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

doi:10.1016/j.gerinurse.2021.02.011

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

Geriatr Nurs. 2021 Mar-Apr;42(2):427-432. doi: 10.1016/j.gerinurse.2021.02.011. Epub 2021 Mar 5.

Authors

Hui Li¹, Yunxia Yang², Lily Dongxia Xiao³, James A Wiley⁴, Huijing Chen⁵, Lulu Liao⁶, Hengyu Hu⁷, Linlin Peng⁸, Hui Feng⁹

Affiliations

¹ Nursing department, Department of Thyroid Breast Surgery, The third Xiangya hospital of Central South University, 138 Tong Zi Po Road, Changsha, Hunan, China, 410013. Electronic address: 1521481795@qq.com.
² Xiangya Nursing School, Central South University, 172 Tong Zi Po Road, Changsha, Hunan, China, 410013. Electronic address: xiaoyunyyx@csu.edu.cn.
³ College of Nursing and Health Sciences, Flinders University, Australia. Electronic address: lily.xiao@flinders.edu.au.
⁴ Professor of Family and Community Health and Institute of Health Policy Studies, University of California San Francisco, San Francisco, California, USA; Xiangya school of nursing, Central South University, Changsha, Hunan province, China.
⁵ Xiangya school of nursing, Central South University, Changsha, Hunan province, China. Electronic address: 177814070@csu.edu.cn.
⁶ Xiangya school of nursing, Central South University, Changsha, Hunan province, China. Electronic address: 177814071@csu.edu.cn.
⁷ Xiangya school of nursing, Central South University, Changsha, Hunan province, China. Electronic address: hengyuhu@csu.edu.cn.
⁸ Department of Geriatrics, Xiangya Hospital, Central South University; National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, Hunan province, China, 410008.
⁹ Xiangya school of nursing, Central South University; Xiangya - Oceanwide Health Management Research Institute, Central South University, Changsha, Hunan province, China. Electronic address: feng.hui@csu.edu.cn.

PMID: 33684627
DOI: 10.1016/j.gerinurse.2021.02.011

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.

Keywords: Nursing home; Organizational climate; Quality of care; Staffing.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Cross-Sectional Studies
Humans
Nursing Homes
Nursing Staff*
Personnel Staffing and Scheduling*
Quality of Health Care
Workforce