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Nursing Home Employee and Resident Satisfaction and Resident Care Outcomes
Bora Plaku-Alakbarova,Laura Punnett,Rebecca J. Gore,Procare Research Team 한국산업안전보건공단 산업안전보건연구원 2018 Safety and health at work Vol.9 No.4
Background: Nursing home resident care is an ongoing topic of public discussion, and there is great interest in improving the quality of resident care. This study investigated the association between nursing home employees’ job satisfaction and residents’ satisfaction with care and medical outcomes. Methods: Employee and resident satisfaction were measured by questionnaire in 175 skilled nursing facilities in the eastern United States from 2005 to 2009. Facility-level data on residents’ pressure ulcers, medically unexplained weight loss, and falls were obtained from the Centers for Medicare and Medicaid Services Long-Term Care Minimum Data Set. The association between employee satisfaction and resident satisfaction was examined with multiple and multilevel linear regression. Associations between employee satisfaction and the rates of pressure ulcers, weight loss, and falls were examined with simple and multilevel Poisson regression. Results: A 1-point increase in overall employee satisfaction was associated with an increase of 17.4 points (scale 0e100) in the satisfaction of residents and family members (p < 0.0001) and a 19% decrease in the incidence of resident falls, weight loss, and pressure ulcers combined (p < 0.0001), after adjusting for staffing ratio and percentage of resident-days paid by Medicaid. Conclusion: Job satisfaction of nursing home employees is associated with lower rates of resident injuries and higher resident satisfaction with care. A supportive work environment may help increase quality of care in the nation’s nursing homes.
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Effects of Work Surface Heights on Wrist Posture during Laboratory Simulated Pipetting Task
Park J.K.,Buchholz B.,Punnett L. 대한인간공학회 2007 대한인간공학회 학술대회논문집 Vol.- No.-
To examine the effect of work surface height on wrist posture in laboratory pipette work, an experiment study was conducted with 10 university students, staff and faculty members as subjects. The independent variable was work surface height (WSH) relative to elbow height; 6 heights were compared in this study. The dependent variables were wrist posture (angle for 2 planes), by electrogoniometry, and UE discomfort (rating for 4 body parts) obtained with a 100mm-visual analog rating scale. The radial/ulnar deviation posture was very significantly different across 6 WSHs in the analysis of variance and also there was significant difference between sets of WSHs in the multiple pair-wise comparisons test. Discomfort for the wrist was not significantly different both across 6 WSHs and between sets of WSHs. Correlation between wrist angles and corresponding discomfort scales was significant. This study suggests that wrist posture is influenced by WSH in pipette work, and that such information can be utilized in designing ergonomic improvements of general laboratory equipment and layout.
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