Nursing Effort and Quality in Long-Term Care Facilities

长期护理机构的护理工作和质量

• 批准号: 6597229
• 负责人: ROBERT L. KANE
• 金额: $ 27.07万
• 依托单位: UNIVERSITY OF MINNESOTA
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-06-01 至 2005-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6597229
• 关键词: allied health personnel; clinical research; extended care; extended care facility; functional ability; health care model; health care service evaluation; health care service organization; health services research tag; human data; model design /development; nurses; nursing care; nursing care evaluation; nursing care quality; nursing homes; nursing personnel; nursing process; nursing research; nursing skill /technique; patient care personnel relations; patient safety /medical error; social service

DESCRIPTION (provided by applicant): The purpose of this study is to examine the relationship between nursing effort and quality of care for nursing home residents. This study uses extant data from time studies of nursing staff in three states and MDS data on the nursing home residents who were cared for by nurses in the time study to address the relationship between nursing effort and quality of care. Nursing effort is measured by the amount of minutes per day provided to each resident by nursing staff type (RN, LPN, aide, and other direct care staff'). The quality measures, which cover both care processes and outcomes, are derived from the MDS and they employ case-mix adjusted quality indicators that have been widely used in previous studies but without the case mix adjustment. Multi-level analysis, HLM, will be used to address the nesting of effects where residents are clustered within nursing units. This study represents a major advance over prior work. Nearly all previous research into staffing and care quality has relied on facility-level measures of staffing and quality. This study will allow for a much more fine-grained analysis of both unit and resident-level effects. The database consists of 3125 residents in 98 nursing units from 62 facilities. Results should shed light on the current policy debate over nursing home staffing standards.

描述（由申请人提供）：本研究的目的是检查护理工作和护理质量居民居民之间的关系。 这项研究使用了三个州的护理人员的时间研究和有关养老院居民的MDS数据的现有数据，这些数据在时间研究中受到护士的照顾，以解决护理工作与护理质量之间的关系。 护理工作是通过护理人员类型（RN，LPN，助手和其他直接护理人员）每天提供给每个居民的每天分钟数来衡量的。 涵盖护理过程和结果的质量度量均来自MDS，它们采用了案例混合调整后的质量指标，这些质量指标已在先前的研究中广泛使用，但没有案例混合调整。 多层分析HLM将用于解决居民聚集在护理单位中的效果的嵌套。 这项研究代表了先前工作的重大进步。 几乎所有对人员配备和护理质量的研究都依赖于设施级的人员配备和质量措施。 这项研究将允许对单位和居民级效应进行更细粒度的分析。 该数据库由来自62个设施的98个护理单位中的3125名居民组成。 结果应阐明当前关于疗养院人员配备标准的政策辩论。