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The effects of California minimum nurse staffing laws on nurse labor and patient mortality in skilled nursing facilities

✍ Scribed by Patricia K. Tong


Publisher
John Wiley and Sons
Year
2011
Tongue
English
Weight
191 KB
Volume
20
Category
Article
ISSN
1057-9230

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✦ Synopsis


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.