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首页> 外文期刊>Journal of nursing scholarship: an official publication of Sigma Theta Tau International Honor Society of Nursing >Why Do We Require Registered Nurses in Nursing Homes? Using Longitudinal Hierarchical Linear Modeling
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Why Do We Require Registered Nurses in Nursing Homes? Using Longitudinal Hierarchical Linear Modeling

机译:为什么我们需要在护理家庭中注册的护士? 使用纵向分层线性建模

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Abstract Aims To examine the relationship between nurse staffing and quality of care of nursing home residents, longitudinally. Background Mixed results abound on the relationship between nurse staffing and quality of care of residents in nursing homes. Cross‐sectional designs may underpin bias because the relationship between staffing and quality emerges over time, with latent unobserved variables. To offset this limitation, I used a longitudinal design in this study. Design I used repeated quarterly survey methods. Methods I measured staffing information with a formula developed by the Centers for Medicare & Medicaid Services. Outcome variables were 15 quality indicators and the Korean National Health Insurance Service 2015 nursing home evaluation manual. Results and Findings As registered nurse hours per resident day increased by 1, the percentage of residents with depression decreased by 3.88%, and the prevalence of residents with nasogastric tubes increased by 1.17% in 3?months. Prevalence of residents with bed rest decreased by 5.72%, and residents with restraints decreased by 1.092%. More registered nurses and fewer certified nursing assistants or qualified care workers yielded a statistically significant negative influence on aggressive behavior, depression, weight loss, and bed rest. The higher turnover of total nursing staff related to more use of antidepressants. Conclusions Results supported registered nurses’ exclusive impact on resident outcomes. More longitudinal research is required to confirm the influence of nurses on nursing home residents’ outcomes. Clinical Relevance: This study supported about the contributions of increased input of Registered Nurses, additional to previous longitudinal studies. The nursing homes in Korea should have mandatory Registered Nurse placement for optimal quality of care. Clinical Relevance This study supported about the contributions of increased input of Registered Nurses, additional to previous longitudinal studies. The nursing homes in Korea should have mandatory Registered Nurse placement for optimal quality of care.
机译:摘要旨在鉴于护士人员配备与纵向家庭居民的护理质量之间的关系。背景背景混合结果比比护士人员配备与护理家庭居民的关系。横截面设计可能会支持偏见,因为人员配置和质量之间的关系随着时间的推移而出现,具有潜在的未观察的变量。为了抵消这一限制,我在这项研究中使用了纵向设计。设计我用重复的季度调查方法。方法我用Medicare&amp中心开发的公式衡量了人员配置信息;医疗补助服务。结果变量为15质量指标和韩国国家健康保险服务2015年护理家庭评估手册。结果和调查结果作为每居民日的注册时间为1,抑郁症居民的百分比下降3.88%,患有鼻胃管的居民的患病率增加了1.17%,3个月增加了1.17%。卧床休息的患病率下降了5.72%,约束的居民减少1.092%。更多注册护士和更少的经过认证的护理助理或合格的护理工作者对攻击性行为,抑郁,减肥和卧床休息产生了统计上的负面影响。与更多使用抗抑郁药相关的护理人员的营业额较高。结论结果支持注册护士对居民结果的独家影响。需要更多的纵向研究来确认护士对护理家庭居民结果的影响。临床相关性:本研究支持注册护士的增加贡献,额外的纵向研究。韩国的护理家庭应该有强制性注册护士安置,以获得最佳的护理。临床关联本研究支持注册护士的增加的贡献,额外的纵向研究。韩国的护理家庭应该有强制性注册护士安置,以获得最佳的护理。

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