Assessing a Statewide Nursing Home Staffing Program through Quantitative and Qualitative Survey Data

IF 4.2 2区医学 Q2 GERIATRICS & GERONTOLOGY

Journal of the American Medical Directors Association Pub Date : 2025-03-13 DOI:10.1016/j.jamda.2025.105517

Lindsay J. Peterson PhD , Kelly M. Smith PhD, CPHQ

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引用次数: 0

Abstract

Objectives

To use quantitative and qualitative data to assess nursing home administrators’ perceptions of a program using personal care attendants (PCAs) to ease staffing challenges, and to better understand factors concerning perceptions of success of lack thereof.

Design

Convergent mixed methods design, in which quantitative and qualitative data were collected concurrently and analyzed separately, with results combined for interpretation.

Setting and Participants

Florida nursing home administrators (N = 74).

Methods

We developed a survey to collect data on administrators’ use and perceptions of the PCA program. Data from closed-end questions assessing the value and use of PCAs and data on nursing home characteristics (eg, bed size, profit status) were analyzed using multiple logistic regression. Open-ended responses were analyzed using deductive thematic analysis. Quantitative and qualitative data were combined for further analysis.

Results

We found greater use of PCAs (more PCAs hired) was associated with 6% greater odds of finding the program beneficial (odds ratio, 1.06; 95% CI, 1.0–1.12; P = .049), controlling for facility characteristics. Qualitative analysis identified 3 themes: benefits of the PCA program, barriers to the success of the program, and steps taken to improve the program's usefulness. In further analysis, we identified an overarching theme of administrator proactivity in the implementation of the PCA program. Integration of quantitative and qualitative results found a relationship between assessing the PCA program as beneficial and taking proactive steps to facilitate use of PCAs.

Conclusions and Implications

Success of the PCA program in easing staffing challenges may have depended on administrators being proactive, in contrast to those who negatively assessed the program and took a more passive approach. Results provide evidence of differing leadership styles in the use of the PCA program, suggesting leadership training could better equip nursing home leaders to implement staffing initiatives. More research is recommended on the relationship between administrative leadership, staffing, and quality.

查看原文本刊更多论文

通过定量和定性调查数据评估全州养老院人员配备计划。

目的：使用定量和定性数据来评估养老院管理者对使用个人护理人员（PCAs）来缓解人员配备挑战的计划的看法，并更好地了解有关成功或缺乏成功的看法的因素。设计：收敛混合方法设计，定量和定性数据同时收集，分别分析，结果合并解释。环境和参与者：佛罗里达州养老院管理人员（N = 74）。方法：我们开展了一项调查，以收集管理人员对PCA程序的使用和看法的数据。采用多元逻辑回归分析评估pca价值和使用的封闭式问题数据以及养老院特征（如床位大小、利润状况）的数据。使用演绎主题分析对开放式回答进行分析。定量和定性数据相结合进行进一步分析。结果：我们发现更多的pca的使用（更多的pca被雇用）与6%的发现项目有益的几率相关(优势比，1.06；95% ci, 1.0-1.12；P = .049)，控制了设施特征。定性分析确定了3个主题：PCA项目的好处，项目成功的障碍，以及为提高项目有效性所采取的步骤。在进一步的分析中，我们确定了在实施PCA计划中管理员主动性的首要主题。定量和定性结果的整合发现了评估PCA项目是有益的和采取积极措施促进PCA的使用之间的关系。结论和意义：PCA项目在缓解人员配置挑战方面的成功可能取决于管理者的主动性，而不是那些消极评估该项目并采取更被动方法的人。结果提供了不同的领导风格在使用PCA程序的证据，表明领导力培训可以更好地装备养老院领导人实施人员配备计划。建议对行政领导、人员配备和质量之间的关系进行更多的研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of the American Medical Directors Association 医学-老年医学

CiteScore

11.10

自引率

6.60%

发文量

472

审稿时长

44 days

期刊介绍： JAMDA, the official journal of AMDA - The Society for Post-Acute and Long-Term Care Medicine, is a leading peer-reviewed publication that offers practical information and research geared towards healthcare professionals in the post-acute and long-term care fields. It is also a valuable resource for policy-makers, organizational leaders, educators, and advocates. The journal provides essential information for various healthcare professionals such as medical directors, attending physicians, nurses, consultant pharmacists, geriatric psychiatrists, nurse practitioners, physician assistants, physical and occupational therapists, social workers, and others involved in providing, overseeing, and promoting quality