A Cost-effectiveness Study of Nursing Home Turnover Rates on Registered Nurse Staffing PDF Download
Are you looking for read ebook online? Search for your book and save it on your Kindle device, PC, phones or tablets. Download A Cost-effectiveness Study of Nursing Home Turnover Rates on Registered Nurse Staffing PDF full book. Access full book title A Cost-effectiveness Study of Nursing Home Turnover Rates on Registered Nurse Staffing by Yvonne Kit Ying Chan. Download full books in PDF and EPUB format.
Author: Yvonne Kit Ying Chan
Publisher:
ISBN:
Category : Nurse and patient
Languages : en
Pages : 190
Get Book Here
Book Description
Author: Yvonne Kit Ying Chan
Publisher:
ISBN:
Category : Nurse and patient
Languages : en
Pages : 190
Get Book Here
Book Description
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309175704
Category : Medical
Languages : en
Pages : 558
Get Book Here
Book Description
Hospitals and nursing homes are responding to changes in the health care system by modifying staffing levels and the mix of nursing personnel. But do these changes endanger the quality of patient care? Do nursing staff suffer increased rates of injury, illness, or stress because of changing workplace demands? These questions are addressed in Nursing Staff in Hospitals and Nursing Homes, a thorough and authoritative look at today's health care system that also takes a long-term view of staffing needs for nursing as the nation moves into the next century. The committee draws fundamental conclusions about the evolving role of nurses in hospitals and nursing homes and presents recommendations about staffing decisions, nursing training, measurement of quality, reimbursement, and other areas. The volume also discusses work-related injuries, violence toward and abuse of nursing staffs, and stress among nursing personnelâ€"and examines whether these problems are related to staffing levels. Included is a readable overview of the underlying trends in health care that have given rise to urgent questions about nurse staffing: population changes, budget pressures, and the introduction of new technologies. Nursing Staff in Hospitals and Nursing Homes provides a straightforward examination of complex and sensitive issues surround the role and value of nursing on our health care system.
Author: Bita Kash
Publisher:
ISBN:
Category :
Languages : en
Pages : 10
Get Book Here
Book Description
Background: Recent work on nursing home staffing and turnover has stressed the importance of ownership and resources. However, few studies have examined spending behaviors, which might also influence staffing levels and staff turnover rates.Purpose: This study investigates whether spending behaviors measured by financial ratios are associated with staffing levels and staff turnover in nursing homes.Methodology: We analyzed cross-sectional data from 1,014 Texas homes. Data were from the 2002 Texas Nursing Facility Medicaid Cost Report and the 2003 Area Resource File. First, we examined differences in financial ratios by ownership type. Next, the effect of 10 financial ratios on staffing levels and turnover rates for registered nurses, licensed vocational nurses, and certified nursing assistants was examined using robust regression models.Findings: Descriptive data indicated that expense ratios related to resident care activities and staff development were significantly higher among not-for-profit than for-profit homes. Higher profits were associated with lower staffing levels, but not higher turnover rates. Administrative expenses (a measure of management capacity) had a negative impact both on staffing levels and staff turnover for licensed vocational nurses and certified nursing assistants, but they did not affect registered nurse staffing. Employee benefit expenses exhibited a positive impact on registered nurse and licensed vocational nurse staffing levels. The addition of information on financial ratios to models predicting staffing indicators reduced the effect of ownership on these indicators.Practice Implications: Solutions to the staffing and turnover problem should focus on more effective management practices. Certain levels of administrative and staff benefit expenses may be necessary to improve professional staff recruitment and reduce both staffing and turnover costs. Differences in these financial ratios may partially explain the role played by ownership in determining staffing levels and turnover.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309132746
Category : Medical
Languages : en
Pages : 344
Get Book Here
Book Description
Among the issues confronting America is long-term care for frail, older persons and others with chronic conditions and functional limitations that limit their ability to care for themselves. Improving the Quality of Long-Term Care takes a comprehensive look at the quality of care and quality of life in long-term care, including nursing homes, home health agencies, residential care facilities, family members and a variety of others. This book describes the current state of long-term care, identifying problem areas and offering recommendations for federal and state policymakers. Who uses long-term care? How have the characteristics of this population changed over time? What paths do people follow in long term care? The committee provides the latest information on these and other key questions. This book explores strengths and limitations of available data and research literature especially for settings other than nursing homes, on methods to measure, oversee, and improve the quality of long-term care. The committee makes recommendations on setting and enforcing standards of care, strengthening the caregiving workforce, reimbursement issues, and expanding the knowledge base to guide organizational and individual caregivers in improving the quality of care.
Author: Ronda Hughes
Publisher: Department of Health and Human Services
ISBN:
Category : Medical
Languages : en
Pages : 592
Get Book Here
Book Description
"Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/
Author: U.s. Department of Health and Human Services
Publisher: CreateSpace
ISBN: 9781500374150
Category : Medical
Languages : en
Pages : 544
Get Book Here
Book Description
A shortage of registered nurses, in combination with increased workload, has the potential to threaten quality of care. Increasing the nurse to patient ratios has been recommended as a means to improve patient safety. However, the cost effectiveness of increasing registered nurse (RN) staffing is controversial. This systematic review analyzes associations between hospital nurse staffing and patient outcomes with consideration of variables that could influence the primary association. The basic research questions were: 1. How is a specific nurse to patient ratio associated with patient outcomes (i.e., mortality; adverse drug events, nurse quality outcomes, length of stay; patient satisfaction with nurse care)? How does this association vary by patient characteristics, nurse characteristics, organizational characteristics, and nursing outcomes? 2. How is a measure of nurse work hours (hours per patient or patient day) associated with the same patient outcomes? 3. What factors influence nurse staffing policies? 4. What nurse staffing strategies are effective for improving the patient outcomes listed in question 1? 5. What gaps in research on nurse staffing and patient outcomes can be identified to address in future studies? Questions 1, 2, and 4 are addressed in the systematic review using meta-analytic approaches. The literature associated with question 3 does not lend itself to meta-analysis. Questions 1 and 2 address the same basic association but employ two different measures of nurse staffing. The nurse to patient ratio relies on a general ratio, which may include all nurses assigned to a unit, including non-clinical time, whereas nurse work hours look specifically at nurses involved in patient care. Even beyond this distinction, the varied ways staffing rates are calculated complicates pooling data.
Author: Rodger W. Griffeth
Publisher: SAGE
ISBN: 9780761913061
Category : Business & Economics
Languages : en
Pages : 292
Get Book Here
Book Description
Retaining Valued Employees briefly summarizes the current research in the area of employee turnover, and provides practical guidelines to implement proven strategies for reducing unwanted turnover.
Author: Faranak Seifolddini
Publisher:
ISBN:
Category : Labor turnover
Languages : en
Pages : 404
Get Book Here
Book Description
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309187362
Category : Medical
Languages : en
Pages : 485
Get Book Here
Book Description
Building on the revolutionary Institute of Medicine reports To Err is Human and Crossing the Quality Chasm, Keeping Patients Safe lays out guidelines for improving patient safety by changing nurses' working conditions and demands. Licensed nurses and unlicensed nursing assistants are critical participants in our national effort to protect patients from health care errors. The nature of the activities nurses typically perform â€" monitoring patients, educating home caretakers, performing treatments, and rescuing patients who are in crisis â€" provides an indispensable resource in detecting and remedying error-producing defects in the U.S. health care system. During the past two decades, substantial changes have been made in the organization and delivery of health care â€" and consequently in the job description and work environment of nurses. As patients are increasingly cared for as outpatients, nurses in hospitals and nursing homes deal with greater severity of illness. Problems in management practices, employee deployment, work and workspace design, and the basic safety culture of health care organizations place patients at further risk. This newest edition in the groundbreaking Institute of Medicine Quality Chasm series discusses the key aspects of the work environment for nurses and reviews the potential improvements in working conditions that are likely to have an impact on patient safety.
Author: Meredith Minkler
Publisher: Routledge
ISBN: 135186842X
Category : Business & Economics
Languages : en
Pages : 373
Get Book Here
Book Description
This unique volume brings together 20 critical essays on aging within the context of the broad social, political, and economic factors that help shape and determine the realities of growing old. Rather than viewing aging in isolation, it explores the social creation of old age dependency and the profound influence of race, gender, and social class on what it means to grow old. It looks too at such topics as the "biomedicalization" of aging; the role of business and the media in changing societal images of the old; the fact and fiction behind "senior power"; the multibillion dollar nursing home industry; and the role of advanced capitalist nations in creating economic dependency among elders in the Third World.
