Schedule control and nursing home quality: exploratory evidence of a psychosocial predictor of resident care
Published Date:Sep 02 2014
Source:J Appl Gerontol. 35(2):244-253.
Keywords:Activities Of Daily Living
Nursing Home Quality
Outcome Assessment (Health Care)
Quality Of Health Care
Work Schedule Tolerance
Pubmed Central ID:PMC4346551
Funding:U01OH008788/OH/NIOSH CDC HHS/United States
#R01HL107240/HL/NHLBI NIH HHS/United States
U01 HD051217/HD/NICHD NIH HHS/United States
U01 HD051256/HD/NICHD NIH HHS/United States
U01HD059773/HD/NICHD NIH HHS/United States
U01HD051276/HD/NICHD NIH HHS/United States
U01AG027669/AG/NIA NIH HHS/United States
U01HD051217/HD/NICHD NIH HHS/United States
U01 AG027669/AG/NIA NIH HHS/United States
U01 HD059773/HD/NICHD NIH HHS/United States
U01 HD051276/HD/NICHD NIH HHS/United States
U01 HD051218/HD/NICHD NIH HHS/United States
U01HD051256/HD/NICHD NIH HHS/United States
U01HD051218/HD/NICHD NIH HHS/United States
To examine if nursing homes’ quality of care was predicted by schedule control (workers’ ability to decide work hours), independently of other staffing characteristics.
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 (ADL), residents’ weight loss, and pressure ulcers, indicators systematically linked with staffing characteristics. Outcomes data for 2012 were retrieved from Medicare.gov.
Robust Linear Regressions showed that higher schedule control predicted lower prevalence of pressure ulcers (β=−0.51, p<0.05). This association was independent of staff mix, staffing ratios, job satisfaction and turnover intentions.
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.
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