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

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 Safe...

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Autores principales:	Jamie E. Collins, Leslie I. Boden, Daniel A. Gundersen, Jeffrey N. Katz, Gregory R. Wagner, Glorian Sorensen, Jessica A. R. Williams
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	nursing homes occupational health total worker health Medicine R
Acceso en línea:	https://doaj.org/article/aac861bcc3f9498d99e57b7b8aca24ce
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spelling	oai:doaj.org-article:aac861bcc3f9498d99e57b7b8aca24ce2021-11-11T16:27:37ZWorkplace Integrated Safety and Health Program Uptake in Nursing Homes: Associations with Ownership10.3390/ijerph1821113131660-46011661-7827https://doaj.org/article/aac861bcc3f9498d99e57b7b8aca24ce2021-10-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11313https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Workers 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.Jamie E. CollinsLeslie I. BodenDaniel A. GundersenJeffrey N. KatzGregory R. WagnerGlorian SorensenJessica A. R. WilliamsMDPI AGarticlenursing homesoccupational healthtotal worker healthMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11313, p 11313 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	nursing homes occupational health total worker health Medicine R
spellingShingle	nursing homes occupational health total worker health Medicine R Jamie E. Collins Leslie I. Boden Daniel A. Gundersen Jeffrey N. Katz Gregory R. Wagner Glorian Sorensen Jessica A. R. Williams Workplace Integrated Safety and Health Program Uptake in Nursing Homes: Associations with Ownership
description	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.
format	article
author	Jamie E. Collins Leslie I. Boden Daniel A. Gundersen Jeffrey N. Katz Gregory R. Wagner Glorian Sorensen Jessica A. R. Williams
author_facet	Jamie E. Collins Leslie I. Boden Daniel A. Gundersen Jeffrey N. Katz Gregory R. Wagner Glorian Sorensen Jessica A. R. Williams
author_sort	Jamie E. Collins
title	Workplace Integrated Safety and Health Program Uptake in Nursing Homes: Associations with Ownership
title_short	Workplace Integrated Safety and Health Program Uptake in Nursing Homes: Associations with Ownership
title_full	Workplace Integrated Safety and Health Program Uptake in Nursing Homes: Associations with Ownership
title_fullStr	Workplace Integrated Safety and Health Program Uptake in Nursing Homes: Associations with Ownership
title_full_unstemmed	Workplace Integrated Safety and Health Program Uptake in Nursing Homes: Associations with Ownership
title_sort	workplace integrated safety and health program uptake in nursing homes: associations with ownership
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/aac861bcc3f9498d99e57b7b8aca24ce
work_keys_str_mv	AT jamieecollins workplaceintegratedsafetyandhealthprogramuptakeinnursinghomesassociationswithownership AT leslieiboden workplaceintegratedsafetyandhealthprogramuptakeinnursinghomesassociationswithownership AT danielagundersen workplaceintegratedsafetyandhealthprogramuptakeinnursinghomesassociationswithownership AT jeffreynkatz workplaceintegratedsafetyandhealthprogramuptakeinnursinghomesassociationswithownership AT gregoryrwagner workplaceintegratedsafetyandhealthprogramuptakeinnursinghomesassociationswithownership AT gloriansorensen workplaceintegratedsafetyandhealthprogramuptakeinnursinghomesassociationswithownership AT jessicaarwilliams workplaceintegratedsafetyandhealthprogramuptakeinnursinghomesassociationswithownership
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Workplace Integrated Safety and Health Program Uptake in Nursing Homes: Associations with Ownership

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