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Related Experiment Video

Updated: Jun 24, 2026

Using a Real-Time Locating System to Measure Walking Activity Associated with Wandering Behaviors Among Institutionalized Older Adults

Using a Real-Time Locating System to Measure Walking Activity Associated with Wandering Behaviors Among Institutionalized Older Adults

Published on: February 8, 2019

Measuring work environment and performance in nursing homes.

Helena Temkin-Greener¹, Nan Zheng, Paul Katz

¹Department of Community and Preventive Medicine, University of Rochester School of Medicine, Rochester, New York 14642, USA. Helena_Temkin-Greener@urmc.rochester.edu

|March 31, 2009

Summary

This summary is machine-generated.

Improving the nursing home work environment requires a multifaceted approach. This study developed a reliable instrument to measure work environment and effectiveness, identifying key factors for better facility performance and resident care.

Related Experiment Videos

Last Updated: Jun 24, 2026

Using a Real-Time Locating System to Measure Walking Activity Associated with Wandering Behaviors Among Institutionalized Older Adults

Using a Real-Time Locating System to Measure Walking Activity Associated with Wandering Behaviors Among Institutionalized Older Adults

Published on: February 8, 2019

Area of Science:

Gerontology
Healthcare Management
Organizational Psychology

Background:

Qualitative studies suggest leadership and communication impact nursing home performance and resident outcomes.
Empirical evidence linking work environment attributes to performance has been limited.
Understanding these relationships is crucial for enhancing care quality.

Purpose of the Study:

Develop and validate an instrument to measure nursing home work environment and perceived work effectiveness.
Identify individual and facility-level factors associated with improved facility performance.
Provide empirical data to inform strategies for enhancing the nursing home work environment.

Main Methods:

Survey responses from 308 managers and 7,418 direct care workers across 162 New York State facilities.
Utilized exploratory factor analysis, Cronbach's alphas, ANOVA, and regression models for reliability and validity assessment.
Employed multivariate regression with fixed facility effects to analyze factors influencing work effectiveness.

Main Results:

The developed survey instrument demonstrated reliability and validity for measuring work environment and perceived work effectiveness.
Identified significant individual factors (e.g., occupation, race) predicting perceived work effectiveness.
Identified significant facility characteristics (e.g., management style, workplace conditions, staffing) predicting perceived work effectiveness.

Conclusions:

The organizational performance model acknowledges the complex, multidimensional nature of the nursing home work environment.
Improving work effectiveness necessitates multifaceted interventions targeting various aspects of the work environment.
Research findings offer insights for enhancing the quality of the nursing home work environment and resident care.