{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T00:11:11Z","timestamp":1790899871407,"version":"4.1.0"},"reference-count":36,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2020,9,14]],"date-time":"2020-09-14T00:00:00Z","timestamp":1600041600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,6,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Objectives<\/jats:title>\n                    <jats:p>Low retention of direct care workers (DCWs), either certified nursing assistants in nursing homes (NHs) or personal care assistants in assisted living (AL), continues to be an unresolved problem. While numerous studies have examined predictors of DCW retention in NHs, little attention has been paid to differences between settings of long-term care. This study compares the predictors of DCW retention rates across both settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Research Design and Methods<\/jats:title>\n                    <jats:p>The 2017 Ohio Biennial Survey of Long-Term Care Facilities provides facility-level information from NHs and ALs (NHs = 739; ALs = 465). We compare the factors that predict retention rates of DCWs utilizing regression analysis. The factors are structural, financial, resident conditions, staffing, and management characteristics, as well as retention strategies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Average DCW retention rates were 66% and 61% in ALs and NHs, respectively. Not-for-profit status was significantly associated with higher retention rates across settings. While the percent of residents with dementia and less administrator turnover were associated with significantly higher DCW retention in NHs, these were not significant for ALs. However, in the AL context, a higher county unemployment rate and DCWs\u2019 participation in resident care planning meetings were positively related to DCW retention after controlling for all other covariates, while DCW cross-training was negatively associated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion and Implications<\/jats:title>\n                    <jats:p>Retention strategies for DCWs may need to differ by setting, as a result of differing working environments, resources, and regulations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/geront\/gnaa130","type":"journal-article","created":{"date-parts":[[2020,9,10]],"date-time":"2020-09-10T08:15:25Z","timestamp":1599725725000},"page":"530-539","source":"Crossref","is-referenced-by-count":35,"title":["Organizational Factors Associated With Retention of Direct Care Workers: A Comparison of Nursing Homes and Assisted Living Facilities"],"prefix":"10.1093","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4853-9318","authenticated-orcid":false,"given":"Katherine A","family":"Kennedy","sequence":"first","affiliation":[{"name":"Department of Sociology and Gerontology, Miami University, Oxford, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Applebaum","sequence":"additional","affiliation":[{"name":"Department of Sociology and Gerontology, Miami University, Oxford, Ohio"},{"name":"Scripps Gerontology Center, Miami University, Oxford, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John R","family":"Bowblis","sequence":"additional","affiliation":[{"name":"Scripps Gerontology Center, Miami University, Oxford, Ohio"},{"name":"Department of Economics, Farmer School of Business, Miami University, Oxford, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane K","family":"Straker","sequence":"additional","affiliation":[{"name":"Scripps Gerontology Center, Miami University, Oxford, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2020,9,14]]},"reference":[{"key":"2021060210394685900_CIT0001","article-title":"Resident preferences and CNA empowerment: Testing validity and reliability of a culture change survey tool","author":"Abbott","year":"2019","journal-title":"Journal of Applied Gerontology"},{"key":"2021060210394685900_CIT0002","volume-title":"Maybe you can go home again: Ohio\u2019s strategy to provide long-term services and supports for a growing older population","author":"Applebaum","year":"2019"},{"issue":"1","key":"2021060210394685900_CIT0003","doi-asserted-by":"crossref","first-page":"21","DOI":"10.18278\/jep.1.1.2","article-title":"Policy does matter: Changing an unchangeable long-term services 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