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Doctoral Study Effects of Mandatory ...
~
Reed, Melissa.
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Doctoral Study Effects of Mandatory Staffing Requirements on Quality Indicators in Long-Term Care.
Record Type:
Electronic resources : Monograph/item
Title/Author:
Doctoral Study Effects of Mandatory Staffing Requirements on Quality Indicators in Long-Term Care./
Author:
Reed, Melissa.
Published:
Ann Arbor : ProQuest Dissertations & Theses, : 2023,
Description:
62 p.
Notes:
Source: Dissertations Abstracts International, Volume: 85-04, Section: B.
Contained By:
Dissertations Abstracts International85-04B.
Subject:
Nursing. -
Online resource:
https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=30689527
ISBN:
9798380579889
Doctoral Study Effects of Mandatory Staffing Requirements on Quality Indicators in Long-Term Care.
Reed, Melissa.
Doctoral Study Effects of Mandatory Staffing Requirements on Quality Indicators in Long-Term Care.
- Ann Arbor : ProQuest Dissertations & Theses, 2023 - 62 p.
Source: Dissertations Abstracts International, Volume: 85-04, Section: B.
Thesis (D.H.A.)--Walden University, 2023.
Long term care facilities continue to struggle to improve the quality of care, which affects publicly reported data and reimbursement. The purpose of this study was to evaluate if state-mandated staffing ratios affected CMS survey ratings for CMS Region 7, which consisted of Iowa, Kansas, Missouri, and Nebraska. The theoretical framework was grounded by Donabedian's quality theory, which described quality is made up of the elements of structure, process, and outcomes. This study included two research questions evaluating if there was a correlation between minimum staffing ratios and quality of care in long-term care facilities among the four states in CMS Region 7 and if quality of care scores were higher in long-term care facilities due to state minimum staffing requirements among the four states in CMS Region 7. A quantitative correlation research design was used with non-probability sampling to include all nursing homes in the identified states using secondary data from CMS. Spearman's ρ determined that a correlation existed between staffing ratios and quality of care rating. A Mann-Whitney U test concluded that there was not a significant difference between the groups with no minimum staffing requirements and states with minimum staffing requirements. The potential impact of this study on positive social change is at the individual, organizational, and policy levels. Individual patients and nursing home facilities can benefit from the recognition of providers regarding association of minimum staffing ratios impacting quality of care that is delivered in long term care facilities.
ISBN: 9798380579889Subjects--Topical Terms:
528444
Nursing.
Subjects--Index Terms:
CMS
Doctoral Study Effects of Mandatory Staffing Requirements on Quality Indicators in Long-Term Care.
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Long term care facilities continue to struggle to improve the quality of care, which affects publicly reported data and reimbursement. The purpose of this study was to evaluate if state-mandated staffing ratios affected CMS survey ratings for CMS Region 7, which consisted of Iowa, Kansas, Missouri, and Nebraska. The theoretical framework was grounded by Donabedian's quality theory, which described quality is made up of the elements of structure, process, and outcomes. This study included two research questions evaluating if there was a correlation between minimum staffing ratios and quality of care in long-term care facilities among the four states in CMS Region 7 and if quality of care scores were higher in long-term care facilities due to state minimum staffing requirements among the four states in CMS Region 7. A quantitative correlation research design was used with non-probability sampling to include all nursing homes in the identified states using secondary data from CMS. Spearman's ρ determined that a correlation existed between staffing ratios and quality of care rating. A Mann-Whitney U test concluded that there was not a significant difference between the groups with no minimum staffing requirements and states with minimum staffing requirements. The potential impact of this study on positive social change is at the individual, organizational, and policy levels. Individual patients and nursing home facilities can benefit from the recognition of providers regarding association of minimum staffing ratios impacting quality of care that is delivered in long term care facilities.
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https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=30689527
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