title: The Impact of State Nursing Home Staffing Standards on Nurse Staffing Levels.
abstract: This study investigated the impact of state nursing home staffing standards on nurse staffing levels for the year 2011. Specifically, the study attempted to measure state staffing standards at facility level (i.e., nurse staffing levels that each individual nursing home must retain by its state staffing standards) and analyzed the policy impact. The study findings indicated that state staffing standards for the categories of registered nurse, licensed nurse, or total nurse are positively related to registered nurse, licensed nurse, or total nurse staffing levels, respectively. Nursing homes more actively responded to licensed staffing requirements than total staffing requirements. However, nursing homes did not increase their staffing levels as much as those required by state staffing standards. It is possibly because the quality-oriented inspection allows flexibility in nursing homes' control of nurse staffing levels.
authors.affiliation: Mahidol University, Salaya, Thailand seungchun.pak@mahidol.ac.th.
authors.forename: Seung Chun
authors.initials: SC
authors.lastname: Paek
authors.affiliation: Seton Hall University, South Orange, NJ, USA.
authors.forename: Ning J
authors.initials: NJ
authors.lastname: Zhang
authors.affiliation: University of Central Florida, Orlando, FL, USA.
authors.forename: Thomas T H
authors.initials: TT
authors.lastname: Wan
authors.affiliation: University of Central Florida, Orlando, FL, USA.
authors.forename: Lynn Y
authors.initials: LY
authors.lastname: Unruh
authors.affiliation: Mahidol University, Salaya, Thailand.
authors.forename: Natthani
authors.initials: N
authors.lastname: Meemon
mesh_terms: D006707:Homes for the Aged / Q000592:standards*; D006801:Humans; D009735:Nursing Homes / Q000592:standards*; D009740:Nursing Staff / Q000592:standards* / Q000600:supply & distribution*; D010561:Personnel Staffing and Scheduling / Q000592:standards* / Q000706:statistics & numerical data*; D014481:United States
keywords: U.S. nursing homes; nurse staffing; state nursing home staffing standards