Nurse Staffing and Quality of Care of Nursing Home Residents in Korea

Abstract

We found consistency in the effects of RN staffing on resident outcomes acceptable. By assessing nurse staffing levels and compositions of nursing staffs, this study contributes to more effective long-term care insurance by reflecting on appropriate policies, and ultimately contributes to the stable settlement of the long-term care insurance system for elders.

Outcomes related to effective nurse supervision in long-term care homes: an integrative review

“…, Backhaus et al . , Shin & Hyun ), there has been little attention paid to the specific influence of effective supervisory nurse performance on resident or nursing assistant (NA) outcomes. This knowledge gap is a major issue confronting LTC home managers and policy decision makers who face funding pressures and require measures of effective nurse supervision and patient outcomes in order to inform funding decisions to ensure the correct skill mix of regulated nurses, in addition to appropriate resource allocation to improve nurse supervisor performance and quality of care.…”

Staff mix and nursing home quality by level of case mix in Korea

“…The occupations were restricted to nursing staff (including CNA), social workers and care workers, all of whom provide care services to the residents directly. In the present study, staff mix was computed as the number of each staff type per total staff number instead of computing this based on staffing hours, because the legal minimum standard is set based on full‐time equivalent…”

“…Location was classified as metro, small city and rural. Operational duration was included as a control variable based on the previous study about staffing and the quality of nursing home …”

“…The occupations were restricted to nursing staff (including CNA), social workers and care workers, all of whom provide care services to the residents directly. In the present study, staff mix was computed as the number of each staff type per total staff number 17 instead of computing this based on staffing hours, [18][19][20] because the legal minimum standard is set based on full-time equivalent. 21 A systematic review of factors related to nursing home quality found that case mix, costs, location, occupancy rate, ownership, profit, size, special care units and length of stay were used as confounding variables.…”

“…Operational duration was included as a control variable based on the previous study about staffing and the quality of nursing home. 20 Among several case mix calculating methods, the majority classify residents into homogeneous categories based on their estimated resource utilization. 24 In Korea, based on the required care time and intensity, care needs of all residents receiving LTCI benefits are evaluated using a 52-item (including severity of disease and need for help with ADL) screening tool and a scoring system.…”