Improving the long-term care workforce serving older adults

Health Affairs

Volumn 29, Issue 1, 2010, Pages 109-115

  Stone, Robyn ^a   Harahan, Mary F ^b  

^a American Association of Homes and Services for the Aging   (United States)

^b Institute for the Future of Aging Services   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADMINISTRATIVE PERSONNEL; ASSISTED LIVING FACILITY; DAILY LIFE ACTIVITY; ELDERLY CARE; HEALTH CARE DELIVERY; HEALTH CARE NEED; HEALTH CARE PERSONNEL; HEALTH CARE PLANNING; HEALTH CARE POLICY; HEALTH EDUCATION; HEALTH INSURANCE; HEALTH SERVICE; HUMAN; JOB PERFORMANCE; LONG TERM CARE; NURSE; NURSING HOME; OCCUPATIONAL THERAPIST; PATIENT CARE; PHYSIOTHERAPIST; PRIMARY MEDICAL CARE; PROGRAM DEVELOPMENT; REGISTERED NURSE; REVIEW; SOCIAL WORKER; TOTAL QUALITY MANAGEMENT; WORKMAN COMPENSATION;

ADULT; AGED; CLINICAL COMPETENCE; EMPLOYMENT; GERIATRICS; HEALTH SERVICES FOR THE AGED; HUMANS; LONG-TERM CARE; PERSONNEL MANAGEMENT; PERSONNEL SELECTION;

EID: 77953541410     PISSN: 02782715     EISSN: 15445208     Source Type: Journal    
DOI: 10.1377/hlthaff.2009.0554     Document Type: Review

References (44)

1. Harahan M, Stone RI. Who will care?Building the geriatric long-term care labor force. In: Hudson R, editor. Boomer bust? Economic and political issues of the graying society, vol. 2. Westport (CT) : Praeger Publishing; 2008. p. 233-53.
2. Paraprofessional Healthcare Institute. Who are direct-care workers? Facts 3 [monograph on the Internet]. Bronx (NY) : PHI; 2009 [cited 2009 Nov. 18]. Available from: http://www.directcareclearing house.org/download/ NCDCW%20Fact%20Sheet-1.pdf
3. U. S. Department of Labor, Bureau of Labor Statistics. Occupational outlook handbook (OOH), 2008-09 ed. [Internet]. Washington (DC) : DOL; [cited 2009 Nov. 18]. Available from: http://www.bls.gov/oco
4. Smith J, Crawford L. Report of findings from the 2003 LPN/VN practice analysis linking the NCLEX-PN examination to practice. Chicago (IL) : National Council of State Boards of Nursing; 2003.
5. U. S. Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation. The supply and demand of professional social workers providing long-term care services: report to Congress [monograph on the Internet]. Washington (DC) : ASPE; 2006 Mar. [cited 2009 Oct. 20]. Available from: http://aspe.hhs.gov/daltcp/reports/2006/SWsupply.htm
6. Whitaker T, Weismiller T, Clark E. Assuring the sufficiency of a frontline workforce: a national study of licensed social workers [monograph on the Internet]. Washington (DC) : National Association of Social Workers; 2006 [cited 2009 Oct. 20]. Available from: http://workforce.-socialworkers.org/ studies/nasw-06-execsummary.pdf
7. U. S. Department of Labor, Bureau of Labor Statistics. Physical therapists. In: Occupational outlook handbook (OOH), 2008-09 ed. [Internet]. Washington (DC) : DOL; [cited 2009 Nov. 18]. Available from: http://www.bls.gov/oco/ocos080.htm
8. U. S. Department of Labor, Bureau of Labor Statistics. Occupational therapists. In: Occupational outlook handbook (OOH), 2008-09 edition [Internet]. Washington (DC) : DOL; [cited 2009 Nov. 18]. Available from: http://www.bls.gov/oco/ocos078.htm
9. U. S. Department of Health and Human Services, Office of Inspector General. Nursing home medical directors survey. Washington (DC) : DHHS; 2003. Pub. no. OEI-06-99-00300.
10. Markeley J, Winberry S. Communication with physicians: how agencies can be heard. Home Health Care Management Practice. 2008;20(2):161-8.
11. Personal communication with Lindner R. National Association of Boards of Examiners; 2009 Sep. 17.
12. National Center for Workforce Analysis, Bureau of Health Professions, Health Resources and Services Administration. Nursing aides, home health aides, and related health care occupations-national and local workforce shortages and associated data needs [monograph on the Internet]. Washington (DC) : HRSA; 2004 [cited 2009 Nov. 18]. Available from: http://bhpr.hrsa.gov/healthworkforce/ reports/nursinghomeaid/nursinghome.htm
13. Institute of Medicine. Retooling for an aging America: building the health care workforce. Washington (DC) : National Academies Press; 2008.
14. U. S. Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation. The future supply of long-term care workers in relation to the aging baby boom generation, report to Congress [monograph on the Internet]. Washington (DC) : ASPE; 2003 [cited 2009 Sep. 17]. Available from: http://aspe.hhs.gov/daltcp/reports.ltcwork.pdf
15. Friedland R. Caregivers and longterm care needs in the twenty-first century; will public policy meet the challenge? Washington (DC) : Georgetown University Long-Term Care Financing Project; 2004.
16. Johnson RW, Toohey D, Wiener JM. Meeting the long-term care needs of the baby boomers: how changing families will affect paid helpers and institutions. Washington (DC) : Urban Institute; 2007.
17. Komisar HL, Tumlinson A, Feder J, Burke S. Long-term care in health care reform: policy options to improve both [monograph on the Internet]. Long Beach (CA) : SCAN Foundation; 2009 Jul. [cited 2009 Sep. 25]. Available from: http://www.thescanfoundation.org/documents/reports/SCAN%20Policy%20Brief%20July %202009%20FINAL.pdf
18. Stone RI, Dawson S. The origins of Better Jobs Better Care. Gerontologist. 2008;48(Spec No 1):5-13.
19. Harmuth S, Dyson S. Results from the 2005 national survey of state initiatives on the long-term care direct care workforce [monograph on the Internet]. Bronx (NY) : National Clearinghouse on the Direct Care Workforce; 2005 Sep. [cited 2009 Sep. 9]. Available from: http://www. directcareclearinghouse.org/download/2005-Nat-Survey-State-Initiatives.pdf
20. Building Academic Geriatric Nursing Capacity [Internet]. Washington (DC) : American Academy of Nursing; [cited 2009 Sep. 25]. Available from: http://www.geriatricnursing.org/hcgne/nhc.asp
21. Harvath TA, Swafford K, Smith K, Miller LL, Volpin M, Sexson K, et al. Enhancing nursing leadership in long-term care: a review of the literature. Res Geron Nurs. 2008;1(3):187-93.
22. Kaiser Family Foundation. The public's views on long-term care. Kaiser Public Opinion Spotlight [Internet]. Washington (DC) : KFF; 2007 Dec. [cited 2009 Nov. 18]. Available from: http://www.kff.org/spotlight/longterm/index.cfm
23. Howes C. Living wages and retention of homecare workers in San Francisco. Ind Rel. 2005;44(1):130-63.
24. Howes C. Love, money, or flexibility: what motivates people to work in consumer-directed home care? Gerontologist. 2008;48(Spec No 1):46-59.
25. Bishop CE, Weinberg DB, Leutz W, Dossa A, Pfefferle SG, Zincavage RM. Nursing assistants' job commitment: effect of nursing home organizational factors and impact on resident well-being. Gerontologist. 2008;48(Spec No 1):36-45.
26. Health Resources and Services Administration. The registered nurse population: findings from the March 2004 National Sample Survey of Registered Nurses. Washington (DC) : HRSA; 2006.
27. Bowers BJ, Esmond S, Jacobson N. Turnover reinterpreted: CNAs talk about why they leave. J Gerontol Nurs. 2003;29(3):36-43.
28. Wiener JM, Squillace MR, Anderson WL, Khatutsky G. Why do they stay? Job tenure among certified nursing assistants in nursing homes. Gerontologist. 2008;49(2):198-210.
29. Castle NG, Engberg J. Organizational characteristics associated with staff turnover in nursing homes. Gerontologist. 2006;46(1):62-73.
30. st sess. (2009);
31. st sess. (2009);
32. st sess. 2009).
33. Tellis-Nyack V. A person-centered workplace: the foundation for caregiving in long-term care. J AMDA. 2007;8(1):46-54.
34. Kassner E, Reinhard S, Fox-Grage W, Houser AN, Accius JC, Coleman B, et al. A balancing act: state longterm care reform. In Brief [monograph on the Internet]. Washington (DC) : AARP; 2008 Jul. [cited 2009 Sep. 25]. Available from: http://www.aarp.org/research/ppi/ltc/hcbs/articles/inb161-ltc.html
35. Hamilton N, Tesh AS. The North Carolina Eden Coalition: facilitating environmental transformation. J Gerontol Nurs. 2002;28(3):35-40.
36. Kane RA, Lum TY, Cutler LJ, Degenholtz HB, Yu TC. Resident outcomes in small-house nursing homes: a longitudinal evaluation of the initial green house program. J Am Geriatr Soc. 2007;55(6):832-9.
37. Foster L, Brown R, Phillips B, Schore J, Carlson BL. Improving the quality of Medicaid personal assistance through consumer direction. Health Aff (Millwood). 2003; 22: w3-162-75.
38. Reinhard SC, Young H, Kane RA, Quinn WV. Nurse delegation of medication administration of elders. New Brunswick (NJ) : Rutgers Center for State Health Policy; 2003.
39. Coleman EA, Berenson RA. Lost in transition: challenges and opportunities for improving the quality of transitional care. Ann Intern Med. 2003;141(7):533-6.
40. Harahan MF, Stone RI. Defining core competencies for the professional long-term care workforce: a status report and next steps. Washington (DC) : Institute for the Future of Aging Services; 2009.
41. U. S. Department of Labor, Employment and Training Administration. Registered apprenticeship [Internet]. Washington (DC) : U. S. Department of Labor; 2008 [cited 2009 Dec. 15]. Available from: http://www.doleta.gov/oa
42. Hwalek M, Straub V, Kosniewski K. Older workers: opportunities to expand the long-term care/direct care labor force. Gerontologist. 2008;48(Spec No 1):90-103.
43. Better Jobs Better Care. Health insurance coverage for direct care workers: riding out the storm. Issue Brief. Washington (DC) : Institute for the Future of Aging Services; 2004.
44. Better Jobs Better Care. Linking payment to long-term care quality: can direct care staffing measures build the foundation? Washington (DC) : Institute for the Future of Aging Services; 2005.