Outpatient provider staffing ratios: Binary recursive models associated with quality, access, and satisfaction.

2021 ◽  
Author(s):  
Clifford A. Smith ◽  
Matthew Tyler Boden ◽  
Jodie A. Trafton
Keyword(s):  
Staffing Ratios ◽  
Recursive Models ◽  
Outpatient Provider

Providing care for older adults with extreme obesity in aged residential care facilities: An environmental scan

2020 ◽  
Vol 36 (3) ◽  
pp. 24-36
Author(s):  
Caz Hales ◽  
◽  
Isaac Amankwaa ◽  
Lesley Gray ◽  
Helen Rook ◽  
...  
Keyword(s):  
Older Adults ◽  
Residential Care ◽  
Service Provision ◽  
Aged Care ◽  
Extreme Obesity ◽  
Financial Barriers ◽  
Residential Care Facilities ◽  
Environmental Scan ◽  
Staffing Ratios ◽  
Care Facilities

Little is known about the level of service demand and preparedness of Aotearoa New Zealand’s aged residential care facilities to care for older adults with extreme obesity. The aim of this study was to assess the current state of bariatric (extreme obesity) services within aged residential care. An environmental scan was conducted to identify bariatric resident needs and gaps in service provision to inform the development of policy and service provision. Observational and interview data from three facilities in Aotearoa New Zealand was collected along with a retrospective review of national resident admissions over a three-year period. Poor environmental design that included infrastructure deficiencies and financial barriers impacted on the ability to deliver safe and equitable care for this population. Specifically, equipment procurement and safe staffing ratios were of concern to the sector. There is an increasing need for bariatric level support within aged care, necessitating more equipment and staff, adaptation of physical care environments, and enhanced funding. Significant investment is required to address care concerns of older adults with extreme obesity at government and organisational levels.

Orthotopic-filtering-based hierarchical fault diagnosis algorithm for linear recursive models

2020 ◽  
Vol 14 (16) ◽  
pp. 2310-2318
Author(s):  
Ziyun Wang ◽  
Guixiang Xu ◽  
Yan Wang ◽  
Ju H. Park ◽  
Zhicheng Ji
Keyword(s):  
Fault Diagnosis ◽  
Recursive Models ◽  
Diagnosis Algorithm

Nurse–Patient Staffing Ratios

2013 ◽  
Vol 113 (8) ◽  
pp. 21 ◽  
Author(s):  
Laura Wallis
Keyword(s):  
Staffing Ratios

scholarly journals Nurse Staffing and Nursing Home Deficiency of Care for Inappropriate Psychotropics Use in Residents With Dementia

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 207-208
Author(s):  
Jung Min Yoon ◽  
Alison Trinkoff ◽  
Carla Storr ◽  
Elizabeth Galik
Keyword(s):  
Mixed Models ◽  
Psychological Symptoms ◽  
Nurse Staffing ◽  
Skill Mix ◽  
Staffing Ratios ◽  
Staffing Levels ◽  
Nurse Aide ◽  
Nursing Staffing ◽  
Behavioral And Psychological Symptoms ◽  
Reporting Data

Abstract Psychotropics use to manage behavioral and psychological symptoms of dementia (BPSD) in nursing homes (NHs) has been the focus of policy attention due to their adverse effects. We hypothesized that NHs with lower nursing staffing would have greater reliance on psychotropics use to control BPSD. A NH deficiency of care can be cited for inappropriate psychotropics use (F-tag 758). The association between the occurrence of F-758 tags and nurse staffing in residents with dementia was examined using the 2017-18 Certification and Survey Provider Enhanced Reporting data (n=14,548 NHs). Staffing measures included nursing hours per resident day (HPRD) and registered nurse (RN) skill-mix. Generalized linear mixed models that included covariates (NH location, bed size, ownership, proportion of residents with dementia/depression/psychiatric disorders and with Medicare/Medicaid) estimated the magnitude of the associations. There were 1,872 NHs with F-758 tags indicating inappropriate psychotropics use for NH residents with dementia. NHs with greater RN and certified nurse assistant (CNA) HPRD had significantly lower odds of F-758 tags (OR=0.59 54, 95% CI=0.47 44-0.73 66; OR=0.87, 95% CI=0.77-0.99, respectively) and similar findings were found in NHs with greater RN skill-mix (OR=0.14 10, 95% CI=0.05 04-0.37 25). There were no significant associations between the occurrence of F-758 tags and licensed practice nurse and unlicensed nurse aide HPRD. This study found that RN and CNA staffing had inverse associations with inappropriate psychotropic use citations among residents with dementia. NHs with higher RN staffing ratios may be better able to implement alternatives to pharmacological approaches for BPSD. It is suggested that NHs be equipped with adequate nurse staffing levels to reduce unnecessary psychotropics use.

Nonrecursive Models of Internet Use and Community Engagement: Questioning Whether Time Spent Online Erodes Social Capital

2002 ◽  
Vol 79 (4) ◽  
pp. 964-987 ◽  
Author(s):  
Dhavan Shah ◽  
Michael Schmierbach ◽  
Joshua Hawkins ◽  
Rodolfo Espino ◽  
Janet Donavan
Keyword(s):  
Community Engagement ◽  
Social Communication ◽  
Internet Use ◽  
Positive Relationship ◽  
Public Life ◽  
Reciprocal Relationship ◽  
Information Searching ◽  
Public Events ◽  
Recursive Models ◽  
Annual Frequency

Although some argue that Internet use may erode involvement in public life, the most common Internet behaviors, social communication and information searching, may actually foster social and civic participation. To examine this possibility, we test a series of non-recursive models using a national survey of nearly 3,400 respondents. Two-stage least squares regressions were performed to simultaneously test the reciprocal relationship between frequency of Internet use (i.e., hours per day) and three sets of community engagement behaviors: informal social interaction, attendance at public events, and participation in civic volunteerism (i.e., annual frequency). Time spent online has a positive relationship with public attendance and civic volunteerism. No evidence of time displacement from frequency of Internet use is observed.

Improving Nurse-to-Patient Staffing Ratios as a Cost-Effective Safety Intervention

Medical Care ◽  
2005 ◽  
Vol 43 (8) ◽  
pp. 785-791 ◽  
Author(s):  
Michael B. Rothberg ◽  
Ivo Abraham ◽  
Peter K. Lindenauer ◽  
David N. Rose
Keyword(s):  
Cost Effective ◽  
Staffing Ratios ◽  
Safety Intervention
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