Centre for Policy on Ageing
 

 

The relationship between nursing staffing levels and nursing home outcomes
Author(s)Mary M Bliesmer, Miles Smayling, Robert L Kane
Journal titleJournal of Aging and Health, vol 10, no 3, August 1998
Pagespp 351-371
KeywordsNursing homes ; Nurses ; Mobility ; Self care capacity ; Death ; Discharge ; United States of America.
AnnotationThis study examined the effects of selected Minnesota nursing home attributes (size, ownership, non-compliance with a state correction order, and licensed and non-licensed nursing hours) on specific outcomes (functional ability, discharge home, and death) for residents aged 65 years and over, controlling for residents' age and previous functional ability. The functional outcome was operationalised by calculating the resident's Total Dependence Score (TDS), the total score on the assessment of eight activities of daily living (ADLs). Ordinary least squares regression analysis was used to estimate the effects of facility attributes, admission TDS, and age on resident outcomes, and non-linear probability analyses were used to estimate the effects of facility attributes, admission TDS, and age on the probability of death or discharge home. In the year after admission, licensed (but not unlicensed) nursing hours were significantly related to improved functional ability, increased probability of discharge home, and decreased probability of death, but when limited to chronic residents, the role of professional nursing hours virtually disappears. Overall, the findings support greater use of licensed nurses in nursing homes. (AKM).
Accession NumberCPA-980910405 A
ClassmarkLHB: QTE: C4: CA: CW: QKJ: 7T

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