A Cost-Effectiveness Study of Nursing Home Turnover Rates on Registered Nurse Staffing
type: CreativeWork
description: Background and Introduction This study focused on the limited budget put forth by the government and considered alternatives to turnover rates and ways to improve quality of care in nursing homes. It has been shown that increased Registered Nurse (RN) care is much needed, at a threshold of 0.75 hours per resident per day for long-term care stay to improve outcomes. Anticipated benefits to residents include decreased adverse outcomes, increased quality and continuity of care. Potential benefits to registered nurse staff include job satisfaction with decreased patient-to-nurse ratios, and staff continuity for quality improvements in care delivery. Ultimately, a potential benefit to nursing homes and the government would be decreased costs and improved outcomes, and reduced spending for adverse healthcare outcomes respectively. Purpose The purpose of this study were to: Determine the total nursing budgets used by Northern California nursing homes each year for the last five years in response to RN turnover to hire for new registered nursing staff and registry nurses for replacements. Determine the anticipated cost of nursing budgets with the regulated Registered Nurse hours per resident/day (FTE). Determine if there is a significant difference in current expenditures and expenditures if the facility increases the number of Registered Nurses within the facility. Methods Nursing home administrators of Northern California nursing homes eligible for Medicare and Medicaid reimbursements were surveyed, and chosen for data collection through convenience sampling based on their geographic proximity to San Francisco County. Nursing home administrators were asked to participate in data collection regardless of their age, race, ethnicity, or affiliation. The instrument is a self-developed instrument by Yvonne Chan. As of completion of this thesis, there is no existing instrument that measures turnover rates to RN staffing in nursing home. The developed instrument includes nursing…
abstract: Background and Introduction This study focused on the limited budget put forth by the government and considered alternatives to turnover rates and ways to improve quality of care in nursing homes. It has been shown that increased Registered Nurse (RN) care is much needed, at a threshold of 0.75 hours per resident per day for long-term care stay to improve outcomes. Anticipated benefits to residents include decreased adverse outcomes, increased quality and continuity of care. Potential benefits to registered nurse staff include job satisfaction with decreased patient-to-nurse ratios, and staff continuity for quality improvements in care delivery. Ultimately, a potential benefit to nursing homes and the government would be decreased costs and improved outcomes, and reduced spending for adverse healthcare outcomes respectively. Purpose The purpose of this study were to: Determine the total nursing budgets used by Northern California nursing homes each year for the last five years in response to RN turnover to hire for new registered nursing staff and registry nurses for replacements. Determine the anticipated cost of nursing budgets with the regulated Registered Nurse hours per resident/day (FTE). Determine if there is a significant difference in current expenditures and expenditures if the facility increases the number of Registered Nurses within the facility. Methods Nursing home administrators of Northern California nursing homes eligible for Medicare and Medicaid reimbursements were surveyed, and chosen for data collection through convenience sampling based on their geographic proximity to San Francisco County. Nursing home administrators were asked to participate in data collection regardless of their age, race, ethnicity, or affiliation. The instrument is a self-developed instrument by Yvonne Chan. As of completion of this thesis, there is no existing instrument that measures turnover rates to RN staffing in nursing home. The developed instrument includes nursing…
author: Chan, Yvonne Kit
keywords: Nursing
date published: 2008-01-01T08:00:00Z
date modified: 2026-07-24T02:06:14Z
provider: Dominican University of California
publisher: Networked Digital Library of Theses and Dissertations
type: WebPage
source organization: Dominican University of California