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Schedule control and nursing home quality: exploratory evidence of a psychosocial predictor of resident care
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September 02 2014
Source: J Appl Gerontol. 35(2):244-253
[PDF-157.26 KB]
Details:
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Alternative Title:J Appl Gerontol
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Description:Aims
To examine if nursing homes’ quality of care was predicted by schedule control (workers’ ability to decide work hours), independently of other staffing characteristics.
Methods
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.
Results
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.
Conclusions
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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Pubmed ID:25186313
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Pubmed Central ID:PMC4346551
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