Purpose of the study: The primary aim of this investigation was to determine whether caregiver confidence in their care recipients' functional capabilities predicts changes in the performance of activities of daily living (ADL) among elderly home care recipients. A secondary aim was to explore how caregiver confidence and care recipient functional…

Purpose: Figuring out how to make home care jobs more attractive has become a top policy priority. This study investigates the impact of wages, hours, and benefits on the retention of home care workers. Design and Methods: Using a 2-wave survey design and a sample of home care workers from Maine, the factors associated with turnover intentions,…

Purpose: The purpose of this study was to understand the factors associated with turnover and retention of direct care workers. We hypothesize that a dual-driver model that includes individual factors, on-the-job factors, off-the-job factors, and contextual factors can be used to distinguish between reasons for direct care workforces (DCWs)…

Purpose: We examined predictors of intrinsic job satisfaction, overall satisfaction, and intention to leave the job among nursing assistants (NAs). Design and Methods: The study focused on NAs who worked 30 or more hours per week in a nursing home. Data on 2,146 NAs meeting this criterion came from the 2004 National Nursing Assistant Survey, the…

Purpose: To estimate the impact of nursing home work practices, specifically compensation and working conditions, on job satisfaction of nursing assistants employed in nursing homes. Design and Methods: Data are from the 2004 National Nursing Assistant Survey, responses by the nursing assistants' employers to the 2004 National Nursing Home Survey,…

Purpose: We examined the relationship between the quality indicator for decline in activities of daily living (ADL) and the use of the Minimum Data Set (MDS) for determining Medicaid skilled nursing facility reimbursement. Design and Methods: We conducted a cross-sectional analysis using the 2004 National MDS Facility Quality Indicator reports as…

Background: Nursing aides' attitudes condoning elder abuse are a possible risk factor for executing abusive behaviors against elder residents of long-term care facilities but have been studied infrequently. Purpose: The purpose of the study was to assess nursing aides' attitudes that condone abusive behaviors toward elderly people, as well as the…

Data from a 1968 national sample of older people (N=3,996) indicated that pet ownership was more frequent in owner-occupied residences in smaller communities where other family, including children were present. No association was found between pet ownership and psychological well-being or health. (Author)

Examined health service utilization by 4,800 Canadian elderly. Findings suggested that most elderly are healthy and are infrequent users of services. Identifies a minority of very high users of health care and discusses the potential influence of physicians on health care use by the elderly. (JAC)

Purpose: This article assesses the state of research on assisted living (AL) from 1989 to May 2004. Design and Methods: We undertook keyword searches for AL research and amplified these with searches of Web sites, conference proceedings, and follow-up inquiries. We annotated and coded the resultant items according to categories reflecting the…

Purpose: We assess how perceived rewards and problems with caregiving work and supervision relate to intent to leave among direct care workers who are employed in provider organizations participating in the Better Jobs Better Care (BJBC) demonstration; we also examine how these relationships vary by provider type. Design and Methods: Direct care…

This research sought to ascertain predictors of well-being and survival among "elite" residents in long-term care facilities. Analysis showed that primary predictors of morale, life satisfaction, satisfaction with treatment, and survival were residents' subjective perceptions of the facility and their preference about living in it or elsewhere.…

Older Texans obtain transportation for nonemergency health care without difficulty by using private automobiles, riding with a relative, friend, or neighbor, or paying someone. Age, race, marital status, having a telephone, and owning an automobile were significantly associated with transportation used. (Author)

Examines survey data from a metropolitan community to investigate comparative rankings of needs of older persons by service providers and their elderly target population. Training in gerontology, serving elderly clients exclusively, and having direct contact with elderly clients as line staff were not predictors of knowledge of elderly needs.…

Successful aging is defined as survival to age 75 with good health and happiness. The best predictors of successful aging are initial health and happiness. The strongest explanatory factors were secondary group activities and physical activities, which may contribute to successful aging. (Author)