Featured Research

from universities, journals, and other organizations

Quality problems in America's nursing homes tied to turnover

Date:
February 7, 2014
Source:
University of Maryland, Baltimore
Summary:
Nursing researchers find adverse outcomes are linked to turnover in studies of a sample representing more than 16,000 nursing homes in the United States, suggesting that preventing staff turnover should be given greater emphasis.

Two studies examining the relationship between turnover of nursing staff and quality problems in nursing homes have found adverse outcomes. This comes at a time of greater demand for care by the growing numbers of elderly Americans.

The studies, both published in December, were based on data from the 2004 National Nursing Home Survey, which generated a sample of 1,174 nursing homes representing more than 16,000 nursing homes in the United States. These data were linked by facility to quality outcomes from contemporaneous databases used to monitor standards of nursing home care. The linkages were to Quality Indicators from Nursing Home Compare and to data on deficiencies of care from the Online Survey, Certification and Reporting (OSCAR).

Staff turnover is of concern for nursing homes, as high turnover has been associated with increased adverse outcomes. These studies suggest that preventing staff turnover should be given greater emphasis.

In the first study, "Are Nursing Home Survey Deficiencies Higher in Facilities with Greater Staff Turnover," published in the Journal of the American Medical Directors Association, Nancy B. Lerner, DNP '10, RN, BSN '66, an assistant professor at the University of Maryland School of Nursing (UMSON), and colleagues including UMSON Professor Alison M. Trinkoff, ScD, MPH, RN, FAAN, found that turnover for both licensed nurses and certified nursing assistants (CNAs) was associated with quality problems as measured by deficiencies considered to be closely related to nursing care (qualify of care, qualify of life, and resident behavior deficiencies reported by OSCAR).

In the second study, "Turnover Staffing, Skill Mix, and Resident Outcomes in a National Sample of U.S. Nursing Homes," published in the Journal of Nursing Administration, Trinkoff and colleagues found that adverse resident outcomes such as pressure ulcers and pain are related to high turnover among CNAs. The study, even after controlling for factors including skill mix, bed size, and ownership, found nursing homes with high CNA turnover had significantly higher odds of pressure ulcers, pain, and urinary tract infections.

"Changes are needed to improve the retention of care providers and reduce staff vacancies in nursing homes to ensure high quality of care for older Americans," Lerner states. Further the study by Lerner and colleagues suggests the need for continued research using deficiencies as a measure of quality in addition to the quality indicators used by others.


Story Source:

The above story is based on materials provided by University of Maryland, Baltimore. Note: Materials may be edited for content and length.


Journal References:

  1. Nancy B. Lerner, Meg Johantgen, Alison M. Trinkoff, Carla L. Storr, Kihye Han. Are Nursing Home Survey Deficiencies Higher in Facilities With Greater Staff Turnover. Journal of the American Medical Directors Association, 2014; 15 (2): 102 DOI: 10.1016/j.jamda.2013.09.003
  2. Alison M. Trinkoff, Kihye Han, Carla L. Storr, Nancy Lerner, Meg Johantgen, Kyungsook Gartrell. Turnover, Staffing, Skill Mix, and Resident Outcomes in a National Sample of US Nursing Homes. JONA: The Journal of Nursing Administration, 2013; 43 (12): 630 DOI: 10.1097/NNA.0000000000000004

Cite This Page:

University of Maryland, Baltimore. "Quality problems in America's nursing homes tied to turnover." ScienceDaily. ScienceDaily, 7 February 2014. <www.sciencedaily.com/releases/2014/02/140207083613.htm>.
University of Maryland, Baltimore. (2014, February 7). Quality problems in America's nursing homes tied to turnover. ScienceDaily. Retrieved August 1, 2014 from www.sciencedaily.com/releases/2014/02/140207083613.htm
University of Maryland, Baltimore. "Quality problems in America's nursing homes tied to turnover." ScienceDaily. www.sciencedaily.com/releases/2014/02/140207083613.htm (accessed August 1, 2014).

Share This




More Health & Medicine News

Friday, August 1, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Texas Quintuplets Head Home

Texas Quintuplets Head Home

Reuters - US Online Video (Aug. 1, 2014) After four months in the hospital, the first quintuplets to be born at Baylor University Medical Center head home. Linda So reports. Video provided by Reuters
Powered by NewsLook.com
Ebola Patient Coming to U.S. for Treatment

Ebola Patient Coming to U.S. for Treatment

Reuters - US Online Video (Aug. 1, 2014) A U.S. aid worker infected with Ebola while working in West Africa will be treated in a high security ward at Emory University in Atlanta. Linda So reports. Video provided by Reuters
Powered by NewsLook.com
Ebola Vaccine Might Be Coming, But Where's It Been?

Ebola Vaccine Might Be Coming, But Where's It Been?

Newsy (Aug. 1, 2014) Health officials are working to fast-track a vaccine — the West-African Ebola outbreak has killed more than 700. But why didn't we already have one? Video provided by Newsy
Powered by NewsLook.com
Study Links Certain Birth Control Pills To Breast Cancer

Study Links Certain Birth Control Pills To Breast Cancer

Newsy (Aug. 1, 2014) Previous studies have made the link between birth control and breast cancer, but the latest makes the link to high-estrogen oral contraceptives. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins