Nursing Home Employee and Resident Satisfaction and Resident Care Outcomes
Background: Nursing home resident care is an ongoing topic of public discussion, and there is great interest in improving the quality of resident care. This study investigated the association between nursing home employees' job satisfaction and residents' satisfaction with care and medical...
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| Format: | Article |
| Language: | English |
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Elsevier
2018-12-01
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| Series: | Safety and Health at Work |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2093791116300993 |
| _version_ | 1797715630925807616 |
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| author | Bora Plaku-Alakbarova Laura Punnett Rebecca J. Gore |
| author_facet | Bora Plaku-Alakbarova Laura Punnett Rebecca J. Gore |
| author_sort | Bora Plaku-Alakbarova |
| collection | DOAJ |
| description | Background: Nursing home resident care is an ongoing topic of public discussion, and there is great interest in improving the quality of resident care. This study investigated the association between nursing home employees' job satisfaction and residents' satisfaction with care and medical outcomes. Methods: Employee and resident satisfaction were measured by questionnaire in 175 skilled nursing facilities in the eastern United States from 2005 to 2009. Facility-level data on residents' pressure ulcers, medically unexplained weight loss, and falls were obtained from the Centers for Medicare and Medicaid Services Long-Term Care Minimum Data Set. The association between employee satisfaction and resident satisfaction was examined with multiple and multilevel linear regression. Associations between employee satisfaction and the rates of pressure ulcers, weight loss, and falls were examined with simple and multilevel Poisson regression. Results: A 1-point increase in overall employee satisfaction was associated with an increase of 17.4 points (scale 0–100) in the satisfaction of residents and family members (p < 0.0001) and a 19% decrease in the incidence of resident falls, weight loss, and pressure ulcers combined (p < 0.0001), after adjusting for staffing ratio and percentage of resident-days paid by Medicaid. Conclusion: Job satisfaction of nursing home employees is associated with lower rates of resident injuries and higher resident satisfaction with care. A supportive work environment may help increase quality of care in the nation's nursing homes. Keywords: Environment of care, Job satisfaction, Nursing home, Pressure ulcers, Work environment |
| first_indexed | 2024-03-12T08:10:31Z |
| format | Article |
| id | doaj.art-2b6bf97b3e554166accac007b404f371 |
| institution | Directory Open Access Journal |
| issn | 2093-7911 |
| language | English |
| last_indexed | 2024-03-12T08:10:31Z |
| publishDate | 2018-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Safety and Health at Work |
| spelling | doaj.art-2b6bf97b3e554166accac007b404f3712023-09-02T19:10:47ZengElsevierSafety and Health at Work2093-79112018-12-0194408415Nursing Home Employee and Resident Satisfaction and Resident Care OutcomesBora Plaku-Alakbarova0Laura Punnett1Rebecca J. Gore2Corresponding author. Department of Work Environment & Center for the Promotion of Health in the New England Workplace (CPHNEW), University of Massachusetts Lowell, 1 University Ave, Lowell, MA 01854, USA.; Department of Work Environment & Center for the Promotion of Health in the New England Workplace (CPHNEW), University of Massachusetts Lowell, Lowell, MA, USADepartment of Work Environment & Center for the Promotion of Health in the New England Workplace (CPHNEW), University of Massachusetts Lowell, Lowell, MA, USADepartment of Work Environment & Center for the Promotion of Health in the New England Workplace (CPHNEW), University of Massachusetts Lowell, Lowell, MA, USABackground: Nursing home resident care is an ongoing topic of public discussion, and there is great interest in improving the quality of resident care. This study investigated the association between nursing home employees' job satisfaction and residents' satisfaction with care and medical outcomes. Methods: Employee and resident satisfaction were measured by questionnaire in 175 skilled nursing facilities in the eastern United States from 2005 to 2009. Facility-level data on residents' pressure ulcers, medically unexplained weight loss, and falls were obtained from the Centers for Medicare and Medicaid Services Long-Term Care Minimum Data Set. The association between employee satisfaction and resident satisfaction was examined with multiple and multilevel linear regression. Associations between employee satisfaction and the rates of pressure ulcers, weight loss, and falls were examined with simple and multilevel Poisson regression. Results: A 1-point increase in overall employee satisfaction was associated with an increase of 17.4 points (scale 0–100) in the satisfaction of residents and family members (p < 0.0001) and a 19% decrease in the incidence of resident falls, weight loss, and pressure ulcers combined (p < 0.0001), after adjusting for staffing ratio and percentage of resident-days paid by Medicaid. Conclusion: Job satisfaction of nursing home employees is associated with lower rates of resident injuries and higher resident satisfaction with care. A supportive work environment may help increase quality of care in the nation's nursing homes. Keywords: Environment of care, Job satisfaction, Nursing home, Pressure ulcers, Work environmenthttp://www.sciencedirect.com/science/article/pii/S2093791116300993 |
| spellingShingle | Bora Plaku-Alakbarova Laura Punnett Rebecca J. Gore Nursing Home Employee and Resident Satisfaction and Resident Care Outcomes Safety and Health at Work |
| title | Nursing Home Employee and Resident Satisfaction and Resident Care Outcomes |
| title_full | Nursing Home Employee and Resident Satisfaction and Resident Care Outcomes |
| title_fullStr | Nursing Home Employee and Resident Satisfaction and Resident Care Outcomes |
| title_full_unstemmed | Nursing Home Employee and Resident Satisfaction and Resident Care Outcomes |
| title_short | Nursing Home Employee and Resident Satisfaction and Resident Care Outcomes |
| title_sort | nursing home employee and resident satisfaction and resident care outcomes |
| url | http://www.sciencedirect.com/science/article/pii/S2093791116300993 |
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