Details:

• Alternative Title:
  J Am Med Dir Assoc
• Personal Author:
  Williams, Jessica A.R. ; Collins, Jamie E. ; Gandhi, Ashvin ; Yu, Huizi ; Boden, Leslie I. ; ... More +

  Williams, Jessica A.R. ; Collins, Jamie E. ; Gandhi, Ashvin ; Yu, Huizi ; Boden, Leslie I. ; Katz, Jeffrey N. ; Wagner, Gregory R. ; Sorensen, Glorian Less -
• Description:
  Objectives:
  
  To assess whether a measure of leadership support for worker safety, health, and wellbeing predicts staff turnover in nursing homes after controlling for other factors.
  
  Design:
  
  This paper uses administrative payroll data to measure facility-level turnover and uses a survey measure of nursing home leadership commitment to workers. Additionally, we use data from Medicare to measure various nursing home characteristics.
  
  Setting and Participants:
  
  Nursing homes serving adults with at least 30 beds in California, Ohio, and Massachusetts were invited to participate in the survey. The analysis sample included 495 nursing homes.
  
  Methods:
  
  We used a multivariable OLS model with turnover rate as the dependent variable. We used an indicator for nursing homes who scored above the median on the measure of leadership that supports worker safety, health, and wellbeing. Control variables include: bed count (deciles), ownership (corporate/non-corporate x for-profit/not-for-profit), percent of residents on Medicaid, state, being in a non-metropolitan county, and total nurse staffing per patient day in the two quarters before the survey.
  
  Results:
  
  The unadjusted turnover rate was lower for those nursing homes that scored higher on Leadership Commitment to worker safety, health, and wellbeing. After controlling for additional variables, greater leadership commitment was still associated with lower turnover but with some attenuation.
  
  Conclusions & Implications:
  
  We find that nursing homes with leadership that communicated and demonstrated commitment to worker safety, health, and wellbeing had relatively fewer nurses leave during the study period, with turnover rates about 10% lower than homes without. These findings suggest that leadership may be a valuable tool for reducing staff turnover.
  
  
• Subjects:
  [+]

  Adult Aged Humans Leadership Massachusetts Medicare Nursing Homes Skilled Nursing Facilities United States
• Source:
  J Am Med Dir Assoc. 25(3):403-407.e1
• Pubmed ID:
  37356810
• Pubmed Central ID:
  PMC11041714
• Document Type:
  Journal Article
• Funding:
  U19 OH008861/OH/NIOSH CDC HHSUnited States/
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  [+]

  urn:sha256:fe0626059573afea3ea83145a9d13f55af0ea67468c1568df9b1772f746c6c9e
• File Type:

• Supporting Files:
  No Additional Files