Related Experiment Video
Updated: Aug 5, 2026

14:32
Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Statewide study of the direct support staff workforce
David W Test1, Claudia Flowers, Amy Hewitt
1Special Education Program, The University of North Carolina at Charlotte, 9201 University City Blvd., Charlotte, NC 28223, USA. dwtest@email.uncc.edu
Mental Retardation
|July 17, 2003
Summary
High turnover and vacancies in direct support staff negatively impact individuals with developmental disabilities. Addressing recruitment and compensation is crucial for improving care and professionalizing the role.
Area of Science:
- Healthcare Management
- Disability Studies
- Human Resources
Background:
- Direct support staff are essential for individuals with developmental disabilities.
- Recruitment and retention of these staff present significant challenges.
- These challenges have a direct impact on the quality of care and support services.
Purpose of the Study:
- To investigate recruitment and retention issues among direct support staff.
- To examine the impact of these issues on individuals with developmental disabilities.
- To propose solutions for improving the direct support profession.
Main Methods:
- Analysis of turnover and vacancy rates.
- Examination of job roles and compensation.
- Review of existing literature on direct support staff challenges.
Main Results:
- High turnover and vacancy rates negatively affect care recipients.
- Direct support staff perform diverse roles but are undercompensated.
- Inadequate compensation often leads to multiple job roles for staff.
- Recruitment and retention are identified as critical problems.
Conclusions:
- The direct support role requires professionalization and better compensation.
- Addressing staff shortages is vital for the well-being of individuals with developmental disabilities.
- Recommendations for research and practice are provided to enhance the direct support workforce.
Related Concept Videos
Nursing Implementation
Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
Healthcare Agencies II
There are various healthcare agencies in the United States—some of which are managed by religious institutions and others by different government branches.
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources, and lay...
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources, and lay...
Documentation in Long-Term and Home Healthcare Setting
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities

