Nursing Effort and Quality in Long-Term Care Facilities

描述（由申请人提供）：本研究的目的是检查护理努力和护理质量之间的关系，为疗养院居民。 本研究使用现存的数据从时间研究的护理人员在三个国家和MDS数据的护理之家的居民谁照顾护士的时间研究，以解决护理工作和护理质量之间的关系。 护理工作量是通过护理人员类型（RN、LPN、助手和其他直接护理人员）每天为每位住院医师提供的分钟数来衡量的。 质量措施，其中包括护理过程和结果，是来自MDS，他们采用的情况下，组合调整的质量指标，已被广泛使用在以前的研究中，但没有的情况下组合调整。 多层次分析，HLM，将被用来解决嵌套的影响，居民聚集在护理单位。 这项研究是对先前工作的一个重大进步。 几乎所有以前的研究人员配备和护理质量依赖于设施级的人员配备和质量的措施。 这项研究将允许一个更细粒度的分析单位和居民水平的影响。 该数据库由来自62个设施的98个护理单位的3125名居民组成。 结果应该揭示了目前的政策辩论养老院的人员配备标准。

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.