Nurse staffing and quality care in long-term care nursing facilities: Differences in rural and urban settings
Review TypeNone: Degree-based Submission
Repository Posting Date2020-10-13T20:33:30Z
Author(s)Kunkel, Dorcas Elisabeth
Author DetailsDr. Dorcas Elisabeth Kunkel, DNP, MS, BSN, CNE, PHNA-BC, CPHIMSS
Level of EvidenceDescriptive/Correlational
Research ApproachQuantitative Research
KeywordsNurse Staffing; Long Term Care; Nursing Home Residents; Bladder and Bowel Incontinence; Rural and Urban Settings; Quality Measures
Public and congressional concern induced the Institute of Medicine (1996) to recommend increasing registered nurse (RN) staffing levels in nursing homes (NHs) to improve quality of care. The purpose of this study was to answer the question, does the relationship between nurse staffing in long term care nursing facilities and bladder and bowel incontinence for low risk nursing home residents differ by nursing facilities located in rural and urban settings? This study used a secondary database that included aggregate data of all 615 NHs in Minnesota, South and North Dakota including nurse staffing levels, facility descriptives, and the quality measure (QM), prevalence of bladder and bowel incontinence in low risk NH residents. Ninety-four facilities reported on the QM (64 rural, 30 urban). The analysis showed no statistically significant results. Further study using the Framework for Nurse Staffing in Long-term Care Facilities (Mueller, 2000) is warranted including the additional independent variables of resident acuity, case mix, supervision of staff, education of staff, management practices, organization of nursing care, and staff retention and turnover. Combinations of these variables may reveal stronger relationships between nurse staffing in long-term care nursing facilities and bladder and bowel incontinence for low risk nursing home residents located in rural and urban settings.
DescriptionThe author retains copyright.
Degree GrantorUniversity of Minnesota
NotesThis item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
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