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Related Experiment Videos

Turnover begets turnover.

Nicholas G Castle1

  • 1Health Policy and Management, University of Pittsburgh, PA 15261, USA. castleN@Pitt.edu

The Gerontologist
|April 1, 2005
PubMed
Summary
This summary is machine-generated.

Nursing home top management turnover significantly impacts caregiver retention. Increased administrator turnover correlates with higher nurse aide and registered/licensed practical nurse turnover rates, affecting staff stability.

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Area of Science:

  • Healthcare Management
  • Organizational Behavior
  • Nursing Home Administration

Background:

  • High caregiver turnover is a persistent challenge in nursing homes.
  • Understanding factors influencing staff retention is crucial for quality care.
  • Previous research has not extensively explored the link between top management and direct care staff turnover.

Purpose of the Study:

  • To investigate the relationship between the turnover of nursing home top management (administrators, directors of nursing) and the turnover of direct care staff (registered nurses, licensed practical nurses, nurse aides).

Main Methods:

  • Utilized data from a survey of 419 nursing facilities and the Online Survey, Certification, and Reporting (OSCAR) system.
  • Employed multinomial logistic regression analyses to assess the association between top management turnover and caregiver turnover rates.

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Main Results:

  • A 10% increase in top management turnover was associated with a 21% increase in the odds of high nurse aide turnover and an 8% decrease in the odds of low nurse aide turnover (p <.05).
  • A 10% increase in top management turnover was associated with a 30% increase in the odds of high turnover for registered and licensed practical nurses (p <.1).

Conclusions:

  • Preliminary evidence suggests that nursing home top management turnover plays a significant role in influencing caregiver turnover.
  • Addressing administrative stability may be a key strategy for improving direct care staff retention in nursing homes.