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

Author

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  • Jamie E. Collins

    (Brigham and Women’s Hospital, Boston, MA 02115, USA
    Harvard Medical School, Boston, MA 02115, USA)

  • Leslie I. Boden

    (School of Public Health, Boston University, Boston, MA 02118, USA)

  • Daniel A. Gundersen

    (Dana-Farber Cancer Institute, Boston, MA 02115, USA)

  • Jeffrey N. Katz

    (Brigham and Women’s Hospital, Boston, MA 02115, USA
    Harvard Medical School, Boston, MA 02115, USA
    Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA)

  • Gregory R. Wagner

    (Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA)

  • Glorian Sorensen

    (Dana-Farber Cancer Institute, Boston, MA 02115, USA
    Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA)

  • Jessica A. R. Williams

    (College of Health and Human Development, The Pennsylvania State University, State College, PA 16801, USA)

Abstract

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.

Suggested Citation

  • Jamie E. Collins & Leslie I. Boden & Daniel A. Gundersen & Jeffrey N. Katz & Gregory R. Wagner & Glorian Sorensen & Jessica A. R. Williams, 2021. "Workplace Integrated Safety and Health Program Uptake in Nursing Homes: Associations with Ownership," IJERPH, MDPI, vol. 18(21), pages 1-11, October.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:21:p:11313-:d:666610
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    References listed on IDEAS

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    1. Barron, David N. & West, Elizabeth, 2017. "The quasi-market for adult residential care in the UK: Do for-profit, not-for-profit or public sector residential care and nursing homes provide better quality care?," Social Science & Medicine, Elsevier, vol. 179(C), pages 137-146.
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    3. Sean Shenghsiu Huang & John R. Bowblis, 2018. "The principal–agent problem and owner‐managers: An instrumental variables application to nursing home quality," Health Economics, John Wiley & Sons, Ltd., vol. 27(11), pages 1653-1669, November.
    4. Decker, Frederic H., 2008. "Nursing home performance in resident care in the United States: is it only a matter of for-profit versus not-for-profit?," Health Economics, Policy and Law, Cambridge University Press, vol. 3(2), pages 115-140, April.
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    Cited by:

    1. Sara L. Tamers & Jessica M. K. Streit & Casey Chosewood, 2022. "Promising Occupational Safety, Health, and Well-Being Approaches to Explore the Future of Work in the USA: An Editorial," IJERPH, MDPI, vol. 19(3), pages 1-7, February.

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