Job Satisfaction of Nurse Aides in Nursing Homes: Intent to Leave and Turnover

Published in: Gerontologist, v. 47, no. 2, Apr. 2007, p. 193-204

Posted on RAND.org on January 01, 2007

by Nicholas G. Castle, John Engberg, Ruth A. Anderson, Aiju Men

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PURPOSE: The relationship between job satisfaction of nurse aides and intent to leave and actual turnover after 1 year is examined. DESIGN AND METHODS: Data came from a random sample of 72 nursing homes from 5 states (Colorado, Florida, Michigan, New York, and Oregon). From these nursing homes, we collected 1,779 surveys from nurse aides (a response rate of 62%). The authors used a job satisfaction instrument specifically developed for use with nurse aides, as well as previously validated measures of intent to leave and turnover. The authors used ordered logistic regression and logistic regression to examine the data. RESULTS: High overall job satisfaction was associated with low scores on thinking about leaving, thinking about a job search, searching for a job, and turnover. In examining the association between the job satisfaction subscales and intent to leave and turnover, we found that high Work Schedule subscale scores, high Training subscale scores, and high Rewards subscale scores were associated with low scores on thinking about leaving, thinking about a job search, searching for a job, and turnover. High scores on the Quality of Care subscale were associated with low turnover after 1 year. IMPLICATIONS: These results are important in clearly showing the relationship between job satisfaction and intent to leave and turnover of nurse aides. Training, rewards, and workload are particularly important aspects of nurse aides' jobs.

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