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Developing and Retaining Homecare Nurses Through Employer-Based Tuition Assistance Programs: A Mixed Methods Study.

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Employer tuition assistance helps homecare workers advance nursing careers and stay with their employers. Enhancements like career coaching can further improve retention and address staffing shortages.

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Area of Science:

  • Healthcare Workforce Development
  • Nursing Education and Career Progression
  • Homecare Services Management

Background:

  • Homecare organizations face challenges in retaining skilled staff.
  • Employer-sponsored educational programs can be a strategy to improve employee retention and career advancement.
  • Financial barriers often hinder homecare workers' pursuit of higher education and career progression.

Purpose of the Study:

  • To evaluate the impact of an employer-based tuition assistance program on nursing career advancement and retention among homecare workers.
  • To identify facilitators and barriers to career progression for homecare workers participating in a tuition assistance program.

Main Methods:

  • Convergent parallel mixed-methods design integrating quantitative administrative data and qualitative semi-structured interviews.
  • Descriptive statistics for quantitative data and thematic analysis for qualitative data.
  • Joint data display used to synthesize findings from both data sources.

Main Results:

  • Tuition assistance reduced financial barriers, with 83% of recipients remaining employed for at least one year post-studies.
  • Only 29% of recipients experienced career advancement, indicating a need for additional support.
  • Psychosocial support, career navigation, and coaching were identified as crucial for successful licensing and role transitions.

Conclusions:

  • Employer-based tuition assistance is effective in supporting nursing career growth and enhancing staff retention in homecare settings.
  • Integrating practical enhancements, such as career coaching and transition support, can maximize the impact of tuition assistance programs.
  • These programs offer a valuable strategy to develop a skilled workforce and address critical homecare staffing needs.