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AIMS To identify the techniques used to measure nurse staffing and to evaluate the reliability, validity and limitations of nursing hours per patient day (NHPPD). BACKGROUND Numerous studies have attempted to identify appropriate nurse staffing levels; however, variations in nurse staffing measures may have caused inconsistent findings regarding the(More)
Adequate nurse staffing has been recognized as a required factor for improving quality of care in nursing homes. To manage costs and deliver efficient quality of nursing care for patients, it is necessary to evaluate the efficiency of nursing care. The purpose of this study was to evaluate relative nursing care quality efficiency in U.S. nursing homes and(More)
Data envelopment analysis (DEA) is an advantageous non-parametric technique for evaluating relative efficiency of performance. This article describes use of DEA to estimate technical efficiency of nursing care and demonstrates the benefits of using multilevel modeling to identify characteristics of efficient facilities in the second stage of analysis. Data(More)
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