Job Characteristics Associated with Intent to Quit Among Nursing Home Employees and Managers

Details

• Personal Author:
  Kennedy KA ; Mohr DC
• Description:
  Background and Objectives: High turnover and recruitment challenges of nursing home employees and managers are an ongoing concern. This study's objective was to examine intent to quit among all staff and assess the roles of job characteristics and job satisfaction. Employees and managers within one nursing home chain working in direct patient care or nursing were compared. Research Design and Methods: Data came from the Work, Family, Health Network 18-month follow-up survey in 2012 (total = 1,000, managers = 101, employees = 899). A cumulative logit model controlling for demographics was estimated for intent to quit. Herzberg's Two-Factor Theory of Work Motivation guided the study. Results: Employees scored significantly lower on family-supportive supervisor behaviors (FSSBs), schedule control, and decision authority than managers. Employees and managers did not differ on job satisfaction, intent to quit, or job demands. Satisfied workers had an 83% decrease in the odds of reporting an intent to quit compared to workers who were neutral or disagreed (odds ratio [OR] = 0.17, p < .0001). Decision authority (OR = 3.49) and schedule control (OR = 5.18) were independently related to greater odds of reporting an intent to quit. In contrast, FSSBs (OR = 0.69), safety compliance (OR = 0.71), and the combination of high decision authority with high schedule control (OR = 0.72) were related to lower odds of reporting an intent to quit. Discussion and Implications: Among nursing home staff, lower intent to quit may be achieved through improving job satisfaction, the quality of supervision, safety culture, and job enrichment through more schedule control and decision-making power. [Description provided by NIOSH]
• Subjects:
  Family Health Personnel Occupational Health Safety Stress, Psychological
• Keywords:
  Author Keywords: Analysis-regression Models Caregiving-formal Employee Satisfaction Families Health Care Workers Job Satisfaction Job Stress Long-term Care Medical Personnel Nurses Total Worker Health TWH Workforce Issues Work Schedules

  More +
• ISSN:
  0016-9013
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Journal Article
• Place as Subject:
  Massachusetts ; Oregon ; OSHA Region 1 ; OSHA Region 10 ; Rhode Island
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  108-119
• Volume:
  63
• Issue:
  1
• NIOSHTIC Number:
  nn:20066540
• Citation:
  Gerontologist 2023 Feb; 63(1):108-119
• Contact Point Address:
  Katherine A. Kennedy, PhD, Center for Innovation in Long-Term Services and Supports, Providence VA Medical Center, 830 Chalkstone Ave., Providence, RI 02908, USA
• Email:
  Katherine.kennedy@va.gov
• Federal Fiscal Year:
  2023
• Performing Organization:
  Portland State University
• Peer Reviewed:
  True
• Start Date:
  20050901
• Source Full Name:
  The Gerontologist
• End Date:
  20081130
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:c51799668cdfd46c3709cf789bef53f964e7a795def78e259bf78632eac2bba9bb9d1692fcfd830582890217c1d9f0ef06c65d5268d48ed382663c54974c7e5b
• Download URL:
  https://stacks.cdc.gov/view/cdc/230876/cdc_230876_DS1.pdf
• File Type:
  [PDF - 331.61 KB ]