Nursing Home Employee and Resident Satisfaction and Resident Care Outcomes

Details

• Personal Author:
  Gore RJ ; Plaku-Alakbarova B ; Punnett, Laura
• Corporate Authors:
  ProCare Research Team
• Description:
  Background: Nursing home resident care is an ongoing topic of public discussion, and there is great interest in improving the quality of resident care. This study investigated the association between nursing home employees' job satisfaction and residents' satisfaction with care and medical outcomes. Methods: Employee and resident satisfaction were measured by questionnaire in 175 skilled nursing facilities in the eastern United States from 2005 to 2009. Facility-level data on residents' pressure ulcers, medically unexplained weight loss, and falls were obtained from the Centers for Medicare and Medicaid Services Long-Term Care Minimum Data Set. The association between employee satisfaction and resident satisfaction was examined with multiple and multilevel linear regression. Associations between employee satisfaction and the rates of pressure ulcers, weight loss, and falls were examined with simple and multilevel Poisson regression. Results: A 1-point increase in overall employee satisfaction was associated with an increase of 17.4 points (scale 0-100) in the satisfaction of residents and family members (p < 0.0001) and a 19% decrease in the incidence of resident falls, weight loss, and pressure ulcers combined (p < 0.0001), after adjusting for staffing ratio and percentage of resident-days paid by Medicaid. Conclusion: Job satisfaction of nursing home employees is associated with lower rates of resident injuries and higher resident satisfaction with care. A supportive work environment may help increase quality of care in the nation's nursing homes. [Description provided by NIOSH]
• Subjects:
  Accidental Falls Accidents Health Care Facilities Workforce And Services Health Personnel Occupational Health Safety Workplace
• Keywords:
  Author Keywords: Environment Of Care Employee Satisfaction Falls Health Care Facilities Health Care Workers Injuries Injury Prevention Job Satisfaction Nursing Nursing Home Patient Handling Pressure Ulcers Sociological Factors Total Worker Health TWH Work Environment

  More +
• ISSN:
  2093-7911
• Document Type:
  Text
• Funding:
  Cooperative Agreement ; Grant
• Genre:
  Journal Article
• Place as Subject:
  Massachusetts ; OSHA Region 1
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  408-415
• Volume:
  9
• Issue:
  4
• NIOSHTIC Number:
  nn:20055543
• Citation:
  Saf Health Work 2018 Dec; 9(4):408-415
• Contact Point Address:
  Bora Plaku-Alakbarova, Department of Work Environment & Center for the Promotion of Health in the New England Workplace (CPHNEW), University of Massachusetts Lowell, 1 University Ave, Lowell, MA 01854, USA
• Email:
  alakbarova@outlook.com
• Federal Fiscal Year:
  2019
• NORA Priority Area:
  Public Safety ; Healthcare and Social Assistance
• Performing Organization:
  University of Massachusetts, Lowell
• Peer Reviewed:
  True
• Start Date:
  20060701
• Source Full Name:
  Safety and Health at Work
• End Date:
  20210831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:020b99774329997bdb6b055160d657435f20369d3e7642537d952c9ff660b0cbf538ee678748b84c2710b7ad35ad5ba64799280a9a1e0387d64f3a8b23f39321
• Download URL:
  https://stacks.cdc.gov/view/cdc/213371/cdc_213371_DS1.pdf
• File Type:
  [PDF - 298.97 KB ]