Research Article

Organizational Factors Associated with Regulation Noncompliance in Home Care Services and Service Housing Facilities: An Exploratory Cross-Sectional Study

Table 1

Overview of variables utilized in this study.

VariableSourceScoringTotal range

Regulatory complianceWellbeing survey—item from Rizzo et al.’s role conflict and ambiguity scales: “In some situations I had to violate regulations to get my job done”Likert scale 1–5. 1 indicated disagreement and 5 indicated full agreement with the statement. For this study dichotomized; did not violate against regulations (1 “never”) and did violate against regulations (2 to 5)0 (no violation) to 1 (violated against regulations)

Indirect care timeTime Measurement SurveyTime measured in minutes0–255

Number of disruptionsWellbeing SurveyTotal count of disruptions0–20

Number of clients/number of visitsTime Measurement SurveyTotal count of clients/visits during one working dayService housing 0–20
Home care 0–24

Clinical complexity of clientsRAI registry Case Mix Index (CMI)The CMI baseline is 1, with values exceeding 1 indicating clients requiring more resources, and values under 1 indicating clients requiring less resourcesHome care 0.792 to 3.046
Service housing 0.682–1.178

Care time in relation to the clinical complexity of clientsRAI registry(CMI) + direct care time (Time Measurement Survey)Measured by subtracting the amount of care time reported in the staff time measurement from the clients CMI group−2.269–3.852

Team autonomyManager survey—seven items related to team autonomyLikert scale 1–4. 1 indicating “not at all” and 4 “the team can decide fully independently”1 to 4

Working for a public/private organizationRAI registries. Only for service housing facilitiesPrivate/publicPrivate/public

Perceived lack of timeWellbeing Survey—item from Rizzo et al.’s role conflict and ambiguity scales. “Lack of time to do job properly”Likert scale 1–5. 1 indicated disagreement and 5 indicated full agreement with the statement1 to 5

Perceived lack of resourcesWellbeing Survey—item from Rizzo et al.’s role conflict and ambiguity scales. “Assigned tasks without being provided the tools and/or resources to complete the tasks”Likert scale 1–5. 1 indicated disagreement and 5 indicated full agreement with the statement1 to 5