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Factors associated with nursing home staff turnover
1Center for Gerontology and Health Care Research, Brown University, USA.
The Gerontologist
|August 1, 1996
Summary
Nursing home aide turnover decreased with team-based care planning. For-profit facilities had higher turnover rates, indicating organizational factors impact staff retention in elder care.
Area of Science:
- Gerontology
- Healthcare Management
- Organizational Psychology
Background:
- High staff turnover in nursing homes presents a significant challenge to quality elder care.
- Understanding organizational factors influencing facility aide retention is crucial for improving care quality and stability.
Purpose of the Study:
- To investigate the impact of job design and organizational factors on nursing home facility aide turnover rates.
- To identify specific workplace elements that either reduce or exacerbate aide turnover, controlling for local economic conditions.
Main Methods:
- Analysis of data from 250 nursing homes across 10 states.
- Interviews with administrators and directors of nursing to gather facility characteristics.
- Statistical examination of the relationship between organizational factors and aide turnover rates.
Main Results:
- Involvement in interdisciplinary care plan meetings significantly reduced aide turnover.
- For-profit nursing homes exhibited higher turnover rates compared to non-profit facilities.
- Factors such as aide assessment involvement, training, workload, case mix, payor mix, and facility size did not show a significant association with turnover.
Conclusions:
- Collaborative care planning is a key strategy for improving nursing home staff retention.
- The for-profit status of a facility is associated with increased aide turnover, suggesting a need for targeted interventions in these settings.