimum staffing standards at the federal and state levels could prevent this in the future.

scholarly journals The Association of Nurse–Physician Teamwork and Mortality in Surgical Patients

2019 ◽  
Vol 42 (4) ◽  
pp. 245-253
Author(s):  
Xiao Linda Kang ◽  
Heather M. Brom ◽  
Karen B. Lasater ◽  
Matthew D. McHugh
Keyword(s):  
Nursing Education ◽  
Patient Outcomes ◽  
Nurse Staffing ◽  
Surgical Patients ◽  
Surgical Patient ◽  
Failure To Rescue ◽  
Cross Sectional ◽  
Interprofessional Teamwork ◽  
Orthopedic Procedure ◽  
Education Levels

In this study we describe nurse–physician teamwork, estimate its association with surgical patient outcomes (30-day mortality and failure-to-rescue), and determine whether these relationships depend upon other modifiable hospital nursing characteristics (nurse staffing and education levels) known to be associated with patient outcomes. This cross-sectional analysis included linked data from 29,391 nurses representing 665 acute care hospitals and 1,321,904 adult patients who underwent a general surgical, vascular, or orthopedic procedure. Surgical patients cared for in hospitals with better nurse–physician teamwork had significantly lower odds of 30-day mortality (odds ratio [OR] = 0.95) and failure-to-rescue (OR = 0.95). In addition, the odds of death and failure-to-rescue were lower for patients in hospitals with both higher nurse–physician teamwork and more favorable patient-to-nurse staffing ratios. Similar trends were observed related to nursing education levels. Improving interprofessional teamwork is one strategy to improve patient outcomes with the added importance of also considering additional features of their nursing workforce.

scholarly journals Appropriate Nurse Staffing Levels for U.S. Nursing Homes

2020 ◽  
Vol 13 ◽  
pp. 117863292093478 ◽  
Author(s):  
Charlene Harrington ◽  
Mary Ellen Dellefield ◽  
Elizabeth Halifax ◽  
Mary Louise Fleming ◽  
Debra Bakerjian
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Nursing Staff ◽  
Nurse Staffing ◽  
Well Being ◽  
Data Sources ◽  
Care Needs ◽  
Staffing Levels ◽  
Nursing Staffing ◽  
Adequate Staffing

US nursing homes are required to have sufficient nursing staff with the appropriate competencies to assure resident safety and attain or maintain the highest practicable level of physical, mental, and psychosocial well-being of each resident. Minimum nurse staffing levels have been identified in research studies and recommended by experts. Beyond the minimum levels, nursing homes must take into account the resident acuity to assure they have adequate staffing levels to meet the needs of residents. This paper presents a guide for determining whether a nursing home has adequate and appropriate nurse staffing. We propose five basic steps to: (1) determine the collective resident acuity and care needs, (2) determine the actual nurse staffing levels, (3) identify appropriate nurse staffing levels to meet residents care needs, (4) examine evidence regarding the adequacy of staffing, and (5) identify gaps between the actual staffing and the appropriate nursing staffing levels based on resident acuity. Data sources and specific methodologies are analyzed, compared, and recommended. The goal is to assist nursing home nurses and administrators to ensure adequate nursing home staffing levels that protect resident health, safety, and well-being.

scholarly journals The Influence of Nurse Staffing Levels on Quality of Care in Nursing Homes

2011 ◽  
Vol 51 (5) ◽  
pp. 610-616 ◽  
Author(s):  
K. Hyer ◽  
K. S. Thomas ◽  
L. G. Branch ◽  
J. S. Harman ◽  
C. E. Johnson ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Nursing Homes ◽  
Nurse Staffing ◽  
Staffing Levels

scholarly journals Nurse Staffing in Nursing Homes During Hurricane Irma

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 285-286
Author(s):  
Kali Thomas ◽  
Lindsay Peterson ◽  
David Dosa ◽  
Ross Andel ◽  
Kathryn Hyer ◽  
...  
Keyword(s):  
Nursing Homes ◽  
Reporting System ◽  
Nurse Staffing ◽  
Nursing Assistants ◽  
Certified Nursing Assistants ◽  
Health Providers ◽  
Licensed Practical Nurses ◽  
Staffing Levels ◽  
Practical Nurses ◽  
Hurricane Irma

Abstract Little is known about the effect of hurricanes on nurse staffing in nursing homes. Hurricane Irma made landfall on September 10th, 2017 in Florida. This study examined daily nurse staffing levels from September 3rd-24th, 2017 in 653 nursing homes; 81 facilities evacuated and 572 facilities sheltered-in-place. Data from Payroll-Based Journaling (PBJ), Certification and Survey Provider Enhanced Reports (CASPER), and Florida’s health providers’ emergency reporting system were used. Among all facilities, we found significant increases in staffing for licensed practical nurses (p=.02) and certified nursing assistants (p<.001), but not for registered nurses (p=.10) before Hurricane Irma made landfall. In comparison to facilities that sheltered-in-place, evacuating facilities increased staffing levels of all nurse types (all p<.001). From one week before landfall to two weeks after landfall, an additional estimated $2.41 million was spent on nurse staffing. Policymakers attempting to reduce the burden of natural disasters on nursing homes should reimburse staffing-related expenses.

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