The One-Two Punch of High Wages and Empowerment on CNA Retention

2021 ◽  
pp. 073346482110356
Author(s):  
Katherine A. Kennedy ◽  
Katherine M. Abbott ◽  
John R. Bowblis
Keyword(s):  
Decision Making ◽  
Regression Models ◽  
Retention Rate ◽  
Quality Care ◽  
Nursing Assistant ◽  
High Quality ◽  
Certified Nursing Assistant ◽  
Interaction Term ◽  
The One ◽  
The Relationship

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.

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
Keyword(s):  
Retention Rate ◽  
Retention Rates ◽  
Nursing Assistant ◽  
Certified Nursing Assistant ◽  
Facility Level ◽  
High Level ◽  
Relationship Of ◽  
The Relationship ◽  
Linear Regressions

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.

scholarly journals The Association Between Patients' eHealth Literacy and Satisfaction With Shared Decision-making and Well-being: Multicenter Cross-sectional Study (Preprint)

2020 ◽  
Author(s):  
Richard Huan Xu ◽  
Ling-Ming Zhou ◽  
Eliza Lai-Yi Wong ◽  
Dong Wang
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Regression Models ◽  
Well Being ◽  
Shared Decision ◽  
Background Characteristics ◽  
Cross Sectional ◽  
Ehealth Literacy ◽  
High Level ◽  
The Relationship

BACKGROUND Although previous studies have shown that a high level of health literacy can improve patients’ ability to engage in health-related shared decision-making (SDM) and improve their quality of life, few studies have investigated the role of eHealth literacy in improving patient satisfaction with SDM (SSDM) and well-being. OBJECTIVE This study aims to assess the relationship between patients’ eHealth literacy and their socioeconomic determinants and to investigate the association between patients’ eHealth literacy and their SSDM and well-being. METHODS The data used in this study were obtained from a multicenter cross-sectional survey in China. The eHealth Literacy Scale (eHEALS) and Investigating Choice Experiments Capability Measure for Adults were used to measure patients’ eHealth literacy and capability well-being, respectively. The SSDM was assessed by using a self-administered questionnaire. The Kruskal-Wallis one-way analysis of variance and Wilcoxon signed-rank test were used to compare the differences in the eHEALS, SSDM, and Investigating Choice Experiments Capability Measure for Adults scores of patients with varying background characteristics. Ordinary least square regression models were used to assess the relationship among eHealth literacy, SSDM, and well-being adjusted by patients’ background characteristics. RESULTS A total of 569 patients completed the questionnaire. Patients who were male, were highly educated, were childless, were fully employed, were without chronic conditions, and indicated no depressive disorder reported a higher mean score on the eHEALS. Younger patients (SSDM<sub>≥61 years</sub>=88.6 vs SSDM<sub>16-30 years</sub>=84.2) tended to show higher SSDM. Patients who were rural residents and were well paid were more likely to report good capability well-being. Patients who had a higher SSDM and better capability well-being reported a significantly higher level of eHealth literacy than those who had lower SSDM and poorer capability well-being. The regression models showed a positive relationship between eHealth literacy and both SSDM (<i>β</i>=.22; <i>P</i>&lt;.001) and well-being (<i>β</i>=.26; <i>P</i>&lt;.001) after adjusting for patients’ demographic, socioeconomic status, lifestyle, and health status variables. CONCLUSIONS This study showed that patients with a high level of eHealth literacy are more likely to experience optimal SDM and improved capability well-being. However, patients’ depressive status may alter the relationship between eHealth literacy and SSDM. CLINICALTRIAL

scholarly journals Audit committee compensation, best practices and audit fees

2019 ◽  
Vol 50 (1) ◽  
Author(s):  
Bum-Jin Park
Keyword(s):  
Best Practices ◽  
Financial Reporting ◽  
Regression Models ◽  
Audit Committee ◽  
Best Practice ◽  
Audit Quality ◽  
Positive Association ◽  
Audit Fees ◽  
High Quality ◽  
The Relationship

Background: It is extremely important that an audit committee (AC) monitors a company’s financial reporting process, and that the committee engages a high-quality auditor to carry this out effectively. Prior research on ACs has paid much attention to the relationship between AC best practices and audit fees (AF). Although compensation is a means of aligning interests between ACs and stakeholders, previous studies have neglected the complementary interaction between AC compensation and compliance with best practices on audit quality.Objectives: The purpose of this study is to investigate how compensation for ACs affects AF, and how the association is moderated by compliance with best practices to capture effective monitoring.Method: The regression models are estimated to verify how the relationship between AC compensation and AF is moderated by AC compliance with best practice. Moreover, the logistic regression models are used to investigate how the relationship between AC compensation and the opportunistic achievement of earnings goals is moderated by AC compliance with best practice.Results: The findings show a positive association between the levels of compensation AC members receive and AF, which is reinforced in firms that have ACs that comply with all best practices.Conclusion: The results suggest that highly paid ACs engage high-quality auditors to complement their function of monitoring management and AC compensation and compliance with best practices are complementary to enhance audit quality. This study thus provides the interesting insights that can be applicable to countries with requirements relating to the compensation schemes for ACs or the formation of the AC.

scholarly journals Ending the life of the act/omission dispute: causation in withholding and withdrawing life-sustaining measures

Legal Studies ◽  
2011 ◽  
Vol 31 (3) ◽  
pp. 467-491 ◽  
Author(s):  
Andrew McGee
Keyword(s):  
Decision Making ◽  
Assisted Suicide ◽  
The Other ◽  
Common View ◽  
Legal Position ◽  
The Law ◽  
The One ◽  
End Of Life Decision ◽  
The Relationship ◽  
Life Decision

The aim in this paper is to challenge the increasingly common view in the literature that the law on end-of-life decision making is in disarray and is in need of urgent reform. The argument is that this assessment of the law is based on assumptions about the relationship between the identity of the defendant and their conduct, and about the nature of causation, which, on examination, prove to be indefensible. A clarification of the relationship between causation and omissions is provided which proves that the current legal position does not need modification, at least on the grounds that are commonly advanced for the converse view. This paves the way for a clarification, in conclusion, of important conceptual and moral differences between withholding, refusing and withdrawing life-sustaining measures, on the one hand, and assisted suicide and euthanasia, on the other.

scholarly journals Å skrive om hendelser fra egen praksis

2020 ◽  
pp. 121-140
Author(s):  
Eli Skjeseth
Keyword(s):  
Continuing Education ◽  
Research Question ◽  
Theory And Practice ◽  
Breeding Ground ◽  
High Quality ◽  
New Methods ◽  
The One ◽  
The Relationship ◽  
Shed Light ◽  
Writing Activity

In this chapter, 60 reflection notes written by 20 students of continuing education for advisors in NAV are analysed. The research question is: What do the texts tell about the students’ learning within the relationship between theory and practice? The intention of the chapter is to shed light on how the writing activity affects the students’ thinking about their practice. The analysis follows two axes: on the one hand, the level of learning found in the texts is examined – how the learning is expressed in changes in behaviour/actions, and in thinking/assessment. The second axis shows the students’ capacity for abstraction (theory formation) and for concretization based on theories. When these axes are put together, four categories emerge, which show different nuances in the relationship between theory and practice: 1) Synthesis (think ‘up’), 2) Analysis (think ‘down’), 3) Concepts promoted for practice, and 4) Testing of new methods. The analysis shows that the students commute unproblematically between these categories. Practice is both a necessary breeding ground for learning and a benchmark for learning. Practice does not contradict theory. The writing activity helps to clarify theory and develop students’ abstraction abilities. The teachers’ responsibility is to formulate high quality assignment texts that bind together theory and practice and that would prompt the students to stretch their mental borders. The analysis categories developed in this chapter can help teachers successfully face this task.

scholarly journals Sleep disorders predict the one-year onset, persistence, but not remission of psychotic experiences in 10-11 year old children: a longitudinal analysis of the ABCD cohort data

2021 ◽  
Author(s):  
Sarah Reeve ◽  
Vaughan Bell
Keyword(s):  
Sleep Disorder ◽  
Regression Models ◽  
Sleep Problems ◽  
Stimulant Medication ◽  
Psychotic Experiences ◽  
Multi Level ◽  
One Year ◽  
The One ◽  
The Relationship

AbstractSleep problems have been reliably associated with psychotic experiences in adults and have been suggested as target for intervention. However, the relationship between sleep disorder and psychotic experiences in children has not been extensively studied despite the potential for guiding intervention. The Adolescent Brain Cognitive Development (ABCD) dataset, containing baseline and one-year follow-up data of over 11,000 10-11 year olds, was utilised to investigate this relationship. More specifically, a set of pre-registered multi-level regression models were applied to test whether a) baseline sleep disorder predicts baseline psychotic experiences cross-sectionally; b) baseline sleep disorder predicts psychotic experiences one year later; c) the persistence of sleep disorder predicts the persistence psychotic experiences at one year; d) the remission of sleep disorder predicts the remission of psychotic experiences. After controlling for potential confounders, sleep disorder was associated with psychotic experiences cross-sectionally (OR=1.40, 95% CI 1.20-1.63), at one-year follow-up (OR=1.32, 95% CI 1.11-1.57), and the persistence of sleep disorder predicted the persistence of psychotic experiences (OR=1.72, 95% CI 1.44-2.04). However, remission of sleep problems did not predict remission of psychotic experiences (OR=1.041, 95% CI 0.80-1.35). In all models where an association was found, sleep was one of the two strongest predictors of psychotic experiences (with stimulant medication being the other). The results indicate that sleep problems in children are common and strongly associated with psychotic experiences but the lack of co-remission raises questions about the mechanism of association. However given existing evidence in adults, further investigation and interest in sleep as a preventative mental health intervention in this age group is warranted.

scholarly journals Does the Tax Burden impact the Performance of Companies? A case study for Romania

2020 ◽  
Vol 2 (1) ◽  
pp. 233-244
Author(s):  
Victor Ogneru ◽  
Stelian Stancu
Keyword(s):  
Regression Models ◽  
Structural Changes ◽  
Balance Sheet ◽  
Tax Burden ◽  
Cross Sectional ◽  
Independent Variable ◽  
The One ◽  
The Impact ◽  
The Relationship

Abstract The paper analyzes the relationship between the total tax amount paid by the Romanian companies and several indicators of size, financial performance, and capital structure to identify whether there is an impact of these indicators on the tax potential and to assess the impact of the tax burden on the performance of companies as well. The total tax amount is viewed on the one hand as a tax burden when it is used as an independent variable, and as tax potential when it is used as a dependent variable. To assess these relationships, we applied cross-sectional regression models for each year of analysis, 2014-2018, using balance sheet data from the entire population of Romanian companies. In literature, is questioned only the relationship between tax burden and economic performance. Our study emphasizes the link between tax potential and some characteristics of the companies. We have identified, also, the determinants of return of equity in the case of Romanian companies. Overall, the data reveal major structural changes during the period of analysis. This movement did not affect the tax potential, but the performance of undertakings. Our findings show that it is necessary to rethink economic and tax policies.

The Premise and Development of CHECK IN—Check-In for Exchange of Clinical and Key Information to Enhance Palliative Care Discussions for Patients With Limited English Proficiency

2020 ◽  
pp. 104990912097998
Author(s):  
Amelia Barwise ◽  
Mei-Ean Yeow ◽  
Daniel K. Partain
Keyword(s):  
Decision Making ◽  
Limited English Proficiency ◽  
English Proficiency ◽  
Quality Care ◽  
Clinical Information ◽  
Clinical Encounter ◽  
High Quality ◽  
Serious Illness ◽  
Patient Goals ◽  
Medical Interpreter

Communication regarding serious illness is challenging in most circumstances. Patients with Limited English Proficiency (LEP) have unique language and cultural needs that often require collaboration with a trained medical interpreter, especially when the clinical encounter involves serious illness decision making or elucidation of patient goals, preferences, and values. Although there is mounting evidence to support interpreter/clinician huddles before a serious illness communication encounter, no current initiatives exist to operationalize this evidence. We are currently in the process of developing, evaluating, and implementing a formal interpreter/clinician huddle process to promote high quality care for patients with LEP. Our huddle guide, called the Check-In for Exchange of Clinical and Key Information (CHECK-IN), is designed to facilitate collaboration between an interpreter and clinician during a serious illness encounter by prompting exchange of relevant sociocultural and clinical information between clinicians and interpreters.

scholarly journals Information accuracy in legislative oversight: Theoretical implications and experimental evidence

2017 ◽  
Vol 29 (2) ◽  
pp. 226-254 ◽  
Author(s):  
Susumu Shikano ◽  
Michael F Stoffel ◽  
Markus Tepe
Keyword(s):  
Decision Making ◽  
Real World ◽  
Important Determinant ◽  
Random Noise ◽  
High Quality ◽  
Specific Cost ◽  
Legislative Oversight ◽  
Real World Applications ◽  
The Relationship

The relationship between legislatures and bureaucracies is typically modeled as a principal–agent game. Legislators can acquire information about the (non-)compliance of bureaucrats at some specific cost. Previous studies consider the information from oversight to be perfect, which contradicts most real-world applications. We therefore provide a model that includes random noise as part of the information. The quality of provided goods usually increases with information accuracy while simultaneously requiring less oversight. However, bureaucrats never provide high quality if information accuracy is below a specific threshold. We assess the empirical validity of our predictions in a lab experiment. Our data show that information accuracy is indeed an important determinant of both legislator and bureaucrat decision-making.

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