Relationships among employees' working conditions, mental health, and intention to leave in nursing homes

Details

• Personal Author:
  Gore R ; Punnett, Laura ; Zhang Y
• Corporate Authors:
  University of Massachusetts. Center for the Promotion of Health in the New England Workplace
• Description:
  Employee turnover is a large and expensive problem in the long-term care environment. Stated intention to leave is a reliable indicator of likely turnover, but actual predictors, especially for nursing assistants, have been incompletely investigated. This quantitative study identifies the relationships among employees' working conditions, mental health, and intention to leave. Self-administered questionnaires were collected with 1,589 employees in 18 for-profit nursing homes. A working condition index for the number of beneficial job features was constructed. Poisson regression modeling found that employees who reported four positive features were 77% less likely to state strong intention to leave (PR = 0.23, p < .001). The strength of relationship between working conditions and intention to leave was slightly mediated by employee mental health. Effective workplace intervention programs must address work organization features to reduce employee intention to leave. Healthy workplaces should build better interpersonal relationships, show respect for employee work, and involve employees in decision-making processes. [Description provided by NIOSH]
• Subjects:
  Health Personnel Mental Health Nervous System Occupational Health Safety Workplace
• Keywords:
  Author Keywords: Intention To Leave Health Care Personnel Mental Health Nursing Nursing Homes Psychological Fatigue Psychological Stress Psychology Total Worker Health Work Environment Working Conditions

  More +
• ISSN:
  0733-4648
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Journal Article
• Place as Subject:
  Massachusetts ; OSHA Region 1
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  6-23
• Volume:
  33
• Issue:
  1
• NIOSHTIC Number:
  nn:20044118
• Citation:
  J Appl Gerontology 2014 Feb; 33(1):6-23
• Contact Point Address:
  Yuan Zhang, University of Massachusetts Lowell, Lowell, MA 01854
• Email:
  zhangyuan829@hotmail.com
• Federal Fiscal Year:
  2014
• NORA Priority Area:
  Healthcare and Social Assistance
• Performing Organization:
  University of Massachusetts, Lowell
• Peer Reviewed:
  True
• Start Date:
  20060701
• Source Full Name:
  Journal of Applied Gerontology
• End Date:
  20210831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:6230ce998edd2c6318a699786e0d3c8ae29c4ae8a278a92f59a61a3251a151b14ddbc1980f6fc3ac2eb4ab9322b452d1afa1626df3117b27079d37b8feb35891
• Download URL:
  https://stacks.cdc.gov/view/cdc/199942/cdc_199942_DS1.pdf
• File Type:
  [PDF - 487.07 KB ]