title: Breaking the turnover cycle.
abstract: The Paraprofessional Healthcare Institute, Bronx, NY, identifies seven elements which are essential for employers in their creation of a stable, well-qualified direct-care workforce. These "common sense" elements--ranging from paying family-sustaining wages to strengthening the caregiving relationship between the workers and those whom they serve--can make the difference between chronic turnover, on one hand, and employing a dedicated staff large enough to keep pace with the growing need for long-term care and services, on the other. However, implementing the seven elements requires the commitment, coordination, and the cooperation of the entire long-term care system, especially the state and federal reimbursement systems that pay for most care and services. By joining forces with other long-term care stakeholders, through organizations such as the Direct Care Alliance, providers can help stabilize the workforce and, ultimately, help to increase the allocation of public resources.
authors.affiliation: Paraprofessional Healthcare Institute, Bronx, NY, USA.
authors.forename: Elise
authors.initials: E
authors.lastname: Nakhnikian
mesh_terms: D006801:Humans; D007588:Job Satisfaction; D009735:Nursing Homes / Q000458:organization & administration; D010558:Personnel Loyalty; D010559:Personnel Management / Q000379:methods*; D010563:Personnel Turnover; D014481:United States; D000078329:Workforce