HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Castle, N. G. Search for Related Content PubMed PubMed Citation Articles by Castle, N. G.

Turnover Begets Turnover

Correspondence: Address correspondence to Nicholas G. Castle, PhD, Health Policy and Management, University of Pittsburgh, A649 Crabtree Hall, Pittsbugh, PA 15261. E-mail: castleN{at}Pitt.edu

Purpose: This study examined the association between turnover of caregivers and turnover of nursing home top management. The top managers examined were administrators and directors of nursing, and the caregivers examined were registered nurses, licensed practical nurses, and nurse aides. Design and Methods: The data came from a survey of 419 nursing facilities and the Online Survey, Certification, and Reporting system. Multinomial logistic regression analyses were used to examine the association between turnover of nursing home top management and turnover of caregivers. Results: A 10% increase in top management turnover is associated (p <.05) with a 21% increase in the odds that a facility will have a high turnover rate of nurse aides and is associated (p <.05) with an 8% decrease in the odds that a facility will have a low turnover rate of nurse aides. A 10% increase in top management turnover is associated (p <.1) with a 30% increase in the odds that a facility will have a high turnover rate for registered and licensed practical nurses. Implications: This study provides preliminary evidence that the turnover of top managers may have an important influence on caregiver turnover in nursing homes.

Key Words: Turnover • Top management • Nursing home staff

This article has been cited by other articles:

				A. Haley-Lock and J. Kruzich Serving Workers in the Human Services: The Roles of Organizational Ownership, Chain Affiliation, and Professional Leadership in Frontline Job Benefits Nonprofit and Voluntary Sector Quarterly, September 1, 2008; 37(3): 443 - 467. [Abstract] [PDF]

				C. Howes Love, Money, or Flexibility: What Motivates People to Work in Consumer-Directed Home Care? Gerontologist, July 1, 2008; 48(suppl_1): 46 - 60. [Abstract] [Full Text] [PDF]

				K. Pillemer, R. Meador, C. Henderson Jr., J. Robison, C. Hegeman, E. Graham, and L. Schultz A Facility Specialist Model for Improving Retention of Nursing Home Staff: Results From a Randomized, Controlled Study Gerontologist, July 1, 2008; 48(suppl_1): 80 - 89. [Abstract] [Full Text] [PDF]

				T. T. Barry, P. Kemper, and S. D. Brannon Measuring Worker Turnover in Long-Term Care: Lessons From the Better Jobs Better Care Demonstration: Kathleen Walsh Piercy, PhD, Editor Gerontologist, June 1, 2008; 48(3): 394 - 400. [Abstract] [Full Text] [PDF]

				S. C. Stearns and L. P. D'Arcy Staying the Course: Facility and Profession Retention Among Nursing Assistants in Nursing Homes J. Gerontol. B. Psychol. Sci. Soc. Sci., May 1, 2008; 63(3): S113 - S121. [Abstract] [Full Text] [PDF]

				L M Wagner, E Capezuti, P C Clark, P A Parmelee, and J G Ouslander Use of a falls incident reporting system to improve care process documentation in nursing homes Qual. Saf. Health Care, April 1, 2008; 17(2): 104 - 108. [Abstract] [Full Text] [PDF]

				N. G. Castle, J. Engberg, and R. A. Anderson Job Satisfaction of Nursing Home Administrators and Turnover Med Care Res Rev, April 1, 2007; 64(2): 191 - 211. [Abstract] [PDF]

				B. A. Kash, N. G. Castle, G. S. Naufal, and C. Hawes Effect of staff turnover on staffing: a closer look at registered nurses, licensed vocational nurses, and certified nursing assistants. Gerontologist, October 1, 2006; 46(5): 609 - 619. [Abstract] [Full Text] [PDF]

				J. Cohen-Mansfield and A. Bester Flexibility as a management principle in dementia care: the adards example. Gerontologist, August 1, 2006; 46(4): 540 - 544. [Abstract] [Full Text] [PDF]

				N. G. Castle Measuring Staff Turnover in Nursing Homes Gerontologist, April 1, 2006; 46(2): 210 - 219. [Abstract] [Full Text] [PDF]

				N. G. Castle and J. Engberg Organizational Characteristics Associated With Staff Turnover in Nursing Homes Gerontologist, February 1, 2006; 46(1): 62 - 73. [Abstract] [Full Text] [PDF]