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The UCSF HWRC team is grateful for the opportunity to continue and expand our research on the workforce that meets essential needs of people with long-term care needs. Over the past three months, we’ve had the opportunity to share our work at UCSF, at a major national conference, and around the world, with presentations in Cairo, Barcelona, Bilbao, Norway, and China.
We also have new partnerships and projects underway, and welcome opportunities to work with philanthropic, government, and policy partners to expand knowledge and evaluate programs to advance the capacity of the long-term care workforce. To learn more, read on, and you can always reach me at joanne.spetz@ucsf.edu.
Joanne Spetz, PhD, FAAN
Director
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Tyler DA, Fujita M, Chapman SA. Association Between Self-Direction and Personal Care Aide Wages. Medical Care Research and Review. 2024;81(6):455-463. https://doi.org/10.1177/10775587241273413
A growing concern is the supply of direct care workers (DCWs), including personal care aides (PCAs), who assist people receiving long-term services and supports. PCA shortages result, in part, from the low wages earned by these workers. Self-direction (SD) may influence wages because SD allows home care recipients to hire and manage workers, including setting worker wages in most states. This study used wage data from the Bureau of Labor Statistics to examine the effect SD has had on the wages of PCAs. See more at: https://healthworkforce.ucsf.edu/effect-self-directed-programs-direct-care-worker-wages
Sideman AB, Hernandez de Jesus A, Alagappan C, Ma M, Koenig CJ, Alving LI, Segal-Gidan F, Goldberger R, Sohmer D, Rosen H. Strengthening Primary Care Workforce Capacity in Dementia Diagnosis and Care: A Qualitative Study of Project Alzheimer's Disease-ECHO. Medical Care Research and Review. 2024;81(5):384-394. https://doi.org/10.1177/10775587241251868
This qualitative study examined the Alzheimer’s Disease–Extension for Community Healthcare Outcomes (AD-ECHO) program. AD-ECHO was designed to strengthen PCP capacity in dementia through bi-monthly virtual meetings with a team of dementia experts. See more at: https://healthworkforce.ucsf.edu/building-primary-care-capacity-dementia-care-using-project-echo
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New Grant from the Gilead Foundation to Expand the FirstGenRN Program | |
In November, Dr. Laura Wagner received a $250,000 grant from the Gilead Foundation for the FirstGenRN: Healthcare Education, Access, and Leadership (HEAL) Scholars Program. This program supports first-generation college nursing students, preparing them to excel in their careers and make a meaningful impact in the communities they call home.
The project will:
- Award scholarships to support students financially
- Strengthen and prepare scholars for success in nursing careers
- Develop faculty mentorship programs specifically for FirstGenRN students
- Launch a visibility campaign to raise awareness of the program’s impact
- Conduct a comprehensive pre- and post-program evaluation, culminating in a summary report
- Share findings and best practices across five Bay Area Community College RN programs.
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HWRC Research and Presentations at the 2024 Gerontological Society of America Conference | |
UCSF HWRC researchers and collaborators were well-represented at the 2024 Gerontological Society of America conference, held in Seattle in November.
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Alma Hernandez de Jesus, Sharifa Brooks-Smith-Lowe, Melissa Filippi, Julie K Wood, Leah Karliner, Soo Borson, and Alissa Bernstein Sideman. Primary Care Physician Perspectives on the Involvement of Family Members in the Care of People With Dementia. Poster.
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Joanne Spetz Spotlighting the Experiences of the Home Care Workforce Caring for Older Adults Living with Dementia. Discussant.
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Jiyeon Kim (PHI Research Associate). The Effect of Secondary Jobholding on Income Mobility of Direct Care Workers. Presentation.
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Jessica King (PHI Research and Evaluation Associate), Kezia Scales, Amy Robins, and Toni Gingerelli. Together in Care: Elevating the Importance of Family and Paid Caregivers. Presentation.
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HWRC Assistant Director named Interim Chair | |
Laura Wagner, PhD, RN, FAAN, assumed the role of Interim Chair of the Community Health Systems Department at UCSF School of Nursing in July 2024. The department is committed to improving health and health care for those served by community-based health care systems through educating nurses whose foci include the individual, community and health system. While she leads this department, she will continue in her role as Associate Director for Research of our HWRC. | |
New Project on Nursing Home Care Models | Laura Wagner and Joanne Spetz are part of a new grant received by collaborator Kira Ryskina, MD, of the University of Pennsylvania, titled “Advanced Provider Care Models and Health Outcomes of Nursing Home Residents with Dementia.” The overarching goal is to improve the quality of care for NH residents with ADRD by evaluating and disseminating information on high-performing NH clinician care models. The study team will survey a nationally representative sample of nursing home clinicians about their practice characteristics, organization, processes of care, and degree of co-management between different types of clinicians, and link the survey results with data on the quality and costs of nursing home care. | |
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de Lisser, R., Lauderdale, J., Spetz, J., Dietrich, M.S., Ramanujam, R., Stolldorf, D.P. “My voice does not matter…” A qualitative study of clinician experiences with psychological safety, the work environment, and burnout. November 2024. Journal of Workplace and Behavioral Health. 1–24. https://doi.org/10.1080/15555240.2024.2432336
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Joynt, J., Quan, A., de Lisser, R., Spetz, J. California’s nurse practitioner workforce: Understanding demographics, education, and scope of practice. September 2024. Oakland, CA: California Health Care Foundation. https://www.chcf.org/wp-content/uploads/2024/09/CaliforniasNPWorkforceUnderstandingDemographicsEducationSOP.pdf
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Kyung, M., Lee, S-J., Wagner, L.M., Hong, O. Factors associated with reporting attitudes of work-related musculoskeletal disorders among direct care workers in South Korea. August 2024. Workplace Health & Safety.72(8):345-353. https://doi.org/10.1177/21650799241247078
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Muench, U., Spetz, J., Quan, A., de Lisser, R., Bates, T. Nurse practitioner race and ethnicity and interest in independent primary care practice and serving Medicaid enrollees. December 2024. Health Affairs Scholar. Volume 2, Issue 12 https://doi.org/10.1093/haschl/qxae153
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Quan, A., Joynt, J., Spetz, J., de Lisser, R., Bates, T., Hansen, C. Nurse practitioners practicing in underserved communities. September 2024. Oakland, CA: California Health Care Foundation. https://www.chcf.org/wp-content/uploads/2024/09/NPsPracticingUnderservedCommunities.pdf
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- Joanne Spetz traveled to Zhongshan and Changsha, China, to attend an international midwifery conference and visit Central South University, where a past visiting scholar, Jia Guo, PhD, is now the Associate Dean for Research in the School of Nursing. She presented recent research on California’s midwifery and nurse practitioner workforce, learned about research on diabetes prevention and management led by Dr. Guo, and discussed potential education collaborations.
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Alma Hernandez de Jesus, Sharifa Brooks-Smith-Lowe, Melissa Filippi, Julie K Wood, Leah Karliner, Soo Borson, and Alissa Bernstein Sideman. Primary Care Physician Perspectives on the Involvement of Family Members in the Care of People With Dementia. Poster. Dementia Day. San Francisco, CA. November 6, 2024.
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- In September, Joanne Spetz represented the UCSF HWRC at the International Long-Term Care Policy Network conference in Bilbao, Spain. She presented preliminary results from our project on the associations between long-term care nurses’ race, ethnicity, immigration status and wages. She also discussed future collaborations with with Shereen Hussein of the London School of Hygiene and Tropical Medicine (pictured).
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Susan Chapman attended a project conference in Solstrand, Norway on the long-term care system in Norway and comparison countries November 3-5th. UCSF is a partner in this 5-year project. Susan's presentation was titled, Dementia and Dementia Care: Workforce Training.
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Susan Chapman was invited to present a guest lecture to students and faculty at the University of Barcelona, School of Nursing on November 11th. The title was Advanced Practice Nursing in the US: Roles, Regulation, Efficacy, and Policy.
- Laura Wagner Presented a talk on Dementia Care at the 1st International Congress of the Armed Forces College of Medicine, Cairo, Egypt, November 20-22, 2024
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The UCSF Health Workforce Research Center on Long-Term Care (UCSF HWRC) is a dynamic hub of policy-oriented research and investigation, established through support from the National Center for Health Workforce Analysis in the U.S. Bureau of Health Workforce. UCSF HWRC closely examines the health care workforce and helps shape policies to meet expanding LTC needs. Our research includes the workforce in nursing homes, home health care, adult day care, community-based settings, and home settings, and includes all LTC occupations.
Director: Joanne Spetz, PhD, FAAN
Deputy Director: Susan Chapman, PhD, RN, FAAN
Associate Director for Research: Laura Wagner, PhD, RN, FAAN
Visit: https://healthworkforce.ucsf.edu/about
Follow on Twitter: @ucsfhwrc
This newsletter highlights new HWRC publications, as well as workforce-related research conducted by our team at the Institute for Health Policy Studies and Healthforce Center at UCSF, and other research partners.
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