Individual factors associated with intentions to leave among directors of nursing in nursing homes

Health Care Management Review

Volumn 35, Issue 3, 2010, Pages 246-255

  Kash, Bita A ^a   Naufal, George S ^b   Dagher, Rada K ^c   Johnson, Christopher E ^a  

^a TEXAS A AND M HEALTH SCIENCE CENTER   (United States)

^b AMERICAN UNIVERSITY OF SHARJAH   (United Arab Emirates)

^c UNIVERSITY OF MARYLAND   (United States)

Author keywords

director of nursing; intent to leave; job satisfaction; nurse retention; nursing home staffing

Indexed keywords

ARTICLE; DECISION MAKING; ECONOMICS; HEALTH CARE COST; HEALTH CARE FACILITY; HEALTH PERSONNEL ATTITUDE; HUMAN; JOB SATISFACTION; MANPOWER; NON PROFIT ORGANIZATION; NURSE ADMINISTRATOR; NURSING HOME; PERSONNEL MANAGEMENT; PSYCHOLOGICAL ASPECT; QUESTIONNAIRE; UNITED STATES;

ATTITUDE OF HEALTH PERSONNEL; CAREER CHOICE; HEALTH CARE SECTOR; HEALTH FACILITIES, PROPRIETARY; HUMANS; JOB SATISFACTION; NURSE ADMINISTRATORS; NURSING HOMES; ORGANIZATIONS, NONPROFIT; PERSONNEL LOYALTY; QUESTIONNAIRES; TEXAS;

EID: 77953876965     PISSN: 03616274     EISSN: None     Source Type: Journal    
DOI: 10.1097/HMR.0b013e3181dc826d     Document Type: Article

References (39)

1. Ajizen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Process, 50, 179-211.
2. Anderson, R. A., Issel, L. M., & McDaniel Jr, R. R. (2003). Nursing homes as complex adaptive systems: Relationship between management practice and resident outcomes. Nursing Research, 52(1), 12-21.
3. Aroian, J., Patsdaughter, C., & Wyszynski, M. (2000). DONs in long-term care facilities: Contemporary roles, current credentials and educational needs. Nursing Economics, 18(3), 149-156.
4. Baer, L. D., Johnson-Webb, K. D., & Gesler, W. M. (1997, Fall). What is rural? A focus on urban influence codes. Journal of Rural Health, 13, 329-333.
5. Bishop, C. E., Weinberg, D. B., Leutz, W., Dossa, A., Pfefferle, S. G., & Zincavage, R. M. (2008). Nursing assistants job commitment: Effect of nursing home organizational factors and impact on resident well-being. Gerontologist, 48 (Spec No. 1), 36-45.
6. Carney, M. (2004). Middle manager involvement in strategy development in not-for profit organizations: The director of nursing perspective-how organizational structure impacts on the role. Journal of Nursing Management, 12(1), 13-21.
7. Castle, N. G. (2005). Turnover begets turnover. Gerontologist, 45(2), 186-195.
8. Castle, N. G. (2006). Measuring staff turnover in nursing homes. Gerontologist, 46(2), 210-219.
9. Castle, N. G., & Engberg, J. (2005). Turnover and quality in nursing homes. Medical Care, 43, 616-626.
10. Centers for Medicare & Medicaid Services. (2001). Appropriateness of minimum nurse staffing ratios in nursing homes: Phase II report. Washington, DC: Department of Health and Human Services, Centers for Medicare & Medicaid Services.
11. Cohen, J. W., & Spector, W. D. (1996). The effect of Medicaid reimbursement on quality of care in nursing homes. Journal of Health Economics, 15(1), 23-48.
12. Cohen-Mansfield, J. (1997). Turnover among nursing home staff: A review. Nursing Management, 28, 59-64.
13. Cortes, L. L., & Wilson, M. P. (2006). Employee retention in the Texas long term care workforce: What factors predict nursing home nurse supervisors intentions to leave employment. Austin, TX: Texas Department of Aging and Disability Services, Quality Assurance and Improvement Unit.
14. Decker, F. H., & Castle, N. G. (2009). The relationship of education level to the job tenure of nursing home administrators and directors of nursing. Health Care Management Review, 34(3), 152-160.
15. Decker, F. H., Dollard, K. J., & Kraditor, K. R. (2001). Staffing of nursing services in nursing homes: Present issues and prospects for th e future. Senior Housing and Care Journal, 9(1), 3-26.
16. Dellefield, M. E. (2008). Nursing staff descriptions of clinical supervision and management in Veterans Affairs-affiliated nursing homes. Journal of Nursing Care Quality, 23(1), 66-74.
17. DeVillis, R. F. (1991). Overview of measurement. In Scale development: Theory and application (pp. 1-11). Newbury Park, CA: Sage Publications.
18. Fleming, M. L., & Kayser-Jones, J. (2008). Assuming the mantle of leadership: Issues and challenges for directors of nursing. Journal of Housing for the Elderly, 34(11), 18-25.
19. Harrington, C., & Swan, J. H. (2003). Nursing home staffing, turnover, and case mix. Medical Care Research and Review, 60(3), 366-392; discussion 393-1369
20. Institute of Medicine. (1996). Nursing staff in hospitals and nursing homes: Is it adequate? Washington, DC: The Committee on Adequacy of Nurse Staffing in Hospitals and Nursing Homes, Division of Healthcare Services, Institute ofMedicine.
21. Institute of Medicine. (2001). Improving the quality of long-term care (Report). Washington, DC: Institute of Medicine, Committee on Improving Quality in Long-term Care.
22. Institute of Medicine. (2004). Keeping patients safe: Transforming the work environment of nurses; quality chasm series (Report). Washington, DC: Institute of Medicine, Committee on the Work Environment for Nurses and Patient Safety, National Academies Press.
23. Irvine, D. M., & Evans, M. G. (1995). Job satisfaction and turnover among nurses: Integrating research findings across studies. Nursing Research, 44(4), 246-253.
24. Karsh, B., Booske, B. C., & Sainfort, F. (2005). Job and organizational determinants of nursing home employee commitment, job satisfaction and intent to turnover. Ergonomics, 48(10), 1260-1281.
25. Kash, B. A., Castle, N. G., Naufal, G. S., & Hawes, C. (2006). Effect of staff turnover on staffing: A closer look at registered nurses, licensed vocational nurses, and certified nursing assistants. Gerontologist, 46(5), 609-619.
26. Kash, B. A., Castle, N. G., & Phillips, C. D. (2007). Nursing Home Spending, Staffing, and Turnover. Health Care Management Review, 32(3), 1-10.
27. Kash, B. A., Hawes, C., & Phillips, C. D. (2007). Comparing staffing levels in the Online Survey andCertification Reporting (OSCAR) system with the Medicaid Cost Report: Which facilities over-report staffing? Gerontologist, 47(4), 480-489.
28. Kash, B. A., Naufal, G. S., Cortes, L. L., & Johnson, C. E. (2009). Intent to leave and actual turnover among registered nurses in nursing homes. Journal of Applied Gerontology, 29, 107-127.
29. Kiefer, K., Harris-Kojetin, L., & Brannon, D. (2005). Measuring long-term care work: A guide to selected instruments to examine direct care worker experiences and outcomes. Retrieved from http://www.va.gov/geriatricsshg/ docs/measuringlongtermcarework. doc
30. Lapane, K. L., & Hughes, C. M. (2007). Considering the employee point of view: Perceptions of job satisfaction and stress among nursing staff in nursing homes. Journal of the American Medical Directors Association, 8(1), 8-13.
31. Lloyd, S., Streiner, D., & Shannon, S. (1998). Predictive validity of the emergency physician and global job satisfaction instruments. Academic Emergency Medicine, 5(3), 234-241.
32. McGilton, K. S., Hall, L. M., Wodchis, W. P., & Petroz, U. (2007). Supervisory support, job stress, and job satisfaction among long-term care nursing staff. Journal of Nursing Administration, 37(7-8), 366-372.
33. Mueller, C. W., & Price, J. L. (1990). Economic, psychological, and sociological determinants of voluntary turnover. Journal of Behavioral Economics, 19, 321-333.
34. Raikkonen, O., Perala, M. L., & Kahanpaa, A. (2007). Staffing adequacy, supervisory support and quality of care in longterm care settings: Staff perceptions. Journal of Advanced Nursing, 60(6), 615-626.
35. Rantz, M. J., Hicks, L., Grando, V. T., Petroski, G. F., Madsen, R. W., Mehr, D. R., et al. (2004). Nursing home quality, cost, staffing, and staff-mix. Gerontologist, 44, 24-38.
36. Schnelle, J. F., Simmons, S. F., Harrington, C., Cadogan, M., Garcia, E., & Bates-Jensen, B. (2004). Relationship of nursing home staffing to quality of care. Health Services Research, 39, 225-250.
37. Stearns, S. C., & DArcy, L. P. (2008). Staying the course: Facility and profession retention among nursing assistants in nursing homes. Journals of Gerontology. Series B, Psychological and Social Sciences, 63(3), S113-S121.
38. Stone, P. W., Larson, E. L., Mooney-Kane, C., Smolowitz, J., Lin, S. X., & Dick, A. W. (2006). Organizational climate and intensive care unit nurses intention to leave. Critical Care Medicine, 34(7), 1907-1912.
39. Tellis-Nayak, V., & Duss, D. J. (2005). The satisfied but disaffected leader: The paradox of the director of nursing experience. Richmond, VA: Virginia Health Care Association.