Skip to main content
Erschienen in: The journal of nutrition, health & aging 6/2018

11.04.2018 | Editorial

Rethinking the Staff-Quality Relationship in Nursing Homes

verfasst von: Ramona Backhaus, H. C. Beerens, E. van Rossum, H. Verbeek, J. P. H. Hamers

Erschienen in: The journal of nutrition, health & aging | Ausgabe 6/2018

Einloggen, um Zugang zu erhalten

Excerpt

Staffing practices in long-term care lack a clear evidence base and often seem to be guided by opinions instead of evidence. While stakeholders believe intuitively that there is a positive relationship between staffing levels and quality in nursing homes, the research literature is contradictory (1). In this editorial we consider the evidence found in a literature study that we conducted for the Dutch Ministry of Health, Welfare and Sports (VWS). The aim of this study was to summarize all available evidence on the relationship between staffing and quality in nursing homes. Specifically, we focused on the quantity and the educational background of staff and quality in nursing homes. The literature study has contributed to the recent Dutch quality framework for nursing homes (Kwaliteitskader verpleeghuiszorg in Dutch) of the National Health Care Institute. This quality framework was published in January 2017 and provides norms – among other quality aspects – for nursing home staffing. As well as a description of the main findings of the literature study, we present implications for different stakeholders charged with staffing issues in nursing homes. …
Anhänge
Nur mit Berechtigung zugänglich
Literatur
1.
Zurück zum Zitat Arling G, Mueller C. Nurse Staffing and Quality: The Unanswered Question. J Am Med Dir Assoc 2014;15:376–378.CrossRefPubMed Arling G, Mueller C. Nurse Staffing and Quality: The Unanswered Question. J Am Med Dir Assoc 2014;15:376–378.CrossRefPubMed
2.
Zurück zum Zitat Dellefield, ME. The relationship between nurse staffing in nursing homes and quality indicators. J Gerontol Nurs 2000;26:14–28.CrossRefPubMed Dellefield, ME. The relationship between nurse staffing in nursing homes and quality indicators. J Gerontol Nurs 2000;26:14–28.CrossRefPubMed
3.
Zurück zum Zitat Wells JC. The case for minimum nurse staffing standards in nursing homes: A review of the literature. Alzheimer’s Care Today 2004;5:39–51. Wells JC. The case for minimum nurse staffing standards in nursing homes: A review of the literature. Alzheimer’s Care Today 2004;5:39–51.
4.
Zurück zum Zitat Bostick JE, Rantz MJ, Flesner MK, et al. Systematic review of studies of staffing and quality in nursing homes. J Am Med Dir Assoc 2006;7:366–376.CrossRefPubMed Bostick JE, Rantz MJ, Flesner MK, et al. Systematic review of studies of staffing and quality in nursing homes. J Am Med Dir Assoc 2006;7:366–376.CrossRefPubMed
5.
Zurück zum Zitat Castle NG. Nursing home caregiver staffing levels and quality of care a literature review. J Appl Gerontol 2008;27:375–405.CrossRef Castle NG. Nursing home caregiver staffing levels and quality of care a literature review. J Appl Gerontol 2008;27:375–405.CrossRef
6.
Zurück zum Zitat Collier E, Harrington C. Staffing characteristics, turnover rates, and quality of resident care in nursing facilities. Res Gerontol Nurs 2008;1:157–170.CrossRefPubMed Collier E, Harrington C. Staffing characteristics, turnover rates, and quality of resident care in nursing facilities. Res Gerontol Nurs 2008;1:157–170.CrossRefPubMed
7.
Zurück zum Zitat Grabowski DC, Aschbrenner KA, Rome VF, et al. Quality of mental health care for nursing home residents: a literature review. Med Care Res Rev 2010;67:627–656.CrossRefPubMedPubMedCentral Grabowski DC, Aschbrenner KA, Rome VF, et al. Quality of mental health care for nursing home residents: a literature review. Med Care Res Rev 2010;67:627–656.CrossRefPubMedPubMedCentral
8.
Zurück zum Zitat Shin JH, Bae SH. Nurse staffing, quality of care, and quality of life in US nursing homes, 1996–2011: an integrative review. J Gerontol Nurs 2012;38:46–53.CrossRefPubMed Shin JH, Bae SH. Nurse staffing, quality of care, and quality of life in US nursing homes, 1996–2011: an integrative review. J Gerontol Nurs 2012;38:46–53.CrossRefPubMed
9.
Zurück zum Zitat Tamura BK, Bell CL, Masaki KH, et al. Factors associated with weight loss, low BMI, and malnutrition among nursing home patients: a systematic review of the literature. J Am Med Dir Assoc 2013;14:649–655.CrossRefPubMed Tamura BK, Bell CL, Masaki KH, et al. Factors associated with weight loss, low BMI, and malnutrition among nursing home patients: a systematic review of the literature. J Am Med Dir Assoc 2013;14:649–655.CrossRefPubMed
10.
Zurück zum Zitat Xu D, Kane RL, Shamliyan TA. Effect of nursing home characteristics on residents’ quality of life: a systematic review. Archives of gerontology and geriatrics 2013;57:127–142.CrossRefPubMed Xu D, Kane RL, Shamliyan TA. Effect of nursing home characteristics on residents’ quality of life: a systematic review. Archives of gerontology and geriatrics 2013;57:127–142.CrossRefPubMed
11.
Zurück zum Zitat Backhaus R, Verbeek H, van Rossum E, et al. Nurse Staffing Impact on Quality of Care in Nursing Homes: A Systematic Review of Longitudinal Studies. J Am Med Dir Assoc 2014;15:383–393.CrossRefPubMed Backhaus R, Verbeek H, van Rossum E, et al. Nurse Staffing Impact on Quality of Care in Nursing Homes: A Systematic Review of Longitudinal Studies. J Am Med Dir Assoc 2014;15:383–393.CrossRefPubMed
12.
Zurück zum Zitat Dellefield ME, Castle NG, McGilton KS, et al. The Relationship Between Registered Nurses and Nursing Home Quality: An Integrative Review (2008-2014). Nurs Econ 2015;33:95–108,116.PubMed Dellefield ME, Castle NG, McGilton KS, et al. The Relationship Between Registered Nurses and Nursing Home Quality: An Integrative Review (2008-2014). Nurs Econ 2015;33:95–108,116.PubMed
13.
Zurück zum Zitat Mattingly II TJ. A Review Exploring the Relationship Between Nursing Home Staffing and Antipsychotic Medication Use. Neurology and Therapy 2015;4:169–175.CrossRefPubMedPubMedCentral Mattingly II TJ. A Review Exploring the Relationship Between Nursing Home Staffing and Antipsychotic Medication Use. Neurology and Therapy 2015;4:169–175.CrossRefPubMedPubMedCentral
14.
Zurück zum Zitat Spilsbury K, Hewitt C, Stirk L, et al. The relationship between nurse staffing and quality of care in nursing homes: A systematic review. Int J Nurs Stud 2011;48:732–750.CrossRefPubMed Spilsbury K, Hewitt C, Stirk L, et al. The relationship between nurse staffing and quality of care in nursing homes: A systematic review. Int J Nurs Stud 2011;48:732–750.CrossRefPubMed
15.
Zurück zum Zitat Hickey EC, Young GJ, Parker VA, et al. The effects of changes in nursing home staffing on pressure ulcer rates. J Am Med Dir Assoc 2005;6:50–53.CrossRefPubMed Hickey EC, Young GJ, Parker VA, et al. The effects of changes in nursing home staffing on pressure ulcer rates. J Am Med Dir Assoc 2005;6:50–53.CrossRefPubMed
16.
Zurück zum Zitat Castle NG, Longest BB. Administrative deficiency citations and quality of care in nursing homes. Health Service Manage Res 2006;19:144–152.CrossRef Castle NG, Longest BB. Administrative deficiency citations and quality of care in nursing homes. Health Service Manage Res 2006;19:144–152.CrossRef
17.
Zurück zum Zitat Sanford AM, Orrell M, Tolson D, et al. An international definition for “nursing home”. J Am Med Dir Assoc 2015;16:181–184.CrossRefPubMed Sanford AM, Orrell M, Tolson D, et al. An international definition for “nursing home”. J Am Med Dir Assoc 2015;16:181–184.CrossRefPubMed
18.
Zurück zum Zitat Han K, Trinkoff AM, Storr CL, et al. Associations between state regulations, training length, perceived quality and job satisfaction among certified nursing assistants: crosssectional secondary data analysis. Int J Nurs Stud 2014;51:1135–1141.CrossRefPubMed Han K, Trinkoff AM, Storr CL, et al. Associations between state regulations, training length, perceived quality and job satisfaction among certified nursing assistants: crosssectional secondary data analysis. Int J Nurs Stud 2014;51:1135–1141.CrossRefPubMed
19.
Zurück zum Zitat Degenholtz HB, Kane RA, Kane RL, et al. Predicting nursing facility residents’ quality of life using external indicators. Health Serv Res 2006;41:335–356.CrossRefPubMedPubMedCentral Degenholtz HB, Kane RA, Kane RL, et al. Predicting nursing facility residents’ quality of life using external indicators. Health Serv Res 2006;41:335–356.CrossRefPubMedPubMedCentral
20.
Zurück zum Zitat Shin JH, Park T, Huh I. Nursing staffing and quality of life in western New York nursing homes. West J Nurs Res 2014;36:788–805.CrossRefPubMed Shin JH, Park T, Huh I. Nursing staffing and quality of life in western New York nursing homes. West J Nurs Res 2014;36:788–805.CrossRefPubMed
21.
Zurück zum Zitat Kehyayan V, Hirdes JP, Tyas SL, et al. Predictors of long-term care facility residents’ self-reported quality of life with individual and facility characteristics in Canada. J Aging Health 2016;28:503–529.CrossRefPubMed Kehyayan V, Hirdes JP, Tyas SL, et al. Predictors of long-term care facility residents’ self-reported quality of life with individual and facility characteristics in Canada. J Aging Health 2016;28:503–529.CrossRefPubMed
22.
Zurück zum Zitat Johnson-Pawlson J, Infeld DL. Nurse staffing and quality of care in nursing facilities. J Gerontol Nurs 1996;22:36–45.CrossRefPubMed Johnson-Pawlson J, Infeld DL. Nurse staffing and quality of care in nursing facilities. J Gerontol Nurs 1996;22:36–45.CrossRefPubMed
23.
Zurück zum Zitat Moseley CB, Jones L. Registered nurse staffing and OBRA deficiencies in Nevada nursing facilities. J Gerontol Nurs 2003;29:44–50.CrossRefPubMed Moseley CB, Jones L. Registered nurse staffing and OBRA deficiencies in Nevada nursing facilities. J Gerontol Nurs 2003;29:44–50.CrossRefPubMed
24.
Zurück zum Zitat Çalikoglu S, Christmyer CS, Kozlowski BU. My Eyes, Your Eyes—The Relationship between CMS Five-Star Rating of Nursing Homes and Family Rating of Experience of Care in Maryland. J Healthc Qual 2012;34:5–12.CrossRefPubMed Çalikoglu S, Christmyer CS, Kozlowski BU. My Eyes, Your Eyes—The Relationship between CMS Five-Star Rating of Nursing Homes and Family Rating of Experience of Care in Maryland. J Healthc Qual 2012;34:5–12.CrossRefPubMed
25.
Zurück zum Zitat Kajonius PJ, Kazemi A. Structure and process quality as predictors of satisfaction with elderly care. Health Soc Care Community 2016;24:699–707.CrossRefPubMed Kajonius PJ, Kazemi A. Structure and process quality as predictors of satisfaction with elderly care. Health Soc Care Community 2016;24:699–707.CrossRefPubMed
26.
Zurück zum Zitat Williams A, Straker JK, Applebaum R. The nursing home five star rating: How does it compare to resident and family views of care? Gerontologist 2014;56:234–242.CrossRefPubMed Williams A, Straker JK, Applebaum R. The nursing home five star rating: How does it compare to resident and family views of care? Gerontologist 2014;56:234–242.CrossRefPubMed
27.
Zurück zum Zitat Abrahamson K, Lewis T, Perkins A, et al. The influence of cognitive impairment, special care unit placement, and nursing facility characteristics on resident quality of life. J Aging Health 2013;25:574–588.CrossRefPubMedPubMedCentral Abrahamson K, Lewis T, Perkins A, et al. The influence of cognitive impairment, special care unit placement, and nursing facility characteristics on resident quality of life. J Aging Health 2013;25:574–588.CrossRefPubMedPubMedCentral
28.
Zurück zum Zitat Shippee TP, Henning-Smith C, Kane RL, et al. Resident-and facility-level predictors of quality of life in long-term care. Gerontologist 2013;55:643–655.CrossRefPubMedPubMedCentral Shippee TP, Henning-Smith C, Kane RL, et al. Resident-and facility-level predictors of quality of life in long-term care. Gerontologist 2013;55:643–655.CrossRefPubMedPubMedCentral
29.
Zurück zum Zitat Shippee TP, Hong H, Henning-Smith C, et al. Longitudinal changes in nursing home resident–reported quality of life: The role of facility characteristics. Res Aging 2015;37:555–580.CrossRefPubMed Shippee TP, Hong H, Henning-Smith C, et al. Longitudinal changes in nursing home resident–reported quality of life: The role of facility characteristics. Res Aging 2015;37:555–580.CrossRefPubMed
30.
Zurück zum Zitat Harrington C, Zimmerman D, Karon SL, et al. Nursing home staffing and its relationship to deficiencies. J Gerontol B Psychol Sci Soc Sci 2000;55:278–287.CrossRef Harrington C, Zimmerman D, Karon SL, et al. Nursing home staffing and its relationship to deficiencies. J Gerontol B Psychol Sci Soc Sci 2000;55:278–287.CrossRef
31.
32.
Zurück zum Zitat Lucas JA, Levin CA, Lowe TJ, et al. The relationship between organizational factors and resident satisfaction with nursing home care and life. J Aging Soc Policy 2007;19:125–151.CrossRefPubMed Lucas JA, Levin CA, Lowe TJ, et al. The relationship between organizational factors and resident satisfaction with nursing home care and life. J Aging Soc Policy 2007;19:125–151.CrossRefPubMed
33.
Zurück zum Zitat Li Y, Cai X, Ye Z, et al. Satisfaction with massachusetts nursing home care was generally high during 2005–09, with some variability across facilities. Health Aff 2013;32:1416–1425.CrossRef Li Y, Cai X, Ye Z, et al. Satisfaction with massachusetts nursing home care was generally high during 2005–09, with some variability across facilities. Health Aff 2013;32:1416–1425.CrossRef
34.
Zurück zum Zitat Rodríguez-Martín B, Stolt M, Katajisto J, et al. Nurses’ characteristics and organisational factors associated with their assessments of individualised care in care institutions for older people. Scand J Caring Sci 2016;30:250–259.CrossRefPubMed Rodríguez-Martín B, Stolt M, Katajisto J, et al. Nurses’ characteristics and organisational factors associated with their assessments of individualised care in care institutions for older people. Scand J Caring Sci 2016;30:250–259.CrossRefPubMed
35.
Zurück zum Zitat Harrington C, Choiniere J, Goldmann M, et al. Nursing home staffing standards and staffing levels in six countries. J Nurs Scholarsh 2012;44:88–98.CrossRefPubMed Harrington C, Choiniere J, Goldmann M, et al. Nursing home staffing standards and staffing levels in six countries. J Nurs Scholarsh 2012;44:88–98.CrossRefPubMed
36.
Zurück zum Zitat Anderson R, Issel L, McDaniel R. Nursing homes as complex adaptive systems: Relationship between management practice and resident outcomes. Nurs Res 2003;52:12–21.CrossRefPubMedPubMedCentral Anderson R, Issel L, McDaniel R. Nursing homes as complex adaptive systems: Relationship between management practice and resident outcomes. Nurs Res 2003;52:12–21.CrossRefPubMedPubMedCentral
37.
Zurück zum Zitat Backhaus R, van Rossum E, Verbeek H, et al. Work environment characteristics associated with quality of care in Dutch nursing homes: A cross-sectional study. Int J Nurs Stud 2017;66:15–22.CrossRefPubMed Backhaus R, van Rossum E, Verbeek H, et al. Work environment characteristics associated with quality of care in Dutch nursing homes: A cross-sectional study. Int J Nurs Stud 2017;66:15–22.CrossRefPubMed
38.
Zurück zum Zitat Thoma-Lürken T, Bleijlevens MH, Lexis MA, et al. An overview of potential laborsaving and quality-improving innovations in long-term care for older people. J Am Med Dir Assoc 2015;16:482–489.CrossRefPubMed Thoma-Lürken T, Bleijlevens MH, Lexis MA, et al. An overview of potential laborsaving and quality-improving innovations in long-term care for older people. J Am Med Dir Assoc 2015;16:482–489.CrossRefPubMed
39.
Zurück zum Zitat McGilton KS, Bowers BJ, Heath H, et al. Recommendations From the International Consortium on Professional Nursing Practice in Long-Term Care Homes. J Am Med Dir Assoc 2016;17:99–103.CrossRefPubMed McGilton KS, Bowers BJ, Heath H, et al. Recommendations From the International Consortium on Professional Nursing Practice in Long-Term Care Homes. J Am Med Dir Assoc 2016;17:99–103.CrossRefPubMed
40.
Zurück zum Zitat Tuinman A, de Greef MH, Krijnen WP, et al. Examining Time Use of Dutch Nursing Staff in Long-Term Institutional Care: A Time-Motion Study. J Am Med Dir Assoc 2016;17:148–154.CrossRefPubMed Tuinman A, de Greef MH, Krijnen WP, et al. Examining Time Use of Dutch Nursing Staff in Long-Term Institutional Care: A Time-Motion Study. J Am Med Dir Assoc 2016;17:148–154.CrossRefPubMed
41.
Zurück zum Zitat Donabedian A. The definition of quality and approaches to its assessment. Ann Arbor, MI: Health Administration Press; 1980. Donabedian A. The definition of quality and approaches to its assessment. Ann Arbor, MI: Health Administration Press; 1980.
42.
Zurück zum Zitat Nakrem S, Vinsnes AG, Harkless GE, et al. Nursing sensitive quality indicators for nursing home care: international review of literature, policy and practice. Int J Nurs Stud 2009;46:848–857.CrossRefPubMed Nakrem S, Vinsnes AG, Harkless GE, et al. Nursing sensitive quality indicators for nursing home care: international review of literature, policy and practice. Int J Nurs Stud 2009;46:848–857.CrossRefPubMed
43.
Zurück zum Zitat Backhaus R, van Rossum E, Verbeek H, et al. Quantity of staff and quality of care in Dutch nursing homes: A cross-sectional study. Jour Nursing Home Res 2016;2:90–93. Backhaus R, van Rossum E, Verbeek H, et al. Quantity of staff and quality of care in Dutch nursing homes: A cross-sectional study. Jour Nursing Home Res 2016;2:90–93.
44.
Zurück zum Zitat Oeseburg B, Hilberts R, Roodbol PF. Essential competencies for the education of nursing assistants and care helpers in elderly care. Nurs Educ Today 2015;35:32–35.CrossRef Oeseburg B, Hilberts R, Roodbol PF. Essential competencies for the education of nursing assistants and care helpers in elderly care. Nurs Educ Today 2015;35:32–35.CrossRef
45.
Zurück zum Zitat Boström A-M, Slaughter SE, Chojecki D, et al. What do we know about knowledge translation in the care of older adults? A scoping review. J Am Med Dir Assoc 2012;13:210–219.CrossRefPubMed Boström A-M, Slaughter SE, Chojecki D, et al. What do we know about knowledge translation in the care of older adults? A scoping review. J Am Med Dir Assoc 2012;13:210–219.CrossRefPubMed
46.
Zurück zum Zitat Abbott KM, Heid AR, Van Haitsma K. “We can’t provide season tickets to the opera”: Staff perceptions of providing preference based person centered care. Clin Gerontol 2016;39:190–209.CrossRefPubMedPubMedCentral Abbott KM, Heid AR, Van Haitsma K. “We can’t provide season tickets to the opera”: Staff perceptions of providing preference based person centered care. Clin Gerontol 2016;39:190–209.CrossRefPubMedPubMedCentral
Metadaten
Titel
Rethinking the Staff-Quality Relationship in Nursing Homes
verfasst von
Ramona Backhaus
H. C. Beerens
E. van Rossum
H. Verbeek
J. P. H. Hamers
Publikationsdatum
11.04.2018
Verlag
Springer Paris
Erschienen in
The journal of nutrition, health & aging / Ausgabe 6/2018
Print ISSN: 1279-7707
Elektronische ISSN: 1760-4788
DOI
https://doi.org/10.1007/s12603-018-1027-3

Weitere Artikel der Ausgabe 6/2018

The journal of nutrition, health & aging 6/2018 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

RAS-Blocker bei Hyperkaliämie möglichst nicht sofort absetzen

14.05.2024 Hyperkaliämie Nachrichten

Bei ausgeprägter Nierenfunktionsstörung steigen unter der Einnahme von Renin-Angiotensin-System(RAS)-Hemmstoffen nicht selten die Serumkaliumspiegel. Was in diesem Fall zu tun ist, erklärte Prof. Jürgen Floege beim diesjährigen Allgemeinmedizin-Update-Seminar.

Gestationsdiabetes: In der zweiten Schwangerschaft folgenreicher als in der ersten

13.05.2024 Gestationsdiabetes Nachrichten

Das Risiko, nach einem Gestationsdiabetes einen Typ-2-Diabetes zu entwickeln, hängt nicht nur von der Zahl, sondern auch von der Reihenfolge der betroffenen Schwangerschaften ab.

Labor, CT-Anthropometrie zeigen Risiko für Pankreaskrebs

13.05.2024 Pankreaskarzinom Nachrichten

Gerade bei aggressiven Malignomen wie dem duktalen Adenokarzinom des Pankreas könnte Früherkennung die Therapiechancen verbessern. Noch jedoch klafft hier eine Lücke. Ein Studienteam hat einen Weg gesucht, sie zu schließen.

Battle of Experts: Sport vs. Spritze bei Adipositas und Typ-2-Diabetes

11.05.2024 DDG-Jahrestagung 2024 Kongressbericht

Im Battle of Experts traten zwei Experten auf dem Diabeteskongress gegeneinander an: Die eine vertrat die Auffassung „Sport statt Spritze“ bei Adipositas und Typ-2-Diabetes, der andere forderte „Spritze statt Sport!“ Am Ende waren sie sich aber einig: Die Kombination aus beidem erzielt die besten Ergebnisse.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.