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Nursing assistant turnover in nursing homes: A scoping review of the literature
Vivian J Miller1, Lauren Maziarz1, Jennifer Wagner1
1College of Health and Human Services, Bowling Green State University, 223 Health and Human Services Bldg, Bowling Green, OH 43403, USA.
Background:
Nurse aide turnover in long-term care is projected to increase in the coming years. Guided by a social ecological framework, this scoping review systematically searched for peer-reviewed journal articles on nursing assistant or nurse aide turnover in nursing homes.
Methods:
Using the PICO and PRISMA guidelines, 8 university-based library databases via EBSCOhost were searched to source peer-reviewed journal articles published between 2002 and 2022 on nurse aide turnover in nursing homes.
Results:
The initial article search revealed 997 articles. After a three-stage article screening and removal process, a final sample of 43 articles (N = 43) remained. Guided by levels of influence, nurse aide turnover is found to be influenced by intrapersonal, interpersonal, institutional, community, and public policy level factors.
Conclusion:
Findings highlight the need for further research with nursing facility administrators and nurse aides to evaluate the complex interactions within long-term care nursing homes.
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