Nurse Staffing and Veteran Outcomes in the Veterans Health Administration's Community Living Centers.

J Nurs Care Qual

Central Arkansas Veterans Healthcare System, VISN 16/Geriatric Research Education, and Clinical Center (GRECC), North Little Rock (Drs Brown and Sawyer and Mr Gauss); College of Nursing (Drs Brown and Sawyer) and Department of Biostatistics, College of Public Health (Mr Gauss), University of Arkansas for Medical Sciences, Little Rock; MidSouth Veterans Healthcare Network, VISN 9, Nashville, Tennessee (Dr Billings); Geriatrics and Extended Care (Ms Minor) and Office of Nursing Services (Dr Sullivan and Ms Moore), Veterans Health Administration, Washington, District of Columbia; and Palo Alto Veterans Affairs Health Care System, Palo Alto, California (Ms Sparks).

Published: November 2023

AI Article Synopsis

  • - The study investigates the link between nurse staffing levels, specifically nursing hours per patient day (NHPPD), and health outcomes in Veterans Health Administration Community Living Centers as the demand for nursing care increases.
  • - It employed a retrospective data review of 134 centers, using linear regression to analyze the relationship between NHPPD and six specific quality measures, finding significant associations with falls resulting in major injuries and assistance with daily activities.
  • - The findings underscore the importance of adequate nurse staffing in improving healthcare quality, contributing valuable insights to existing literature on nursing care impact.

Article Abstract

Background: The demand for nursing care is rising in the long-term care setting. Nurse staffing is a crucial measure linked to health care quality measure outcomes.

Purpose: To assess for associations between nursing hours per patient day (NHPPD) and outcome measures in the Veterans Health Administration Community Living Centers.

Methods: A retrospective data review of NHPPD and quality measures for 134 community living centers was conducted. Linear regression was used to assess for linear associations between average total NHPPD and 6 quality measures.

Results: A significant linear association was found between average total NHPPD and falls with major injury ( P = .02) and help with activities of daily living ( P = .01). No associations were found between nurse staffing and 4 other quality measures.

Conclusions: This study adds to the body of literature regarding the impact of nurse staffing on quality measures.

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Source
http://dx.doi.org/10.1097/NCQ.0000000000000700DOI Listing

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