Jennifer Johs-Artisensi - Academia.edu (original) (raw)

Papers by Jennifer Johs-Artisensi

Color poster with text and images.The purpose of this study was to identify what components are n... more Color poster with text and images.The purpose of this study was to identify what components are necessary to create a strong long term care administration program.University of Wisconsin--Eau Claire Office of Research and Sponsored Program

Instructor (Dr Creapeau), Professor and Program Director (Dr JohsArtisensi), Professor andDepartm... more Instructor (Dr Creapeau), Professor and Program Director (Dr JohsArtisensi), Professor andDepartment Chair (Dr Lauver), Department ofManagement andMarketing, University ofWisconsin–EauClaire. Undergraduate student research assistant support was funded from internal grants from the University of Wisconsin–Eau Claire's Office of Research and Supported Programs and Center for Health Administration and Aging Service Excellence. The authors declare no conflicts of interest. Correspondence: Dr Creapeau, Health Care Administration Program, Department of Management and Marketing, University of Wisconsin–Eau Claire, 105 Garfield Ave, Box 4004, Eau Claire, WI 54702 (creapelj@uwec.edu). DOI: 10.1097/NNA.0000000000001122

Human Well-Being Research and Policy Making

Color poster with text and graphs.The purpose of this study was to gather information from a samp... more Color poster with text and graphs.The purpose of this study was to gather information from a sample of nursing homes to determine the following questions: • What technology is being used? • How is this technology being used?University of Wisconsin--Eau Claire Office of Research and Sponsored Program

JONA: The Journal of Nursing Administration

OBJECTIVE This study investigates practices that may help retain certified nursing assistants (CN... more OBJECTIVE This study investigates practices that may help retain certified nursing assistants (CNAs) and address the staffing challenges faced in long-term care. BACKGROUND CNAs are critical to quality care and retention has never been more challenging. To solve this staffing crisis, understanding the unique perspective of CNAs is imperative. METHODS In semistructured interviews, 5 nursing assistants, the director of nursing, and the nursing home administrator at 59 long-term care facilities answered 4 questions, providing multiple perspectives about causes and solutions to CNA staffing challenges. RESULTS Key responses for each stakeholder group were identified. CNAs highlighted the nature of the job as a bigger challenge than leadership recognized. Although pay is a top concern, emotional support, training, relationship-building, communication, and the work culture can be equally important in reducing turnover. CONCLUSION When organizational leaders understand how to meet the needs and interests of CNAs, they can reduce turnover.

Journal of Geriatric Medicine and Gerontology, 2021

Journal of Applied Gerontology, 2020

Senior care providers are increasingly focused on hospitality to distinguish themselves from comp... more Senior care providers are increasingly focused on hospitality to distinguish themselves from competitors. A mixed-methods approach was used to examine perceptions of hospitality from leadership (i.e., administrators of nursing homes and assisted living facilities) and use of hospitality practices across settings and lines of service. Results indicated that hospitality practices readily exist in senior care settings (i.e., nursing homes, assisted living facilities), but may be referred to by names other than hospitality. There also appear to be more similarities than differences in practices across long-term care service lines (i.e., short- and long-stay nursing home residents, assisted living), suggesting that, regardless of provider type, hospitality in senior care is becoming part of the expected culture and cadre of services for residents. Overall, findings suggest hospitality practices are related to providers’ census, payer mix, and organizational performance.

Quality of Life Research, 2020

Purpose Quality of life has been defined in various ways by nursing home stakeholders over the ye... more Purpose Quality of life has been defined in various ways by nursing home stakeholders over the years. As such, analyzing the levels of agreement or disagreement among these stakeholders to ascertain if staff and leadership align with residentidentified factors for "good" quality of life has become important to include in the literature. This study sought to identify contributory factors to resident quality of life, as well as analyze areas of commonality in qualitative responses. Methods Semi-structured interviews were conducted at 46 Midwestern nursing homes, with residents (n = 138), nursing assistants (n = 138), social workers (n = 46), activities directors (n = 46), and administrators (n = 46), on whether each stakeholder felt residents had a good quality of life and the factors contributing to resident quality of life. Results Overall, the majority of residents perceived their quality of life as "good," though differences were noted in their main contributing factors when compared to staff members' and management's perspectives. Findings also demonstrated that nursing assistants most closely aligned with resident perspectives. Conclusions Given the implications of resident satisfaction with quality of life on multiple facets of a nursing home (e.g., survey process, financial reimbursement), it remains ever critical for management to engage residents and to truly listen to resident perspectives to enhance and ensure an optimal quality of life.

Innovation in Aging, 2018

Educational Gerontology, 2015

ABSTRACT Long term care administrators need a broad base of knowledge, skills, and interests to p... more ABSTRACT Long term care administrators need a broad base of knowledge, skills, and interests to provide leadership and be successful in managing a fiscally responsible, quality long term care organization. Researchers developed a tool to help students assess whether a long term care administration major is a compatible fit. With input from professionals in the field and in context with the literature, a multi-phase research process, utilizing undergraduates as research assistants, led to development of the Long Term Care Administrator (LTCA) Self-Assessment Tool which focuses on assessing interest, ability, and experience of prospective students across the following 10 characteristics deemed necessary for effective leadership of long term care communities: organization, critical thinking, people skills, attitude, confidence, communication, visionary leadership, sense of caring, change agent, and business sense. Internal consistency measures and factor analysis suggest the LTCA Tool is reasonably reliable and valid for assisting prospective students in selecting a long term care administration major and they can also serve as a foundation for building an individualized academic and experiential professional development plan to progress them toward career goals.

The Journal of health administration education

The field of health and aging services administration is experiencing increasing demand for compe... more The field of health and aging services administration is experiencing increasing demand for competent leaders. One of the key factors in the professional development of these leaders is an effective field experience. The goal of this study is to identify characteristics associated with an effective practicum/AIT experience. Prior literature, supplemented by our own focus group investigation with national experts and program stakeholders, suggested four thematic areas of interest. These include preceptor characteristics, learning environment, site performance factors, and site context descriptors. Using data collected from n = 35 student records, we were able to examine the correlation between alternative practicum site and preceptor characteristics, vs. alternative measures of student success in a year-long practicum experience. Results suggest that student outcomes are closely linked to certain preceptor characteristics. Student outcomes are also highly correlated with certain vari...

WMJ : official publication of the State Medical Society of Wisconsin, 2009

More than 9% of Wisconsin residents are without health insurance. Several states have passed legi... more More than 9% of Wisconsin residents are without health insurance. Several states have passed legislation to increase access to health care and move toward universal coverage. Wisconsin legislators are also considering health care reform proposals that present alternatives to the current system. To describe experiences and concerns of individuals who are uninsured as compared to individuals with health insurance. The purpose is to contribute to the current policy debate on health care reform in Wisconsin. Participants in this qualitative study were selected from a set of individuals in west-central Wisconsin who completed a health care survey (n = 222) and gave consent to be contacted for an interview. The interviews were conducted in the spring of 2008; the sample (n = 18) includes equal numbers of individuals with and without health insurance. Regardless of insurance status, participants in this study reported worries about affordability, access to health care, and the influence th...

Cancer Practice, 2001

PURPOSE: Breast cancer is one of the most common and deadly cancers among elderly women, but ther... more PURPOSE: Breast cancer is one of the most common and deadly cancers among elderly women, but there is little consensus in the literature about appropriate screening guidelines for the elderly. In this report, evidence-based studies addressing the efficacy and effectiveness of mammography screening programs for elderly women are analyzed and interpreted.

Qualitative Research in Organizations and Management: An International Journal, 2010

... deColle, S., Werhane, PH (2008), "Moral motivation across ethical theories: what can... more ... deColle, S., Werhane, PH (2008), "Moral motivation across ethical theories: what can we learn for designing corporate ethics programs?", Journal of Business Ethics, Vol. 81 pp.751-64. ...

Policy, Politics, & Nursing Practice, 2009

This study examines the level of health care coverage and health care concerns among a sample of ... more This study examines the level of health care coverage and health care concerns among a sample of 222 West Central Wisconsin residents. More than 68% of respondents felt that Wisconsin health care has at least major problems, and only 2.7% felt that there were no problems. Approximately 60% were extremely or very worried about not being able to afford health care services, whereas more than 70% were extremely or very worried that insurance companies care more about profits than patient care. These concerns translate into a desire for reform, with more than 90% of respondents saying it is extremely or very important for Wisconsin to make health care more affordable and accessible for all residents. Despite some differences between the insured and uninsured, the call for action to expand access and control costs was significant among both groups. These results can help guide the current policy debate on health care reform.

Health Care Management Review, 2013

Long-term care administrators (administrators) can influence the care nursing home residents rece... more Long-term care administrators (administrators) can influence the care nursing home residents receive. However, little research has examined what factors of administrators are associated with how they influence care. In this research, the association between administrators' education and quality of nursing home care is examined. In addition, the association between state educational and training requirements and quality of nursing home care is examined. Information collected from 3,941 administrators was matched with secondary data, including Nursing Home Compare; the Online Survey, Certification and Reporting data; and the Area Resource File. The quality indicators restraint use, catheter use, inadequate pain management, low-risk residents with pressure ulcers, and high-risk residents with pressure ulcers were examined. Positive, statistically significant associations were found between the education level of administrators and all five quality indicators. Likewise, positive statistically significant associations were found between state educational requirements and state training requirements and the five quality indicators. If these associations hold true, then promoting further educational attainment of individual administrators may influence quality of care. The state educational requirements and training requirements for administrators' licensure may represent an additional means of influencing the quality of care in nursing homes.

Educational Gerontology, 2015

Color poster with text and images.The purpose of this study was to identify what components are n... more Color poster with text and images.The purpose of this study was to identify what components are necessary to create a strong long term care administration program.University of Wisconsin--Eau Claire Office of Research and Sponsored Program

Instructor (Dr Creapeau), Professor and Program Director (Dr JohsArtisensi), Professor andDepartm... more Instructor (Dr Creapeau), Professor and Program Director (Dr JohsArtisensi), Professor andDepartment Chair (Dr Lauver), Department ofManagement andMarketing, University ofWisconsin–EauClaire. Undergraduate student research assistant support was funded from internal grants from the University of Wisconsin–Eau Claire's Office of Research and Supported Programs and Center for Health Administration and Aging Service Excellence. The authors declare no conflicts of interest. Correspondence: Dr Creapeau, Health Care Administration Program, Department of Management and Marketing, University of Wisconsin–Eau Claire, 105 Garfield Ave, Box 4004, Eau Claire, WI 54702 (creapelj@uwec.edu). DOI: 10.1097/NNA.0000000000001122

Human Well-Being Research and Policy Making

Color poster with text and graphs.The purpose of this study was to gather information from a samp... more Color poster with text and graphs.The purpose of this study was to gather information from a sample of nursing homes to determine the following questions: • What technology is being used? • How is this technology being used?University of Wisconsin--Eau Claire Office of Research and Sponsored Program

JONA: The Journal of Nursing Administration

OBJECTIVE This study investigates practices that may help retain certified nursing assistants (CN... more OBJECTIVE This study investigates practices that may help retain certified nursing assistants (CNAs) and address the staffing challenges faced in long-term care. BACKGROUND CNAs are critical to quality care and retention has never been more challenging. To solve this staffing crisis, understanding the unique perspective of CNAs is imperative. METHODS In semistructured interviews, 5 nursing assistants, the director of nursing, and the nursing home administrator at 59 long-term care facilities answered 4 questions, providing multiple perspectives about causes and solutions to CNA staffing challenges. RESULTS Key responses for each stakeholder group were identified. CNAs highlighted the nature of the job as a bigger challenge than leadership recognized. Although pay is a top concern, emotional support, training, relationship-building, communication, and the work culture can be equally important in reducing turnover. CONCLUSION When organizational leaders understand how to meet the needs and interests of CNAs, they can reduce turnover.

Journal of Geriatric Medicine and Gerontology, 2021

Journal of Applied Gerontology, 2020

Senior care providers are increasingly focused on hospitality to distinguish themselves from comp... more Senior care providers are increasingly focused on hospitality to distinguish themselves from competitors. A mixed-methods approach was used to examine perceptions of hospitality from leadership (i.e., administrators of nursing homes and assisted living facilities) and use of hospitality practices across settings and lines of service. Results indicated that hospitality practices readily exist in senior care settings (i.e., nursing homes, assisted living facilities), but may be referred to by names other than hospitality. There also appear to be more similarities than differences in practices across long-term care service lines (i.e., short- and long-stay nursing home residents, assisted living), suggesting that, regardless of provider type, hospitality in senior care is becoming part of the expected culture and cadre of services for residents. Overall, findings suggest hospitality practices are related to providers’ census, payer mix, and organizational performance.

Quality of Life Research, 2020

Purpose Quality of life has been defined in various ways by nursing home stakeholders over the ye... more Purpose Quality of life has been defined in various ways by nursing home stakeholders over the years. As such, analyzing the levels of agreement or disagreement among these stakeholders to ascertain if staff and leadership align with residentidentified factors for "good" quality of life has become important to include in the literature. This study sought to identify contributory factors to resident quality of life, as well as analyze areas of commonality in qualitative responses. Methods Semi-structured interviews were conducted at 46 Midwestern nursing homes, with residents (n = 138), nursing assistants (n = 138), social workers (n = 46), activities directors (n = 46), and administrators (n = 46), on whether each stakeholder felt residents had a good quality of life and the factors contributing to resident quality of life. Results Overall, the majority of residents perceived their quality of life as "good," though differences were noted in their main contributing factors when compared to staff members' and management's perspectives. Findings also demonstrated that nursing assistants most closely aligned with resident perspectives. Conclusions Given the implications of resident satisfaction with quality of life on multiple facets of a nursing home (e.g., survey process, financial reimbursement), it remains ever critical for management to engage residents and to truly listen to resident perspectives to enhance and ensure an optimal quality of life.

Innovation in Aging, 2018

Educational Gerontology, 2015

ABSTRACT Long term care administrators need a broad base of knowledge, skills, and interests to p... more ABSTRACT Long term care administrators need a broad base of knowledge, skills, and interests to provide leadership and be successful in managing a fiscally responsible, quality long term care organization. Researchers developed a tool to help students assess whether a long term care administration major is a compatible fit. With input from professionals in the field and in context with the literature, a multi-phase research process, utilizing undergraduates as research assistants, led to development of the Long Term Care Administrator (LTCA) Self-Assessment Tool which focuses on assessing interest, ability, and experience of prospective students across the following 10 characteristics deemed necessary for effective leadership of long term care communities: organization, critical thinking, people skills, attitude, confidence, communication, visionary leadership, sense of caring, change agent, and business sense. Internal consistency measures and factor analysis suggest the LTCA Tool is reasonably reliable and valid for assisting prospective students in selecting a long term care administration major and they can also serve as a foundation for building an individualized academic and experiential professional development plan to progress them toward career goals.

The Journal of health administration education

The field of health and aging services administration is experiencing increasing demand for compe... more The field of health and aging services administration is experiencing increasing demand for competent leaders. One of the key factors in the professional development of these leaders is an effective field experience. The goal of this study is to identify characteristics associated with an effective practicum/AIT experience. Prior literature, supplemented by our own focus group investigation with national experts and program stakeholders, suggested four thematic areas of interest. These include preceptor characteristics, learning environment, site performance factors, and site context descriptors. Using data collected from n = 35 student records, we were able to examine the correlation between alternative practicum site and preceptor characteristics, vs. alternative measures of student success in a year-long practicum experience. Results suggest that student outcomes are closely linked to certain preceptor characteristics. Student outcomes are also highly correlated with certain vari...

WMJ : official publication of the State Medical Society of Wisconsin, 2009

More than 9% of Wisconsin residents are without health insurance. Several states have passed legi... more More than 9% of Wisconsin residents are without health insurance. Several states have passed legislation to increase access to health care and move toward universal coverage. Wisconsin legislators are also considering health care reform proposals that present alternatives to the current system. To describe experiences and concerns of individuals who are uninsured as compared to individuals with health insurance. The purpose is to contribute to the current policy debate on health care reform in Wisconsin. Participants in this qualitative study were selected from a set of individuals in west-central Wisconsin who completed a health care survey (n = 222) and gave consent to be contacted for an interview. The interviews were conducted in the spring of 2008; the sample (n = 18) includes equal numbers of individuals with and without health insurance. Regardless of insurance status, participants in this study reported worries about affordability, access to health care, and the influence th...

Cancer Practice, 2001

PURPOSE: Breast cancer is one of the most common and deadly cancers among elderly women, but ther... more PURPOSE: Breast cancer is one of the most common and deadly cancers among elderly women, but there is little consensus in the literature about appropriate screening guidelines for the elderly. In this report, evidence-based studies addressing the efficacy and effectiveness of mammography screening programs for elderly women are analyzed and interpreted.

Qualitative Research in Organizations and Management: An International Journal, 2010

... deColle, S., Werhane, PH (2008), "Moral motivation across ethical theories: what can... more ... deColle, S., Werhane, PH (2008), "Moral motivation across ethical theories: what can we learn for designing corporate ethics programs?", Journal of Business Ethics, Vol. 81 pp.751-64. ...

Policy, Politics, & Nursing Practice, 2009

This study examines the level of health care coverage and health care concerns among a sample of ... more This study examines the level of health care coverage and health care concerns among a sample of 222 West Central Wisconsin residents. More than 68% of respondents felt that Wisconsin health care has at least major problems, and only 2.7% felt that there were no problems. Approximately 60% were extremely or very worried about not being able to afford health care services, whereas more than 70% were extremely or very worried that insurance companies care more about profits than patient care. These concerns translate into a desire for reform, with more than 90% of respondents saying it is extremely or very important for Wisconsin to make health care more affordable and accessible for all residents. Despite some differences between the insured and uninsured, the call for action to expand access and control costs was significant among both groups. These results can help guide the current policy debate on health care reform.

Health Care Management Review, 2013

Long-term care administrators (administrators) can influence the care nursing home residents rece... more Long-term care administrators (administrators) can influence the care nursing home residents receive. However, little research has examined what factors of administrators are associated with how they influence care. In this research, the association between administrators' education and quality of nursing home care is examined. In addition, the association between state educational and training requirements and quality of nursing home care is examined. Information collected from 3,941 administrators was matched with secondary data, including Nursing Home Compare; the Online Survey, Certification and Reporting data; and the Area Resource File. The quality indicators restraint use, catheter use, inadequate pain management, low-risk residents with pressure ulcers, and high-risk residents with pressure ulcers were examined. Positive, statistically significant associations were found between the education level of administrators and all five quality indicators. Likewise, positive statistically significant associations were found between state educational requirements and state training requirements and the five quality indicators. If these associations hold true, then promoting further educational attainment of individual administrators may influence quality of care. The state educational requirements and training requirements for administrators' licensure may represent an additional means of influencing the quality of care in nursing homes.

Educational Gerontology, 2015