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2020 ; 13
(ä): 1178632920934785
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Appropriate Nurse Staffing Levels for U S Nursing Homes
#MMPMID32655278
Harrington C
; Dellefield ME
; Halifax E
; Fleming ML
; Bakerjian D
Health Serv Insights
2020[]; 13
(ä): 1178632920934785
PMID32655278
show ga
US nursing homes are required to have sufficient nursing staff with the
appropriate competencies to assure resident safety and attain or maintain the
highest practicable level of physical, mental, and psychosocial well-being of
each resident. Minimum nurse staffing levels have been identified in research
studies and recommended by experts. Beyond the minimum levels, nursing homes must
take into account the resident acuity to assure they have adequate staffing
levels to meet the needs of residents. This paper presents a guide for
determining whether a nursing home has adequate and appropriate nurse staffing.
We propose five basic steps to: (1) determine the collective resident acuity and
care needs, (2) determine the actual nurse staffing levels, (3) identify
appropriate nurse staffing levels to meet residents care needs, (4) examine
evidence regarding the adequacy of staffing, and (5) identify gaps between the
actual staffing and the appropriate nursing staffing levels based on resident
acuity. Data sources and specific methodologies are analyzed, compared, and
recommended. The goal is to assist nursing home nurses and administrators to
ensure adequate nursing home staffing levels that protect resident health,
safety, and well-being.