Nursing Homes

The overall objective of this project is to determine the organizational factors that impact adoption and implementation of TWH interventions in nursing homes. This study has two aims. The first aim focuses on assessing the impact of key organizational factors, such as chain membership and community resources, on TWH adoption in nursing homes in Federal Region VII, using a survey linked with Medicare data. The second aim will utilize in-depth interviews with Directors of Nursing to investigate the decisional processes influencing TWH implementation. These interviews will focus on understanding how: current occupational safety and health strategies were developed and executed; competing priorities are balanced, and cultural factors that impact implementation of TWH interventions in nursing homes. Working with the Outreach Core, findings will be translated and disseminated through various mechanisms to address both academic audiences and nursing home management and workers.