Effect of Hurricane Irma on daily direct-care nurse staffing in nursing homes.
Effect of Hurricane Irma on daily direct-care nurse staffing in nursing homes.
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DOI：
10.1111/jgs.17220
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发表时间：
2021-08
影响因子：
6.3
通讯作者：
Hyer K
中科院分区：
文献类型：
--
作者：
Jester DJ;Thomas KS;Peterson LJ;Dosa DM;Andel R;Hyer K
研究飓风艾尔玛对与员工相关的财务支出和日常直接护理护士人员配置水平的影响。回顾性队列研究。 2017年9月3日至24日在美国佛罗里达州。飓风艾尔玛于 2017 年 9 月 10 日登陆。653 个疗养院、81 个疏散设施和 572 个就地避难设施。这项研究使用的数据来自基于工资的日记 (PBJ)、认证和调查提供者增强报告 (CASPER) 以及佛罗里达州医疗提供者的紧急报告系统。 PBJ 提供了注册护士、执业护士和认证护理助理的日常直接护理护士人员配置水平的估计。 CASPER 报告了设施级别的特征，例如利润状况、连锁会员资格和特殊护理病房的可用性。佛罗里达州的紧急报告系统确定了飓风艾尔玛期间的疏散状态。使用线性混合效应模型来估计疏散状况对 9 月 3 日至 9 月 10 日期间每日人员配备增加的独特贡献。在所有设施中，我们发现在飓风艾尔玛登陆之前，执业护士 (p = .02) 和认证护理助理 (p < .001) 的人员配备显着增加，但注册护士 (p = .10) 的人员配备没有显着增加。从登陆前一周到登陆后两周（9月3日至9月24日），估计额外花费了241万美元用于直接护理护士人员配置。与就地避难的设施相比，疏散设施增加了所有护士类型的人员配备水平（所有 p < .001）。登陆时，疏散设施在每位居民的护士配备上花费了大约 93.74 美元，而就地避难的设施在每位居民的护士配备上花费了 76.10 美元。飓风期间，疗养院面临着前所未有的挑战，包括维持足够的直接护理护士人员配备水平以满足居民的需求。疏散居民的疗养院的直接护理护士人员数量有所增加，增幅大于就地避难的疗养院。
To examine the effect of Hurricane Irma on staff-related financial expenditures and daily direct-care nurse staffing levels. Retrospective cohort study. September 3rd-24th, 2017 in the state of Florida, United States. Hurricane Irma made landfall on September 10th, 2017. 653 nursing homes, 81 evacuated facilities and 572 facilities that sheltered-in-place. This study used data from Payroll-Based Journaling (PBJ), Certification and Survey Provider Enhanced Reports (CASPER), and Florida’s health providers’ emergency reporting system. PBJ provided estimates of daily direct-care nurse staffing levels for registered nurses, licensed practical nurses, and certified nursing assistants. CASPER reported facility-level characteristics such as profit status, chain membership, and special care unit availability. Florida’s emergency reporting system identified evacuation status during Hurricane Irma. Linear mixed effects models were used to estimate the unique contribution of evacuation status on daily staffing increases over time from September 3rd-September 10th. Among all facilities, we found significant increases in staffing for licensed practical nurses (p = .02) and certified nursing assistants (p < .001), but not for registered nurses (p = .10) before Hurricane Irma made landfall. From one week before landfall to two weeks after landfall (September 3rd-September 24th), an additional estimated $2.41 million was spent on direct-care nurse staffing. In comparison to facilities that sheltered-in-place, evacuated facilities increased staffing levels of all nurse types (all p < .001). At landfall, evacuated facilities spent an estimated $93.74 on nurse staffing per resident while facilities that sheltered-in-place spent $76.10 on nurse staffing per resident. Nursing homes face unprecedented challenges during hurricanes, including maintaining adequate direct-care nurse staffing levels to meet the needs of their residents. Nursing homes that evacuated residents had an increase in direct-care nurse staffing that was greater than that seen in nursing homes that sheltered-in-place.
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影响因子：
3.7
作者：
Nomura S;Gilmour S;Tsubokura M;Yoneoka D;Sugimoto A;Oikawa T;Kami M;Shibuya K
通讯作者：
Shibuya K
影响因子：
12.7
作者：
Laditka, Sarah B.;Laditka, James N.;Richter, Jane V. E.
通讯作者：
Richter, Jane V. E.
影响因子：
9.7
作者：
Geng, Fangli;Stevenson, David G.;Grabowski, David C.
通讯作者：
Grabowski, David C.
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
DOI：
10.1016/j.jamda.2006.11.004
发表时间：
2007-03-01
影响因子：
7.6
作者：
Dosa, David M.;Grossman, Nancy;Mor, Vincent
通讯作者：
Mor, Vincent