The purpose of this study was to investigate the relationship between nursing staffing and quality of life (QOL) in nursing homes (NHs). The relationships between nursing staff hours per resident day, nursing staffing skill mix, turnover of nursing staff, and the answers given to QOL questions by 231 residents in Iowa NHs were investigated. Unexpectedly, only part of staffing variables were statistically significantly correlated with QOL of residents and nurse staffing variables seemed to have little influence on predicting QOL of residents in this study. The major differences between this study and previous studies are that previous research focused on quality of care (QOC) and this study measured QOL by measuring residents' outcomes. Previous studies found that nurse staffing is an important factor in improving QOC (and by implication, QOL) of NH residents. Based on the statistically significant relationships, RNs' unique contributions were supported by the findings that NHs with more RNs, compared with LPNs/LVNs and CNAs, had residents with higher scores in the functional competence domain and overall QOL summary items. This study found that nurse staffing turnover is positively correlated with QOL, especially in the individuality domain. However, the whole study takes place in one state, Iowa. Iowa has a homogeneous population with limited racial diversity. Only Iowa NHs were selected and it is questionable whether the findings may be generalizable to the rest of the United States. Further research is required to confirm the relationship and provide policy guidelines, including nurse staffing recommendations, to guarantee optimal QOL for NH residents.
Dissertation
Relationship between nurse staffing and quality of life in Iowa nursing homes
University of Iowa
Doctor of Philosophy (PhD), University of Iowa
Summer 2008
DOI: 10.17077/etd.hpz9f30q
Free to read and download, Open Access
Abstract
Details
- Title: Subtitle
- Relationship between nurse staffing and quality of life in Iowa nursing homes
- Creators
- Juh Hyun Shin - University of Iowa
- Contributors
- Janet K. Specht (Advisor)David Reed (Committee Member)Mercedes Bern-Klug (Committee Member)Sue Moorhead (Committee Member)Timothy Ansley (Committee Member)Mary Dyck (Committee Member)
- Resource Type
- Dissertation
- Degree Awarded
- Doctor of Philosophy (PhD), University of Iowa
- Degree in
- Nursing
- Date degree season
- Summer 2008
- Publisher
- University of Iowa
- DOI
- 10.17077/etd.hpz9f30q
- Number of pages
- x, 211 pages
- Copyright
- Copyright 2008 Juh Hyun Shin
- Language
- English
- Date copyrighted
- 2008
- Description bibliographic
- Includes bibliographical references (pages 190-211).
- Academic Unit
- Nursing
- Record Identifier
- 9983777201902771
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