Abstract
The purpose of this study was to estimate how much resident outcomes can improve with an increase in hours per resident day (HPRD) of registered nurses (RNs) staffing. Nursing home (NH) staff in Korea have serious problems with inappropriate nurse staffing standards and poor working conditions, which lead to poor quality of care for NH residents. This study used a longitudinal survey design. A quota sampling was used with a total of several repeated survey measurement from 2017 to 2020 (n = 74). The independent variable was the amount of nurse staffing HPRD and the outcome variable was the compiled outcome of 15 quality-of-care indicators. Data were directly collected from all participating NHs. A longitudinal, multilevel model was used for analysis. An increase of one unit of RN HPRD (60 min) corresponded to a decrease of about 10.5% of residents with deteriorated quality of care outcomes. This study emphasized that increasing RN HPRD decreased residents’ deteriorated outcomes in NHs. This suggests that professional RNs must be secured to an appropriate level to improve the quality of care for NH residents.
Highlights
The purpose of this study was to estimate how much resident outcomes can improve with an increase in hours per resident day (HPRD) of registered nurses (RNs) staffing
HPRD decreased residents’ deteriorated outcomes in Nursing home (NH). This suggests that professional RNs must be secured to an appropriate level to improve the quality of care for NH residents
The average number of beds per NH participating in this study was 72.06; this is higher than the average number of beds (33.25) for all NHs in Korea [33]
Summary
The purpose of this study was to estimate how much resident outcomes can improve with an increase in hours per resident day (HPRD) of registered nurses (RNs) staffing. Nursing home (NH) staff in Korea have serious problems with inappropriate nurse staffing standards and poor working conditions, which lead to poor quality of care for NH residents. Researchers of nursing home (NH) staffing during the last decades have reported the enormous importance of appropriate number of registered nurses (RNs) on staff in residents’ outcomes worldwide, yielding diminished numbers of pressure ulcers, falls, use of restraints, pain, and reduced decline in the activities of daily living (ADLs) [1,2,3,4,5,6,7,8]. Despite the lack of difference between hospital patients’ and residents’
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