Graduate Thesis Or Dissertation
 

The identification of long-term care administrator competencies

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  • The primary purpose of this study was to identify the competencies needed to perform effectively as a long-term care administrator. An original list of competency statements was generated from the literature and from persons active in the field of long-term care administration. This list of 53 statements was placed into questionnaire form and submitted to a panel of 20 national experts. These experts were identified by their contributions to the field and by recommendations of organizations involved in long-term care. This research used a modification to the Delphi technique to solicit the opinions of the experts concerning each of the competency statements. Findings Forty-two competency statements, arranged in five job function categories, met the mean standard for acceptance and were included in a final list of long-term care administrator competencies. The five job function categories were the following: Patient Care; Personnel Relations; Budgeting and Financing; Management and Supervision; and Legal Problems and Government Regulations. The category of Legal Problems and Government Regulations experienced the highest level of agreement among the expert panelists, followed by the categories of Personnel Relations, Management and Supervision, Budgeting and Financing, and Patient Care, respectively. The high level of disagreement experienced in the Patient Care category was attributed to the trend of increased separation of administrative responsibilities and direct patient care. The trend in long-term care administration, as indicated by these experts, is moving in the direction of principles associated, historically, with the general field of administration. These principles concern management of personnel and reflect less direct interaction with clientele.
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