노인요양시설의 간호인력 확보수준 및 구성과 안정성이 입소노인의 건강결과에 미치는 영향

• 영문명: Impact of Nurse Staffing, Skill Mix and Stability on Resident Health Outcomes in Korean Nursing Homes
• 발행기관: 한국노인간호학회
• 저자명: 신주현(Shin, Juh Hyun) 최귀윤(Choi, Gui Yun) 이지연(Lee, Jiyeon)
• 간행물 정보: 『노인간호학회지』제22권 제4호, 291~303쪽, 전체 13쪽
• 주제분류: 의약학 > 의학일반
• 파일형태: PDF
• 발행일자: 2020.11.30

영문 초록

Purpose: The purpose of this study was to investigate the impact of nurse staffing, skill mix, and stability on resident health outcomes in nursing homes. Methods: This study used a cross-sectional design with proportionate stratified sampling. A total of 53 nursing homes of all 3,261 nursing homes in Korea participated in this study. The number of residents per nursing staff, hours per resident day (HPRD), skill mix, and turnover rate of each nursing staff were used as independent variables. Residents’ health-outcome indicators, and use of the emergency room and hospital were used as dependent variables. Multiple regression was used to investigate the impact of nurse staffing, skill mix, and turnover rate on resident health outcomes. Results: The impact of residents per director of nursing (DON) was supported in fall prevention, decreased aggressive behavior, decreased antipsychotic drug use, and increased hospital use (rate and frequency). The impact of registered nurse (RN) HPRD was supported in decreased weight loss, decreased deteriorated activities of daily living, and decreased deteriorated range of motion. High RN turnover related to higher antipsychotic drug use. Conclusion: Nursing homes should increase the staffing level of DONs and RNs to maintain and improve resident health outcomes. Further research is required to confirm the impact of nurse staffing on residents’ health outcomes in nursing homes.

목차

서론

연구방법

연구결과

논의

결론 및 제언

REFERENCES

키워드

노인요양시설 간호인력 확보수준 입소 노인 건강결과 Nursing homes Nursing staff Patients Health