Department of Health Sciences, James Madison University, Harrisonburg, Virginia, USA.
Health Care Manage Rev. 2010 Oct-Dec;35(4):324-32. doi: 10.1097/HMR.0b013e3181e02f64.
Previous research has demonstrated that employment-based benefits are important for the recruitment and retention of nursing assistants (NAs).
The objectives of this study were to describe the availability of benefits offered to NAs and to explore the association between nursing home organizational characteristics and NA benefits using the political economy of aging framework.
Cross-sectional data on 944 nationally representative nursing homes were derived from the 2004 National Nursing Home Survey. Benefits were measured as a composite variable of five NA benefits weighted by cost. A linear regression model was used to examine the relationship between nursing home organizational characteristics and NA benefits.
For-profit/nonchain ownership and Medicaid occupancy were negatively associated with NA benefits. Facility size, not-for-profit ownership (chain or nonchain), occupancy level, nurse staffing level, union involvement, and education of the nursing home administrator were positively associated with NA benefits.
Nursing home organizational characteristics may explain some of the variations in the availability of benefits and may be informative for policy and practice to improve benefits as a potential strategy to recruit and retain NAs. In particular, for-profit, freestanding facilities and facilities with high proportions of Medicaid residents should consider cost-effective initiatives to enhance the benefit package offered to NAs.
先前的研究表明，就业相关福利对招聘和留住护理助理（NAs）至关重要。
本研究旨在描述为护理助理提供的福利的可获得性，并利用老龄化政治经济学框架探讨养老院组织特征与护理助理福利之间的关系。
本研究使用 2004 年全国养老院调查的全国代表性的 944 家养老院的横断面数据。福利通过五项护理助理福利的加权总成本的综合变量来衡量。使用线性回归模型来检验养老院组织特征与护理助理福利之间的关系。
营利性/非连锁所有权和医疗补助入住率与护理助理福利呈负相关。机构规模、非营利性所有权（连锁或非连锁）、入住率、护士人员配备水平、工会参与度以及养老院管理人员的教育水平与护理助理福利呈正相关。
养老院组织特征可以解释福利可获得性的一些差异，这可能为政策和实践提供信息，以改善福利作为吸引和留住护理助理的潜在策略。特别是，营利性、独立式设施和医疗补助居民比例较高的设施应考虑采取具有成本效益的举措，以加强向护理助理提供的福利套餐。
