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Nursing home staffing standards
 — their relationship to nurse staffing levels
Author(s)Christine Mueller, Greg Arling, Robert Kane
Journal titleThe Gerontologist, vol 46, no 1, February 2006
Pagespp 74-80
Sourcehttp://www.geron.org
KeywordsNursing homes ; Personnel ; Nurses ; Management [care] ; Standards of provision ; United States of America.
AnnotationRules and regulations for all 50 US states' nursing home staffing standards, along with nurse staffing data, were obtained. The minimum hours per resident day (HPRD) staffing standards for each state were categorised. A series of hierarchical linear models examined the relationships between state staffing standards and actual facility staffing (local, licensed, and certified nurse aide HPRD), using a number of covariates. The variance in facility staffing was much greater within than between states. Facilities in states with high staffing standards had somewhat higher staffing than states with no standards or low standards, whereas facility staffing in states with low standards was not significantly different from that in states with no standards. Other factors, such as resident acuity and average state Medicaid rate were also related to staffing. State staffing standards may not be effective policy tools, because they are only one of many factors that affect facility staffing levels. Setting a low minimum HPRD standard may fail to raise staffing, or it may even have a dampening effect on staffing rates in facilities. (RH).
Accession NumberCPA-070109225 A
ClassmarkLHB: QM: QTE: QA: 583: 7T

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