Schedule Control and Nursing Home Quality: Exploratory Evidence of a Psychosocial Predictorof Resident Care

David Hurtado, Lisa F. Berkman, Orfeu M. Buxton, Cassandra A. Okechukwu

Research output: Contribution to journalArticle

9 Scopus citations


Aim: To examine whether nursing homes' quality of care was predicted by schedule control (workers' ability to decide work hours), independently of other staffing characteristics. Method: Prospective ecological study of 30 nursing homes in New England. Schedule control was self-reported via survey in 2011-2012 (N = 1,045). Quality measures included the prevalence of decline in activities of daily living, residents' weight loss, and pressure ulcers, indicators systematically linked with staffing characteristics. Outcomes data for 2012 were retrieved from Results: Robust Linear Regressions showed that higher schedule control predicted lower prevalence of pressure ulcers (β = -0.51, p <.05). This association was independent of staff mix, staffing ratios, job satisfaction, and turnover intentions. Conclusion: Higher schedule control might enhance the planning and delivery of strategies to prevent or cure pressure ulcers. Further research is needed to identify potential causal mechanisms by which schedule control could improve quality of care.

Original languageEnglish (US)
Pages (from-to)244-253
Number of pages10
JournalJournal of Applied Gerontology
Issue number2
StatePublished - Jan 1 2016
Externally publishedYes



  • job flexibility
  • nursing home quality
  • pressure ulcers
  • schedule control
  • staffing mix

ASJC Scopus subject areas

  • Gerontology
  • Geriatrics and Gerontology

Cite this