Satisfaction and Retention of Staff in Assisted Living

描述(由申请人提供)：这项研究的目标是了解辅助生活设施(ALF)如何创造一个最大限度地提高直接护理人员的满意度和留住他们的环境。具体的研究目的是：(1)了解ALF中直接护理人员工作满意度的含义；(2)了解个人、社会文化和环境因素如何影响ALF中直接护理人员的满意度和留存，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策略，以支持ALF中直接护理人员的工作满意度和留住。将采用定性和定量相结合的方法。佐治亚州的36个ALF的分层随机抽样将代表该州3类设施规模(16-25；26-50；51名居民)和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(从每个家庭的4至12人)进行面对面访谈。另将有目的地挑选40名工作人员进行深入的定性面试。对直接护理人员的采访将侧重于他们对护理给予的经验和态度，并包括工作满意度量表。还将约谈每个家庭的一名管理员，以确定该设施的组织结构、政策和程序，以及管理员在人员配置方面的经验和态度。此外，还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，而标准的定量方法将用于定量数据分析。 这项研究的结果将增加我们对居住在辅助生活设施中的年老、体弱的人的有偿照顾者的动机、行为、激励因素和职业化障碍的理解。这将有助于提高满意度，减少直接护理人员短缺和流动率，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.