KSNS
E-SUBMISSION
Search
- Page Path
- HOME > Search
Original Article
- Impact of Nurse, Nurses' Aid Staffing and Turnover Rate on Inpatient Health Outcomes in Long Term Care Hospitals
- Yunmi Kim, Ji Yun Lee, Hyuncheol Kang
- J Korean Acad Nurs 2014;44(1):21-30. Published online February 28, 2014
- DOI: https://doi.org/10.4040/jkan.2014.44.1.21
-
Abstract
PDF Purpose This study was conducted to explore the impact of registered nurse/nurses' aid (RN/NA) staffing and turnover rate on inpatient health outcomes in long term care hospitals.
Methods A secondary analysis was done of national data from the Health Insurance Review and Assessment Services including evaluation of long term care hospitals in October-December 2010 and hospital general characteristics in July-September 2010. Final analysis of data from 610 hospitals included RN/NA staffing, turnover rate of nursing staff and 5 patient health outcome indicators.
Results Finding showed that, when variables of organization and community level were controlled, patients per RN was a significant indicator of decline in ADL for patients with dementia, and new pressure ulcer development in the high risk group and worsening of pressure ulcers. Patients per NA was a significant indicator for new pressure ulcer development in the low risk group. Turnover rate was not significant for any variable.
Conclusion To maintain and improve patient health outcomes of ADL and pressure ulcers, policies should be developed to increase the staffing level of RN. Studies are also needed to examine causal relation of NA staffing level, RN staffing level and patient health outcomes with consideration of the details of nursing practice.
-
Citations
Citations to this article as recorded by
- The Experience of turnover to long-term care hospital nurse: A phenomenological qualitative research
Inhee Choo, Milim Cho, Eunha Kim
Journal of Korean Gerontological Nursing.2024; 26(4): 392. CrossRef - Physical Therapy Provider Continuity Predicts Functional Improvements in Inpatient Rehabilitation
Mitchell D. Adam, Debra K. Ness, John H. Hollman
Journal of Neurologic Physical Therapy.2023; 47(2): 91. CrossRef - The effect of the reformed nurse staffing policy on employment of nurses in Korea
Jinhyun Kim, Sungjae Kim, Eunhee Lee, Hyunjeong Kwon, Jayon Lee, Hyunji Bae
Nursing Open.2021; 8(5): 2850. CrossRef - Nurses’ Clinical Work Experience during Pregnancy
Hyunjung Lee, Hyoung Eun Chang, Jiyeon Ha
Healthcare.2020; 9(1): 16. CrossRef - Exploring Nurses' Perceptions of Nursing Home Care in South Korea: A Qualitative Study
Eunhee Cho, Hyejin Kim, Soo Jung Chang, Hyang Kim, Jeongah Kim
Journal of Korean Gerontological Nursing.2020; 22(2): 85. CrossRef - The Effects of Long-term Care Hospitals' Nurse Staffing Level on Patient Outcomes: Differences according to Region
Kyung Jin Hong
Journal of Korean Academy of Nursing Administration.2020; 26(4): 354. CrossRef - A Comparative Study on the Job Stress, Burnout and Nursing Performance of Nurses in Comprehensive Nursing Care Service Wards and Nurses in General Wards
Youn Sil Kim, Jung Ae Park, Eun Koung Seo
Stress.2019; 27(1): 46. CrossRef - Experiences of Long-term Care Hospital Nurses Caring for Elders with Dementia
Eun Kyoung Suh, Hye Ryoung Kim
Journal of Korean Gerontological Nursing.2019; 21(2): 99. CrossRef - Longitudinal associations of nursing staff turnover with patient outcomes in long-term care hospitals in Korea
Yoonseo Kim, Kihye Han
Journal of Nursing Management.2018; 26(5): 518. CrossRef - Influence of Nurses' Work Environment, Organizational Commitment, and Nursing Professionalism on Turnover Intention of Nurses in Long Term Care Hospitals
Hyun Suk Joo, Won Hee Jun
Journal of Korean Academy of Nursing Administration.2018; 24(4): 265. CrossRef - Importance, Performance and Rates of Nurse Performance of Nursing Interventions in Long-term Care Hospitals
Sunmi Kim, Seok Hee Jeong, Myung Ha Lee, Hyun Kyung Kim
Journal of Korean Academy of Nursing Administration.2017; 23(4): 359. CrossRef - Comparative Analysis Research of Inpatient Satisfaction with Nursing on Comprehensive Nursing Service Units & General Units and Nurses' Work Stress
Su Mi Jung, Sook Hee Yoon
Journal of Korean Academy of Nursing Administration.2017; 23(3): 229. CrossRef - Delegation of Nursing Activities in Long-term Care Hospitals
Eun Ju Jang, Su Hyun Kim
Journal of Korean Gerontological Nursing.2017; 19(2): 101. CrossRef - Effects of Empathy and Attitude in Caring for Elders by Nurses in Geriatric Nursing Practice in Long-term Care Hospitals
Young Kyoung Kim, Suhye Kwon
Journal of Korean Gerontological Nursing.2017; 19(3): 203. CrossRef - Predictors of Turnover among New Nurses using Multilevel Survival Analysis
Suhee Kim, Kyongeun Lee
Journal of Korean Academy of Nursing.2016; 46(5): 733. CrossRef - Factors Influencing Nurse Turnover Intention of Senior Convalescence Hospitals in the Metropolitan Area
Youn Sun Hwang, Eunyoung Cho
Korean Journal of Occupational Health Nursing.2016; 25(3): 156. CrossRef - Nursing outcomes of inpatient on level of nursing staffing in long term care hospitals
Eun Hee Kim, Eunjoo Lee
Journal of the Korean Data and Information Science Society.2015; 26(3): 715. CrossRef - The Effects of Emotional Labor and Job Involvement on Turnover Intention of Nurses in Long-term Care Hospitals
Su-Jeong Kang, Suhye Kwon
Korean Journal of Occupational Health Nursing.2015; 24(4): 290. CrossRef
- The Experience of turnover to long-term care hospital nurse: A phenomenological qualitative research
- 244 View
- 3 Download
- 18 Crossref
Review Article
- Evidence Based Practice in Long Term Care Settings
- Janet K. Specht
- J Korean Acad Nurs 2013;43(2):145-153. Published online April 30, 2013
- DOI: https://doi.org/10.4040/jkan.2013.43.2.145
-
Abstract
PDF
Purpose The purpose of this manuscript is to discuss the need for use of evidence based practice (EBP) in LTC, the current use of evidence in long term care facilities and what we know about adoption of the use of EBP in LTC.
Methods Literature review and reporting of findings from the M-TRAIN study that was a quasi-experimental design to test the effectiveness of an intervention to increase the use of EBPs for urinary incontinence and pain in 48 LTC facilities.
Results Barriers to adopting EBPs include lack of available time, lack of access to current research literature, limited critical appraisal skills, excessive literature to review, non-receptive organizational culture, limited resources, and limited decision-making authority of staff to implement change. Strategies to promote adoption of EBP include the commitment of management; the culture of the home; leadership; staff knowledge, time, and reward; and facility size, complexity, the extent that members are involved outside the facility, NH chain membership, and high level of private pay residents. Findings from the M-TRAIN add, stability of nurse leader and congruency between the leaders perception of their leadership and the staff's perception of the leadership.
Conclusion There is clear evidence of the need and the benefits to residents of LTC and to the health care system yet adoption of EBP continues to be slow and sporadic. There is also evidence for the process of establishing best evidence and many resources to find the available EBPs. The urgent need now is finding ways to best get the EBPs implemented in LTC. There is growing evidence about best methods to do this but continued research is needed. Clearly, residents in LTC deserve the best care possible and EBPs represent an important vehicle by which to do this.
-
Citations
Citations to this article as recorded by- Development and Validation of the EBP‐Affinity Questionnaire: A Mixed‐Method Study
Lenny J. Tange, Maud Heinen, Raymond T.C.M. Koopmans, Dirk F. de Korne, Anke Persoon, Robert Lindeboom, Debby L. Gerritsen, Marleen H. Lovink
Nursing Open.2025;[Epub] CrossRef - Interventions to promote the implementation of pressure injury prevention measures in nursing homes: A scoping review
L. F. Yang, J. X. Mu, J. Zhang, S. Zang, L. Zhang, J. H. Qi, C. P. Ni, Y. Liu
Journal of Clinical Nursing.2024; 33(5): 1709. CrossRef - Research utilisation in older people care: Translation, cross‐cultural adaptation and validation of instruments into Brazilian Portuguese
Mainá Osório Akel Fares, Monica Rodrigues Perracini, Matheus Augusto Braga Marques Vieira Rosa, Ana Izabel Lopes Cunha, Mariana Abacherly de Souza, Natalia Aquaroni Ricci
International Journal of Older People Nursing.2023;[Epub] CrossRef - Health economic evaluation of a nurse-led care model from the nursing home perspective focusing on residents’ hospitalisations
Jana Bartakova, Franziska Zúñiga, Raphaëlle-Ashley Guerbaai, Kornelia Basinska, Thekla Brunkert, Michael Simon, Kris Denhaerynck, Sabina De Geest, Nathalie I. H. Wellens, Christine Serdaly, Reto W. Kressig, Andreas Zeller, Lori L. Popejoy, Dunja Nicca, Ma
BMC Geriatrics.2022;[Epub] CrossRef - Developing an Evidence-Based Nursing Culture in Nursing Homes: An Action Research Study
Marleen H. Lovink, Frank Verbeek, Anke Persoon, Getty Huisman-de Waal, Marleen Smits, Miranda G. H. Laurant, Anneke J. van Vught
International Journal of Environmental Research and Public Health.2022; 19(3): 1733. CrossRef - Strategies for the implementation of an electronic fracture risk assessment tool in long term care: a qualitative study
Yuxin Bai, Caitlin McArthur, George Ioannidis, Lora Giangregorio, Sharon Straus, Alexandra Papaioannou
BMC Geriatrics.2021;[Epub] CrossRef - Champions for improved adherence to guidelines in long-term care homes: a systematic review
Amanda M. Hall, Gerd M. Flodgren, Helen L. Richmond, Sheila Welsh, Jacqueline Y. Thompson, Bradley M. Furlong, Andrea Sherriff
Implementation Science Communications.2021;[Epub] CrossRef - Assuring Quality in Nursing Homes: The Black Box of Administrative and Clinical Leadership—A Scoping Review
Elena O Siegel, Heather M Young, Patricia C Heyn
The Gerontologist.2021; 61(4): e147. CrossRef - Value for Money in Social Care: The Role of Economic Evidence in the Guideline Development Process of the National Institute for Health and Care Excellence in England
Annette Bauer, Michela Tinelli, Helen Weatherly, Beth Anderson, Bernadette Li, Bhash Naidoo, Rachel Kettle, Martin Knapp
Journal of Long Term Care.2021; : 303. CrossRef - Beliefs and implementation of evidence‐based practice among nurses in the nursing homes of a Swiss canton: An observational cross‐sectional study
Elodie Perruchoud, Sofia Fernandes, Henk Verloo, Filipa Pereira
Journal of Clinical Nursing.2021; 30(21-22): 3218. CrossRef - Evidence-Based Practice for Cardiac Intensive Care Unit Nurses: An Educational Intervention Study
Leili Rostamnia, Vahid Ghanbari, Fidan Shabani, Abbas Farahani, Nahid Dehghan-Nayeri
The Journal of Continuing Education in Nursing.2020; 51(4): 167. CrossRef - Development and Evaluation of Clinical Practice Guideline for Delirium in Long-Term Care
Eunhye Jeong, Jinkyung Park, Sung Ok Chang
International Journal of Environmental Research and Public Health.2020; 17(21): 8255. CrossRef - Nursing staff’s evaluation of facilitators and barriers during implementation of wireless nurse call systems in residential care facilities. A cross-sectional study
Janne Dugstad, Vibeke Sundling, Etty R. Nilsen, Hilde Eide
BMC Health Services Research.2020;[Epub] CrossRef - Barriers and Insights in Participant Recruitment in Assisted Living Facilities
Michele D. Shropshire, Stephen J. Stapleton, Mary J. Dyck
Nursing Science Quarterly.2020; 33(2): 116. CrossRef - Nursing care for women with pre-eclampsia and/or eclampsia: integrative review
Maria Beatriz Guimarães Ferreira, Caroline Freitas Silveira, Sueli Riul da Silva, Delvane José de Souza, Mariana Torreglosa Ruiz
Revista da Escola de Enfermagem da USP.2016; 50(2): 324. CrossRef - Evidence-Based Practice and Job Satisfaction of Nurses in Long-Term Care
Hyunwook Kang
Open Journal of Nursing.2016; 06(12): 977. CrossRef - Living with Atrial Fibrillation: An Analysis of Patients' Perspectives
Meral Altiok, Mualla Yilmaz, Ibrahim Rencüsoğullari
Asian Nursing Research.2015; 9(4): 305. CrossRef - Effect of Evidence-based Postoperative Pain Guidelines via Web for Patients undergoing Abdominal Surgery in South Korea
Sung-Jung Hong, Eunjoo Lee
Asian Nursing Research.2014; 8(2): 135. CrossRef - Changing the Culture of Mouth Care: Mouth Care Without a Battle
S. Zimmerman, P. D. Sloane, L. W. Cohen, A. L. Barrick
The Gerontologist.2014; 54(Suppl 1): S25. CrossRef - A Mixed-Methods Approach to Investigating the Adoption of Evidence-Based Pain Practices in Nursing Homes
Mary Ersek, Anita Jablonski
Journal of Gerontological Nursing.2014; 40(7): 52. CrossRef
- Development and Validation of the EBP‐Affinity Questionnaire: A Mixed‐Method Study
- 277 View
- 6 Download
- 20 Crossref
Original Articles
- Development of Outcome Indicators of Urinary Incontinence for Quality Evaluation in Long Term Care Hospitals
- Ju Young Yoon, Ji Yun Lee
- J Korean Acad Nurs 2010;40(1):110-118. Published online February 28, 2010
- DOI: https://doi.org/10.4040/jkan.2010.40.1.110
-
Abstract
PDF
Purpose To develop outcome indicators of urinary incontinence to measure quality of care in long term care hospitals in Korea.
Methods The draft indicators of urinary incontinence were developed from a literature review and clinical expert panel. A survey of medical records of 280 patients in 20 hospitals was conducted to test inter-rater reliability. Statistical analysis was done to test risk adjustment criteria, variation between hospitals, and stability of indicators, using assessment data from 77,918 patients in 623 hospitals.
Results The inter-rater reliability of items was high (Kappa range: 0.66-0.92). Severe cognitive impairment (odds ratio [OR]: 3.15, confidence interval [CI]: 3.03-3.26) and total mobility activities of daily living (ADLs) dependency (OR: 4.85, CI: 4.72-4.98) increased the prevalence of urinary incontinence, thus they proved to be significant criteria to stratify high and low risk groups. The prevalence for low risk showed more substantial variation than the high risk group. The indicators were stable over one month.
Conclusion This study demonstrated the feasibility of outcome indicators of urinary incontinence. Improving the reliability of the patient assessment tool and refining the indicators through validation study is a must for future study.
-
Citations
Citations to this article as recorded by- Development of Health Assessment Tool for Middle-aged Adults in Long-term Care Settings
Yoon-Jin Park, Nam Cho Kim
The Korean Journal of Rehabilitation Nursing.2017; 20(1): 1. CrossRef - Factors Associated with the Changes in Activities of Daily Living in Older Adults with Stroke: A Comparison of Home Care and Institutional Care
Woon-Sook Jung, Eun-Shil Yim
Journal of Korean Academy of Community Health Nursing.2016; 27(4): 388. CrossRef - Mobility is the key! Trends and associations of common care problems in German long-term care facilities from 2008 to 2012
Nils A. Lahmann, Antje Tannen, Simone Kuntz, Kathrin Raeder, Gabriela Schmitz, Theo Dassen, Jan Kottner
International Journal of Nursing Studies.2015; 52(1): 167. CrossRef - Comparison of Hospital Standardized Mortality Ratio Using National Hospital Discharge Injury Data
Jong-Ho Park, Yoo-Mi Kim, Sung-Soo Kim, Won-Joong Kim, Sung-Hong Kang
Journal of the Korea Academia-Industrial cooperation Society.2012; 13(4): 1739. CrossRef - The impact of organizational factors on the urinary incontinence care quality in long-term care hospitals: A longitudinal correlational study
Ju Young Yoon, Ji Yun Lee, Barbara J. Bowers, David R. Zimmerman
International Journal of Nursing Studies.2012; 49(12): 1544. CrossRef
- Development of Health Assessment Tool for Middle-aged Adults in Long-term Care Settings
- 182 View
- 1 Download
- 5 Crossref
- Multi-level Analysis of Factors related to Quality of Services in Long-term Care Hospitals
- Seon-heui Lee
- J Korean Acad Nurs 2009;39(3):409-421. Published online June 29, 2009
- DOI: https://doi.org/10.4040/jkan.2009.39.3.409
-
Abstract
PDF
Purpose In this research multi-level analysis was done to identify factors related to quality of services. Patient characteristics and organizational factors were considered.
Methods The data were collected from the Health Insurance Review and Assessment Service (HIRA) data base. The sample was selected from 17,234 patients who had been admitted between January 2007 and May 2008 to one of 253 long-term care hospitals located in Seoul, six other metropolitan cities or nine provinces The data were analyzed with SAS 9.1 using multi-level analysis.
Results The results indicated that individual level variables related to quality of service were age, cognitive ability, patient classification, and initial quality scores. The organizational level variables related to quality of service were ownership, number of beds, and turnover rate. The explanatory power of variables related to organizational level variances in quality of service was 23.72%.
Conclusion The results of this study indicate that differences in the quality of services were related to organizational factors. It is necessary to consider not only individual factors but also higher-level organizational factors such as nurse' welfare and facility standards if quality of service in long term care hospitals is to be improved.
-
Citations
Citations to this article as recorded by- The Effects of Long-term Care Hospitals' Nurse Staffing Level on Patient Outcomes: Differences according to Region
Kyung Jin Hong
Journal of Korean Academy of Nursing Administration.2020; 26(4): 354. CrossRef - Longitudinal associations of nursing staff turnover with patient outcomes in long-term care hospitals in Korea
Yoonseo Kim, Kihye Han
Journal of Nursing Management.2018; 26(5): 518. CrossRef - Person-centered Care and Nursing Service Quality of Nurses in Long-term Care Hospitals
Hae Sagong, Ga Eon Lee
Journal of Korean Academy of Community Health Nursing.2016; 27(4): 309. CrossRef - Characteristics and Mortality Risk Factors in Geriatric Hospital Patients visiting One Region-wide Emergency Department
Kyoung Wan Kim, Soongnang Jang
Journal of Korean Academy of Community Health Nursing.2016; 27(4): 327. CrossRef - The Moderating Effect of Empowerment in Relationship between Self-leadership and Job Satisfaction for Nurses Working in Long-term Care Hospitals
Kyoungsuk Kim, Heeok Park
Journal of Korean Gerontological Nursing.2016; 18(1): 32. CrossRef - Nursing outcomes of inpatient on level of nursing staffing in long term care hospitals
Eun Hee Kim, Eunjoo Lee
Journal of the Korean Data and Information Science Society.2015; 26(3): 715. CrossRef - Comparing Risk-adjusted In-hospital Mortality for Craniotomies : Logistic Regression versus Multilevel Analysis
Sun-Hee Kim, Kwang-Soo Lee
The Korean Journal of Health Service Management.2015; 9(2): 81. CrossRef - Impact of Nurse, Nurses' Aid Staffing and Turnover Rate on Inpatient Health Outcomes in Long Term Care Hospitals
Yunmi Kim, Ji Yun Lee, Hyuncheol Kang
Journal of Korean Academy of Nursing.2014; 44(1): 21. CrossRef - Association between Efficiency and Quality of Health Care in South Korea Long-term Care Hospitals: Using the Data Envelopment Analysis and Matrix Analysis
Minsung Sohn, Mankyu Choi
Journal of Korean Academy of Nursing.2014; 44(4): 418. CrossRef - Perception and Practice of Hospital Infection Control of Nursing Staff depending on the Supplementation of Nurses in Long-term Care Hospitals
Ji-Hyean Lee, Ga Eon Lee
Korean Journal of Occupational Health Nursing.2012; 21(3): 308. CrossRef - Improving Service Quality in Long-term Care Hospitals: National Evaluation on Long-term Care Hospitals and Employees Perception of Quality Dimensions
Jinkyung Kim, Woosok Han
Osong Public Health and Research Perspectives.2012; 3(2): 94. CrossRef - Multilevel Analysis of Health Care Service Utilization among Medical Aid Beneficiaries in Korea
Yang Heui Ahn, Ok Kyung Ham, Soo Hyun Kim, Chang Gi Park
Journal of Korean Academy of Nursing.2012; 42(7): 928. CrossRef - Importance and Performance of Dietitian's Task at Long Term Care Hospital Foodservice in Busan · Kyungnam Area
Mal-Sook Park, Eun-Soon Lyu
Korean Journal of Community Nutrition.2011; 16(5): 602. CrossRef - The Effects of Medical Staffing Level on Length of Stay
Hanju Lee, Yu Kyung Ko, Mi-Won Kim
Journal of Korean Academy of Nursing Administration.2011; 17(3): 327. CrossRef - Factors Impacting the Physical Function of Older Adults in Korean Long-Term Care Hospitals
Ji-Yun Lee, Eun-Young Kim, Eunhee Cho
Journal of Korean Academy of Nursing.2011; 41(6): 780. CrossRef - Development of Outcome Indicators of Urinary Incontinence for Quality Evaluation in Long Term Care Hospitals
Ju Young Yoon, Ji Yun Lee
Journal of Korean Academy of Nursing.2010; 40(1): 110. CrossRef - The Comparison of Functional Status and the Level of Health Care Needs in Elderly Koreans in Health Care Institutions
Hyun-Sil Kim, Young-Mi Jung, Hung-Sa Lee, Yoo-Hyang Cho, In-Young Yoo
Journal of Korean Academy of Community Health Nursing.2010; 21(4): 386. CrossRef
- The Effects of Long-term Care Hospitals' Nurse Staffing Level on Patient Outcomes: Differences according to Region
- 198 View
- 1 Download
- 17 Crossref
First
Prev
