Nursing Home Staffing Standards: Their Relationship to Nurse Staffing Levels

Autor/inn/en	Mueller, Christine; Arling, Greg; Kane, Robert; Bershadsky, Julie; Holland, Diane; Joy, Annika
Titel	Nursing Home Staffing Standards: Their Relationship to Nurse Staffing Levels
Quelle	In: Gerontologist, 46 (2006) 1, S.74-80 (7 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0016-9013
Schlagwörter	Nursing Homes; State Standards; State Regulation; Federal Legislation; Models; Evaluation Methods; Data Collection; Databases; Nurses; Allied Health Personnel; Staff Utilization + Suchen Sie Ihr Suchwort? Sonderheim; Staatliche Lenkung; Bundesrecht; Analogiemodell; Data capture; Datensammlung; Datenbank; Deployment of labor; Deployment of labour; Personaleinsatz
Abstract	Purpose: This study reviews staffing standards from the 50 states and the District of Columbia to determine if these standards are related to nursing home staffing levels. Design and Methods: Rules and regulations for states' nursing home staffing standards were obtained for the 50 states and the District of Columbia. Nurse staffing data were obtained from the Centers for Medicare and Medicaid Services On-Line Survey, Certification, and Reporting (known as OSCAR) database. The minimum hours per resident day (HPRD) staffing standards for each state were categorized according to the following: no state-specific HPRD standard (adheres only to federal staffing guidelines); low HPRD standard (less than or equal to 2.5 HPRD); and high HPRD standard (greater than 2.5 HPRD). A series of hierarchical linear models examined the relationships between state staffing standards and actual facility staffing (total, licensed, and certified nurse aide HPRD), using a number of covariates. Results: The variance in facility staffing was much greater within than between states. Facilities in states with high staffing standards had somewhat higher staffing than states with no standards or low standards, whereas facility staffing in states with low standards was not significantly different from that in states with no standards. Other factors, such as resident acuity and average state Medicaid rate, also were related to staffing. Implications: State staffing standards may not be effective policy tools because they are only one of many factors that affect facility staffing levels. Setting a low minimum HPRD standard may fail to raise staffing, or it may even have a dampening effect on staffing rates in facilities. (Contains 4 tables.) (Author).
Anmerkungen	The Gerontological Society of America. 1030 15th Street NW Suite 250, Washington, DC 20005. Tel: 202-842-1275; Fax: 202-842-1150; e-mail: geron@geron.org; Web site: http://www.geron.org/journals/gsapub.htm.
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10