Reviewing the evidence base for nurse staffing and quality of care in nursing homes

2011 ◽  
Vol 15 (1) ◽  
pp. 23-24 ◽  
Author(s):  
Nicholas G Castle
Keyword(s):  
Quality Of Care ◽  
Nursing Homes ◽  
Nurse Staffing ◽  
Evidence Base

Does Investor-Ownership of Nursing Homes Compromise the Quality of Care?

2002 ◽  
Vol 32 (2) ◽  
pp. 315-325 ◽  
Author(s):  
Charlene Harrington ◽  
Steffie Woolhandler ◽  
Joseph Mullan ◽  
Helen Carrillo ◽  
David U. Himmelstein
Keyword(s):  
Quality Of Care ◽  
Nursing Homes ◽  
Skilled Nursing Facility ◽  
Nurse Staffing ◽  
Care Quality ◽  
Nursing Facilities ◽  
Skilled Nursing ◽  
Staffing Ratios ◽  
The Impact

Quality problems have long plagued the nursing home industry. While two-thirds of U.S. nursing homes are investor-owned, few studies have examined the impact of investor-ownership on the quality of care. The authors analyzed 1998 data from inspections of 13,693 nursing facilities representing virtually all U.S. nursing homes. They grouped deficiency citations issued by inspectors into three categories (“quality of care,” “quality of life,” and “other”) and compared deficiency rates in investor-owned, nonprofit, and public nursing homes. A multivariate model was used to control for case mix, percentage of residents covered by Medicaid, whether the facility was hospital-based, whether it was a skilled nursing facility for Medicare only, chain ownership, and location by state. The study also assessed nurse staffing. The authors found that investor-owned nursing homes provide worse care and less nursing care than nonprofit or public homes. Investor-owned facilities averaged 5.89 deficiencies per home, 46.5 percent higher than nonprofit and 43.0 percent higher than public facilities, and also had more of each category of deficiency. In the multivariate analysis, investor-ownership predicted 0.679 additional deficiencies per home; chain-ownership predicted an additional 0.633 deficiencies per home. Nurse staffing ratios were markedly lower at investor-owned homes.

Nurse Staffing Impact on Quality of Care in Nursing Homes: A Systematic Review of Longitudinal Studies

2014 ◽  
Vol 15 (6) ◽  
pp. 383-393 ◽  
Author(s):  
Ramona Backhaus ◽  
Hilde Verbeek ◽  
Erik van Rossum ◽  
Elizabeth Capezuti ◽  
Jan P.H. Hamers
Keyword(s):  
Systematic Review ◽  
Quality Of Care ◽  
Nursing Homes ◽  
Longitudinal Studies ◽  
Nurse Staffing

scholarly journals The Influence of Nurse Staffing Levels on Quality of Care in Nursing Homes

2011 ◽  
Vol 51 (5) ◽  
pp. 610-616 ◽  
Author(s):  
K. Hyer ◽  
K. S. Thomas ◽  
L. G. Branch ◽  
J. S. Harman ◽  
C. E. Johnson ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Nursing Homes ◽  
Nurse Staffing ◽  
Staffing Levels

Nurse Staffing Patterns and Quality of Care in Nursing Homes

2004 ◽  
Vol 29 (2) ◽  
pp. 107-116 ◽  
Author(s):  
Robert Weech-Maldonado ◽  
Louise Meret-Hanke ◽  
Maria C. Neff ◽  
Vince Mor
Keyword(s):  
Quality Of Care ◽  
Nursing Homes ◽  
Nurse Staffing ◽  
Staffing Patterns
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