Quality of care in Hunan Province nursing homes: relationship to staffing and organizational climate

Hui Li, Yunxia Yang, Lily Dongxia Xiao, James A. Wiley, Huijing Chen, Lulu Liao, Hengyu Hu, Linlin Peng, Hui Feng

Research output: Contribution to journalArticlepeer-review

Abstract

Our objective was to examine the quality of care perceived by nursing staff and its relationship with the staffing and organizational climate in nursing homes. The participants in this cross-sectional study included 358 nursing staff from 26 nursing homes in Hunan Province, China. This study found that the interaction effect between nursing staff to resident ratio and physician to resident ratio exerted a significant effect on quality of care (p < 0.05). Higher scores on the relationships and communication scale (OR = 4.771, p = 0.002) and lower scores on the work stress scale (OR = 0.980, p = 0.050) were also associated with better quality of care. More work experience was related to lower quality of care (OR = 0.944, p = 0.048), and work experience was associated with relationships and communication (Beta = 0.172, p = 0.002) and work stress (Beta= = 0.259, p = 0.000). Staffing level, work experience, work stress, relationships and communication are key factors in providing higher quality of care in nursing homes.

Original languageEnglish
Pages (from-to)427-432
Number of pages6
JournalGeriatric Nursing
Volume42
Issue number2
DOIs
Publication statusPublished - Mar 2021

Keywords

  • Nursing home
  • Organizational climate
  • Quality of care
  • Staffing

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