Turnover begets turnover
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Updated: Aug 18, 2026

The Collective Trust Game: An Online Group Adaptation of the Trust Game Based on the HoneyComb Paradigm
Published on: October 20, 2022
1Health Policy and Management, University of Pittsburgh, PA 15261, USA. castleN@Pitt.edu
Purpose:
This study examined the association between turnover of caregivers and turnover of nursing home top management. The top managers examined were administrators and directors of nursing, and the caregivers examined were registered nurses, licensed practical nurses, and nurse aides.
Design And Methods:
The data came from a survey of 419 nursing facilities and the Online Survey, Certification, and Reporting system. Multinomial logistic regression analyses were used to examine the association between turnover of nursing home top management and turnover of caregivers.
Results:
A 10% increase in top management turnover is associated (p <.05) with a 21% increase in the odds that a facility will have a high turnover rate of nurse aides and is associated (p <.05) with an 8% decrease in the odds that a facility will have a low turnover rate of nurse aides. A 10% increase in top management turnover is associated (p <.1) with a 30% increase in the odds that a facility will have a high turnover rate for registered and licensed practical nurses.
Implications:
This study provides preliminary evidence that the turnover of top managers may have an important influence on caregiver turnover in nursing homes.
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