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The Effects of Long-term Care Hospitals' Nurse Staffing Level on Patient Outcomes: Differences according to Region
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요양병원 간호사 배치수준의 지역별 차이와 환자결과에 미치는 영향

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Type
Academic journal
Author
Hong, Kyung Jin (세명대학교)
Journal
Korean Academy of Nursing Administration Journal of Korean Academy of Nursing Administration Vol.26 No.4 KCI Excellent Accredited Journal SCOPUS
Published
2020.9
Pages
354 - 364 (11page)

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The Effects of Long-term Care Hospitals' Nurse Staffing Level on Patient Outcomes: Differences according to Region
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Purpose: The aim of this study was to examine the differences in nurse staffing levels and patient outcomes in long-term care hospitals by region and to identity the effects of nurse staffing level and registered nurse proportion on patient outcomes. Methods: A secondary analysis of national data that included general characteristics of hospitals and long-term care hospitals’ evaluation results from the Health Insurance Review and Assessment Services was conducted, and 1,205 hospitals were selected. Results: Results showed that the mean number of patients per nursing staff and registered nurse proportion were 4.27 and 0.43, respectively. The differences in long-term care hospitals’ evaluation results and nurse staffing levels according to region were significant. A logistic regression analysis showed that the number of patients per nursing staff affected the probability of the patient experiencing a decline in daily life activities, as well as a decline in the outcomes of patients who were non-dementia; registered nurse proportion affected the outcomes of patients with dementia. Conclusion: The findings suggest that implementing policies to improve long-term care hospitals’ nurse staffing level and registered nurse proportion is important. Ensuring mandatory registered nurse staffing levels based on the severity of patients’ diagnoses is also necessary.
#Geographic distribution #Long term care #Nurse staffing #Patient outcome #지역별 차이 #요양병원 #간호사 배치수준 #환자결과

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서론
연구방법
연구결과
논의
결론
REFERENCES

References (20)

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Health Insurance Review & Assessment Service / 2019 / 2018 (7th) Results of appropriateness evaluation of hospital admission benefits in long term care hospitals google schola 이선희 / 2009 / 다수준 분석을 이용한 요양병원 서비스 질에 영향을 미치는 요인 분석 / Journal of Korean Academy of Nursing 39(3):409~421 google schola Jaroslava Zimmermann / 2018 / Influence of Nurse Staffing Levels on Resident Weight Loss Within German Nursing Homes / Research in Gerontological Nursing 11(1):48~56 Crossref 김은희 / 2015 / 요양병원 간호인력 확보수준에 따른 입원환자의 간호결과 / 한국데이터정보과학회지 26(3):715~727 dbpia Zhang X / 2004 / Nursing home staffing and quality under the nursing home reform act / The Gerontologist 44(1):13~23 Crossref

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