J Korean Acad Nurs.  2009 Feb;39(1):95-106.

Predictors of Nursing Service Need for Nursing Homes Residents

• Lee TW
• Cho SY
• Jang YK

Abstract

PURPOSE
The purposes of this study were to explore the functional status of elderly residents and to analyze time use, and finally identify factors to predict nursing care needs in relation to functional status and health related variables.
METHODS
In this study a descriptive-correlational design was used. Functional status of participants was obtained through interviews, and nursing care time was examined using a 1 min time-motion study with a standardized instrument developed by Korea Long-Term Care Planning Committee (2005).
RESULTS
The mean total functional score was 65 (range 28-125) and mean total nursing care time was 144.15 min per day. There were significant positive relationships between total nursing care time, marital status, back pain, dementia, and vision impairment. Multiple regression analyses showed that a liner combination of number of illnesses, types of primary disease, ADL, IADL, cognitive function, nursing demand, and rehabilitation demand explained 42.8% of variance of total nursing time. ADL (beta=-.533) was the most significant predictor of nursing service need.
CONCLUSION
Identifying factors that result in variations of service need has implications for adequate nursing service, estimation of optimum nurse to patient ratio, quality of care and patient safety.

Keyword

Elderly; Functional status; Nursing service need; Nursing care time

MeSH Terms

Activities of Daily Living
Aged
Aged, 80 and over
Female
Geriatric Assessment
*Health Services Needs and Demand
Health Status
Humans
Interviews as Topic
Male
*Needs Assessment
*Nursing Homes
*Nursing Services/standards
Predictive Value of Tests
Quality of Health Care
Questionnaires

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