ABSTRACT

While research tends to find an association of nurse staffing with quality in nursing homes, few studies examine complaints as a quality measure or account for ancillary staff. This study used federal nursing home complaint data to examine how key explanatory variables including nursing and ancillary staffing were associated with numbers of complaints and the likelihood of receiving a complaint. Results support that nursing home staffing is associated with quality. While direct care staffing was associated with fewer complaints, larger effects were found for social service and activities staffing. Increasing ancillary staffing may be a cost-effective way to reduce complaints.

摘要

虽然研究倾向于发现护理人员配备与疗养院的质量有关，但很少有研究将投诉作为质量衡量标准或对辅助人员的解释。本研究使用联邦疗养院投诉数据来检验包括护理和辅助人员配置在内的关键解释变量如何与投诉数量和收到投诉的可能性相关联。结果支持疗养院人员配备与质量相关。虽然直接护理人员配备与较少的投诉有关，但社会服务和活动人员配备的影响更大。增加辅助人员配备可能是减少投诉的一种经济有效的方法。