A nurse-staffing taxonomy for decision making in long-term care nursing facilities.
A nurse-staffing taxonomy is proposed to facilitate informed staffing decisions in long-term care nursing facilities and to set forth construct components for empirically related research. Recommendations from an expert workgroup were synthesized with current staffing research to define a staffing taxonomy. Refinements were made, incorporating on-site nursing home quality assessments and concepts founded on psychometric theory and Donabedian's model. A quality monitoring protocol, based on the staffing taxonomy, was used to assess quality improvement systems. Results from 48 US nursing facilities indicate that most long-term care facilities struggle with staffing allocation and the integration of staffing into a quality monitoring process.
Reilly
Karen E
KE
Center for Health Systems Research and Analysis, University of Wisconsin-Madison, 191 Grove Street, Auburndale, MA 02466, USA. karen_reilly@chsra.wisc.edu
Mueller
Christine
C
Zimmerman
David R
DR
D001291:Attitude of Health Personnel; D003266:Continuity of Patient Care / Q000458:organization & administration; D003299:Cooperative Behavior; D003659:Decision Making, Organizational; D006801:Humans; D007400:Interprofessional Relations; D007588:Job Satisfaction; D016294:Models, Nursing; D017146:Models, Organizational; D020380:Needs Assessment / Q000458:organization & administration; D015401:Nursing Administration Research; D009735:Nursing Homes / Q000458:organization & administration*; D009740:Nursing Staff / Q000193:education / Q000458:organization & administration* / Q000523:psychology; D009937:Organizational Objectives; D016134:Organizational Policy; D010043:Outcome and Process Assessment, Health Care / Q000458:organization & administration*; D017060:Patient Satisfaction; D010561:Personnel Staffing and Scheduling / Q000458:organization & administration*; D017410:Practice Guidelines as Topic; D011594:Psychometrics; D011788:Quality of Life; D013597:Systems Analysis; D017749:Total Quality Management / Q000458:organization & administration*; D014481:United States