Examining the Effects of Professional Non-Nursing Staffing on Quality of Care in Nursing Homes

Livingstone, Ian; Hefele, Jennifer Gaudet; Nadash, Pamela; Leland, Natalie E.

doi:10.1093/geroni/igy023.1979

Cited by 1 publication

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“…Staffing—itself a frequently used measure of NH quality—has been associated with both consumer satisfaction (Çalkoğlu et al, 2012; Li et al, 2013; Lucas et al, 2007) and NH processes and outcomes (Bostick, Rantz, Flesner, & Riggs, 2006; Harrington, Olney, Carrillo, & Kang, 2012; Hyer et al, 2011; Kim, 2016; McDonald, Wanger, & Castle, 2013; Shippee et al, 2015a; Xu et al, 2013). Moreover, research is increasingly investigating the role of rehabilitative staff in ensuring quality for both short- and long-stay residents (Lepore & Leland, 2015; Livingstone, 2018). Staffing is measured via five types of staffing: hours per resident day for RNs , LPNs , and certified nursing assistants (CNAs), occupational therapy hours per resident day (OT HPRD), and physical therapy hours per resident day (PT HPRD).…”

Section: Methodsmentioning

confidence: 99%

A National-Level Analysis of the Relationship Between Nursing Home Satisfaction and Quality

et al. 2018

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Little research has explored the relationship between consumer satisfaction and quality in nursing homes (NHs) beyond the few states mandating satisfaction surveys. We examine this relationship through data from 1,765 NHs in the 50 states and District of Columbia using My InnerView resident or family satisfaction instruments in 2013 and 2014, merged with Certification and Survey Provider Enhanced Reporting, LTCfocus, and NH Compare (NHC) data. Family and resident satisfaction correlated modestly; both correlated weakly and negatively with any quality-of-care (QoC) and any quality-of-life deficiencies and positively with NHC five-star ratings; this latter positive association persisted after covariate adjustment; the negative relationship between QoC deficiencies and family satisfaction also remained. Overall, models explained relatively small proportions of satisfaction variance; correlates of satisfaction varied between residents and families.

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