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Medical Care Research and Review
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Article

Nurse Aide Agency Staffing and Quality of Care in Nursing Homes

Nicholas G. Castle1*, John Engberg, Ph.D.2, and Aiju Men, M.S.1

1 University of Pittsburgh
2 RAND

* To whom correspondence should be addressed. E-mail: castlen{at}pitt.edu.


  Abstract
Data from a large sample of nursing homes are used to examine the association between use of nurse aide agency staff and quality. Agency use data come from a survey conducted in 2005 ( N = 2,840), and the quality indicators come from the Nursing Home Compare Web site. The authors found a nonlinear relationship between nurse aide agency levels and quality; however, in general, higher nurse aide agency levels were associated with low quality. The results have policy and practice implications, the most significant of which is that use of nurse aide agency staff of less than 14 full-time equivalents per 100 beds has little influence on quality, whereas nurse aide agency staff of more than 25 full-time equivalents per 100 beds has a substantial influence on quality.

First published on January 28, 2008, doi:10.1177/1077558707312494

Medical Care Research and Review 2008;65:232.

A more recent version of this article appeared on April 1, 2008

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This article has been cited by other articles:


Home page
 Journal of Applied GerontologyHome page
N. G. Castle
Nursing Home Caregiver Staffing Levels and Quality of Care: A Literature Review
Journal of Applied Gerontology, August 1, 2008; 27(4): 375 - 405.
[Abstract] [PDF]