title: Perceived advantages and disadvantages of using agency staff related to care in nursing homes: a conceptual model.
abstract: Data from 3,946 nursing homes (66% response rate) were used to examine the advantages and disadvantages of using agency staff. A conceptual model showing potential reasons for the relationship between agency use and care quality was also developed. Fifty-nine percent of nursing homes used some agency staff (i.e., RNs, licensed practical nurses, nurse aides) in 2006. The conceptual model and empirical analyses show that agency staff likely influence other staff, facility operations, and residents. Administrators listed more disadvantages than advantages of using agency staff.
authors.affiliation: University of Pittsburgh, Department of Health Policy and Management, Pittsburgh, Pennsylvania 15261, USA. CASTLEN@Pitt.edu
authors.forename: Nicholas G
authors.initials: NG
authors.lastname: Castle
mesh_terms: D003284:Contract Services; D003659:Decision Making, Organizational; D019538:Health Care Surveys / Q000706:statistics & numerical data; D006801:Humans; D008962:Models, Theoretical; D009735:Nursing Homes; D010561:Personnel Staffing and Scheduling; D011787:Quality of Health Care; D014481:United States; D000078329:Workforce