Burnout among direct-care workers in nursing homes: Influences of organisational, workplace, interpersonal and personal characteristics.

Aims And Objectives: The many negative effects of burnout have prompted researchers to better understand the factors contributing to it. The purpose of this paper is to add to this body of knowledge through the study of burnout among direct-care workers in nursing homes.

Background: Perhaps the factor most often associated with employee burnout is the level of staffing-insufficient staffing results in work overload and eventually employee burnout.

Family, neighbourhood, and children's health: Trends and racial/ethnic disparities between 2003 and 2007 in the U.S.

The present study examined the race/ethnicity-specific trend of parent-reported health among children aged 17 years and under in the U.S. between 2003 and 2007, and its relationship with family background, neighbourhood support and neighbourhood safety.

Shared Decision-Making in Nursing Homes: Factors Associated With the Empowerment of Direct Care Workers.

Objective: The advantages of empowering direct care workers (DCWs) within nursing homes (NHs) are well documented. Our objective is to identify factors that create DCW empowerment as this has not received adequate attention.

Method: The data come from a larger study focused on the empowerment of DCWs in NHs.

Social capital and self-rated health among middle-aged and older adults in China: a multilevel analysis.

This study examined the association between social capital, at both the individual and the community level, and self-rated health among older adults in China. Using data from the 2008 Pilot Survey of China Health and Retirement Longitudinal Study, a series of multilevel logistic models were estimated in SAS 9.2.

Environment and subjective well-being of rural Chinese elderly: a multilevel analysis.

Introduction: The purpose of this study was to examine the effects of environment on the subjective well-being (SWB) of older Chinese villagers after controlling for personal and social characteristics.

Method: Data collected from the Chinese Health and Retirement Longitudinal Survey Pilot Study were used to examine the relationship between (a) SWB (i.e.

Social support and life satisfaction among older adults in China: family-based support versus community-based support.

Family-based support has been the traditional care arrangement for the elderly in China. With the maturing of its "one child per couple" policy and the changing scenarios of family structure and cultural norms, these traditional care arrangements for the Chinese elderly are becoming dismantled. Centers and associations within the community have gradually become the major infrastructures to provide old age service and support in China.

Village characteristics and health of rural Chinese older adults: examining the CHARLS Pilot Study of a rich and poor province.

Community (or village) characteristics have received growing attention as researchers have sought factors affecting health. This study examines the association between a variety of environmental, economic, and social village characteristics and health of Chinese older rural adults with health measured in terms of physical limitations. The Chinese Health and Retirement Longitudinal Survey (CHARLS) Pilot Study data were used.

Nurse aide decision making in nursing homes: factors affecting empowerment.

Aims And Objectives: To evaluate factors affecting structural empowerment among nurse aides in nursing homes.

Background: Structural empowerment can be defined as the actual rather than perceived ability to make autonomous decisions within an organisation. Given the paucity of research on the subject, this study helps to close the gap by identifying factors that affect nurse aide empowerment, that is, decision-making among nurse aides.

The perception of "training availability" among certified nurse aides: relationship to CNA performance, turnover, attitudes, burnout, and empowerment.

The purpose of this study was to examine the relationship between the certified nurse aides' (CNAs) perception that "training is always available when needed" and the CNAs' performance, turnover, attitudes, burnout, and empowerment. The data came from a larger study where a self-administered survey instrument was completed by 359 CNAs working in 11 nursing homes in the North Texas region. The data analyses largely support previous research.

CNA empowerment: effects on job performance and work attitudes.

In this analysis, the effects of empowerment were examined among a sample of certified nursing assistants (CNAs) representing a wide range of empowerment levels. On the basis of survey responses from 298 CNAs and 136 nurses in five nursing homes where CNA-empowered work teams had been implemented and five nursing homes with more traditional management approaches, the results indicated that CNA empowerment had a variety of effects. CNAs with high empowerment and the nurses who worked with them tended to report better CNA performance and work-related attitudes.

Consequences of empowered CNA teams in nursing home settings: a longitudinal assessment.

Purpose: Recent studies have concluded that there is a lack of "patient-centered" care in nursing homes and subsequently a need for nursing home culture change. As a result, a variety of new, promising initiatives have been introduced, with most of these incorporating the use of "empowered" employees. The purpose of this study was to evaluate the effects of empowered work teams--a work design specifically established to empower certified nurse aides (CNAs)--within the long-term-care setting.

Self-managed work teams in nursing homes: implementing and empowering nurse aide teams.

Purpose: This article describes the progress of our study to examine the advantages and costs of using self-managed nurse aide teams in nursing homes, steps that are being taken to implement such teams, and management strategies being used to manage the teams.

Design And Methods: A quasi-experimental design is underway where certified nurse aide (CNA) teams are being established in five nursing homes (NHs) in the Dallas-Fort Worth metropolitan area, and five additional NHs are being treated as comparison NHs.

Results: As of March 2004 CNA teams were established in five NHs, and baseline survey data were collected from the CNAs, nurses, residents, and family members in each of these NHs as well as from those in the five comparison homes.