The effects of California minimum nurse staffing laws on nurse labor and patient mortality in skilled nursing facilities
研究了2000年加州提高最低护士配备标准对护士就业和患者死亡率的影响,发现受约束的机构增加了低技能护士工时,且护士配备增加降低了患者死亡率。
This article investigates how a change in minimum nurse staffing regulation for California skilled nursing facilities (SNFs) affects nurse employment and how induced changes in nurse staffing affect patient mortality. In 2000, legislation increased the minimum nurse staffing standard and altered the calculation of nurse staffing, which created incentives to shift employment to lower skilled nurse labor. SNFs constrained by the new regulation increase absolute and relative hours worked by the lowest skilled type of nurse. Using this regulation change to instrument for measured nurse staffing levels, it is determined that increases in nurse staffing reduce on-site SNF patient mortality.