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J Aging Health. 2015 Jun;27(4):650-69. doi: 10.1177/0898264314556618. Epub 2014 Oct 29.

Foreign-born care givers in Washington State nursing homes: characteristics, associations with quality of care, and views of administrators.

Author information

1
University of Washington, Seattle, USA acker.katie@gmail.com.
2
University of Washington, Seattle, USA.

Abstract

OBJECTIVE:

Following national trends, Washington State relies heavily on foreign-born workers to provide long-term care. Our study assesses state nursing facility characteristics, quality ratings, and the views of facility administrators about the implications of an increasing number of foreign-born employees.

METHODS:

We used independently available data to supplement a survey of nursing home administrators.

RESULTS:

Nearly half of the administrators reported difficulty hiring U.S.-born job applicants. Three in four administrators reported problems related to language differences, and just more than a third reported challenges related to cultural and/or religious differences. Nonetheless, the proportion of foreign-born employees was positively associated with independent facility quality ratings. Almost half of the administrators reported discrimination by patients/clients toward their foreign-born workers. Quality ratings were negatively associated with for-profit, chain, or multi-ownership status.

DISCUSSION:

The proportion of foreign-born employees in nursing facilities may be associated with improved performance.

KEYWORDS:

foreign-born; nursing homes; policy; quality of care; workforce

PMID:
25359766
DOI:
10.1177/0898264314556618
[Indexed for MEDLINE]

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