Nursing staffing and skill mix in nursing homes in Italy: An observational cross-sectional study

IF 2.5 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing Pub Date : 2025-01-25 DOI:10.1016/j.gerinurse.2025.01.009

Daniele Marchetti , Simone Cosmai , Pietro Xausa , Giancarlo Galbiati , Andrea Poliani , Chiara Mainardi , Stefano Mancin , Gianluca Solitro

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引用次数: 0

Abstract

Introduction/Objective

The relationship between staffing levels and skill mix in nursing homes is poorly documented in Italy. This study aimed to investigate nursing staffing levels and skill mix in Northern Italian nursing homes.

Methods

A cross-sectional observational study was conducted using a questionnaire sent to several nursing homes.

Results

Twenty-three nursing homes participated. Data were collected on organizational models, daily hours of support staff, and daily hours of care per resident, categorized by professional profile. The predominant models were “by sector or modular” and “Team nursing”. Daily hours of nursing care were minimal; in most nursing homes, daily hours of support staff exceed those of nurses and healthcare assistants. Total daily hours of care per resident were 2.75, below international and recommended standards.

Discussion

Organizational settings can be improved by adjusting staffing, particularly by rebalancing the ratio of nursing to support staff, to improve outcomes and prevent missed care.

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引言/目的：在意大利，有关养老院人员配备水平和技能组合之间关系的文献很少。本研究旨在调查意大利北部疗养院的护理人员配置水平和技能组合：方法：向多家养老院发放调查问卷，进行横断面观察研究：结果：23 家养老院参与了研究。研究收集了有关组织模式、辅助人员的日工作时数和每位住院患者的日护理时数的数据，并按专业类别进行了分类。主要模式是 "按部门或模块 "和 "团队护理"。护理人员的每日护理时数极少；在大多数疗养院，辅助人员的每日护理时数超过了护士和医护助理的每日护理时数。每位住院患者的每日护理总时数为 2.75 小时，低于国际标准和建议标准：讨论：可以通过调整人员配置，特别是重新平衡护理人员与辅助人员的比例来改善组织环境，从而提高疗效并防止护理遗漏。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Geriatric Nursing 医学-护理

CiteScore

3.80

自引率

7.40%

发文量

257

审稿时长

>12 weeks

期刊介绍： Geriatric Nursing is a comprehensive source for clinical information and management advice relating to the care of older adults. The journal''s peer-reviewed articles report the latest developments in the management of acute and chronic disorders and provide practical advice on care of older adults across the long term continuum. Geriatric Nursing addresses current issues related to drugs, advance directives, staff development and management, legal issues, client and caregiver education, infection control, and other topics. The journal is written specifically for nurses and nurse practitioners who work with older adults in any care setting.