On April 30, 2003, Christine T. Kovner, R.N., Ph.D., made a presentation in the Web-Assisted Audioconference entitled Caregivers and Quality in Long Term Care.
This is the text version of Dr. Kovner's slide presentation. Select to access the PowerPoint® slides (194 KB).
Christine T. Kovner, R.N., Ph.D.
Division of Nursing
Steinhardt School of Education
NYU
Caregivers Are Quality in Long Term Care
Christine T. Kovner, R.N., Ph.D.
Division of Nursing, Steinhardt School of Education, NYU
April 30, 2003
Slide contains a picture of Christine Kovner.
Total Nurse Staffing Hours per Resident per Day, 2001
Source: Harrington from CMS OSCAR data.
Reported Staff Ratios on each Shift—Nursing Homes 2001
Source: Harrington from CMS OSCAR data.
Research Studies: Positive Relationship Between Licensed Nurses & Quality
Source: Bliesmer, et al., 1998; Harrington, et al., 2000; Moseley & Jones, 2003.
Research Studies: Positive Relationship Between Licensed Nurses & Quality
Source: (Stark report, 2001); (DHHS Report to Congress: Appropriateness of Minimum Nursing Staffing Ratios in Nursing Homes, 12- 1 (Spring 2000).
Medication Errors in Home Care for Patients 65 years and older
Source: Kovner, Menezes, & Feldman, 2003; MEPS data from AHRQ.
Occupational Training Requirements
Many believe minimum training for nursing assistants should be increased:
Source: www.barbercosmo.ca.gov/
Recommended Nursing Hours in NHs (direct and indirect)
Slide contains a chart showing the recommended hours in NHs for registered nurses: 69 minutes (1.15 hours) per day; for licensed practical/vocational nurses: 42 minutes (.70 hours) per day; for nursing assistants: 162 minutes (2.7 hours) per day; for total nursing: 273 minutes (4.55 hours) per day.
Geriatric Preparation
Source: Kovner, C.T., Mezey, M., & Harrington, C. (2002).
References
Anderson, R A, Hsieh, P, Su, H (1998). Resource allocation and resident outcomes in nursing homes: Comparisons between the best and worst. Research in Nursing and Health 21:297-313.
Kovner, CT, Menezes, J, Feldman, P (2003). Paper in progress.
Harrington, C, Kovner, C, Mezey, M, et al (2000). Experts recommend minimum nurse staffing standards for nursing facilities in the U.S. The Gerontologist 40:5-16.
Kovner, CT, Mezey, M, Harrington, C (2002). Who cares for older adults? Workforce implications of an aging Society. Health Affairs 21(5):78-89.
Bliesmer, M M, Smayling, M, Kane, R, et al (1998) The relationship between nursing staffing levels and nursing home outcomes. Journal of Aging and Health 10(3):351-71.
Harrington, C, Zimmerman, D, Karon, SL, et al (2000). Nursing home staffing and its relationship to deficiencies. Journal of Gerontology: Social Sciences 55B(5):S278-87.
Linn, MGL, Linn, BA (1977). Patient outcomes as a measure of quality of nursing home care. American Journal of Public Health 67(4):337-44.
Nyman, JA (1988). Improving the quality of nursing home outcomes: Are adequacy or incentive-oriented policies more effective? Medical Care, 26(12):1158-71.
Kayser-Jones, Wiener, CL, Barbaccia, JC (1989). Factors contributing to the hospitalization of nursing home residents. The Gerontologist 29:502-10.
Spector, WD, Takada, HA (1991). Characteristics of nursing homes that affect resident outcomes. Journal of Aging and Health 3(4):427-54.
Cherry, RL (1991). Agents of nursing home quality of care: Ombudsman and staff ratios revised. The Gerontologist 31:302-8.
Kayser-Jones, J, Schell, E (1997). The effect of staffing on the quality of care at mealtime. Nursing Outlook 45(2):64-72.
Harrington, C, Carrillo, H, Thollaug, S, et al (1999). Nursing facilities, staffing, residents, and facility deficiencies 1991-1997. (Report prepared for the Health Care Financing Administration. San Francisco: University of California.
Current as of July 2003
Internet Citation
Caregivers Are Quality in Long Term Care. Text Version of a Slide Presentation at a Web-assisted Audioconference. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/news/ulp/workforctel/sess2/kovnertxt.htm
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