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Centre for Policy on Ageing | |
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| Nursing effort and quality of care for nursing home residents | | Author(s) | Greg Arling, Robert L Kane, Christine Mueller |
| Journal title | The Gerontologist, vol 47, no 5, October 2007 |
| Pages | pp 672-682 |
| Source | http://www.geron.org |
| Keywords | Residents [care homes] ; Nursing homes ; Nursing ; Management [care] ; Quality ; United States of America. |
| Annotation | The relationship between nursing home staffing level, care received by individual residents, and resident quality-related care processes and functional outcomes is examined. Nurses recorded resident care time for 5314 residents on 156 units in 105 facilities in Colorado, Indiana, Minnesota and Mississippi. The authors linked residents' care times to measures of health and functioning from Minimum Data Set (MDS) assessments. Major variables were unit- and resident-specific minutes of care per day, process measures (physical restraints, range of motion, toileting, and training in activities of daily living - ADLs), outcome measures (ADL decline, mobility decline, and worsening behaviour between the time study and 90-day follow-up), and co-variates such as unit type and resident health status. Multi-level analysis was used to examine staffing and quality relationships. Residents with toileting programmes, range of motion, or ADL training and restraints received significantly more care from non-licensed but not from licensed staff. However, functional outcomes were not significantly related to care received from licensed or unlicensed staff, except for ADL decline, which was greatest for residents receiving more unlicensed minutes of care. Unit staffing level (licensed and unlicensed) was unrelated to any of the care processes or outcome measures, although higher overall staffing was associated with more time devoted to direct residential care. Future research into nursing home quality should focus on organisation and delivery rather than simply the amount of care available. (RH). |
| Accession Number | CPA-080407206 A |
| Classmark | KX: LHB: LQ: QA: 59: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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