Siegel Elena O, Leo Michael C, Young Heather M, Castle Nicholas G
Elena O. Siegel, PhD, RN, is Assistant Professor, Robert Wood Johnson Foundation Nurse Faculty Scholar, 2007-2009 JAHF/Atlantic Philanthropies Claire M. Fagin Fellow, Betty Irene Moore School of Nursing at UC Davis, Sacramento, California. E-mail:
Health Care Manage Rev. 2014 Jul-Sep;39(3):210-22. doi: 10.1097/HMR.0b013e318294e5ce.
Nursing home administrators (NHAs) are in key positions to improve nursing home quality. NHAs require state-level licensure, which involves passing a national NHA licensure examination and fulfilling state-level licensure requirements that vary widely across states. With multiple pathways to NHA licensure, little is known about NHAs' preparation and training to meet the complex demands of this position.
The aim of this study was to explore NHAs' self-assessed person-job fit based on NHAs' self-rated preparedness and the importance of the activities that supported their preparation.
METHODOLOGY/APPROACH: A descriptive cross-sectional design was used to collect data from NHAs (N = 175) randomly recruited from nursing homes in five states, with a mailed self-administered questionnaire. Data analysis included descriptive statistics, correlations, and t tests/ANOVA.
Thirty percent of respondents reported they were well prepared, overall, for their first NHA position. The findings suggest NHA preferences for more formalized ways to develop their entry-level competencies, with lower preference for On-the-job training, Previous job experience, and Self-study and higher preference for Administrator-in-training, Bachelor's degree programs, and Mentoring.
There is an urgent need for NHAs who are well prepared to effectively address our nation's mandates for nursing home quality improvement. With multiple pathways to NHA licensure, this exploratory study provides initial insights about NHAs' self-assessed preparation and training. The findings suggest that NHAs prefer more formalized ways to prepare for the NHA position. Research is needed to identify specific teaching/learning practices and on-the-job training that maximize the NHAs' preparation to meet their job demands.
疗养院管理人员（NHAs）在提高疗养院质量方面处于关键地位。NHAs需要获得州一级的执照，这涉及通过全国性的NHAs执照考试，并满足各州差异很大的州一级执照要求。由于获得NHAs执照有多种途径，对于NHAs为满足该职位的复杂要求所做的准备和培训了解甚少。
本研究的目的是根据NHAs的自我评估准备情况以及支持其准备工作的活动的重要性，探讨NHAs的自我评估人岗匹配度。
方法/途径：采用描述性横断面设计，通过邮寄自填式问卷，从五个州的疗养院随机招募NHAs（N = 175）收集数据。数据分析包括描述性统计、相关性分析以及t检验/方差分析。
30%的受访者表示，总体而言，他们为自己的首个NHAs职位做好了充分准备。研究结果表明，NHAs更倾向于采用更正规的方式来培养其入门级能力，对在职培训、以往工作经验和自学的偏好较低，而对培训管理员、学士学位课程和指导的偏好较高。
迫切需要有充分准备的NHAs来有效应对我国提高疗养院质量的要求。由于获得NHAs执照有多种途径，这项探索性研究提供了关于NHAs自我评估准备情况和培训的初步见解。研究结果表明，NHAs更喜欢采用更正规的方式来为NHAs职位做准备。需要开展研究以确定能使NHAs做好充分准备以满足其工作需求的具体教学/学习实践和在职培训。
