Satisfaction and Retention of Staff in Assisted Living

描述（由申请人提供）：本研究的目标是了解辅助生活设施（ALFs）如何创造一个最大限度地满足和留住直接护理人员的环境。具体研究目的为：（1）了解基层护理人员工作满意度的意义;（2）了解个体、社会文化和环境因素如何影响基层护理人员的满意度和保留率，以及这些变量之间的关系;以及3）确定直接护理，管理和行政人员的成功战略，支持工作满意度和保留直接护理人员在ALFs。将使用定性和定量方法。将选择格鲁吉亚36个ALF的分层随机样本，以代表3类设施规模（16-25; 26-50; 51+居民）和该州3个地区的变化。在这些设施中，将随机选择308名直接护理人员（每家4-12人）进行面对面访谈。另有40名工作人员将被有目的地挑选进行深入的定性访谈。与直接护理人员的访谈将侧重于他们的经验和对护理的态度，并包括工作满意度量表。每个家庭的一名管理员也将接受采访，以确定该设施的组织结构和政策和程序，以及管理员的经验和态度有关的人员配置。此外，将审查包含与人员配置有关的政策和程序的设施文件。定性数据将使用扎根理论方法（Strauss & Corbin，1990）进行分析，定量数据分析将使用标准定量方法。 这项研究的结果将增加我们的动机，行为，激励和专业化的老年人，体弱者居住在辅助生活设施的有偿照顾者的障碍的理解。这种理解将有助于提高满意度，减少直接护理人员短缺和流动，从而提高护理质量和居民的生活。

DESCRIPTION (provided by applicant): The goal of this study is to learn how assisted living facilities (ALFs) can create an environment that maximizes satisfaction and retention of direct-care staff. The specific research aims are: (1) to understand the meaning of job satisfaction for direct-care staff in ALFs; (2) to understand how individual, socio-cultural, and environmental factors influence satisfaction and retention of direct-care staff in ALFs and the relationship between these variables; and 3) to identify successful strategies of direct-care, managerial, and administrative staff that support job satisfaction and retention of direct-care staff in ALFs. Both qualitative and quantitative methods will be utilized. A stratified random sample of 36 ALFs in Georgia will be selected to represent variation in 3 categories of facility size (16-25; 26-50; 51+ residents) and 3 areas of the state. Within these facilities, 308 direct-care staff (from 4-12 in each home) will be selected randomly for face-to-face interviews. An additional 40 staff will be purposively selected for in-depth qualitative interview. Interviews with direct-care staff will focus on their experiences and attitudes toward care giving and include a job satisfaction scale. One administrator from each home also will be interviewed to determine the facility's organizational structure and policies and procedures and the administrator's experiences and attitudes related to staffing. In addition, facility documents containing policies and procedures related to staffing will be reviewed. Qualitative data will be analyzed using the grounded theory method (Strauss & Corbin, 1990), and standard quantitative methods will be utilized for quantitative data analysis. Results of this study will increase our understanding of the motivations, behaviors, incentives, and barriers to professionalization of paid caregivers of older, frail persons residing in assisted living facilities. This understanding will help increase satisfaction and reduce direct-care staff shortages and turnover, thus enhancing quality of care and life of residents.