Source:http://linkedlifedata.com/resource/pubmed/id/18650413
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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
2
|
| pubmed:dateCreated |
2008-7-24
|
| pubmed:abstractText |
Lower nurse staffing in hospitals has been associated with adverse patient outcomes; results in nursing homes (NHs) are less clear. We examined the association between nurses' direct care time and outcomes in long-stay NH residents and potential cost savings from decreased adverse outcomes versus additional wages for adequate nurse staffing. Data were from the National Pressure Ulcer Long-Term Care Study of 1,376 at-risk residents from 82 NHs. Primary data came from medical records. Hospital, pressure ulcer (PrU) treatment, and urinary tract infection (UTI) costs were from national statistics or cost-identification studies. Time horizon was 1 year. More registered nurse (RN) direct care time/resident/day was associated with fewer PrUs, hospitalizations, and UTIs. Annual net societal benefit was $3,191/resident/year in high-risk NH units with 30-40 min of RN time/resident/day versus units with <10 min. Thus, after controlling for important variables, more RN time/day was strongly associated with better outcomes and lower societal cost.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
May
|
| pubmed:issn |
1527-1544
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
9
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
88-93
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| pubmed:meshHeading |
pubmed-meshheading:18650413-Aged, 80 and over,
pubmed-meshheading:18650413-Commerce,
pubmed-meshheading:18650413-Cost Savings,
pubmed-meshheading:18650413-Cost of Illness,
pubmed-meshheading:18650413-Direct Service Costs,
pubmed-meshheading:18650413-Hospitalization,
pubmed-meshheading:18650413-Humans,
pubmed-meshheading:18650413-Incidence,
pubmed-meshheading:18650413-Long-Term Care,
pubmed-meshheading:18650413-Nursing Administration Research,
pubmed-meshheading:18650413-Nursing Homes,
pubmed-meshheading:18650413-Nursing Staff,
pubmed-meshheading:18650413-Outcome Assessment (Health Care),
pubmed-meshheading:18650413-Personnel Staffing and Scheduling,
pubmed-meshheading:18650413-Pressure Ulcer,
pubmed-meshheading:18650413-Quality Indicators, Health Care,
pubmed-meshheading:18650413-Quality of Health Care,
pubmed-meshheading:18650413-Retrospective Studies,
pubmed-meshheading:18650413-Salaries and Fringe Benefits,
pubmed-meshheading:18650413-Time and Motion Studies,
pubmed-meshheading:18650413-United States,
pubmed-meshheading:18650413-Urinary Tract Infections,
pubmed-meshheading:18650413-Workload
|
| pubmed:year |
2008
|
| pubmed:articleTitle |
The business case for nursing in long-term care.
|
| pubmed:affiliation |
Institute for Clinical Outcomes Research, University of Utah School of Medicine, Salt Lake City, UT, USA. shorn@isisicor.com
|
| pubmed:publicationType |
Journal Article,
Review,
Research Support, Non-U.S. Gov't
|