Characteristics of Long-Term Care Registered Apprenticeship Programs: Implications for Evaluation Design. 5.1. Staffing


The sites are restricted in the level of oversight staff they can provide to the LTC RAP, either because of structural constraints (e.g., HHAs usually perform their tasks alone in client homes), or because of resource constraints (e.g., time away from performing reimbursed job tasks with clients). The LTC RAPs visited operate with few, if any, staff dedicated solely to the LTC RAPs (Table 7). Two of the LTC RAPs (Developmental Services and Home Care Associates) employ one or two instructors, although training is also occasionally outsourced to other organizations. Although Agape uses its own staff to teach most modules, it hires outside trainers for teaching the dementia module. Developmental Services initially relied on existing staff to provide in-house training, and eventually hired an LPN to expand their capacity to provide rigorous training in-house, particularly the medical curriculum. Home Care Associates’ instructor is a graduate of the sponsor’s training program (although before it became a registered apprenticeship). Good Samaritan also uses LPNs and RNs currently employed as staff to provide training to CNA apprentices. As previously discussed, Air Force Villages has in-house training staff -- 7-8 employees in managerial positions -- that provide related technical instruction and have more senior nursing staff monitor OJT performance.

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