Does Direct-care Staffing Impact Nursing Home Outcomes? A Systematic Review

Vanessa Schlage and Carl Blankart

Die Unternehmung - Swiss Journal of Business Research and Practice, 2016, vol. 70, issue 3, 291-318

Abstract: The empirical evidence on the relationship between nurse staffing levels and quality in US nursing homes was reviewed. Studies were assessed using a newly developed 21-item qual- ity framework. The findings were systematically collected and stratified by nurse type. Most evidence identified was on highly educated registered nurses. According to our re- view, less qualified staff cannot be claimed to improve quality. Nursing home managers contemplating switching from highly to less educated staff to improve short-term financial performance should consider that this negatively impacts quality outcomes and therefore long-term business opportunities. Evidence on this relationship in the European environ- ment would be desirable, especially in the context of currently discussed health workforce policy harmonization efforts or health workforce qualification initiatives.

Date: 2016
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DOI: 10.5771/0042-059X-2016-3-291

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Die Unternehmung - Swiss Journal of Business Research and Practice is currently edited by Prof. Dr. Artur Baldauf, Universität Bern, Prof. Dr. Manfred Bruhn, Universität Basel, Prof. Dr. Pascal Gantenbein, Universität Basel (geschäftsführend), Prof. Dr. Markus Gmür, Universität Fribourg, Prof. Dr. Klaus Möller, Universität St. Gallen, Prof. Dr. Günter Müller-Stewens, Universität St. Gallen, Prof. Dr. Dr. h.c. Margit Osterloh, Universität Zürich, Prof. Dr. Dieter Pfaff, Universität Zürich and Prof. Dr. Martin Wallmeier, Universität Fribourg

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