Table 2.
Multivariate Relationship of Facility Characteristics to Adherencea
| Estimate | SE | P-value | |
|---|---|---|---|
| Demographics Characteristics (N=6522 observations) | |||
| Bedsize (per every 10 beds) | 0.20 | 0.04 | < 0.01 |
| Proprietary status, non-profit | 5.65 | 1.53 | < 0.01 |
| Case mix, percent of residents on Medicaid | −0.17 | 0.02 | < 0.01 |
| Affiliation , not chain-affiliated | 5.80 | 1.43 | < 0.01 |
| Staffing (N=4993 observations) | |||
| Percent rotating workers | 0.36 | 0.08 | < 0.01 |
| Nurses, registered and licensed (RN, LPN), Staffing ratio | −4.01 | 1.55 | <0.01 |
| Certified nursing assistants (CNA), Staffing ratio | −1.62 | 0.67 | 0.02 |
| DON, experience in facility | 0.03 | 0.01 | < 0.01 |
| Policies and Procedures (N=5700 observations) | |||
| Organizational leadership, Administrator index | −1.17 | 0.33 | < 0.01 |
| Organizational leadership, DON index | −1.29 | 0.38 | < 0.01 |
| Administrative priorities, DON | < 0.01 | ||
| Resident treated respectfully (reference = least important) | |||
| Somewhat important | 15.26 | 3.56 | < 0.01 |
| Most important | 15.05 | 3.11 | < 0.01 |
| In-service training last quarter, percent nonprofessionals attended | 0.19 | 0.04 | < 0.01 |
| Hip Protectors and Related Experience (N=6003 observations) | |||
| Percent of eligible residents enrolled in HIP PRO | −0.35 | 0.09 | <0.01 |
| Previous research involvement, past year (reference = both yes) | <0.01 | ||
| Administrator yes, DON no | 0.52 | 3.36 | 0.88 |
| Administrator no, DON yes | −13.74 | 3.35 | < 0.01 |
| Administrator and DON no | −3.10 | 2.32 | 0.18 |
| Research Staff Ratings (N=5781 observations) | |||
| Environmental quality (SCU-EQS score) | 0.41 | 0.13 | < 0.01 |
| Staff commitment to protector use (RN) | 3.05 | 1.11 | < 0.01 |
| Quality of interaction between research and facility staff | |||
| Facility staff approachable and responsive | 3.27 | 1.23 | < 0.01 |
| Quality of care | 3.96 | 1.15 | < 0.01 |
| Combined Demographic, Staffing, Policies/Procedures, Hip Protectors/Experience, and Staff Ratings (N=5496 observations) | |||
| Case mix, percent of residents on Medicaid | −0.10 | 0.03 | < 0.01 |
| Affiliation , not chain-affiliated | 6.73 | 1.67 | < 0.01 |
| Percent rotating workers | 0.47 | 0.09 | < 0.01 |
| Organizational leadership, Administrator index | −1.15 | 0.32 | < 0.01 |
| Administrative priorities, DON | 0.05 | ||
| Resident treated respectfully (reference = least important) | |||
| Somewhat important | 8.13 | 3.82 | 0.03 |
| Most important | 7.44 | 3.21 | 0.02 |
| In-service training last quarter, percent nonprofessionals attended | 0.17 | 0.03 | < 0.01 |
| Percent of eligible residents enrolled in HIP PRO | −0.40 | 0.08 | < 0.01 |
Only those variables significantly associated with adherence in multivariate models are shown; variables that were significant in bivariate models but not in multivariate models were: demographic characteristics (years in operation and percent of residents on Medicare); staffing (DON staffing ratio, RN turnover ratio, and overall staffing ratio); policies and procedures (percent attendance of professionals at in-service training, and having a falls prevention program); hip protectors (administrator and DON positive perception of hip protectors); and research staff ratings (facility, administrator, DON, and certified nursing assistant commitment to protector use, quality of interaction between research and facility staff, and general working environment).