Evaluation of Better Jobs Better Care: Direct Care Worker Survey, 2004-2007 [Iowa, North Carolina, Oregon, Pennsylvania, Vermont] (ICPSR 29064)

Published: Nov 5, 2010

Principal Investigator(s):
Peter Kemper, Pennsylvania State University


Version V1

Funded by the Robert Wood Johnson Foundation and The Atlantic Philanthropies, Better Jobs Better Care (BJBC) was a demonstration program that sought to bring about changes in public policy and management practice that would lead to improved recruitment and retention of high-quality paraprofessional direct care workers (DCW) in nursing homes as well as in home- and community-based settings. This was to be accomplished by implementing both policy and management practice goals. Policy goals included developing initiatives related to wages and benefits, incentives for job redesign, curriculum and credentialing, professional associations, and promotion of public awareness and policies. Practice goals involved interventions related to caregiving skill development, peer mentoring, team building, top management training, supervisor training, and provider-specific interventions. The program established demonstration projects in Iowa, North Carolina, Oregon, Pennsylvania, and Vermont which enrolled long-term care establishments across the spectrum of long-term care settings: skilled nursing facilities, assisted living facilities, home care agencies, and adult day service providers.

Conducted as part of the BJBC evaluation, this survey interviewed DCWs at two points during the demonstration. The Time 1 interview was fielded as soon as establishments enrolled in the demonstration and provided a list of their DCWs (July 2004 to December 2006), and the Time 2 interviews were completed 12 to 28 months after the Time 1 interviews (April 2006 to June 2007). Both rounds of the survey used the same self-administered questionnaire which included questions about length of employment, job satisfaction, job rewards and problems, supervision, perceptions of quality of care, job confidence, training, intent to quit, and demographic characteristics. The survey also elicited recommendations for improving DCWs' jobs by asking the open-ended question "What is the single most important thing your employer could do to improve your job as a direct care worker?"

Kemper, Peter. Evaluation of Better Jobs Better Care: Direct Care Worker Survey, 2004-2007 [Iowa, North Carolina, Oregon, Pennsylvania, Vermont]. Ann Arbor, MI: Inter-university Consortium for Political and Social Research [distributor], 2010-11-05. https://doi.org/10.3886/ICPSR29064.v1

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Robert Wood Johnson Foundation (49675, 58408)

Atlantic Philanthropies

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2004 -- 2007

2004 -- 2007

More information about this study can be found on the BJBC Web site.

The BJBC evaluation collected data from several sources, including an employment information system, site visits, a survey of frontline supervisors, a survey of clinical managers, and this survey of DCWs. The survey of frontline supervisors was released as ICPSR 23000: EVALUATION OF BETTER JOBS, BETTER CARE: FRONTLINE SUPERVISOR SURVEY, 2005-2007 [IOWA, NORTH CAROLINA, OREGON, PENNSYLVANIA, VERMONT]; and the survey of clinical managers was released as ICPSR 29063: EVALUATION OF BETTER JOBS BETTER CARE: CLINICAL MANAGER SURVEY, 2004-2007 [IOWA, NORTH CAROLINA, OREGON, PENNSYLVANIA, VERMONT].

The survey attempted to interview every person included in the defined universe.

Direct care workers in the care providers that participated in the BJBC demonstration projects. A direct care worker was defined as an individual who provides hands-on personal care (e.g., assistance with bathing, dressing, transferring and feeding) as a significant part of their job at a nursing facility, home health agency, assisted living organization, adult day center or other personal care organization. Licensed practical nurses and registered nurses are excluded. Also excluded are workers who help with cleaning, meal preparation and chores, but do not provide personal care. Typical job titles include nurse aide, home health aide, and personal care attendant. However, direct care workers are not limited to these job titles.

survey data



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