Department of Health Policy, Management, and Leadership, WVU School of Public Health, Morgantown, West Virginia.
Florida Policy Exchange Center on Aging, School of Aging Studies, Tampa.
Gerontologist. 2020 Jul 15;60(5):885-895. doi: 10.1093/geront/gnz168.
The association of nurse aide retention with three quality indicators is examined. Retention is defined as the proportion of staff continuously employed in the same facility for a defined period of time.
Data used in this investigation came from survey responses from 3,550 nursing facilities, Certification and Survey Provider Enhanced Reporting data, and the Area Resource File. Staffing characteristics, quality indicators, facility, and market information from these data sources were all measured in 2016. Nurse aide retention was measured at 1, 2, and 3 years of employment. The quality indicators examined were a count of all deficiency citations, quality of care deficiency citations, and J, K, L deficiency citations. Negative binomial regression analyses were used to study the associations between the three different retention measures and these three quality indicators.
The 1-, 2-, and 3-year nurse aide retention measures were 53.2%, 41.4%, and 36.1%, respectively. The regression analyses show low levels of retention to be generally associated with poor performance on the three deficiency citation quality indicators examined.
The research presented starts to provide information on nurse aide retention as an important workforce challenge and its potential impact on quality. Retention may be an additional staffing characteristic of nursing facilities with substantial policy and practice relevance.
本研究旨在探讨护工留存率与三个质量指标之间的关联。护工留存率的定义为在特定时间段内连续在同一机构工作的员工比例。
本研究使用了来自 3550 家护理机构的调查应答数据、认证和调查提供者增强报告数据以及区域资源文件。这些数据源中的人员配备特征、质量指标、机构和市场信息均在 2016 年进行了测量。护工留用率在入职 1、2 和 3 年时进行测量。所考察的质量指标包括所有缺陷引文数量、护理质量缺陷引文数量和 J、K、L 缺陷引文数量。采用负二项回归分析研究了这三种不同的留用率测量值与这三个质量指标之间的关联。
入职 1、2 和 3 年的护工留用率分别为 53.2%、41.4%和 36.1%。回归分析表明，低水平的留用率通常与所考察的三个缺陷引文质量指标的表现不佳相关。
本研究首次提供了关于护工留存率作为劳动力重要挑战及其对质量可能产生的潜在影响的信息。留存率可能是护理机构人员配备特征的一个附加指标，具有重要的政策和实践意义。
