Foreign-Born Care Givers in Washington State Nursing Homes: Characteristics, Associations With Quality of Care, and Views of Administrators. Acker, K., Pletz, A., M., Katz, A., & Hagopian, A. Journal of aging and health, 10, 2014. abstract bibtex OBJECTIVE: Following national trends, Washington State relies heavily on foreign-born workers to provide long-term care. Our study assesses state nursing facility characteristics, quality ratings, and the views of facility administrators about the implications of an increasing number of foreign-born employees. METHODS: We used independently available data to supplement a survey of nursing home administrators. RESULTS: Nearly half of the administrators reported difficulty hiring U.S.-born job applicants. Three in four administrators reported problems related to language differences, and just more than a third reported challenges related to cultural and/or religious differences. Nonetheless, the proportion of foreign-born employees was positively associated with independent facility quality ratings. Almost half of the administrators reported discrimination by patients/clients toward their foreign-born workers. Quality ratings were negatively associated with for-profit, chain, or multi-ownership status. DISCUSSION: The proportion of foreign-born employees in nursing facilities may be associated with improved performance.
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title = {Foreign-Born Care Givers in Washington State Nursing Homes: Characteristics, Associations With Quality of Care, and Views of Administrators},
type = {article},
year = {2014},
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keywords = {foreign-born,nursing homes,policy,quality of care,workforce},
month = {10},
day = {29},
city = {University of Washington, Seattle, USA acker.katie@gmail.com.; University of Washington, Seattle, USA.; University of Washington, Seattle, USA.; University of Washington, Seattle, USA.},
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notes = {ID: 74090; LR: 20141102; CI: (c) The Author(s) 2014; JID: 8912686; OTO: NOTNLM; aheadofprint},
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abstract = {OBJECTIVE: Following national trends, Washington State relies heavily on foreign-born workers to provide long-term care. Our study assesses state nursing facility characteristics, quality ratings, and the views of facility administrators about the implications of an increasing number of foreign-born employees. METHODS: We used independently available data to supplement a survey of nursing home administrators. RESULTS: Nearly half of the administrators reported difficulty hiring U.S.-born job applicants. Three in four administrators reported problems related to language differences, and just more than a third reported challenges related to cultural and/or religious differences. Nonetheless, the proportion of foreign-born employees was positively associated with independent facility quality ratings. Almost half of the administrators reported discrimination by patients/clients toward their foreign-born workers. Quality ratings were negatively associated with for-profit, chain, or multi-ownership status. DISCUSSION: The proportion of foreign-born employees in nursing facilities may be associated with improved performance.},
bibtype = {article},
author = {Acker, K and Pletz, A M and Katz, A and Hagopian, A},
journal = {Journal of aging and health}
}
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