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KMID : 0614820200260040354
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Journal of Korean Academy of Nursing Administration
2020 Volume.26 No. 4 p.354 ~ p.364
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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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Hong Kyung-Jin
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Abstract
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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.
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KEYWORD
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Geographic distribution, Long term care, Nurse staffing, Patient outcome
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