The goal of this study is to learn how assisted living facilities (ALFs) can create an environment that maximizes satisfaction and retention of direct-care staff. The specific research aims are: (1) to understand the meaning of job satisfaction for direct-care staff in ALFs; (2) to understand how individual, socio-cultural, and environmental factors influence satisfaction and retention of direct-care staff in ALFs and the relationship between these variables; and 3) to identify successful strategies of direct-care, managerial, and administrative staff that support job satisfaction and retention of direct-care staff in ALFs. Both qualitative and quantitative methods will be utilized. A stratified random sample of 36 ALFs in Georgia will be selected to represent variation in 3 categories of facility size (16-25; 26-50; 51+ residents) and 3 areas of the state. Within these facilities, 308 direct-care staff (from 4-12 in each home) will be selected randomly for face-to-face interviews. An additional 40 staff will be purposively selected for in-depth qualitative interview. Interviews with direct-care staff will focus on their experiences and attitudes toward care giving and include a job satisfaction scale. One administrator from each home also will be interviewed to determine the facility's organizational structure and policies and procedures and the administrator's experiences and attitudes related to staffing. In addition, facility documents containing policies and procedures related to staffing will be reviewed. Qualitative data will be analyzed using the grounded theory method (Strauss & Corbin, 1990), and standard quantitative methods will be utilized for quantitative data analysis. ? Results of this study will increase our understanding of the motivations, behaviors, incentives, and barriers to professionalization of paid caregivers of older, frail persons residing in assisted living facilities. This understanding will help increase satisfaction and reduce direct-care staff shortages and turnover, thus enhancing quality of care and life of residents. ? ?

Agency
National Institute of Health (NIH)
Institute
National Institute on Aging (NIA)
Type
Research Project (R01)
Project #
5R01AG021183-02
Application #
6894725
Study Section
Social Sciences, Nursing, Epidemiology and Methods 4 (SNEM)
Program Officer
Stahl, Sidney M
Project Start
2004-06-01
Project End
2007-05-31
Budget Start
2005-06-15
Budget End
2006-05-31
Support Year
2
Fiscal Year
2005
Total Cost
$291,000
Indirect Cost
Name
Georgia State University
Department
Other Health Professions
Type
Schools of Arts and Sciences
DUNS #
837322494
City
Atlanta
State
GA
Country
United States
Zip Code
30302
Ball, Mary M; Kemp, Candace L; Hollingsworth, Carole et al. (2014) ""This is our last stop"": Negotiating end-of-life transitions in assisted living. J Aging Stud 30:1-13
Sandhu, Navtej K; Kemp, Candace L; Ball, Mary M et al. (2013) Coming together and pulling apart: Exploring the influence of functional status on co-resident relationships in assisted living. J Aging Stud 27:317-29
Kemp, Candace L; Ball, Mary M; Perkins, Molly M (2013) Convoys of care: theorizing intersections of formal and informal care. J Aging Stud 27:15-29
Kemp, Candace L; Ball, Mary M; Perkins, Molly M et al. (2009) ""I get along with most of them"": direct care workers' relationships with residents' families in assisted living. Gerontologist 49:224-35