scholarly journals ONE-TWO PUNCH OF HIGH WAGES AND EMPOWERING PRACTICES FOR MAINTAINING CARE NETWORKS IN NURSING HOMES

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S559-S560
Author(s):  
Katherine Kennedy ◽  
John R Bowblis ◽  
Katherine M Abbott

Abstract Stabilizing certified nursing assistant (CNA) employment is necessary for maintaining care networks and providing high quality of care for nursing home (NH) residents. This study’s objective was to examine the relationship of high wages and empowerment practices on CNA retention. We used the 2015 Ohio Biennial Survey to construct a facility-level dataset of 547 NHs and estimated multivariable linear regressions. NHs that provided both high wages and high empowerment were associated with a 12.95 percentage-point improvement in the CNA retention rate (SE = 4.53, t-value = 2.86, p = 0.0045). High wages and a high empowerment score did not have significant effects individually (p > .05). Retention rates were similar between NHs that lacked high wages and scored low on the empowerment scale, and NHs that provided one at a high level but not the other. Implications for better retaining CNAs require multiple empowerment practices combined with high hourly wages.

2021 ◽  
Vol 1 (25) ◽  
pp. 140-149
Author(s):  
G.G. Parkhomenko ◽  
◽  
S.I. Kambulov ◽  
I.V. Bozhko ◽  
◽  
...  

Choosing rational design parameters of the coupling device for multi-section aggregation of seeders, it is possible to ensure full loading of the power unit while maintaining quality indicators of the technological process at a sufficiently high level. Foreign aggregates are not suitable for use in the Russian Federation due to the different soil and climatic conditions. Purpose of the study: to develop an effective device for multi-section aggregation suitable for domestic modern seeding machines. Subject of the research: the relationship of design parameters and modes of operation of the device for multi-section aggregation of seeders with indicators of the technological process of sowing. A monographic survey of known structures has been carried out, a device for multi-section aggregation of seeding machines has been substantiated by the design and construction method, indicators of the technological process of sowing have been experimentally obtained. The developed coupling device for multi-section aggregation consists of a central frame resting on the wheels and articulated side sections: left and right, which fold when transporting the seeding unit. The total working width of the seeding unit is up to 12.5 meters. According to the research results, the quality of the technological process by the seeding devices meets the regulatory requirements. The instability of the total seeding (0.6–1.1 % for barley and 0.4–0.7 % for wheat) is within the tolerance (up to 3 percent); uneven seeding between devices 3.9–4.2 percent (barley) and 2.6–4.2 percent (wheat) corresponds to the norm (up to 5 percent). The number of seeds embedded at a predetermined depth of the soil corresponds to the required (not less than 80 percent) and was 81.8–83.9 percent for barley and 80.1–83.3 percent for wheat. Not embedded seeds were found in the soil.


2020 ◽  
Vol 60 (8) ◽  
pp. 1436-1444 ◽  
Author(s):  
Katherine A Kennedy ◽  
Robert Applebaum ◽  
John R Bowblis

Abstract Background and Objectives Certified nursing assistant (CNA) turnover and retention are critical aspects of facilities’ ability to provide cost-effective, high-quality person-centered care. Previous studies and industry practice often treat turnover and retention as similar concepts, assuming that low turnover and high retention are synonymous. The study addressed the question of whether turnover and retention rates differ and if so, what those differences mean for nursing home practice, policy, and research. Research Design and Methods This study examines facility-level factors associated with CNA retention and turnover rates using 2015 data from the Ohio Biennial Survey of Long-Term Care Facilities, Ohio Medicaid Cost Reports, Certification and Survey Provider Enhanced Report, and the Area Health Resource File. Using bivariate tests and regression analysis, we compare rates and the factors associated with retention and turnover. Results The mean facility annual retention rate was 64% and the mean annual turnover rate was 55%. As expected, there was a statistically significant and negative correlation between the rates (r = −0.26). However, some facilities had both high retention and high turnover and some had low rates for both measures. Not all the variables that are associated with turnover are also associated with retention. Discussion and Implications CNA retention is not simply the absence of CNA turnover. Given the differences, nursing homes may need to use strategies and policies designed to target a particular stability measure.


1978 ◽  
Vol 68 (3) ◽  
pp. 361-372 ◽  
Author(s):  
R. D. Hughes ◽  
Marina Tyndale-Biscoe ◽  
Josephine Walker

AbstractIn laboratory experiments in Australia under standard conditions, densities of the dung beetle Euoniticellus intermedius (Reiche) exceeding 150/1-litre pad of cattle dung were shown to suppress breeding of Musca vetustissima Wlk. The experiments also suggested that it was the effect of dung disturbance on the survival of eggs of the fly that led to suppression. Natural vaiation in the quality of cattle dung obscured but did not alter the effects of high beetle densities. The mobility of M. vetustissima in particular, obscured the relationship of its abundance to dung beetle numbers in the field in 1974–75 and 1975–77 an intial high level of flies was apparently reduced and suppressed by a seasonally late but otherwise similar level of beetle attack on dung pads.


2020 ◽  
Vol 11 ◽  
pp. 427-433
Author(s):  
Olga Popova

This paper examines social factors that cause misunderstandings between forced migrants and members of a host community. The article investigates mechanisms of social perception as a process responsible for quality of communication between these actors, as well as the relationship of these mechanisms with integration of forced migrants into the host society. The article presents the results of two studies: in the first one, 318 interviews with forced migrants from Donbass were got in 2018, and, in the second one, 200 interviews were obtained in 2019. The studies have demonstrated a high level of prejudice of the host society towards forced migrants, low level of generalized trust of migrants to surrounding people. This situation contributes to the formation of bonding social capital, but does not contribute to the formation of bridging and linking capital, which does not affect the expansion of new social connections and the acquisition of new relevant social capital.


2021 ◽  
Vol 39 (12) ◽  
Author(s):  
Michael Bhobet B. Baluyot, DHM ◽  
Anicia C. Pampolina, MSHRM

This paper aimed to determine customer experiences in the pandemic situation at a local restaurant in Laguna, Philippines, and to demonstrate that there are now beyond eating experiences available in that area. The study included 150 customers from Laguna's different restaurants. The SERVQUAL Model and Customer Delight Model serve as the foundation for this study endeavour. Pearson r was used to calculate the correlation coefficient. The five dimensions used in the study are reliability, assurance, tangibles, empathy, and responsiveness. Based on the findings, personal attention and creating an emotional connection with customers are essential in interacting with customers and delivering consistent service. The findings revealed that the total customer delight experience was moderately delighted. Furthermore, the findings have shown a correlation coefficient r of 0.720, which indicates a high level of correlation. These findings demonstrated that high-quality service always equates to high-quality delight and happiness.  Findings revealed that customers want value and the whole experience rather than just the quality of the food. Customers are influenced by how they are handled at all stages of their dining experience. The study's findings serve as a foundation for future growth, demonstrating that a small restaurant can compete in the fast-growing restaurant industry by providing excellent customer service.


2021 ◽  
pp. 073346482110356
Author(s):  
Katherine A. Kennedy ◽  
Katherine M. Abbott ◽  
John R. Bowblis

Objectives: The objective of this study was to examine the relationship between high wages and empowerment practices on certified nursing assistant (CNA) retention, necessary for providing high-quality care for nursing home (NH) residents. Methods: Measures of provider-level CNA empowerment and wages from the 2015 Ohio Biennial Survey were used to estimate two regression models on retention ( n = 719), one without and one with an interaction term of high wages and high empowerment. Results: Only in the context of the interacted model were NHs that provided both high wages and high empowerment associated with a 7.09 percentage-point improvement in the CNA retention rate ( p = .0003). Individually, high wages and a high empowerment score were not statistically significant in either regression model. Discussion: Retaining CNAs in NH communities requires a combination of empowerment practices (e.g., involving CNAs in decision-making about hiring other staff) and high hourly wages.


2020 ◽  
Vol 29 (12) ◽  
pp. 52-58
Author(s):  
E.P. Meleshkina ◽  
◽  
S.N. Kolomiets ◽  
A.S. Cheskidova ◽  
◽  
...  

Objectively and reliably determined indicators of rheological properties of the dough were identified using the alveograph device to create a system of classifications of wheat and flour from it for the intended purpose in the future. The analysis of the relationship of standardized quality indicators, as well as newly developed indicators for identifying them, differentiating the quality of wheat flour for the intended purpose, i.e. for finished products. To do this, we use mathematical statistics methods.


2020 ◽  
Vol 17 (6) ◽  
pp. 76-91
Author(s):  
E. D. Solozhentsev

The scientific problem of economics “Managing the quality of human life” is formulated on the basis of artificial intelligence, algebra of logic and logical-probabilistic calculus. Managing the quality of human life is represented by managing the processes of his treatment, training and decision making. Events in these processes and the corresponding logical variables relate to the behavior of a person, other persons and infrastructure. The processes of the quality of human life are modeled, analyzed and managed with the participation of the person himself. Scenarios and structural, logical and probabilistic models of managing the quality of human life are given. Special software for quality management is described. The relationship of human quality of life and the digital economy is examined. We consider the role of public opinion in the management of the “bottom” based on the synthesis of many studies on the management of the economics and the state. The bottom management is also feedback from the top management.


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