How to ask: Surveying nursing directors of nursing homes

Williams, Jessica A.; Vriniotis, Mary; Gundersen, Daniel A.; Boden, Leslie I.; Collins, Jamie E.; Katz, Jeffrey N.; Wagner, Gregory R.; Sorensen, Glorian

doi:10.1002/hsr2.304

Cited by 7 publications

(7 citation statements)

References 22 publications

(63 reference statements)

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“…Responses from nursing homes with a DON respondent did not differ significantly from nursing homes with a different type of respondent. 16 After controlling for forprofit status, state, number of beds, Medicare quality rating, Medicare staffing rating, Medicare health inspection rating, survey wave and rurality, we did not find any statistically significant predictors of whether a nursing home responded. 16 The WISH should be validated in additional samples for robustness to geographic location and setting.…”

Section: Discussionmentioning

confidence: 53%

“…16 After controlling for forprofit status, state, number of beds, Medicare quality rating, Medicare staffing rating, Medicare health inspection rating, survey wave and rurality, we did not find any statistically significant predictors of whether a nursing home responded. 16 The WISH should be validated in additional samples for robustness to geographic location and setting. Our findings should be regarded as a first version of these scales, to be expanded on and modified in future studies.…”

Section: Discussionmentioning

confidence: 53%

“…15 In other analyses (not shown), we used nursing home characteristics, such as for-profit status, state, number of beds, Medicare quality rating, Medicare staffing rating, Medicare health inspection rating, survey wave and rurality, to predict whether a nursing home responded to the survey. 16…”

Section: Survey Administrationmentioning

confidence: 99%

“…Response rates did not differ significantly between profit and non-for-profit nursing homes or based on the mode (paper/email) of the survey. 16 The majority of nursing homes in OH and CA had 51-100 beds with plurality in MA having 101-150 beds, and the majority in all states being for-profit. Table 3 shows the distribution of responses by category for each WISH item retained in the final scales.…”

Section: Samplementioning

confidence: 99%

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Validation of the Workplace Integrated Safety and Health (WISH) assessment in a sample of nursing homes using Item Response Theory (IRT) methods

et al. 2021

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ObjectivesTo validate and test the dimensionality of six constructs from the Workplace Integrated Safety and Health (WISH) assessment, an instrument that assesses the extent to which organisations implement integrated systems approaches for protecting and promoting worker health, safety and well-being, in a sample of nursing homes in the USA.DesignValidation of an assessment scale using data from a cross-sectional survey.SettingNursing homes certified by the Centers for Medicaid and Medicare services in three states of the USA: Ohio, California and Massachusetts.Participants569 directors of nursing from nursing homes serving adults and with more than 30 beds participated in the study.ResultsGraded response Item Response Theory (IRT) models showed that five out of six constructs were unidimensional based on balanced interpretation of model fit statistics—M2 or C2 with p value >0.05, Comparative Fit Index >0.95, lower bound of the root mean squared error of approximation 90% CI <0.06 and standardised root mean square residual <0.08. Overall measure and construct reliability ranged from acceptable to good. Category boundary location parameters indicated that items were most informative for respondents in lower range of latent scores (ie, β1, β2, β3 typically below 0). A few items were recommended to be dropped from future administrations of the instrument based on empirical and substantive interpretation.ConclusionsThe WISH instrument has utility to understand to what extent organisations integrate protection and promotion of worker health, safety and well-being; however, it is most informative in organisations that present lower scores.

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Section: Discussionmentioning

confidence: 53%

Section: Discussionmentioning

confidence: 53%

Section: Survey Administrationmentioning

confidence: 99%

Section: Samplementioning

confidence: 99%

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Validation of the Workplace Integrated Safety and Health (WISH) assessment in a sample of nursing homes using Item Response Theory (IRT) methods

et al. 2021

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“…The overall response rate for the survey was 23.8% (569/2389). In previous work, we did not find any relationship between organizational characteristics, quality ratings, or health inspection citations with whether a nursing home responded to the survey [ 25 ].…”

Section: Methodsmentioning

confidence: 88%

Workplace Integrated Safety and Health Program Uptake in Nursing Homes: Associations with Ownership

Collins

Boden

Gundersen

et al. 2021

IJERPH

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Workers in nursing homes are at high risk of occupational injury. Understanding whether—and which—nursing homes implement integrated policies to protect and promote worker health is crucial. We surveyed Directors of Nursing (DON) at nursing homes in three US states with the Workplace Integrated Safety and Health (WISH) assessment, a recently developed and validated instrument that assesses workplace policies, programs, and practices that affect worker safety, health, and wellbeing. We hypothesized that corporate and for-profit nursing homes would be less likely to report policies consistent with Total Worker Health (TWH) approaches. For each of the five validated WISH domains, we assessed the association between being in the lowest quartile of WISH score and ownership status using multivariable logistic regression. Our sample included 543 nursing homes, 83% which were corporate owned and 77% which were for-profit. On average, DONs reported a high implementation of TWH policies, as measured by the WISH. We did not find an association between either corporate ownership or for-profit status and WISH score for any WISH domain. Results were consistent across numerous sensitivity analyses. For-profit status and corporate ownership status do not identify nursing homes that may benefit from additional TWH approaches.

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