Staffing and worker injury in nursing homes.
OBJECTIVE
We examined the relationship between nursing home staffing levels and worker injury rates in 445 nursing homes in 3 states.


METHODS
We obtained First Reports of Injury and workers' compensation data from 3 states (Ohio, West Virginia, and Maryland) for the year 2000. We then linked these data to Medicare's Online Survey, Certification and Reporting system to obtain nursing home staffing details and organizational descriptors. We used ordinary least squares and log-transformed regression models to examine the association between worker injury rate and nursing home staffing and organizational characteristics.


RESULTS
Total nursing hours per resident day were significantly associated with worker injury rates in nursing homes after we adjusted for organizational characteristics and state dummy variables (P=.0004).


CONCLUSIONS
Our findings suggest that nursing home staffing levels have an important impact on worker health. These findings were supported for multiple facilities across different states; therefore, policies and resources that increase staffing levels in nursing homes are warranted.
Trinkoff
Alison M
AM
University of Maryland School of Nursing, 655 W Lombard St, Rm 625, Baltimore, MD 21201, USA. trinkoff@son.umaryland.edu
Johantgen
Meg
M
Muntaner
Carles
C
Le
Rong
R
D003625:Data Collection; D006801:Humans; D008503:Medical Staff; D009735:Nursing Homes; D009784:Occupational Diseases / Q000453:epidemiology*; D012044:Regression Analysis; D014481:United States / Q000453:epidemiology; D014947:Wounds and Injuries / Q000453:epidemiology*