与养老院员工流动率相关的组织特征。

Organizational characteristics associated with staff turnover in nursing homes.

作者信息

Castle Nicholas G, Engberg John

机构信息

Health Policy and Management, University of Pittsburgh, A649 Crabtree Hall, 130 DeSoto Street, Pittsburgh, PA 15261, USA.

出版信息

Gerontologist. 2006 Feb;46(1):62-73. doi: 10.1093/geront/46.1.62.

DOI:10.1093/geront/46.1.62

PMID:16452285

Abstract

PURPOSE

The association between certified nurse aide, licensed practical nurse, and registered nurse turnover and the organizational characteristics of nursing homes are examined.

DESIGN AND METHODS

Hypotheses for eight organizational characteristics are examined (staffing levels, top management turnover, resident case mix, facility quality, ownership, chain membership, size, and Medicaid census), using Online Survey, Certification, and Reporting (known as OSCAR) data. Turnover information came from primary data collected from 854 facilities in six states (Missouri, Texas, Connecticut, New York, Pennsylvania, and New Jersey).

RESULTS

The 1-year turnover rates were 56.4%, 39.7%, and 35.8% for certified nurse aides, licensed practical nurses, and registered nurses, respectively. The results consistently show that, for all caregivers, lower staffing levels, lower quality, for-profit ownership, and higher bed size are associated with higher turnover. Some differences also are found for different levels of turnover, but there are few differences among types of nursing staff.

IMPLICATIONS

Given that turnover rates are problematic, this study gives us a better understanding of the phenomenon and at the same time helps us further understand the wide variation that is known to exist between nursing homes, based on their organizational characteristics.

摘要

目的

研究注册护士助理、执业护士和注册护士的人员流动率与疗养院组织特征之间的关联。

设计与方法

利用在线调查、认证和报告（简称OSCAR）数据，对八个组织特征的假设进行检验（人员配备水平、高层管理人员流动率、居民病例组合、机构质量、所有权、连锁会员资格、规模和医疗补助人口普查）。人员流动信息来自从六个州（密苏里州、得克萨斯州、康涅狄格州、纽约州、宾夕法尼亚州和新泽西州）的854家机构收集的原始数据。