Effects of registered nurse staffing on quality of care and resident outcomes in nursing homes |
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| Institution: | 1. Mo-Im Kim Nursing Research Institute, Yonsei University College of Nursing, Seoul, Republic of Korea;2. The Research Institute for Basic Sciences. Hoseo University, 79-20 Hoseo-ro, Baebang, Asan 31499, Republic of Korea;1. Department of Neurobiology, Neurology and Geriatrics, Xuanwu Hospital of Capital Medical University, Beijing Institute of Geriatrics, No. 45 Changchun Street, Beijing 100053, China;2. National Clinical Research Center for Geriatric Disorders, Beijing, China;3. Key Laboratory for Neurodegenerative Disease of the Ministry of Education, Beijing Key Laboratory for Parkinson''s Disease, Parkinson Disease Center of Beijing Institute for Brain Disorders, Beijing, China;4. Clinical Center for Parkinson''s Disease, Capital Medical University, Beijing, China;5. Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China;1. Department of Health Sciences, Faculty of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Fukuoka Japan;2. Konan Women''s University, School of Nursing and Rehabilitation, 6-2-23, Morikita-machi, Higashinada-ku, Kobe, Hyogo, Japan.;3. Clinic of Tsuruta Orthopedic Surgery, 1241-6 Katsu Ushizumachi, Saga, Japan;4. Division of Nursing, Saga University, 5-1-1 Nabeshima Saga, Japan;5. Orthopaedic Surgery, Saga University, 5-1-1 Nabeshima Saga, Japan;1. Vanderbilt University School of Nursing (VUSN), 461 21st Ave. South, Godchaux Hall 420, Nashville 37240, TN, United States;2. Vanderbilt University Medical Center (VUMC), Nashville, TN, United States;1. Magellan Rx Management/PACE, 4000 Crums Mill Road, Suite 301, Harrisburg, PA 17112, USA;2. Pennsylvania Department of Aging, 555 Walnut Street, Forum Place 5th Floor, Harrisburg, PA 17101, USA;1. ICBAS, CINTESIS, University of Porto, Rua Jorge Viterbo Ferreira, 228, 4050-313 Porto, Portugal;2. University of Porto, USF Argoncilhe, Portugal;3. Community Health Sciences, School of Public Health, Center for Research on Health and Aging, Institute for Health Research and Policy, University of Illinois at Chicago (MC 275), 345 Westside Research Office Bldg., 1747 West Roosevelt Road, Chicago, IL 60608 |
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| Abstract: | Few studies focus on Registered Nurse (RN) staffing and resident health outcomes in Korean nursing homes. This study aimed to investigate the effects of RN staffing on quality of care and resident outcomes in South Korean nursing homes. The study was a secondary data analysis of 5679 participants from the National Health Insurance Service. A mixed-effect linear model and multinomial logistic regression model assessed resident outcomes and quality of care, respectively. The number of RNs significantly affected patient mortality. The overall evaluation rating for quality of care in nursing homes increased as the number of RNs increased. Level of RN staffing in nursing homes influenced health management and quality of care for residents. A variety of efforts are needed to strengthen the workforce of RNs in nursing homes, including enacting a law for safe RN staffing and converting the evaluation of nursing home quality into health outcomes. |
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