Variation Across US Assisted Living Facilities: Admissions, Resident Care Needs, and Staffing
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Han, Kihye | - |
dc.contributor.author | Trinkoff, Alison M. | - |
dc.contributor.author | Storr, Carla L. | - |
dc.contributor.author | Lerner, Nancy | - |
dc.contributor.author | Yang, Bo Kyum | - |
dc.date.available | 2019-03-08T09:39:03Z | - |
dc.date.issued | 2017-01 | - |
dc.identifier.issn | 1527-6546 | - |
dc.identifier.issn | 1547-5069 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/4969 | - |
dc.description.abstract | PurposeThough more people in the United States currently reside in assisted living facilities (ALFs) than nursing homes, little is known about ALF admission policies, resident care needs, and staffing characteristics. We therefore conducted this study using a nationwide sample of ALFs to examine these factors, along with comparison of ALFs by size. DesignCross-sectional secondary data analysis using data from the 2010 National Survey of Residential Care Facilities. MethodsMeasures included nine admission policy items, seven items on the proportion of residents with selected conditions or care needs, and six items on staffing characteristics (e.g., access to licensed nurse, aide training). Facilities (n = 2,301) were divided into three categories by size: small, 4 to 10 beds; medium, 11 to 25 beds; and large, 26 or more beds. Analyses took complex sampling design effects into account to project national U.S. estimates. FindingsMore than half of ALFs admitted residents with considerable healthcare needs and served populations that required nursing care, such as for transfers, medications, and eating or dressing. Staffing was largely composed of patient care aides, and fewer than half of ALFs had licensed care provider (registered nurse, licensed practical nurse) hours. Smaller facilities tended to have more inclusive admission policies and residents with more complex care needs (more mobility, eating and medication assistance required, short-term memory issues, p < .01) and less access to licensed nurses than larger ALFs (p < .01). ConclusionsThis study suggests ALFs are caring for and admitting residents with considerable care needs, indicating potential overlap with nursing home populations. Despite this finding, ALF regulations lag far behind those in effect for nursing homes. In addition, measurement of care outcomes is critically needed to ensure appropriate ALF care quality. Clinical RelevanceAs more people choose ALFs, outcome measures for ALFs, which are now unavailable, should be developed to allow for oversight and monitoring of care quality. | - |
dc.format.extent | 9 | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | WILEY-BLACKWELL | - |
dc.title | Variation Across US Assisted Living Facilities: Admissions, Resident Care Needs, and Staffing | - |
dc.type | Article | - |
dc.identifier.doi | 10.1111/jnu.12262 | - |
dc.identifier.bibliographicCitation | JOURNAL OF NURSING SCHOLARSHIP, v.49, no.1, pp 24 - 32 | - |
dc.description.isOpenAccess | N | - |
dc.identifier.wosid | 000393433600004 | - |
dc.identifier.scopusid | 2-s2.0-85005943847 | - |
dc.citation.endPage | 32 | - |
dc.citation.number | 1 | - |
dc.citation.startPage | 24 | - |
dc.citation.title | JOURNAL OF NURSING SCHOLARSHIP | - |
dc.citation.volume | 49 | - |
dc.type.docType | Article | - |
dc.publisher.location | 미국 | - |
dc.subject.keywordAuthor | Assisted living | - |
dc.subject.keywordAuthor | personal care aide | - |
dc.subject.keywordAuthor | residential care needs | - |
dc.subject.keywordAuthor | staffing | - |
dc.subject.keywordAuthor | United States | - |
dc.subject.keywordPlus | MEDICATION MANAGEMENT | - |
dc.subject.keywordPlus | NURSING-HOMES | - |
dc.relation.journalResearchArea | Nursing | - |
dc.relation.journalWebOfScienceCategory | Nursing | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | ssci | - |
dc.description.journalRegisteredClass | scopus | - |
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.
84, Heukseok-ro, Dongjak-gu, Seoul, Republic of Korea (06974)02-820-6194
COPYRIGHT 2019 Chung-Ang University All Rights Reserved.
Certain data included herein are derived from the © Web of Science of Clarivate Analytics. All rights reserved.
You may not copy or re-distribute this material in whole or in part without the prior written consent of Clarivate Analytics.