Archive for ‘turnover’

Small “Culture Changes” in Nursing Homes Make a Big Difference in the Lives of Residents

Posted by on April 11th, 2011 at 4:48 pm | 1 Comment »

Guest blog from Brandon Walecka

I have limited experience with direct care workers in the community-based setting.  But in the nursing home (NH) setting I have much more a familiarity.  Through the ombudsman program I have been trained to spot issues and concerns of residents in NH facilities.  I have been trained on how to address and resolve concerns of residents.  A NH is a place residents call “home.”  The NH has become a place where someone may live the remaining days of their lives or come in for a brief period of rehabilitation and recovery until they may return to their home.  Continue reading »

Dame Elizabeth Taylor: Fierce Health Care Activist

Posted by on March 29th, 2011 at 9:11 am | No Comments »

Elizabeth Taylor is remembered for amazing feats of womanhood, leadership and beauty.  Her $1 million salary for the 1963 movie Cleopatra, made her a pioneer for future actresses such as Angelina Jolie, Renee Zellweger and Julia Roberts who today, command ten to fifteen times that amount.  Elizabeth Taylor’s extraordinary talents transcended the big screen by sharing with the public her prodigious sex appeal, and daring to scandalize moral expectations for women in her time by choosing whom to marry and when.  Elizabeth developed a women’s perfume empire, that at the time of her death, had made over 200 million dollars in profit.

More impressive than these achievements, was Dame Elizabeth Taylor’s enduring contribution as a fierce health care advocate.  At a time when friends close to her were dying and America was either ignorant, ashamed or prejudiced toward individuals suffering from HIV or AIDS, she lifted the veil and brought the entire country together to pay attention while she demonstrated compassion, enlightenment, and generosity to those affected by HIV. Taylor testified, gave speeches and set up a research foundation.   Ms. Taylor’s compassion and love drove her to channel her prodigious energies into educating the country on issues related to HIV.  She will always be remembered for that, and thankfully her contribution lives on through her charitable work and foundation (AMFAR).

Continue reading »

DSPAM’s New President Plans to Build on Past Success

Posted by on December 21st, 2009 at 9:20 pm | No Comments »

Lindsay Short

I am honored to have been elected president of the Direct Support Professional Association of Minnesota as of next year.

Being a part of DSPAM over the last two years has been an eye-opening, life-changing experience. I’ve had the opportunity to work with amazing people on the DSPAM board of directors, and I’ve watched DSPAM turn into an amazing organization, overcoming many milestones and accomplishing many of its goals.

Continue reading »

Stop Making it So Hard for Direct Care Workers to Stay on the Job

Posted by on November 25th, 2009 at 7:57 am | 1 Comment »
Mike Harrison

Mike Harrison

My name is Mike Harrison. I am a displaced factory worker who has found refuge in the direct care workforce.

I do what is called “in-home care” for a single quadriplegic client in his residence. It took me over two years to get the seniority to schedule myself for 40 hours a week. That leaves me 8 hours’ leeway to do emergency fill-in without accruing overtime, which my agency will pay but highly discourages. I am very fortunate to get this benefit, which I will expound on later.

In my job as a DSP (direct support professional), I cook, clean, shop, wet nurse, bathe, and take care of his dog. Basically, I fill in the gaps his spinal muscular condition creates. It’s a pleasure and a privilege to support my client, who is one of the smartest, most driven people I know. I strive to support his independent living and provide some dignity to an otherwise difficult situation.

There are many problems in the direct care world that I am immune to. My wife’s health care benefits from her job are superior and less expensive then the plan offered by agency. Without that option, I’d have to take the less desirable plan or seek another job that offers a better benefit package. Many of my colleagues across the country have no health plan offered, leaving them sick from not seeking treatment to running the risk of financial ruin by paying for pricey medical treatment. Fifty percent of the bankruptcies in this country are caused by medical bills. Continue reading »

Making Sense of Health Care Reform: What Does it Mean for Direct Care Workers?

Posted by on November 12th, 2009 at 12:21 pm | 12 Comments »
David Ward

David Ward

Send us your questions: We figure you have plenty of thoughts and questions about this issue, so we published this update in this blog and our Direct Care News newsletter in late October, and we’ll keep updating it until a health care reform bill is passed or vetoed. If you have any questions about health care reform and how it would affect direct care worker and the people they assist, please send them to me at dward@directcarealliance.org. And if you just want to tell us what you think about this issue, please leave a comment below.

Everybody has heard a lot about health care reform, but with so many conflicting opinions about the impact that it will have on our health care system, it has been very difficult to make sense of it. The health care reform bills in the House and Senate range from about 1,000 to 1,500 pages, giving supporters and naysayers lots of material to applaud and oppose. Continue reading »

How Do You Find and Keep Good Caregivers? Stand Up for Their Rights

Posted by on November 11th, 2009 at 4:05 pm | No Comments »

Next time someone asks you how to find a good home care worker, you might try referring them to this article.

disaboom-logo copyWritten by care recipient Laura Hershey for the Disaboom Network, an online resource for people with disabilities, the article is a realistic and respectful collection of tips on how to attract and keep a caregiver. In addition to discussing where to place ads and how to word them, Hershey recommends that employers pay well if possible and offer regular raises.

She also recommends advocating for better wages, health care coverage, and other benefits for direct care workers. “Granted, this is a longer-term strategy; it’s not going to get you a new personal care attendant tomorrow,” she writes. “On the other hand, when your current personal care attendants see you advocating for their rights, they just might think they have a pretty cool boss — and that might encourage them to want to keep their job.”

Elise Nakhnikian
Communications Director
Direct Care Alliance

Webinar, Report Relay Tips on Finding and Keeping Direct Service Workers

Posted by on November 11th, 2009 at 2:24 pm | 1 Comment »

rand_logoIf you want to find out what a CMS-funded study learned about how to improve retention rates among direct service workers, you can read a report by the Rand Corporation. Or you can sign up for a free webinar next Monday.

Sarah Hunter from RAND and Laura Steighner from American Institutes for Research will present the results of the Direct Service Workforce Demonstration grants on November 16 at 2:30 p.m. Eastern time. The webinar will be hosted by the National Direct Service Workforce Resource Center.

The Centers for Medicare and Medicaid Services awarded 10 demonstration grants in 2003 and 2004 to test the effectiveness of different workforce interventions on recruiting and retaining direct service workers. RAND’s report on their findings was published last month.

According to the report, the biggest hurdle to finding and keeping direct service workers is wages, which are too low for a job that is so challenging.

Many interventions failed because of an incomplete understanding of workers’ needs. “For example, the study found that some grantees who tried to implement health care coverage or training initiatives offered a package that did not meet the needs of the workers, thereby rendering the initiative ineffective at improving recruitment or retention,” the authors write.

Even when they failed to provide any concrete benefits, however, the attempted interventions sometimes boosted retention rates. That may mean that direct service workers are so used to being overlooked and underappreciated that they are more likely to stay when their employers make an effort to improve their jobs, even if that effort is not successful, since at least it lets them know that they are valued.

An intervention in which prospective new employees got a realistic job preview also improved outcomes, indicating that employers could reduce turnover by telling new hires more about the job before they start.

Register for the webinar

Elise Nakhnikian
Communications Director
Direct Care Alliance

Why So Many of Us Don’t Have Health Care Insurance

Posted by on November 11th, 2009 at 12:53 pm | 4 Comments »
Don Krutsinger

Don Krutsinger

I work as a direct support professional with developmentally disabled adults in residential settings. One thing I have in common with just about all my coworkers is that we need to work more than 40 hours a week to make ends meet – and even so, too many of us can’t afford our employers’ health care coverage.

With the recent cutbacks by our state (Minnesota), most of our residential programs have cut out overtime and cut down the number of full-time positions, reducing the number of positions that receive health insurance and paid time off. That means nearly all of us have to work two to three jobs to make ends meet. Chances are, we don’t get enough hours from any one of them to qualify for health insurance. That’s a difficult, demoralizing way to live, especially for those of us who are dedicated to direct support work and have invested years of our lives in our careers. Continue reading »

Poems by Direct Care Workers: Getting By

Posted by on October 8th, 2009 at 2:16 pm | 2 Comments »
David Moreau

David Moreau

Ellie’s reading the community college brochure
and talking about becoming a CNA or a PT assistant,
complaining to Gina how long it takes,
Just to make fifteen bucks an hour
instead of ten oh nine.

Extra money for cigarettes and tattoos,
I tweak them. I can be an asshole, I know.
It’s more than that really. It’s having enough
to buy oil for the winter or bring your kids
to the doctor.

Of course she wants the government to pay
and remains convinced it’s the Somalians
in Tall Pines or the girl down the street on AFDC
taking all the tax money. I’m always arguing
she’s got it wrong. It’s the rich who cost
more than the poor.

Continue reading »

What Motivates – and Demotivates – Direct Care Workers?

Posted by on October 8th, 2009 at 2:03 pm | No Comments »

gerontologist cover October 2009For an academic but accessible take on what motivates – or demotivates – direct care workers, check out this month’s issue of The Gerontologist. The main focus is a section titled Direct Care Worker Job Satisfaction and Retention, which includes four reports on the factors that make direct care workers like or dislike their jobs.

“Intrinsic Job Satisfaction, Overall Satisfaction, and Intention to Leave the Job Among Nursing Assistants in Nursing Homes” reports that nursing assistants who feel supported by their supervisors and satisfied with their pay are likeliest to be satisfied with their jobs. “Other job characteristics, such as the workload structuring the time to assist residents with ADLs, also seem important aspect of NAs’ work experience [that are] amenable to change,” note authors Frederic H. Decker and colleagues.

In “Nursing Home Work Practices and Nursing Assistants’ Job Satisfaction,” Christine E. Bishop and colleagues analyze data from the recently released 2004 National Nursing Assistant Survey, finding that workers are more satisfied when they earn higher wages, get paid personal leave and sick days, and have enough time to complete their work (that last point is also associated with higher staffing levels). Also associated with higher satisfaction are feeling respected and valued by employers, having good relationships with supervisors, having challenging work, not being subjected to mandatory overtime, and working in a home where food is not delivered to residents on trays. Continue reading »