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Article

Everyday Life and Social Contacts of Dementia and Non-Dementia Residents over 80 Years in Long-Term Inpatient Care: A Multi-Level Analysis on the Effect of Staffing

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Graduate School GROW—Gerontological Research on Well-Being, Faculty of Human Sciences and Faculty of Medicine, University of Cologne, 50931 Cologne, Germany
2
Institute of Medical Sociology, Health Services Research, and Rehabilitation Science (IMVR), Faculty of Human Sciences and Faculty of Medicine, University of Cologne and University Hospital Cologne, 50933 Cologne, Germany
*
Author to whom correspondence should be addressed.
Academic Editors: Man-Kit Lei and Paul B. Tchounwou
Int. J. Environ. Res. Public Health 2021, 18(21), 11300; https://doi.org/10.3390/ijerph182111300
Received: 19 August 2021 / Revised: 14 October 2021 / Accepted: 25 October 2021 / Published: 27 October 2021
(This article belongs to the Special Issue Life and Health of the Elderly)
The relationship between nurse staffing, physical outcomes of residents, as well as quality of care receives major attention. The impact of staffing levels on residents’ ability to organize their everyday life and maintain social contacts, however, has not been analyzed to date. This study examines whether a relationship between the staff-to-resident ratio for registered nurses and nursing home residents with and without dementia aged over 80 exists. Secondary data collected in the project inQS (indikatorengestützte Qualitätsförderung) were used (n = 1782, mean age = 88.14). The analyzed cross-sectional data were collected in winter 2019 in facilities of the Diocesan Caritas Association in Germany. A sum score formed from variables measuring residents’ abilities to independently organize their everyday life and maintain social contacts functioned as the dependent variable. A multi-level regression analysis was performed. The results revealed that the ability of residents without dementia was significantly associated with the staff-to-resident ratio of registered nurses. This was not true for residents with dementia. For the latter, however, whether the facility offers a segregated care unit turned out to be significant. Additional and longitudinal research is indispensable to explain the inequality between the two groups analyzed. View Full-Text
Keywords: long-term care; nursing home; nurse staffing; multi-level analysis; aged 80 and over long-term care; nursing home; nurse staffing; multi-level analysis; aged 80 and over
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MDPI and ACS Style

Zirves, M.; Demirer, I.; Pfaff, H. Everyday Life and Social Contacts of Dementia and Non-Dementia Residents over 80 Years in Long-Term Inpatient Care: A Multi-Level Analysis on the Effect of Staffing. Int. J. Environ. Res. Public Health 2021, 18, 11300. https://doi.org/10.3390/ijerph182111300

AMA Style

Zirves M, Demirer I, Pfaff H. Everyday Life and Social Contacts of Dementia and Non-Dementia Residents over 80 Years in Long-Term Inpatient Care: A Multi-Level Analysis on the Effect of Staffing. International Journal of Environmental Research and Public Health. 2021; 18(21):11300. https://doi.org/10.3390/ijerph182111300

Chicago/Turabian Style

Zirves, Melanie, Ibrahim Demirer, and Holger Pfaff. 2021. "Everyday Life and Social Contacts of Dementia and Non-Dementia Residents over 80 Years in Long-Term Inpatient Care: A Multi-Level Analysis on the Effect of Staffing" International Journal of Environmental Research and Public Health 18, no. 21: 11300. https://doi.org/10.3390/ijerph182111300

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