Castle Nicholas G, Engberg John
Health Policy and Management, University of Pittsburgh, A649 Crabtree Hall, 130 DeSoto Street, Pittsburgh, PA 15261, USA.
Gerontologist. 2006 Feb;46(1):62-73. doi: 10.1093/geront/46.1.62.
The association between certified nurse aide, licensed practical nurse, and registered nurse turnover and the organizational characteristics of nursing homes are examined.
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).
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.
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.
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。
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。
注册护士助理、执业护士和注册护士的1年流动率分别为56.4%、39.7%和35.8%。结果一致表明，对于所有护理人员而言，较低的人员配备水平、较低的质量、营利性所有权和较大的床位规模与较高的流动率相关。在不同的流动水平上也发现了一些差异，但不同类型护理人员之间的差异很少。
鉴于人员流动率存在问题，本研究使我们对这一现象有了更好的理解，同时有助于我们进一步了解疗养院之间基于其组织特征而存在的广泛差异。
Zotero 插件