Nursing Home Compare Star Rating and Daily Direct-Care Nurse Staffing During Hurricane Irma.
Nursing Home Compare Star Rating and Daily Direct-Care Nurse Staffing During Hurricane Irma.
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DOI：
10.1016/j.jamda.2021.09.038
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发表时间：
2022-08
影响因子：
7.6
通讯作者：
Andel, Ross
中科院分区：
文献类型：
--
作者：
Jester, Dylan J.;Peterson, Lindsay J.;Thomas, Kali S.;Dosa, David M.;Andel, Ross
疗养院 (NH) 受到重大飓风和其他自然灾害的影响。为了减轻重大飓风的不利影响，NH 经常增加直接护理护士的人员配置，以满足居民的需求。然而，NH 的质量评级可能会影响可用于获取和留住员工的资源。本数据简介提供了飓风艾尔玛期间按质量星级评定的直接护理护士人员配备水平的估计。回顾性队列研究，时间为 2017 年 9 月 3 日至 2017 年 9 月 10 日。570 名佛罗里达州国民在飓风“艾尔玛”期间就地避难。我们根据 NH Compare 整体质量星级评级对 NH 进行分层，然后测量注册护士、执业护士和认证护理助理的直接护理护士人员配备水平的变化。我们发现，NH Compare 总体星级评级与飓风艾尔玛期间注册护士、执业护士和认证护理助理人员配备水平的响应程度呈正相关。对于 5 星级设施，这一变化最大，对于 1 星级设施，这一变化最小。更高质量的国家医疗机构可能会更加敏感，并且拥有更多资源来更好地响应自然灾害期间增加的需求。我们的研究结果可以作为持续讨论联邦、州和地方政府在确保自然灾害期间最低人员配备标准方面的作用的平台。
Nursing homes (NHs) are affected by major hurricanes and other natural disasters. To mitigate adverse effects of a major hurricane, NHs often increase their direct-care nurse staffing levels to meet the needs of their residents. However, the quality rating of the NH may affect the resources available to obtain and retain staff. This data brief provides estimates of direct-care nurse staffing levels by quality star rating during Hurricane Irma. Retrospective cohort study from September 3, 2017, to September 10, 2017. 570 Florida NHs that sheltered in place during Hurricane Irma. We stratified NHs by their NH Compare overall quality star rating and then measured change in direct-care nurse staffing levels for registered nurses, licensed practical nurses, and certified nursing assistants. We found that the NH Compare overall star rating was positively associated with a greater staffing level response during Hurricane Irma among registered nurses, licensed practical nurses, and certified nursing assistants. This change was largest for 5-star facilities and smallest for 1-star facilities. Higher-quality NHs may be more responsive and have the resources to be more responsive, to increased needs during a natural disaster. Our findings may serve as a platform for ongoing discussion on the role of the federal, state, and local governments in ensuring minimum staffing standards during natural disasters.
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影响因子：
2.8
作者：
Rivera-Hernandez M;Kumar A;Epstein-Lubow G;Thomas KS
通讯作者：
Thomas KS
影响因子：
9.7
作者：
Geng, Fangli;Stevenson, David G.;Grabowski, David C.
通讯作者：
Grabowski, David C.
影响因子：
3.7
作者：
Perraillon, Marcelo Coca;Konetzka, R. Tamara;Werner, Rachel M.
通讯作者：
Werner, Rachel M.
DOI：
10.1177/1533317512454709
发表时间：
2012-09
期刊：
American journal of Alzheimer's disease and other dementias
影响因子：
--
作者：
Brown LM;Dosa DM;Thomas K;Hyer K;Feng Z;Mor V
通讯作者：
Mor V
影响因子：
2.8
作者：
Shippee, Tetyana T.;Ng, Weiwen;Duan, Yinfei;Woodhouse, Mark;Akosionu, Odichinma;Chu, Haitao;Ahluwalia, Jasjit S.;Gaugler, Joseph E.;Virnig, Beth A.;Bowblis, John R.
通讯作者：
Bowblis, John R.