Evidence map›Paper›PMID 27082022›Full record

ArticleSocial science & medicine (1982)2016

Supporting employees' work-family needs improves health care quality: Longitudinal evidence from long-term care.

Cassandra A Okechukwu, Erin L Kelly, Janine Bacic, Nicole DePasquale, David Hurtado, Ellen Kossek, Grace Sembajwe

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Social science & medicine (1982), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05199415 (Fulfillment Center Intervention Study as Part of The Harvard T.H. Chan School of Public Health Center for Work, Health and Wellbeing), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05199415 naunknown statusnot on this mapstarted 2021, after this paper: background citation

Fulfillment Center Intervention Study as Part of The Harvard T.H. Chan School of Public Health Center for Work, Health and Wellbeing

TypeinterventionalSponsorMassachusetts Institute of TechnologyRan2021 to 2024Enrolled3,459ConditionsPsychological Distress, Psychological Well-being, Subjective Health, InjuriesArmsHealth and Well-being Committee
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Cassandra A OkechukwuHarvard T.H. Chan School of Public Health, Kresge Building, RM 722, 677 Huntington Avenue, Kresge 7th Floor, Boston, MA 02115, USA. Electronic address: cassandrao@post.harvard.edu.
Erin L KellyMIT Sloan School of Management, 30 Memorial Dr., Cambridge, MA, USA. Electronic address: elkelly@mit.edu.
Janine BacicBoston University School of Public Health, 715 Albany St, Boston, MA, USA. Electronic address: jbacic@hsph.harvard.edu.
Nicole DePasqualePennsylvania State University, 422 Biobehavioral Health Building University Park, PA 16802, PA, USA. Electronic address: nzd117@psu.edu.
David HurtadoOregon Health and Science University, 3181 SW Sam Jackson Park Rd, Portland, OR 97239, OR, USA. Electronic address: dah669@mail.harvard.edu.
Ellen KossekPurdue University, 403 W State St, West Lafayette, IN 47907, IN, USA. Electronic address: ekossek@purdue.edu.
Grace SembajweThe Graduate Center, CUNY New York, New York, USA. Electronic address: gsembajw@hunter.cuny.edu.

Funding

The Harvard TH Chan School of Public Health Center for Work, Health and WellbeingU19OH008861 · OH · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI SORENSEN, GLORIAN C · 2007 to 2025
$23.9M
Workplace Policies and Practices Coordinating CenterU01HD051276 · NICHD · RESEARCH TRIANGLE INSTITUTE · PI KARUNTZOS, GEORGIA TRYPHON · 2005 to 2013
$10.4M
Family Responsive Workplaces &Low-Wage Employee HealthU01AG027669 · NIA · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI BERKMAN, LISA F · 2005 to 2012
$7.5M
Flexible Work and Well-Being Center at the University of MinnesotaU01HD051256 · NICHD · UNIVERSITY OF MINNESOTA TWIN CITIES · PI KELLY, ERIN L. · 2005 to 2013
$6.7M
Work , Stress, Health &Parenting Among Hotel EmployeesU01HD051217 · NICHD · PENNSYLVANIA STATE UNIVERSITY-UNIV PARK · PI ALMEIDA, DAVID M. · 2005 to 2013
$5.7M
Center for Work-Family Stress, Safety & Health: Portland State University RUU01HD059773 · NICHD · PORTLAND STATE UNIVERSITY · PI HAMMER, LESLIE · 2008 to 2012
$4.5M
Health Consequences of Workplace Policies/Practices-CCU01HD051218 · NICHD · KAISER FOUNDATION RESEARCH INSTITUTE · PI HANSON, GINGER C. · 2005 to 2013
$3.0M
Evaluating cardiometabolic and sleep health benefits of a workplace interventionR01HL107240 · NHLBI · PENNSYLVANIA STATE UNIVERSITY, THE · PI BUXTON, ORFEU M · 2011 to 2014
$1.8M
Development of a Behavioral Measure of Supervisor Suppo*U01OH008788 · OH · PORTLAND STATE UNIVERSITY · PI HAMMER, LESLIE · 2005 to 2007
$893k
Archiving the occupational cohorts in the Work, Family, and Health NetworkR03AG046393 · NIA · HARVARD SCHOOL OF PUBLIC HEALTH · PI BERKMAN, LISA F · 2013 to 2014
$276k
Family caregiving transitions and sleep among double- and triple-duty caregiversF31AG050385 · NIA · PENNSYLVANIA STATE UNIVERSITY, THE · PI DEPASQUALE, NICOLE · 2015 to 2016
$64k
NHLBI NIH HHS R01 HL107240NIA NIH HHS F31 AG050385NIA NIH HHS R03 AG046393NIA NIH HHS U01 AG027669NICHD NIH HHS U01 HD051217NICHD NIH HHS U01 HD051218NICHD NIH HHS U01 HD051256NICHD NIH HHS U01 HD051276NICHD NIH HHS U01 HD059773NIMHD NIH HHS L60 MD003645NIOSH CDC HHS U01 OH008788NIOSH CDC HHS U19 OH008861
6 · The paper itself

Abstract

We analyzed qualitative and quantitative data from U.S.-based employees in 30 long-term care facilities. Analysis of semi-structured interviews from 154 managers informed quantitative analyses. Quantitative data include 1214 employees' scoring of their supervisors and their organizations on family supportiveness (individual scores and aggregated to facility level), and three outcomes: (1), care quality indicators assessed at facility level (n = 30) and collected monthly for six months after employees' data collection; (2), employees' dichotomous survey response on having additional off-site jobs; and (3), proportion of employees with additional jobs at each facility. Thematic analyses revealed that managers operate within the constraints of an industry that simultaneously: (a) employs low-wage employees with multiple work-family challenges, and (b) has firmly institutionalized goals of prioritizing quality of care and minimizing labor costs. Managers universally described providing work-family support and prioritizing care quality as antithetical to each other. Concerns surfaced that family-supportiveness encouraged employees to work additional jobs off-site, compromising care quality. Multivariable linear regression analysis of facility-level data revealed that higher family-supportive supervision was associated with significant decreases in residents' incidence of all pressure ulcers (-2.62%) and other injuries (-9.79%). Higher family-supportive organizational climate was associated with significant decreases in all falls (-17.94%) and falls with injuries (-7.57%). Managers' concerns about additional jobs were not entirely unwarranted: multivariable logistic regression of employee-level data revealed that among employees with children, having family-supportive supervision was associated with significantly higher likelihood of additional off-site jobs (RR 1.46, 95%CI 1.08-1.99), but family-supportive organizational climate was associated with lower likelihood (RR 0.76, 95%CI 0.59-0.99). However, proportion of workers with additional off-site jobs did not significantly predict care quality at facility levels. Although managers perceived providing work-family support and ensuring high care quality as conflicting goals, results suggest that family-supportiveness is associated with better care quality.

Indexed as

Salaries and Fringe BenefitsAdultBostonFamilyFemaleFinancial SupportHumansLongitudinal StudiesLong-Term CareMaleMiddle AgedOccupational HealthPersonal SatisfactionQualitative ResearchQuality of Health CareSocial SupportLong-term careLow-wage workersMulti-method designOccupational healthOrganizational climateUSAWork-family conflictWork-family support

Identifiers

PMID27082022
PMCPMC4848161

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.