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Direct linkCastle, Nicholas G.; Engberg, John – Gerontologist, 2010
Purpose: Nursing facilities that are determined to have a greater number of quality problems, more serious problems than average, and a demonstrated pattern of quality problems are included in the Special Focus Facility (SFF) initiative. The purpose of this research was to provide descriptive information on these SFFs and to examine the quality…
Descriptors: Nurses, Nursing, Nursing Homes, Health Facilities
Castle, Nicholas G.; Engberg, John – Gerontologist, 2008
Purpose: Weak empirical evidence exists showing that nursing home staffing levels influence quality of care. We propose that weak findings have resulted in many prior analyses because research models have underspecified the labor composition needed to influence care processes that, in turn, influence quality of care. In this analysis, we specified…
Descriptors: Nursing Homes, Caregivers, Allied Health Personnel, Institutional Characteristics
Castle, Nicholas G.; Engberg, John; Men, Aiju – Gerontologist, 2007
Purpose: We used data from a large sample of nursing homes to examine the association between staff turnover and quality. Design and Methods: The staff turnover measures came from primary data collected from 2,840 nursing homes in 2004 (representing a 71% response rate). Data collection included measures for nurse aides, licensed practical nurses,…
Descriptors: Residential Institutions, Nurses, Nursing Homes, Labor Turnover
Engberg, John; Castle, Nicholas G.; McCaffrey, Daniel – Gerontologist, 2008
Purpose: It is widely believed that physical restraint use causes mental and physical health decline in nursing home residents. Yet few studies exist showing an association between restraint initiation and health decline. In this research, we examined whether physical restraint initiation is associated with subsequent lower physical or mental…
Descriptors: Behavior Problems, Individual Characteristics, Physical Health, Mental Health
Castle, Nicholas G.; Engberg, John; Anderson, Ruth; Men, Aiju – Gerontologist, 2007
Purpose: The relationship between job satisfaction of nurse aides and intent to leave and actual turnover after 1 year is examined. Design and Methods: Data came from a random sample of 72 nursing homes from 5 states (Colorado, Florida, Michigan, New York, and Oregon). From these nursing homes, we collected 1,779 surveys from nurse aides (a…
Descriptors: Rewards, Nursing Homes, Nurses, Job Search Methods
Castle, Nicholas G.; Engberg, John – Gerontologist, 2006
Purpose: The association between certified nurse aide, licensed practical nurse, and registered nurse turnover and the organizational characteristics of nursing homes are examined. Design and Methods: Hypotheses for eight organizational characteristics are examined (staffing levels, top management turnover, resident case mix, facility quality,…
Descriptors: Costs, Nursing Homes, Nurses, Job Satisfaction
