title: Gaps in nurse staffng and nursing home resident needs.
abstract: Trends in nurse staffing levels in nursing homes from 1997 to 2011 varied across the category of nurse and the type of nursing home. The gaps found in this study are important to consider because nurses may become overworked and this may negatively affect the quality of services and jeopardize resident safety. Nursing home administrators should consider improving staffing strategically. Staffing should be based not only on the number of resident days, but also allocated according to particular resident needs. As the demand for nursing home care grows, bridging the gap between nurse staffing and resident nursing care needs will be especially important in light of the evidence linking nurse staffing to the quality of nursing home care. Until more efficient nursing care delivery exits, there may be no other way to safeguard quality except to increase nurse staffing in nursing homes.
authors.affiliation: Department of Health Management and Informatics, College of Health and Public Affairs, University of Central Florida, Orlando, USA.
authors.forename: Ning Jackie
authors.initials: NJ
authors.lastname: Zhang
authors.affiliation: Department of Health Management and Informatics, College of Health and Public Affairs, University of Central Florida, Orlando, USA.
authors.forename: Lynn
authors.initials: L
authors.lastname: Unruh
authors.affiliation: Department of Health Management and Informatics, College of Health and Public Affairs, University of Central Florida, Orlando, USA.
authors.forename: Thomas T H
authors.initials: TT
authors.lastname: Wan
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D017598:Efficiency, Organizational; D055318:Evidence-Based Nursing / Q000592:standards; D059033:For-Profit Insurance Plans / Q000706:statistics & numerical data; D006707:Homes for the Aged / Q000639:trends; D006801:Humans; D008484:Medicaid / Q000706:statistics & numerical data; D006278:Medicare / Q000706:statistics & numerical data; D020380:Needs Assessment / Q000458:organization & administration / Q000639:trends*; D009735:Nursing Homes / Q000639:trends; D009740:Nursing Staff / Q000600:supply & distribution* / Q000639:trends*; D010561:Personnel Staffing and Scheduling / Q000458:organization & administration / Q000639:trends*; D011785:Quality Assurance, Health Care / Q000458:organization & administration / Q000592:standards; D014481:United States; D000078329:Workforce