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Direct linkRosen, Jules; Stiehl, Emily M.; Mittal, Vikas; Leana, Carrie R. – Gerontologist, 2011
Purpose: Studies of certified nursing assistant (CNA) turnover in nursing homes are typically cross-sectional and include full-time and part-time workers. We conducted a longitudinal study to evaluate the job factors and work attitudes associated with just full-time staying or leaving. For those who did not stay, we assessed reasons for leaving…
Descriptors: Nursing Homes, Labor Turnover, Allied Health Personnel, Intention
Peer reviewedCastle, Nicholas G. – Gerontologist, 2005
Purpose: In November of 2002 the Centers for Medicare and Medicaid Services publicly reported on a national basis the quality of nursing homes on the Nursing Home Compare (NHC) Web site. This study examines administrators' opinions of this initiative and whether it has fostered quality improvement. Design and Methods: Data used in this…
Descriptors: Opinions, Report Cards, Nursing Homes
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
Peer reviewedKanda, Katsuya; Mezey, Mathy – Gerontologist, 1991
Examined changes in resident acuity and registered nurse staffing in all nursing homes in Pennsylvania before and after introduction of Medicare Prospective Payment System (PPS) in 1983. Found that acuity of nursing home residents increased significantly since introduction of PPS, full-time registered nurse staffing remained unchanged, and…
Descriptors: Employment Patterns, Long Term Care, Nurses, Nursing Homes
Burgio, Louis D.; Park, Nan Sook; Hardin, J. Michael; Sun, Fei – Gerontologist, 2007
Purpose: Agitation frequently accompanies cognitive decline among nursing home residents. This study used cross-sectional and longitudinal (up to 18 months) methods to examine agitation among profoundly and moderately impaired residents using both staff report and direct observation methods. Design and Methods: The study included participants (N =…
Descriptors: Behavior Problems, Residential Institutions, Nursing Homes, Behavior Change
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
