title: Baseline management practices at providers in better jobs better care.
abstract: High turnover and difficult recruitment of direct care workers are challenges for long-term care providers. This study reports the extent and variation of the use of management practices for direct care workers and their supervisors across four long-term care settings in the Better Jobs Better Care demonstration. Overall, there is limited use of direct care worker training, career advancement opportunities, and mentoring programs. Participation in care planning, communication about tasks, and direct care worker supervisor training and development practices vary significantly across long-term care settings. The paucity of training, career advancement opportunities, and mentoring programs suggests that government policies may be needed to encourage their use.
authors.affiliation: Health Policy and Administration, Pennsylvania State University, 116 Henderson Bldg, University Park, PA, 16801, USA. als527@psu.edu
authors.forename: Amy L
authors.initials: AL
authors.lastname: Stott
authors.forename: S Diane
authors.initials: SD
authors.lastname: Brannon
authors.forename: Joseph
authors.initials: J
authors.lastname: Vasey
authors.forename: Kathryn H
authors.initials: KH
authors.lastname: Dansky
authors.forename: Peter
authors.initials: P
authors.lastname: Kemper
mesh_terms: D002322:Career Mobility; D003142:Communication; D003430:Cross-Sectional Studies; D006699:Home Care Services / Q000458:organization & administration*; D006801:Humans; D007587:Job Description; D008134:Long-Term Care / Q000458:organization & administration*; D010347:Patient Care Planning / Q000458:organization & administration; D011787:Quality of Health Care / Q000458:organization & administration*; D012112:Residential Facilities / Q000458:organization & administration*; D013192:Staff Development / Q000458:organization & administration; D014481:United States