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Direct linkYeatts, Dale E.; Cready, Cynthia M. – Gerontologist, 2007
Purpose: Recent studies have concluded that there is a lack of "patient-centered" care in nursing homes and subsequently a need for nursing home culture change. As a result, a variety of new, promising initiatives have been introduced, with most of these incorporating the use of "empowered" employees. The purpose of this study…
Descriptors: Nursing Homes, Allied Health Personnel, Empowerment, Teamwork
Kash, Bita A.; Castle, Nicholas G.; Naufal, George S.; Hawes, Catherine – Gerontologist, 2006
Purpose: We examined the effects of facility and market-level characteristics on staffing levels and turnover rates for direct care staff, and we examined the effect of staff turnover on staffing levels. Design and Methods: We analyzed cross-sectional data from 1,014 Texas nursing homes. Data were from the 2002 Texas Nursing Facility Medicaid Cost…
Descriptors: Nursing Homes, Nurses, Labor Turnover, Allied Health Personnel
Peer reviewedMullen, Warren E. – Gerontologist, 1985
Employed Nominal Group and Delphi techniques of group decision-making to identify and determine relative intensity of stressors of nursing home administrators in Texas. Revealed that most stressful conditions involved relations with persons and agencies outside the nursing home: state agencies, legislators, general public, and relatives of…
Descriptors: Administrators, Delphi Technique, Family Role, Interpersonal Relationship
Castle, Nicholas G. – Gerontologist, 2006
Purpose: In this study the levels of staff turnover reported in the nursing home literature (1990-2003) are reviewed, as well as the definitions of turnover used in these prior studies. With the use of primary data collected from 354 facilities, the study addresses the various degrees of bias that result, depending on how staff turnover is defined…
Descriptors: Nursing Homes, Health Services, Error of Measurement, Data Collection
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
Castle, Nicholas G. – Gerontologist, 2003
Purpose: This study examined whether providing outcomes information to 120 nursing homes facilitated improvements in quality over a 12-month period, as compared with 1,171 facilities not receiving this information. The outcomes information provided consisted of a report mailed to administrators that examined six measures of care quality. These…
Descriptors: Intervention, Nursing Homes, Least Squares Statistics, Outcomes of Treatment
