在住院护理社区的护士周转率的跨部门研究
1Department of Economics and Health Care Management, Labovitz School of Business and Economics, University of Minnesota Duluth, Duluth, MN, USA.
概括
与营利性机构相比,非营利性住院护理社区 (RCC) 的注册护士 (RN) 和助手的营业额较低. 较大的RCC也报告了助手周转率的下降,表明设施特征影响人员稳定性.
科学领域:
- 老年学是一门学科.
- 医疗保健管理的管理
- 护理学研究 护理学研究
背景情况:
- 住院护理社区 (RCC) 的高护士流动率会影响护理质量和运营成本.
- 了解影响注册护士 (RN) 和助手流动的因素对于长期护理人员的稳定性至关重要.
研究的目的:
- 确定与注册护士 (RN) 和在住院护理社区 (RCCs) 的助手周转率相关的设施特征.
主要方法:
- 使用2018年长期护理提供者的国家研究进行的横截面研究 公共用途文件.
- 分析包括3331个RCC用于RN营业额和13,676个RCC用于辅助营业额.
- 使用多变量线性回归来检查包括所有权,设施类型,工作设计和工作环境在内的因素.
主要成果:
- 注册护士 (RN) 的周转率为72%,助理的周转率为48%.
- 与营利性设施相比,非营利性RCC的RN营业额 (25个百分点) 和助理营业额 (9.7个百分点) 显着较低.
- 较大的RCC显示了援助营业额的减少.
结论:
- 设施所有权 (非营利性与营利性) 是RCC中RN和助理营业额的重要预测因素.
- 设施的大小与援助周转率较低有关.
- 针对设施特征,如所有权地位和规模,可能有助于缓解住院护理机构的护士流动.
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