Health Policy and Systems
Nursing Home Staffing Standards and Staffing Levels in Six Countries
Article first published online: 16 FEB 2012
© 2012 Sigma Theta Tau International
Journal of Nursing Scholarship
Volume 44, Issue 1, pages 88–98, March 2012
How to Cite
Harrington, C., Choiniere, J., Goldmann, M., Jacobsen, F. F., Lloyd, L., McGregor, M., Stamatopoulos, V. and Szebehely, M. (2012), Nursing Home Staffing Standards and Staffing Levels in Six Countries. Journal of Nursing Scholarship, 44: 88–98. doi: 10.1111/j.1547-5069.2011.01430.x
- Issue published online: 23 FEB 2012
- Article first published online: 16 FEB 2012
- Accepted October 29, 2011
- Nurse staffing;
- nursing homes
Purpose: This study was designed to collect and compare nurse staffing standards and staffing levels in six counties: the United States, Canada, England, Germany, Norway, and Sweden.
Design: The study used descriptive information on staffing regulations and policies as well as actual staffing levels for registered nurses, licensed nurses, and nursing assistants across states, provinces, regions, and countries.
Methods: Data were collected from Internet searches of staffing regulations and policies along with statistical data on actual staffing from reports and documents. Staffing data were converted to hours per resident day to facilitate comparisons across countries.
Findings: We found wide variations in both nurse staffing standards and actual staffing levels within and across countries, although comparisons were difficult to make due to differences in measuring staffing, the vagueness of standards, and limited availability of actual staffing data. Both the standards and levels in most countries (except Norway and Sweden) were lower than the recommended levels by experts.
Conclusions: Our findings demonstrate the need for further attention to nurse staffing standards and levels in order to assure the quality of nursing home care.
Clinical Relevance: A high quality of nursing home care requires adequate levels of nurse staffing, and nurse staffing standards have been shown to improve staffing levels.
Journal of Nursing Scholarship, 2011; XX:X, XXX–XXX. ©2011 Sigma Theta Tau International.