领导力重要:研究养老院管理员营业额与质量之间的关联
Rohit Pradhan1, Akbar Ghiasi2, Robert Weech-Maldonado3
1School of Health Administration, Texas State University, San Marcos, Texas, USA.
The Gerontologist
|June 5, 2024
概括
养老院管理员 (NHA) 的营业额显著影响质量评级,主要是由于注册护士 (RN) 的营业额增加. 通过更好的补偿来提高NHA保留率对于保持养老院的高质量护理至关重要.
科学领域:
- 医疗保健管理的管理
- 老年学是一门学科.
- 组织行为 组织行为
背景情况:
- 养老院 (NH) 的员工流动与绩效问题有关.
- 养老院管理员 (NHA) 营业额对NH质量的具体影响未得到充分研究.
- 了解NHA的营业额对于改善整体NH质量至关重要.
研究的目的:
- 调查NHA营业额与NH质量之间的关系.
- 为了确定注册护士 (RN) 周转率是否介导NHA周转率对NH质量的影响.
主要方法:
- 从2021-2022年使用二级数据源对19,645个国家公路进行了纵向分析.
- 质量星级 (SNF QRP) 作为依赖变量和NHA营业额作为独立变量.
- 巴伦和肯尼的调解测试使用双向固定效应和控制变量.
主要成果:
- 国家公路局的营业额对国家公路局的质量星级有负面影响 (下降14-25%).
- NHA的营业额增加了RN的营业额 (7-11%的增长).
- RN的营业额完全调解了NHA营业额对NH质量的负面影响.
结论:
- NHA和RN的营业额是相互连接的,这影响了NH质量.
- 建议通过补偿和福利来提高NHA保留率.
- 政府的支持和干预可能是持续质量改善所必需的.
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