Registered Nurse Staffing and OBRA Deficiencies in Nevada Nursing Facilities

Quality of care in Norwegian nursing homes – deficiencies and their correlates

“…Most quantitative studies, like ours use negative measurements or ‘deficiencies’ or ‘undesirable outcomes’ to measure QoC such as physical restraints, weight loss, incontinence, problem behaviour, etc. (11, 17, 37). Therefore, it may also be argued that the items in our study are not representative parameters for QoC.…”

“…Some few studies have combined several proxies for QoC into a common variable containing information on various aspects of QoC (16, 17).…”

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

“…The quantity of total nursing staff hours contributed to fewer pressure ulcers (Hickey et al, 2005), lower scores on the Health Care Financing Administration deficiencies index (Johnson-Pawlson & Infeld, 1996), and more fluid intake (Kayser-Jones & Schell, 1997). In contrast, other researchers reported the quantity of nurse staffing was not statistically significant or did not contribute to resident outcomes (Johnson-Pawlson & Infeld, 1996;Moseley & Jones, 2003;Rantz et al, 2004;Wan, 2003).…”

Relationship between nurse staffing and quality of life in Iowa nursing homes

“…Wan's (2003) large sample study found that there is a weak relationship between HPRD hours and the adequacy of nursing care process (N = 14,642 NHs) using OSCAR and cross-sectional and longitudinal analyses (factor analysis and path analysis). Moseley and Jones (2003) reported that RN level was not significantly related to any of the OBRA survey deficiencies (N = 28 NHs). A higher RN level was related to the QOL deficiencies.…”

“…NHs usually have a very small number of RNs. The small number of RNs may be a true predictor variable, but this does not mean that the conclusions of the above studies are valid (Johnson-Pawlson & Infeld, 1996;Maas et al, 1996;Moseley & Jones, 2003). The impact of RNs on resident outcomes may be mediated by other factors including geriatric education, staffing turnover, job satisfaction, experience of staff, and supervision (Maas et al, 1996).…”