服务于严重精神疾病居民的养老院的营业额
Hannah C Ratliff1, Jenna Case1, Hyungjin Myra Kim2
1Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA.
Journal of the American Medical Directors Association
|October 11, 2025
概括
养老院工作人员的流动性很高,但严重精神疾病 (SMI) 的居民比例与不同工作人员角色的流动率并不一致. 设施应该探索其他策略来减少员工流动.
科学领域:
- 老年学是指老年学的学科.
- 医疗保健管理的管理
- 心理健康服务 心理健康服务
背景情况:
- 高员工流动是护理机构的一个持续挑战.
- 了解影响营业额的因素对于保持护理质量至关重要.
- 严重精神疾病 (SMI) 的居民人口对员工流动的影响需要调查.
研究的目的:
- 调查护理机构中患有严重精神疾病 (SMI) 的居民比例与护理人员流动之间的关系.
- 为了确定较高的SMI居民度是否与增加的员工流动率相关.
主要方法:
- 2022年美国养老院 (N=14,124) 国家工资数据的横截面分析.
- 使用最小数据集3.0来识别SMI的居民.
- 采用线性混合模型来分析护理助理,LPN,RN和管理员的营业额,调整为设施,居民和县的特点.
主要成果:
- 所有护理人员类别的平均年营业额都超过了50%.
- 虽然在有更多SMI居民的设施中,未经调整的营业额较高,但经过调整的分析显示SMI比例和员工营业额之间没有一致的关系.
- 在调整后的模型中,特定的员工角色与SMI比例有很小的,不一致的关联.
结论:
- 养老院工作人员的流动性在所有职位上都很高,不管住户中SMI的比例如何.
- 调查结果表明,除了居民中严重精神疾病的流行之外,其他因素对解决员工流动更为关键.
- 设施应专注于更广泛的策略,以减轻护理人员的流动,而不是针对特定的SMI居民群体.
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