Related Experiment Video
Updated: Nov 22, 2025
07:40
Multi-Modal Home Sleep Monitoring in Older Adults
Published on: January 26, 2019
7.9K
Increasing Registered Nurse Hours Per Resident Day for Improved Nursing Home Residents' Outcomes Using a Longitudinal
Juh Hyun Shin1, Rosemary Anne Renaut2, Mark Reiser2
1College of Nursing, Ewha Womans University, Seoul 03760, Korea.
Summary
Increasing registered nurse (RN) hours per resident day (HPRD) in nursing homes significantly improves resident outcomes. Higher RN staffing levels reduce the percentage of residents experiencing worsened quality of care indicators.
Area of Science:
- Gerontology
- Healthcare Management
- Nursing Research
Background:
- Nursing homes in Korea face challenges with inadequate nurse staffing standards and poor working conditions.
- These issues negatively impact the quality of care provided to nursing home residents.
Purpose of the Study:
- To quantify the potential improvement in resident outcomes associated with increased registered nurse (RN) hours per resident day (HPRD) staffing.
- To analyze the relationship between RN staffing levels and the quality of care in Korean nursing homes.
Main Methods:
- Longitudinal survey design with repeated measurements from 2017 to 2020 (n=74).
- Quota sampling was employed for participant selection.
- Analysis utilized a longitudinal, multilevel model, with RN HPRD as the independent variable and 15 quality-of-care indicators as the compiled outcome variable.
Main Results:
- A one-unit increase in RN HPRD (60 minutes) was associated with an approximate 10.5% decrease in residents experiencing deteriorated quality of care outcomes.
- The study demonstrated a significant inverse relationship between RN HPRD and negative resident outcomes.
Conclusions:
- Increasing registered nurse hours per resident day is crucial for reducing the deterioration of resident outcomes in nursing homes.
- Ensuring adequate professional registered nurse staffing is essential for enhancing the quality of care in nursing home settings.
Related Concept Videos
01:29Documentation in Long-Term and Home Healthcare Setting
1.3K
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
1.3K
02:20Longitudinal Research
12.9K
Sometimes we want to see how people change over time, as in studies of human development and lifespan. When we test the same group of individuals repeatedly over an extended period of time, we are conducting longitudinal research. Longitudinal research is a research design in which data-gathering is administered repeatedly over an extended period of time. For example, we may survey a group of individuals about their dietary habits at age 20, retest them a decade later at age 30, and then again...
12.9K
01:28Current Trends in Nursing I
2.0K
Current trends in nursing include:
2.0K
01:29Planning Nursing Care II
3.3K
A nursing care plan can present in two forms: informal and formal. Informal is a care plan for the individual use of the nurse and goals they wish to accomplish during their shift. Informal care plans are not included in the patient chart. A formal nursing care plan is a written or computerized guide that organizes patient care. It is further subdivided into two: standardized and individualized care plans. Standardized care plans are pre-populated care plans for specific patient populations,...
3.3K
01:26Longitudinal Studies
340
Longitudinal studies are also widely used in other medical and social science fields. For instance, in cardiovascular research, they can monitor patients' health over decades to identify risk factors for heart disease, such as high cholesterol or smoking, and evaluate the long-term effectiveness of preventive measures. Similarly, in mental health studies, researchers might follow individuals from adolescence into adulthood to understand the development and progression of conditions like...
340
01:21Planning Nursing Care I
5.3K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
5.3K