Table 1. Dependent, Independent, and Control Variables Measured.
Variable | Description | No. of Items | Scoring |
---|---|---|---|
Dependent | |||
Missed care | Self-reported care tasks (ie, taking residents for a walk, talking with residents, performing mouth care, toileting, bathing residents, feeding residents, dressing residents, and preparing residents for sleep) that were left undone during respondent’s most recent shift, No. | 8 | Count: range, 0-8 |
Rushed care | Self-reported care tasks (ie, talking with residents, performing mouth care, toileting, bathing residents, feeding residents, dressing residents, and preparing residents for sleep) that were rushed during respondent’s most recent shift, No. | 7 | Count: range, 0-7 |
Independent | |||
Organizational context | Respondent’s perception of work environment of the care unit, measured with the Alberta Context Tool | 1 | Binary: more favorable vs less favorable |
Leadership | Actions of formal leaders in an organization (unit) to influence changes and excellence in practice; items generally reflect emotionally intelligent leadership | 6 | Continuous: mean of items on a 5-point Likert scale in which 1 = strongly disagree and 5 = strongly agree |
Culture | The way that things are done in the organizations and work units; items generally reflect a supportive work culture | 6 | Continuous: mean of items on a 5-point Likert scale in which 1 = strongly disagree and 5 = strongly agree |
Evaluation | The process of using data to assess group or team performance and to achieve outcomes in organizations or units | 6 | Continuous: mean of items on a 5-point Likert scale in which 1 = strongly disagree and 5 = strongly agree |
Formal interaction | Formal exchanges between individuals working within an organization or unit through scheduled activities that can promote the transfer of knowledge | 4 | Continuous: mean of items on a 5-point frequency Likert scale in which 1 = never and 5 = almost always; recoded to 0 = no interaction, 1 = interaction and a recount of recoded items was taken |
Informal interaction | Informal exchanges among individuals working within an organization or unit that can promote the transfer of knowledge | 9 | Count: 5-point Likert frequency scale in which 1 = never and 5 = almost always; recoded to 0 = no interaction, 1 = interaction and a count of recoded items was taken |
Structural and electronic resources | Structural elements of an organization or unit that facilitate the ability to assess and use knowledge | 7 | Count: 5-point Likert frequency scale in which 1 = never and 5 = almost always; recoded to 0 = no interaction, 1 = interaction and a count of recoded items was taken |
Social capital | Stock of active connections among people, including 3 types of connections: bonding, bridging, and linking | 6 | Continuous: mean of items on a 5-point Likert scale in which 1 = strongly disagree and 5 = strongly agree |
Organizational slack in use of staff | Cushion of actual or potential staff resources that allows an organization or unit to adapt successfully to internal pressures for adjustments or to external pressures for changes | 3 | Continuous: mean of items on a 5-point Likert scale in which 1 = strongly disagree and 5 = strongly agree |
Organizational slack in use of space | Cushion of actual or potential space resources that allows an organization or unit to adapt successfully to internal pressures for adjustments or to external pressures for changes | 2 | Continuous: mean of items on a 5-point Likert scale in which 1 = strongly disagree and 5 = strongly agree |
Organizational slack in use of time | Cushion of actual or potential time resources that allows an organization or unit to adapt successfully to internal pressures for adjustments or to external pressures for changes | 4 | Continuous: mean of items on a 5-point Likert scale in which 1 = strongly disagree and 5 = strongly agree |
Control | |||
Age | Respondent’s age, y | 1 | Categorical: <20, 20-29, 30-39, 40-49, 50-59, or ≥60 |
Sex | Respondent’s sex | 1 | Binary: women or men |
Education | Care aide certificate obtained | 1 | Binary: yes or no |
English as first language | English is respondent’s first language | 1 | Binary: yes or no |
Shift worked most often | Shift the respondent works most often | 1 | Categorical: day, evening, or night |
Experience on current unit | Total time that the respondent has worked on their current unit, y | 1 | Continuous |
Responsive behaviors from residents | Responsive behaviors (eg, yelling, biting, sexual touching) that respondent experienced from residents in their most recent 5 shifts, No. | 1 | Count: range, 0-6 |
Job satisfaction | Respondent satisfaction with their current job, measured with the Michigan Organizational Assessment Questionnaire Job Satisfaction Subscale. | 3 | Continuous: mean of items on a 5-point Likert scale in which 1 = strongly disagree and 5 = strongly agree |
Burnout | Measured with the Maslach Burnout Inventory 9-item short form | ||
Emotional exhaustion | Respondent feels emotionally exhausted or strained | 3 | Continuous: mean of 7-point Likert scale in which 0 = never and 6 = daily |
Cynicism | Respondent feels cynical or that their work does not contribute to anything | 3 | Continuous: mean of 7-point Likert scale in which 0 = never and 6 = daily |
Efficacy | Respondent feels their work is meaningful or has a sense of accomplishment | 3 | Continuous: mean of 7-point Likert scale in which 0 = never and 6 = daily |
Health status | Measured with the 8-item Short Form Survey | ||
Physical health | Respondent’s perception of their own physical health in the most recent 4 wk | 8 | Continuous: scoring of items on 5- or 6-point Likert scales based on scale developers’ algorithm |
Mental health | Respondent’s perception of their own mental health in the most recent 4 wk | 8 | |
Unit Level | |||
Type | Type of care unit on which respondent works ≥50% of their time | 1 | Categorical: general nursing home, secure dementia, mental health, combined nursing home and dementia |
Staffing level | Time worked by registered nurses, licensed practical nurses, and care aides per resident per day, h | 1 | Continuous |
% of care aide staffing out of total unit staffing | Time worked by care aides per resident per d out of time worked by registered nurses, licensed practical nurses, and care aides per resident per d, % | 1 | Continuous: range, 0-100 |
Nursing Home Level | |||
Owner-operator model | Ownership model of the nursing home | 1 | Categorical: public nonprofit, voluntary nonprofit, private for-profit |
Size | Beds in the nursing home, No. | 1 | Categorical: small, ≤79; medium, 80-120; large, >120 |
Health region | Health region that regulates the nursing home | 1 | Categorical: BC Fraser Health Authority, BC Interior Health Authority, Alberta Health Edmonton Zone, Alberta Health Calgary Zone, Winnipeg Regional Health Authority |
Abbreviation: BC, British Columbia.