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Nurse Staffing and Veteran Outcomes in the Veterans Health Administration's Community Living Centers
Lana M Brown1, C Heath Gauss, Pamela Billings
1Central 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).
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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