Banaszak-Holl J, Hines M A
Center for Gerontology and Health Care Research, Brown University, USA.
Gerontologist. 1996 Aug;36(4):512-7. doi: 10.1093/geront/36.4.512.
This study examines whether, while controlling for local economic conditions, job design and other organizational factors affect facility aide turnover rates in a sample of 250 nursing homes from 10 states. Facility characteristics were largely based on administrator and director of nursing interviews conducted in 1993 as part of the Health Care Financing Administration's evaluation of the Resident Assessment Instrument (RAI) implementation. Aide turnover was significantly reduced by involvement in interdisciplinary care plan meetings. Turnover rates were higher in for-profit homes. Aide involvement in assessments, aide training and workload, case mix severity, payor source mix, and facility size were not significantly related to aide turnover.
本研究考察了在控制当地经济状况的同时，工作设计和其他组织因素是否会影响来自10个州的250家养老院样本中的设施助理离职率。设施特征主要基于1993年对管理人员和护理主任进行的访谈，这些访谈是医疗保健财务管理局对居民评估工具（RAI）实施情况评估的一部分。参与跨学科护理计划会议可显著降低助理离职率。营利性养老院的离职率更高。助理参与评估、助理培训和工作量、病例组合严重程度、付款人来源组合以及设施规模与助理离职率没有显著关系。
