{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T23:55:19Z","timestamp":1792454119552,"version":"4.5.0"},"reference-count":59,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2015,10,14]],"date-time":"2015-10-14T00:00:00Z","timestamp":1444780800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Basic Science Research Program"},{"DOI":"10.13039\/501100003725","name":"National Research Foundation of Korea","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100003725","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Ministry of Science, Information Communication Technology & Future Planning","award":["# 2-2014-1221-001-2"],"award-info":[{"award-number":["# 2-2014-1221-001-2"]}]}],"content-domain":{"domain":["sigmapubs.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Nursing Scholarship"],"published-print":{"date-parts":[[2015,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To investigate the relationship between nurse staffing and quality of care in nursing homes in Korea.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study used a cross\u2010sectional design to describe the relationship between nurse staffing and 15 quality\u2010of\u2010care outcomes. Independent variables were hours per resident day (HPRD), skill mix, and turnover of each nursing staff, developed with the definitions of the Centers for Medicare &amp; Medicaid Services and the American Health Care Association. Dependent variables were prevalence of residents who experienced more than one fall in the recent 3 months, aggressive behaviors, depression, cognitive decline, pressure sores, incontinence, prescribed antibiotics because of urinary tract infection, weight loss, dehydration, tube feeding, bed rest, increased activities of daily living, decreased range of motion, use of antidepressants, and use of restraints. Outcome variables were quality indicators from the U.S. Centers for Medicare &amp; Medicaid and 2013 nursing home evaluation manual by the Korean National Health Insurance Service.<\/jats:p><\/jats:sec><jats:sec><jats:title>Findings<\/jats:title><jats:p>The effects of registered nurse (RN) HPRD was supported in fall prevention, decreased tube feeding, decreased numbers of residents with deteriorated range of motion, and decreased aggressive behavior. Higher turnover of RNs related to more residents with dehydration, bed rest, and use of antipsychotic medication.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Study results supported RNs\u2019 unique contribution to resident outcomes in comparison to alternative nurse staffing in fall prevention, decreased use of tube feeding, better range of motion for residents, and decreased aggressive behaviors in nursing homes in Korea. More research is required to confirm the effects of nurse staffing on residents\u2019 outcomes in Korea.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical Relevance<\/jats:title><jats:p>We found consistency in the effects of RN staffing on resident outcomes acceptable. By assessing nurse staffing levels and compositions of nursing staffs, this study contributes to more effective long\u2010term care insurance by reflecting on appropriate policies, and ultimately contributes to the stable settlement of the long\u2010term care insurance system for elders.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jnu.12166","type":"journal-article","created":{"date-parts":[[2015,10,15]],"date-time":"2015-10-15T10:31:16Z","timestamp":1444905076000},"page":"555-564","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":64,"title":["Nurse Staffing and Quality of Care of Nursing Home Residents in Korea"],"prefix":"10.1111","volume":"47","author":[{"given":"Juh Hyun","family":"Shin","sequence":"first","affiliation":[{"name":"Assistant Professor, Ewha Womans University College of Health Sciences, Division of Nursing Science  Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ta Kyung","family":"Hyun","sequence":"additional","affiliation":[{"name":"Doctoral Student, Kyonggi University Social Work  Kyonggido Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,10,14]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"American Health Care Association. 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