养老院指南调整护士人员的住户案例-混合
Charlene A Harrington1, Robert A McLaughlin1, Debra Saliba2,3,4
1Department of Social and Behavioral Sciences, University of California San Francisco, California, California, USA.
大多数养老院 (NHs) 缺乏足够的注册护士 (RN) 和认证护士助理 (CNA) 人员来满足居民的需求. 这项分析揭示了大量的员工缺口,突出了全国各地国民医院需要增加护士每居民一天的护士时间 (HRPD).
科学领域:
- 老年学是一门学科.
- 医疗保健管理的管理
- 护理工作人员护理人员
背景情况:
- 养老院有义务提供足够的护理人员.
- 这项研究解决了调整护士人员与居民护理要求的关键需求.
- 它量化了报告和预测的NH人员数量之间的差异.
研究的目的:
- 建立一个框架,使国民医院能够根据居民的敏度来确定适当的护士人事水平.
- 通过比较报告与所有美国国民医院预期的人员数量来计算护理人员的赤字.
- 根据居民案例混合指数 (CMI) 确定影响人员充足性的因素.
主要方法:
- 用非线性最小平方回归计算,估计25个居民病例混合指数 (CMI) 组的预期护士人员水平.
- 利用最新的研究数据和联邦最低人事要求.
- 比较报告的人员数据与2024年14420个美国国家公路的预期水平.
主要成果:
- 预期的注册护士 (RN) 每个住院日 (HRPD) 的时间在CMI组中从0.55到2.39不等.
- 认证护理助理 (CNA) 的HRPD从2.45到3.6不等,护理HRPD总数从3.48到7.68.
- 报告的RN HRPD低于预期的32%,CNA HRPD低于预期的30%,总护理HRPD低于预期的人员水平的22%.
结论:
- 大多数国民医院需要增加人员来充分解决居民急症.
- 与较低的CMI组相比,较高的CMI组显示,与较低的CMI组相比,更有可能满足预期的RN或总HRPD.
- 全国范围内存在严重的护理人员短缺,影响了国民医院的护理质量.
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