title: Workforce Characteristics, Perceptions, Stress, and Satisfaction among Staff in Green House and Other Nursing Homes.
abstract: OBJECTIVE
  To compare workforce characteristics and staff perceptions of safety, satisfaction, and stress between Green House (GH) and comparison nursing homes (CNHs).
  
  
  METHODS
  Primary data on staff perceptions of safety, stress, and satisfaction from 13 GHs and 8 comparison NHs in 11 states; secondary data from human resources records on workforce characteristics, turnover, and staffing from 01/01/2011-06/30/2012.
  
  
  METHODS
  Observational study.
  
  
  METHODS
  Workforce data were from human resources offices; staff perceptions were from surveys.
  
  
  RESULTS
  Few significant differences were found between GH and CNHs. Exceptions were GH direct caregivers were older, provided twice the normalized hours per week budgeted per resident than CNAs in CNHs or Legacy NHs, and trended toward lower turnover.
  
  
  CONCLUSIONS
  GH environment may promote staff longevity and does not negatively affect worker's stress, safety perceptions, or satisfaction. Larger studies are needed to confirm findings.
authors.affiliation: International Severity Information Systems, Inc., Salt Lake City, UT.
authors.forename: Patrick B
authors.initials: PB
authors.lastname: Brown
authors.affiliation: SLH Clinical Consulting, Scottsdale, AZ.
authors.forename: Sandra L
authors.initials: SL
authors.lastname: Hudak
authors.affiliation: Department of Population Health Sciences, Health System Innovation and Research Program, University of Utah School of Medicine, Salt Lake City, UT.
authors.forename: Susan D
authors.initials: SD
authors.lastname: Horn
authors.affiliation: Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, NC.
authors.forename: Lauren W
authors.initials: LW
authors.lastname: Cohen
authors.affiliation: Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, NC.
authors.forename: David Allen
authors.initials: DA
authors.lastname: Reed
authors.affiliation: Cecil G. Sheps Center for Health Services Research, School of Social Work, University of North Carolina at Chapel Hill, Chapel Hill, NC.
authors.forename: Sheryl
authors.initials: S
authors.lastname: Zimmerman
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D017028:Caregivers / Q000523:psychology; D005260:Female; D006801:Humans; D007588:Job Satisfaction; D008297:Male; D008875:Middle Aged; D009735:Nursing Homes; D061214:Patient Safety; D010563:Personnel Turnover; D013315:Stress, Psychological; D011795:Surveys and Questionnaires; D000078329:Workforce; D017132:Workplace / Q000523:psychology*
keywords: Green House homes; Nursing home workforce characteristics; safety culture, stress, and satisfaction; staff turnover