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M. Kemeny, J. Mabry (2017)
Making meaningful improvements to direct care worker training through informed policy: Understanding how care setting structure and culture matterGerontology & Geriatrics Education, 38
R. Montgomery, L. Holley, Jerry Deichert, K. Kosloski (2005)
A profile of home care workers from the 2000 census: how it changes what we know.The Gerontologist, 45 5
Candace Kemp, Mary Ball, M. Perkins (2013)
Convoys of care: theorizing intersections of formal and informal care.Journal of aging studies, 27 1
(2012)
Home care workers: interstate differences in training requirements and their implications for quality
R. Stone, M. Harahan (2010)
Improving the long-term care workforce serving older adults.Health affairs, 29 1
J. Morgan, Janette Dill, A. Kalleberg (2013)
The quality of healthcare jobs: can intrinsic rewards compensate for low extrinsic rewards?Work, Employment & Society, 27
R. Chou (2012)
Resident-Centered Job Satisfaction and Turnover Intent Among Direct Care Workers in Assisted LivingResearch on Aging, 34
(2014)
The baby boom cohort in the United States: 2012 to 2060
Gerontology & Geriatrics Education, 38
Christopher Kelly, J. Morgan, Kendra Jason (2013)
Home Care WorkersJournal of Applied Gerontology, 32
N. Castle, J. Engberg, Aiju Men (2007)
Nursing home staff turnover: impact on nursing home compare quality measures.The Gerontologist, 47 5
N. Castle, Ruth Anderson (2011)
Caregiver Staffing in Nursing Homes and Their Influence on Quality of Care: Using Dynamic Panel Estimation MethodsMedical Care, 49
A. Marquand, S. Chapman (2014)
Leader States in Personal Care Aide Training Standards
D. Gelfand (1984)
The aging network
J. Probst, Jong-deuk Baek, S. Laditka (2009)
Characteristics and recruitment paths of certified nursing assistants in rural and urban nursing homes.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 25 3
N. Castle, J. Engberg (2007)
The influence of staffing characteristics on quality of care in nursing homes.Health services research, 42 5
PurposeThe purpose of this paper is to disseminate a new model that addresses the urgent social challenge of providing adequate long-term care in rural circumstances through innovative use of existing resources, and to suggest future research.Design/methodology/approachThis paper is exploratory in and is based upon the analysis of qualitative observations (interviews and site visits) framed in the financial and operational records of the facility studied, macro- and micro-level demographics, and the scholarly and practice literatures.FindingsSignificant cost savings upon implementation, improvements in quality of care and both worker and client satisfaction were apparent.Research limitations/implicationsThe model has been in operation only one year; the trend has been positive, however, more research is needed to identify its stability and develop a more refined description of its components: while essential features of this innovative model can be applied in any residential long-term care situation, replicating its success is obviously linked with the skill and authority of the director. Evaluation research is currently in progress.Practical implicationsThe paper suggests budget-neutral solutions to persistent challenges of caring for older adults in rural circumstances.Social implicationsQuality and financing of long-term residential care for elders is insufficient and worsening. This model addresses problems central to financing and quality of care by connecting existing resources in new ways. It does not require additional funding or changes in qualifications required for jobs.Originality/valueThe model is the original creation of a residential long-term care facility director working with a network of partnerships that he discovered and developed: partnerships include a broad range of organizations in the public and non-profit sectors, and the state university.
Quality in Ageing and Older Adults – Emerald Publishing
Published: Dec 10, 2018
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