AI Article Synopsis
- Leadership plays a crucial role in enhancing the quality of care in nursing homes, with prior research indicating that facilities with more qualified leaders have fewer care deficiencies.
- This study analyzes the relationship between the education and certification of nursing home administrators (NHAs) and directors of nursing (DONs) with resident outcomes using data from the National Nursing Home Survey.
- Results suggest that nursing homes led by NHAs with advanced degrees and certification experience better pain outcomes, while those with DONs holding bachelor's degrees and certifications show reduced pain and catheter usage, highlighting the potential benefits of strong educational standards in leadership roles.
Article Abstract
Background: Leadership is a key consideration in improving nursing home care quality. Previous research found nursing homes with more credentialed leaders had lower rates of care deficiencies than nursing homes with less credentialed leaders. Evidence that nursing home administrator (NHA) and director of nursing (DON) education and certification is related to resident outcomes is limited.
Objectives: To examine associations of education and certification among NHAs and DONs with resident outcomes.
Design: Cross-sectional secondary data analysis.
Settings: This study used National Nursing Home Survey data on leadership education and certification and Nursing Home Compare quality outcomes (e.g. pain, catheter use).
Participants: 1142 nursing homes in the survey which represented 16628 nursing homes in the US.
Methods: Leadership education and certification were assessed separately for NHAs and DONs. Nursing home resident outcomes were measured using facility-level nursing home quality indicator rates selected from the Minimum Data Set. Facility-level quality indicators were regressed onto leadership variables in models that also held constant facility size and ownership status.
Results: Nursing homes led by NHAs with both Master's degrees or higher and certification had significantly better outcomes for pain. Nursing homes led by DONs with Bachelor's degrees or higher plus certification also had significantly lower pain and catheter use. Whereas pressure ulcer rates were higher in facilities led by DONs with more education.
Conclusions: Selected outcomes for nursing home residents might be improved by increasing the education and certification requirements for NHAs and DONs. Additional research is needed to clarify these relationships.
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| http://dx.doi.org/10.1016/j.ijnurstu.2014.10.002 | DOI Listing |
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