The Resident VIEW is a measure of person-centered care (PCC) from residents’ perspectives and was... more The Resident VIEW is a measure of person-centered care (PCC) from residents’ perspectives and was previously studied in nursing homes. The current study presents descriptive data for the Resident VIEW in community-based care settings including assisted living, residential care (AL/RC), and adult foster homes (AFH). Using a two-stage sampling design, we recruited 31 AL/RC and 119 AFH in Oregon and completed face-to-face structured interviews with 227 and 195 residents, respectively. Residents provided ratings for both the importance of and their experience with 66 items that tapped into PCC practices in eight domains. Results are provided for each item, many of which are significantly associated with greater quality of life, better resident satisfaction, and fewer depressive symptoms, especially in the domains of personalized care and being treated like a person. Incongruence between importance and experience ratings indicate many residents experience unmet needs across multiple doma...
Although emotional well-being generally increases with age, many older adults are at risk for poo... more Although emotional well-being generally increases with age, many older adults are at risk for poor mental health. Declining physical health and increased social isolation place many at risk for depression and anxiety. Also, people who have been diagnosed with a serious mental illness (e.g., schizophrenia, bipolar disorder) are living longer, and they experience age-related changes prematurely. Brain injuries such as those related to falls and other trauma are on the rise. Dementia, the sixth leading cause of death, is increasingly recognized as a major public health concern. Multiple co-morbidities that often accompany these conditions further compromise well-being. U.S. health and social service systems have not prioritized the needs of older adults with these multiple and complex needs. Services are fragmented as agencies work in silos with different funding priorities, eligibility requirements and knowledge bases. As a result, we see high rates of health care utilization, poor quality of life, and increased mortality. The State of Oregon has launched several initiatives designed to build bridges between service systems and ultimately fill gaps in services to older adults. This symposium will report on results from three of these initiatives: 1) coordinating services across systems through a new workforce, "Older Adult Behavioral Health Specialists;" 2) implementing evidence-based programs for older adults with moderate depression using strength-based, problem solving approaches (e.g., PEARLS, Healing Pathways); and 3) a dementia training program that includes a focus on people with both serious mental illness and dementia, emphasizing person-centered thinking and planning.
Although emotional well-being generally increases with age, many older adults are at risk for poo... more Although emotional well-being generally increases with age, many older adults are at risk for poor mental health. Declining physical health and increased social isolation place many at risk for depression and anxiety. Also, people who have been diagnosed with a serious mental illness (e.g., schizophrenia, bipolar disorder) are living longer, and they experience age-related changes prematurely. Brain injuries such as those related to falls and other trauma are on the rise. Dementia, the sixth leading cause of death, is increasingly recognized as a major public health concern. Multiple co-morbidities that often accompany these conditions further compromise well-being. U.S. health and social service systems have not prioritized the needs of older adults with these multiple and complex needs. Services are fragmented as agencies work in silos with different funding priorities, eligibility requirements and knowledge bases. As a result, we see high rates of health care utilization, poor quality of life, and increased mortality. The State of Oregon has launched several initiatives designed to build bridges between service systems and ultimately fill gaps in services to older adults. This symposium will report on results from three of these initiatives: 1) coordinating services across systems through a new workforce, "Older Adult Behavioral Health Specialists;" 2) implementing evidence-based programs for older adults with moderate depression using strength-based, problem solving approaches (e.g., PEARLS, Healing Pathways); and 3) a dementia training program that includes a focus on people with both serious mental illness and dementia, emphasizing person-centered thinking and planning.
The quality of care provided to nursing home residents has been the subject of broad criticism fo... more The quality of care provided to nursing home residents has been the subject of broad criticism for years. Mounting evidence suggests that the quality of nursing home care can be improved by strengthening the roles of nurses in these facilities. This article reviews the literature on programs designed to enhance nursing leadership in long-term care, examines outcomes associated with leadership in long-term care, and outlines recommendations for programs to enhance nursing leadership in nursing home settings. The findings suggest that nursing leadership training programs for nurses working in nursing homes are urgently needed to improve quality in the nation's nursing homes and stabilize the workforce. To maximize their effectiveness, these leadership training programs should be part of a continuum of leadership development that begins in nursing education programs and persists throughout a nurse's career trajectory.
Journal of Speech Language and Hearing Research, Jan 30, 2019
Communication forms the foundation of social interaction. For older adults, however, there is kno... more Communication forms the foundation of social interaction. For older adults, however, there is known to be an increased risk of developing conditions that interfere with the ability to communicate. These conditions may occur for a variety of reasons, including age-related changes in physical or sensory functioning, injury, and disease. It is estimated that 55% of all Medicare beneficiaries have a communication impairment of some kind. Social contact is known to be vital for older adults' mental and physical health but, because communication impairments often co-occur with other types of disability, it is difficult to generalize about the relative impact of a communication impairment on the social relationships of older adults. Specific aims of the study were to examine whether the severity of a communication impairment is associated with social measures, whether there is an interaction between communication impairments and physical disability, and to examine the role of relationship-control strategies in maintaining access to a larger or more supportive social network. A mixed-methods study design was employed. Community-dwelling older adults were surveyed about the size and diversity of their social networks, frequency of social interactions, and physical and mental health (n = 240) and qualitative data were collected from a smaller subsample. Findings demonstrated that communication impairment was a significant independent predictor for key characteristics of social relationships, including the composition of the social network, certain types of social support, the frequency of social participation, and social self-efficacy. Communication impairment was a significant predictor for higher levels of loneliness and depression. In addition two distinct pathways between communication ii impairment and psychological well-being were identified, with social self-efficacy and reassurance of worth as mediators. Additional insights were provided by the qualitative results. These findings may guide future clinical practice and research by providing a better understanding of the role of communication in health, disability, and the risk of social isolation. iii Dedication I would like to dedicate this work to my parents, to my wife Kristine, to the many patients that I have learned so much from over the years, and also to the memory of Rob Williams whose untimely loss is still a source of sadness. vi
The purpose of the study was to empirically test items of a new measure designed to assess person... more The purpose of the study was to empirically test items of a new measure designed to assess person-directed care (PDC) practices in long-term care. Design and Methods: After reviewing the literature, we identified five areas related to PDC: personhood, comfort care, autonomy, knowing the person, and support for relationships. We also identified an additional component of environmental support. We developed items to reflect the constructs, and then a series of lay and professional experts in the field reviewed the items for face validity. We distributed the resulting 64-item PDC and Environmental Support for PDC measure to direct care workers and nursing, administrative, and other staff from a range of long-term settings across Oregon, culminating in a sample size of 430 participants from eight sites. We employed exploratory factor analyses to reveal the underlying structure of the measure. Results: After we dropped 14 items from the measure, it attained good simple structure, revealing five PDC constructs as previously theorized and three Environmental Support constructs: Support for Work With Residents; Person-Directed Environment for Residents, and Management/Structural Support. All constructs were conceptually distinct and internally consistent, and, as expected, all were positively correlated. Implications: The PDC measurement tool developed through the Better Jobs Better Care demonstration program funded by the Atlantic Philanthropies and Robert Wood Johnson Foundation is an important step toward operationalizing the philosophies inherent in the concepts of PDC and is expected to be a useful tool in evaluating successes in meeting PDC goals and in prompting further research regarding PDC and its consequences for resident and client outcomes.
and hierarchical linear regression were used to develop a BE scale and examine the relationships ... more and hierarchical linear regression were used to develop a BE scale and examine the relationships between engagement and outcomes for DCWs and organizations. The findings support the validity of the proposed BE scale in both datasets (α = .76). Behavioral engagement was negatively associated with turnover intentions (Home Health Aide (HHA), β=-.36); (Nursing Assistant) (NA), β=-.29 p-value <.001) and positively associated with job satisfaction (HHA, β= .47; NA, β= .38, p-value <.001); employee willingness to recommend their organization as place to seek care (HHA, β= .34; NA, β= .45, p-value <.001) and as a place to work (HHA, β= .33; NA. β= .51, p-value <.001). This study contributes to the growing literature on leadership having a direct influence on the BE of DCWs and offers an innovative scale for longterm care organizations to measure and improve the working environment for DCWs.
Behavioral expressions occurring frequently with dementia are challenging for the person as well ... more Behavioral expressions occurring frequently with dementia are challenging for the person as well as for those who support them. Most difficult are psychotic behaviors (e.g., hallucinations, aggressiveness, paranoia) which may be seen in people with and in people without a history of serious mental illness (SMI). Those who do not have SMI often receive erroneous diagnoses or are treated inappropriately with psychotropic medications. Dementia may not be recognized as contributing to behavioral changes in people with a history of SMI, resulting in treatment not adapted to meet changing needs. This paper describes Oregon's dementia capable workforce initiative which included training to address the needs of people with SMI who have dementia. Both aging services and mental health providers were targeted, because the expertise of each group is needed to establish supportive environments that enhance function and reduce distressing symptoms. Lessons learned by providers are presented, including intent to coordinate services.
Quality is defined in multiple ways and by different stakeholders (e.g., residents, regulators, i... more Quality is defined in multiple ways and by different stakeholders (e.g., residents, regulators, informed observers). Using a two-stage stratified sampling strategy, we collected data from N=241 residents living in 31 assisted living and residential care communities (AL/RC) in Oregon. Residents rated their overall satisfaction and satisfaction with the AL/RC as a place to live and to receive care. Each interviewer completed a facility profile summarizing their observations about the setting, including quality of staff-resident interactions and physical environment. Residents and interviewers were also asked whether they would recommend the community to others. Finally, we used deficiency citations given during regular inspections by the licensing agency to proxy regulatory perspective. Results show that perceived quality varied by stakeholder (e.g., residents’ assessments differed from deficiency citations). Given this variation, findings suggest that efforts to make quality indicato...
Policies and practices have increasingly focused on person-centered care (PCC) to improve quality... more Policies and practices have increasingly focused on person-centered care (PCC) to improve quality of life for long-term care residents and staff. Adequate staffing has been a consistent barrier to implementing and sustaining PCC practices. The purpose of this paper is to explore the association between job satisfaction and PCC practices. This research was conducted in a stratified random sample of 33 Oregon nursing homes which were representative in terms of quality, profit/nonprofit ownership, and urban/rural location. Data were collected from 415 staff who completed the staff assessment of person-directed care, direct care worker job satisfaction scale, turnover intention, and organizational belongingness. Consistent with other research, job satisfaction is significantly and negatively correlated with turnover intention (r=-.66) and positively associated with belongingness (r=.66). It is also significantly correlated with scales related to five PCC practices: personhood, autonomy,...
This report describes evaluation findings from the Portland Community College Jobs to Careers (JT... more This report describes evaluation findings from the Portland Community College Jobs to Careers (JTC) project which focused on frontline workers in five assisted living (AL) facilities. Portland State University (PSU) conducted the research. The ALFs varied by size, target population served (e.g., frail elders, those with dementia, those with chronic mental illness), geographical location (i.e., urban, rural, suburban), and profit and nonprofit status. Through the JTC project, frontline workers (referred to in this report as Direct Care Workers – DCWs) participated in work-based learning by completing 27 competency-based care modules. The JTCAL training modules were based on a systematic job analysis of caregiver tasks and the knowledge, skills, and abilities needed to perform them. The modules were delivered by assisted living staff who had completed a train-the-trainer program. Composition of training teams varied across settings, but included supervisors (including nurses, managers...
... of change in families. This includes the construction of social meaning surrounding life even... more ... of change in families. This includes the construction of social meaning surrounding life events and the social context in which transitions occur (Bengtson &amp;amp;amp; Allen, 1993). ... interactions within families or change the ways that we view ourselves (Bengston &amp;amp;amp; Allen, 1993). ...
This report describes the third round of consumer satisfaction surveys conducted with users of Ag... more This report describes the third round of consumer satisfaction surveys conducted with users of Aging and Disabilities Resource Connections (ADRC) of Oregon. The telephone survey was conducted between October 18 and November 2, 2013 and focused on three of the core ADRC functions: 1) information, referral, and awareness; 2) options counseling (OC); and 3) streamlined eligibility determination for public programs. The ADRC Advisory Committee had previously established benchmarks to be used in determining success for many aspects of the program described in this report.
The Resident VIEW is a measure of person-centered care (PCC) from residents’ perspectives and was... more The Resident VIEW is a measure of person-centered care (PCC) from residents’ perspectives and was previously studied in nursing homes. The current study presents descriptive data for the Resident VIEW in community-based care settings including assisted living, residential care (AL/RC), and adult foster homes (AFH). Using a two-stage sampling design, we recruited 31 AL/RC and 119 AFH in Oregon and completed face-to-face structured interviews with 227 and 195 residents, respectively. Residents provided ratings for both the importance of and their experience with 66 items that tapped into PCC practices in eight domains. Results are provided for each item, many of which are significantly associated with greater quality of life, better resident satisfaction, and fewer depressive symptoms, especially in the domains of personalized care and being treated like a person. Incongruence between importance and experience ratings indicate many residents experience unmet needs across multiple doma...
Although emotional well-being generally increases with age, many older adults are at risk for poo... more Although emotional well-being generally increases with age, many older adults are at risk for poor mental health. Declining physical health and increased social isolation place many at risk for depression and anxiety. Also, people who have been diagnosed with a serious mental illness (e.g., schizophrenia, bipolar disorder) are living longer, and they experience age-related changes prematurely. Brain injuries such as those related to falls and other trauma are on the rise. Dementia, the sixth leading cause of death, is increasingly recognized as a major public health concern. Multiple co-morbidities that often accompany these conditions further compromise well-being. U.S. health and social service systems have not prioritized the needs of older adults with these multiple and complex needs. Services are fragmented as agencies work in silos with different funding priorities, eligibility requirements and knowledge bases. As a result, we see high rates of health care utilization, poor quality of life, and increased mortality. The State of Oregon has launched several initiatives designed to build bridges between service systems and ultimately fill gaps in services to older adults. This symposium will report on results from three of these initiatives: 1) coordinating services across systems through a new workforce, "Older Adult Behavioral Health Specialists;" 2) implementing evidence-based programs for older adults with moderate depression using strength-based, problem solving approaches (e.g., PEARLS, Healing Pathways); and 3) a dementia training program that includes a focus on people with both serious mental illness and dementia, emphasizing person-centered thinking and planning.
Although emotional well-being generally increases with age, many older adults are at risk for poo... more Although emotional well-being generally increases with age, many older adults are at risk for poor mental health. Declining physical health and increased social isolation place many at risk for depression and anxiety. Also, people who have been diagnosed with a serious mental illness (e.g., schizophrenia, bipolar disorder) are living longer, and they experience age-related changes prematurely. Brain injuries such as those related to falls and other trauma are on the rise. Dementia, the sixth leading cause of death, is increasingly recognized as a major public health concern. Multiple co-morbidities that often accompany these conditions further compromise well-being. U.S. health and social service systems have not prioritized the needs of older adults with these multiple and complex needs. Services are fragmented as agencies work in silos with different funding priorities, eligibility requirements and knowledge bases. As a result, we see high rates of health care utilization, poor quality of life, and increased mortality. The State of Oregon has launched several initiatives designed to build bridges between service systems and ultimately fill gaps in services to older adults. This symposium will report on results from three of these initiatives: 1) coordinating services across systems through a new workforce, "Older Adult Behavioral Health Specialists;" 2) implementing evidence-based programs for older adults with moderate depression using strength-based, problem solving approaches (e.g., PEARLS, Healing Pathways); and 3) a dementia training program that includes a focus on people with both serious mental illness and dementia, emphasizing person-centered thinking and planning.
The quality of care provided to nursing home residents has been the subject of broad criticism fo... more The quality of care provided to nursing home residents has been the subject of broad criticism for years. Mounting evidence suggests that the quality of nursing home care can be improved by strengthening the roles of nurses in these facilities. This article reviews the literature on programs designed to enhance nursing leadership in long-term care, examines outcomes associated with leadership in long-term care, and outlines recommendations for programs to enhance nursing leadership in nursing home settings. The findings suggest that nursing leadership training programs for nurses working in nursing homes are urgently needed to improve quality in the nation&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s nursing homes and stabilize the workforce. To maximize their effectiveness, these leadership training programs should be part of a continuum of leadership development that begins in nursing education programs and persists throughout a nurse&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s career trajectory.
Journal of Speech Language and Hearing Research, Jan 30, 2019
Communication forms the foundation of social interaction. For older adults, however, there is kno... more Communication forms the foundation of social interaction. For older adults, however, there is known to be an increased risk of developing conditions that interfere with the ability to communicate. These conditions may occur for a variety of reasons, including age-related changes in physical or sensory functioning, injury, and disease. It is estimated that 55% of all Medicare beneficiaries have a communication impairment of some kind. Social contact is known to be vital for older adults' mental and physical health but, because communication impairments often co-occur with other types of disability, it is difficult to generalize about the relative impact of a communication impairment on the social relationships of older adults. Specific aims of the study were to examine whether the severity of a communication impairment is associated with social measures, whether there is an interaction between communication impairments and physical disability, and to examine the role of relationship-control strategies in maintaining access to a larger or more supportive social network. A mixed-methods study design was employed. Community-dwelling older adults were surveyed about the size and diversity of their social networks, frequency of social interactions, and physical and mental health (n = 240) and qualitative data were collected from a smaller subsample. Findings demonstrated that communication impairment was a significant independent predictor for key characteristics of social relationships, including the composition of the social network, certain types of social support, the frequency of social participation, and social self-efficacy. Communication impairment was a significant predictor for higher levels of loneliness and depression. In addition two distinct pathways between communication ii impairment and psychological well-being were identified, with social self-efficacy and reassurance of worth as mediators. Additional insights were provided by the qualitative results. These findings may guide future clinical practice and research by providing a better understanding of the role of communication in health, disability, and the risk of social isolation. iii Dedication I would like to dedicate this work to my parents, to my wife Kristine, to the many patients that I have learned so much from over the years, and also to the memory of Rob Williams whose untimely loss is still a source of sadness. vi
The purpose of the study was to empirically test items of a new measure designed to assess person... more The purpose of the study was to empirically test items of a new measure designed to assess person-directed care (PDC) practices in long-term care. Design and Methods: After reviewing the literature, we identified five areas related to PDC: personhood, comfort care, autonomy, knowing the person, and support for relationships. We also identified an additional component of environmental support. We developed items to reflect the constructs, and then a series of lay and professional experts in the field reviewed the items for face validity. We distributed the resulting 64-item PDC and Environmental Support for PDC measure to direct care workers and nursing, administrative, and other staff from a range of long-term settings across Oregon, culminating in a sample size of 430 participants from eight sites. We employed exploratory factor analyses to reveal the underlying structure of the measure. Results: After we dropped 14 items from the measure, it attained good simple structure, revealing five PDC constructs as previously theorized and three Environmental Support constructs: Support for Work With Residents; Person-Directed Environment for Residents, and Management/Structural Support. All constructs were conceptually distinct and internally consistent, and, as expected, all were positively correlated. Implications: The PDC measurement tool developed through the Better Jobs Better Care demonstration program funded by the Atlantic Philanthropies and Robert Wood Johnson Foundation is an important step toward operationalizing the philosophies inherent in the concepts of PDC and is expected to be a useful tool in evaluating successes in meeting PDC goals and in prompting further research regarding PDC and its consequences for resident and client outcomes.
and hierarchical linear regression were used to develop a BE scale and examine the relationships ... more and hierarchical linear regression were used to develop a BE scale and examine the relationships between engagement and outcomes for DCWs and organizations. The findings support the validity of the proposed BE scale in both datasets (α = .76). Behavioral engagement was negatively associated with turnover intentions (Home Health Aide (HHA), β=-.36); (Nursing Assistant) (NA), β=-.29 p-value <.001) and positively associated with job satisfaction (HHA, β= .47; NA, β= .38, p-value <.001); employee willingness to recommend their organization as place to seek care (HHA, β= .34; NA, β= .45, p-value <.001) and as a place to work (HHA, β= .33; NA. β= .51, p-value <.001). This study contributes to the growing literature on leadership having a direct influence on the BE of DCWs and offers an innovative scale for longterm care organizations to measure and improve the working environment for DCWs.
Behavioral expressions occurring frequently with dementia are challenging for the person as well ... more Behavioral expressions occurring frequently with dementia are challenging for the person as well as for those who support them. Most difficult are psychotic behaviors (e.g., hallucinations, aggressiveness, paranoia) which may be seen in people with and in people without a history of serious mental illness (SMI). Those who do not have SMI often receive erroneous diagnoses or are treated inappropriately with psychotropic medications. Dementia may not be recognized as contributing to behavioral changes in people with a history of SMI, resulting in treatment not adapted to meet changing needs. This paper describes Oregon's dementia capable workforce initiative which included training to address the needs of people with SMI who have dementia. Both aging services and mental health providers were targeted, because the expertise of each group is needed to establish supportive environments that enhance function and reduce distressing symptoms. Lessons learned by providers are presented, including intent to coordinate services.
Quality is defined in multiple ways and by different stakeholders (e.g., residents, regulators, i... more Quality is defined in multiple ways and by different stakeholders (e.g., residents, regulators, informed observers). Using a two-stage stratified sampling strategy, we collected data from N=241 residents living in 31 assisted living and residential care communities (AL/RC) in Oregon. Residents rated their overall satisfaction and satisfaction with the AL/RC as a place to live and to receive care. Each interviewer completed a facility profile summarizing their observations about the setting, including quality of staff-resident interactions and physical environment. Residents and interviewers were also asked whether they would recommend the community to others. Finally, we used deficiency citations given during regular inspections by the licensing agency to proxy regulatory perspective. Results show that perceived quality varied by stakeholder (e.g., residents’ assessments differed from deficiency citations). Given this variation, findings suggest that efforts to make quality indicato...
Policies and practices have increasingly focused on person-centered care (PCC) to improve quality... more Policies and practices have increasingly focused on person-centered care (PCC) to improve quality of life for long-term care residents and staff. Adequate staffing has been a consistent barrier to implementing and sustaining PCC practices. The purpose of this paper is to explore the association between job satisfaction and PCC practices. This research was conducted in a stratified random sample of 33 Oregon nursing homes which were representative in terms of quality, profit/nonprofit ownership, and urban/rural location. Data were collected from 415 staff who completed the staff assessment of person-directed care, direct care worker job satisfaction scale, turnover intention, and organizational belongingness. Consistent with other research, job satisfaction is significantly and negatively correlated with turnover intention (r=-.66) and positively associated with belongingness (r=.66). It is also significantly correlated with scales related to five PCC practices: personhood, autonomy,...
This report describes evaluation findings from the Portland Community College Jobs to Careers (JT... more This report describes evaluation findings from the Portland Community College Jobs to Careers (JTC) project which focused on frontline workers in five assisted living (AL) facilities. Portland State University (PSU) conducted the research. The ALFs varied by size, target population served (e.g., frail elders, those with dementia, those with chronic mental illness), geographical location (i.e., urban, rural, suburban), and profit and nonprofit status. Through the JTC project, frontline workers (referred to in this report as Direct Care Workers – DCWs) participated in work-based learning by completing 27 competency-based care modules. The JTCAL training modules were based on a systematic job analysis of caregiver tasks and the knowledge, skills, and abilities needed to perform them. The modules were delivered by assisted living staff who had completed a train-the-trainer program. Composition of training teams varied across settings, but included supervisors (including nurses, managers...
... of change in families. This includes the construction of social meaning surrounding life even... more ... of change in families. This includes the construction of social meaning surrounding life events and the social context in which transitions occur (Bengtson &amp;amp;amp; Allen, 1993). ... interactions within families or change the ways that we view ourselves (Bengston &amp;amp;amp; Allen, 1993). ...
This report describes the third round of consumer satisfaction surveys conducted with users of Ag... more This report describes the third round of consumer satisfaction surveys conducted with users of Aging and Disabilities Resource Connections (ADRC) of Oregon. The telephone survey was conducted between October 18 and November 2, 2013 and focused on three of the core ADRC functions: 1) information, referral, and awareness; 2) options counseling (OC); and 3) streamlined eligibility determination for public programs. The ADRC Advisory Committee had previously established benchmarks to be used in determining success for many aspects of the program described in this report.
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Papers by Diana White