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

Details

• Alternative Title:
  J Appl Gerontol
• Personal Author:
  Hurtado, David A. ; Berkman, Lisa F. ; Buxton, Orfeu M. ; Okechukwu, Cassandra A.
• 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.
  
  
• Subjects:
  Activities Of Daily Living Aged Female Forecasting Humans Male New England Nursing Homes Nursing Staff Outcome Assessment, Health Care Personnel Turnover Pressure Ulcer Prospective Studies Quality Of Health Care Weight Loss Work Schedule Tolerance

  More +
• Keywords:
  Job Flexibility Nursing Home Quality Pressure Ulcers Staffing Mix
• Source:
  J Appl Gerontol. 35(2):244-253
• Pubmed ID:
  25186313
• Pubmed Central ID:
  PMC4346551
• Document Type:
  Journal Article
• Funding:
  U01OH008788/OH/NIOSH CDC HHSUnited States/ ; #R01HL107240/HL/NHLBI NIH HHSUnited States/ ; U01 HD051217/HD/NICHD NIH HHSUnited States/ ; U01HD059773/HD/NICHD NIH HHSUnited States/ ; U01HD051276/HD/NICHD NIH HHSUnited States/ ; U01AG027669/AG/NIA NIH HHSUnited States/ ; U01 HD059773/HD/NICHD NIH HHSUnited States/ ; U01HD051256/HD/NICHD NIH HHSUnited States/ ; U01HD051218/HD/NICHD NIH HHSUnited States/ ; U01 HD051256/HD/NICHD NIH HHSUnited States/ ; R03 AG046393/AG/NIA NIH HHSUnited States/ ; U01HD051217/HD/NICHD NIH HHSUnited States/ ; U01 AG027669/AG/NIA NIH HHSUnited States/ ; U01 HD051276/HD/NICHD NIH HHSUnited States/ ; U01 HD051218/HD/NICHD NIH HHSUnited States/
• Volume:
  35
• Issue:
  2
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:65d31fad85c1b2a679a1d54c59c517537601e4c94cc36610e425b819ccc750f1
• Download URL:
  https://stacks.cdc.gov/view/cdc/39077/cdc_39077_DS1.pdf
• File Type:
  [PDF - 157.26 KB ]