The effects of special nursing units in nursing homes on healthcare utilization and cost: A case-control study using propensity score matching

Cho, Eunhee; Lee, Kyung Hee; Kim, Hye-Ryoung; Choi, Seonhwa; Yoon, Yea Seul; Kim, Eunkyo; Heo, Seok‐Jae; Jung, Sung Il; Kim, Eun Young

doi:10.1016/j.ijnurstu.2023.104587

Cited by 4 publications

(3 citation statements)

References 23 publications

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“…Our ndings also support the idea of establishing professional nursing staff teams and specialized units aimed at improving palliative wound care [15,16]. Specialized units within NHs can facilitate more indepth education on palliative wound care.…”

Section: Resultssupporting

confidence: 59%

“…Although wound care for NH residents is recognized as an important care task, in most cases there is no dedicated professional nursing staff team that focuses on wound care [15,16]. Compared to nurses working in general hospitals, NH nurses have been found to have lower knowledge, performance, and attitude scores in palliative wound care [16].…”

Section: Introductionmentioning

confidence: 99%

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Developing a clinical judgment model-based online education program for palliative wound care in nursing homes: A quasi-experimental study

Lee,

Kim,

Choi

et al. 2023

Preprint

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Background Many issues when combined can make wound management complicated, including the types of wounds and symptoms most commonly affecting palliative care residents and the presence of concurrent comorbidities and their associated treatment in nursing homes. In those complex situations, a nursing staff's clinical judgment is essential for effective decision-making. This study aimed to (1) develop an e-learning program using the clinical judgment model to enhance clinical decision-making competencies and (2) examine the effectiveness of the developed education program. Methods In Step 1, developing the program, the characteristics of the learners and the necessary educational content were identified through qualitative interviews. Subsequently, the program was designed and created by considering the educational goals and content identified in the interviews. In Step 2, evaluating the program, its effectiveness was assessed using a quasi-experimental nonequivalent pretest-posttest design. The participants (n = 52) were randomly allocated into an experimental group (n = 26) and a control group (n = 26). Results The education program was developed based on the analysis of the educational needs suggested by 10 interviewees, who responded to 11 questions covering elements such as noticing, interpreting, responding, and reflecting, all based on the clinical judgment model. The results indicated that the e-learning program significantly improved clinical judgment in the experimental group compared to the control group (p < 0.01). Conclusions This study developed an e-learning program for palliative wound care and assessed its impact on the clinical judgment of nursing staff in nursing homes. The results are expected to enhance palliative wound care competency and contribute to more effective nursing care for residents in nursing homes.

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Section: Resultssupporting

confidence: 59%

Section: Introductionmentioning

confidence: 99%

Developing a clinical judgment model-based online education program for palliative wound care in nursing homes: A quasi-experimental study

Lee,

Kim,

Choi

et al. 2023

Preprint

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“…South Korea’s Long-term Care Insurance Act mandates one registered nurse (RN) or certified nursing assistant (CNA) per 25 beds in its nursing homes. However, since this regulation allows CNAs to replace RNs and nursing homes prefer hiring CNAs to reduce their labor costs, Korean nursing homes now face a shortage of RNs 20 , 21 . This problem is further exacerbated by the fact that South Korea is rapidly heading toward a super-aged society, with demands for nursing homes growing accordingly 22 .…”

Section: Introductionmentioning

confidence: 99%

Use of physical restraints on older adults in South Korean nursing homes: a multicenter study

Cho,

Min

2024

Sci Rep

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In this study, we aimed to examine the current status of physical restraint use and ascertain factors affecting the rate of usage of physical restraints on older adults in South Korean nursing homes. For this purpose, we conducted a secondary analysis of data from 190 registered nurses employed at 62 nursing homes. Logistic regression analysis was used to identify the factors affecting the use of restraints in nursing homes. The rate of using physical restraints was 79.5%. Nursing homes were found to use 90.7% and 91.3% less restraint when the work environment was better (odds ratio [OR]: 0.093, 95% confidence interval [CI]: 0.023–0.368) and mixed (OR: 0.087, 95% CI: 0.087–0.100), respectively. Nursing homes owned by corporations were 9.796 times more likely to use physical restraints than those owned by local governments (OR: 9.796, 95% CI: 1.473–65.158). Therefore, improving nurses’ work environment and introducing regulations and education that enable the entrusted doctors or nurses to make decisions regarding restraint use, monitoring, and removal, regardless of nursing home ownership type, are necessary.

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Factors Influencing Hospitalization of Nursing Home Residents in Korea Using Regularized Negative Binomial Regression

Shin,

Jung,

Min

2024

Policy, Politics, & Nursing Practice

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The appropriateness of hospitalization for nursing home (NH) residents is still up for debate, with determining factors including timeliness, available treatment, healthcare staff, medication options in hospitals, and safety issues. Although the factors leading to hospitalization have been studied expansively, research on staffing is limited. Thus, this study aimed to investigate organizational predictors, nurse staffing, and government incentives and find important factors to hospitalization due to infection or disease among NH residents in Korea. A cross-sectional design was used, and data were collected via survey from a total of 51 NHs from August 27, 2021 to March 25, 2022. A total of 32 explanatory variables were included. The response variable was the count of hospitalized residents due to infection or disease. We analyzed data using least absolute shrinkage and negative binomial regression. We found that registered nurses’ increased hours per resident day were related to decreased hospitalizations due to infection or disease. Appropriate retention and recruitment of nurse staffing with professional leadership should be performed to increase the quality of care for NH residents.

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The effects of special nursing units in nursing homes on healthcare utilization and cost: A case-control study using propensity score matching

Cited by 4 publications

References 23 publications

Developing a clinical judgment model-based online education program for palliative wound care in nursing homes: A quasi-experimental study

Developing a clinical judgment model-based online education program for palliative wound care in nursing homes: A quasi-experimental study

Use of physical restraints on older adults in South Korean nursing homes: a multicenter study

Factors Influencing Hospitalization of Nursing Home Residents in Korea Using Regularized Negative Binomial Regression

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