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Factors Related to Registered Nurse Retention In Nursing Homes: A National Perspective

Hunt Mckinney,Selina Roberdeau-2010-01-01
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TL;DRAbstract

Background: Whereas registered nurse (RN) shortages, turnover and retention have been concerns of nursing home facilities for many years, retention strategies are implemented without evidence of their effectiveness in the long-term care sector. Despite increasing attention to nursing home staff turnover, little is known about the association of retention strategies, organizational hygiene features and facility RN retention in nursing homes. Methods: Data were obtained from the 2004 National Nursing Home Survey, a nationally representative sample of 1,174 nursing homes in the United States. Our outcome of interest was RN retention of more than one year. The multimodal distribution of RN retention percentages were categorized into grossly equivalent groups of low (0-50%), moderate (51-79%) and high retention (80-100%) facilities. The independent variables consisted of management strategies to retain nurses, features of the work environment and work resources, and organizational attribute

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Background: Whereas registered nurse (RN) shortages, turnover and retention have been concerns of nursing home facilities for many years, retention strategies are implemented without evidence of their effectiveness in the long-term care sector. Despite increasing attention to nursing home staff turnover, little is known about the association of retention strategies, organizational hygiene features and facility RN retention in nursing homes. Methods: Data were obtained from the 2004 National Nursing Home Survey, a nationally representative sample of 1,174 nursing homes in the United States. Our outcome of interest was RN retention of more than one year. The multimodal distribution of RN retention percentages were categorized into grossly equivalent groups of low (0-50%), moderate (51-79%) and high retention (80-100%) facilities. The independent variables consisted of management strategies to retain nurses, features of the work environment and work resources, and organizational attribute

Keywords

NursingAttendanceTurnoverLong-term careMedicineMultinomial logistic regressionEmployee retentionNursing homes

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