Examining the Impact of Board-Certified Registered Nurses in Skilled Nursing Facilities Using National and State Quality and Clinical Indicators

Heidi Keeler, Rosa R. Baier, Cyrus Kosar, Beth Culross, Mary E. Cramer

Research output: Contribution to journalArticle

Abstract

A convenience sample of skilled nursing facilities was selected from a sample of graduates of an online training program for RNs who subsequently achieved board certification in gerontological nursing (RN-BC). Facilities that employed one or more RN-BC were pair-matched using 11 organizational characteristics with facilities that did not employ a RN-BC. Facility data were collected at two time points, and differences between time points and between facility type (RN-BC versus non-RN-BC) were analyzed. Findings showed that there were no statistically significant differences between RN-BC and non-RN-BC facilities with respect to quality ratings and nurse sensitive clinical indicators (e.g., restraint use, urinary tract infections, falls, antipsychotic medication use) between the two time periods; however, in the second time period, RN-BC facilities showed greater improvement versus non-RN-BC facilities in seven of nine outcomes, achieving significance in Overall (4.10 vs. 3.55, p < 0.01) and Survey (3.48 vs. 2.86, p < 0.01) 5-Star ratings. [Journal of Gerontological Nursing, 45(11), 39-45.].

Original languageEnglish (US)
Pages (from-to)39-45
Number of pages7
JournalJournal of gerontological nursing
Volume45
Issue number11
DOIs
StatePublished - Nov 1 2019

ASJC Scopus subject areas

  • Nursing(all)
  • Gerontology

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