Differences in determinants of intention to stay and retention between younger and older nursing assistants in long‐term care facilities: A longitudinal perspective

2020 ◽  
Vol 28 (3) ◽  
pp. 522-531
Author(s):  
Shiau‐Fang Chao ◽  
Pau‐Ching Lu
2020 ◽  
Vol 23 (2-3) ◽  
pp. 57-60 ◽  
Author(s):  
Edward H Wagner

Residents in nursing homes and other long-term care facilities comprise a large percentage of the deaths from Covid 19. Is this inevitable or are there problems with NHs and their care that increase the susceptibility of their residents. The first U.S. cluster of cases involved the residents, staff, and visitors of a Seattle-area nursing home. Study of this cluster suggested that infected staff members were transmitting the disease to residents. The quality of nursing home care has long been a concern and attributed to chronic underfunding and resulting understaffing. Most NH care is delivered by minimally trained nursing assistants whose low pay and limited benefits compel them to work in multiple long-term care settings, increasing their risk of infection, and work while ill. More comparative studies of highly infected long-term care facilities with those organizations that were able to better protect their residents are urgently needed. Early evidence suggests that understaffing of registered nurses may increase the risk of larger outbreaks.


Author(s):  
Yu-Chia Chang ◽  
Te-Feng Yeh ◽  
I-Ju Lai ◽  
Cheng-Chia Yang

This study investigated the influences of nursing assistants’ job competency on their intrinsic and extrinsic satisfaction and intention to stay in the profession of long-term care institutions. Understanding the relationship between job competency and job satisfaction, both intrinsic and extrinsic, would enable institutions to strengthen service workers’ intention to stay and to retain essential personnel. This study was a cross-sectional study in which nursing assistants from 26 nursing homes and 15 elderly welfare institutions in Taiwan. The relationship between job competency and intention to stay was discovered to be significantly mediated by intrinsic and extrinsic job satisfaction. Given the staff shortages and difficulty retaining staff in long-term care environments, organizations must be able to strengthen employees’ intention to stay; one suggestion is to improve the employees’ competency, because higher competency results in higher quality of care and greater extrinsic job satisfaction. Furthermore, greater job competency is more likely to result in affirmation and accomplishment, both of which increase intrinsic job satisfaction and thus positively influence intention to stay.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 647-648
Author(s):  
Kimberly Ogle

Abstract Given that almost 25 percent of U.S. deaths occur annually in long-term care facilities (U.S. Census Bureau, 2017), it’s imperative that frontline workers are given training and support they need to deliver good, person-centered care at the end of life. Inadequate end-of-life (EOL) care may lead to unrelieved suffering and undignified deaths (Bukki, Neuhaus, Paa, 2016). Furthermore, nursing staffs have knowledge gaps and low confidence regarding end-of-life care and they may underestimate its complexity (Pfister, Markett & Muller, 2013). With the growing population of older adults, improving end-of-life care in long- term care facilities needs to be a priority. This research explored the needs of State Tested Nursing Assistants (STNAs) working in long-term care and their knowledge regarding EOL care. Based on the findings of this research, workshops were developed to better educate the STNAs regarding care of the dying and to enhance the EOL care for long term residents.


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