Schedule control and nursing home quality: exploratory evidence of a psychosocial predictor of resident care

Details

• Personal Author:
  Berkman LF ; Buxton OM ; Hurtado DA ; Okechukwu CA
• Description:
  AIM: To examine whether nursing homes' quality of care was predicted by schedule control (workers' ability to decide work hours), independently of other staffing characteristics. METHOD: Prospective ecological study of 30 nursing homes in New England. Schedule control was self-reported via survey in 2011-2012 (N = 1,045). Quality measures included the prevalence of decline in activities of daily living, residents' weight loss, and pressure ulcers, indicators systematically linked with staffing characteristics. Outcomes data for 2012 were retrieved from Medicare.gov. RESULTS: Robust Linear Regressions showed that higher schedule control predicted lower prevalence of pressure ulcers (β = -0.51, p < .05). This association was independent of staff mix, staffing ratios, job satisfaction, and turnover intentions. CONCLUSION: Higher schedule control might enhance the planning and delivery of strategies to prevent or cure pressure ulcers. Further research is needed to identify potential causal mechanisms by which schedule control could improve quality of care. [Description provided by NIOSH]
• Subjects:
  Delivery Of Health Care Health Care Facilities Workforce And Services Health Personnel Occupational Health Safety
• Keywords:
  Author Keywords: Job Flexibility Health Care Facilities Medical Care Nursing Nursing Home Quality Pressure Ulcers Psychosocial Factors Schedule Control Staffing Mix Work Schedules
• ISSN:
  0733-4648
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Journal Article
• Place as Subject:
  Massachusetts ; Oregon ; OSHA Region 1 ; OSHA Region 10
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  244-253
• Volume:
  35
• Issue:
  2
• NIOSHTIC Number:
  nn:20048732
• Citation:
  J Appl Gerontol 2016 Feb; 35(2):244-253
• Contact Point Address:
  David A. Hurtado, Harvard School of Public Health, 677 Huntington Avenue, Kresge Bld, 7th Floor, Boston, MA 02115, USA
• Email:
  dhurtado@mail.harvard.edu
• Federal Fiscal Year:
  2016
• Performing Organization:
  Portland State University
• Peer Reviewed:
  True
• Start Date:
  20050901
• Source Full Name:
  Journal of Applied Gerontology
• End Date:
  20081130
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:184560440115e13037987d2fc426119fae77d5af53280a931c4016adb128b3be31b2d418bf7db1d1b0ae1cdd5cbf50ced8ced83e77242a89dafca1b72eb3565d
• Download URL:
  https://stacks.cdc.gov/view/cdc/203413/cdc_203413_DS1.pdf
• File Type:
  [PDF - 96.07 KB ]