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首页> 外文期刊>The Journal of nursing administration >Exploring correlates of turnover among nursing assistants in the National Nursing Home Survey.
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Exploring correlates of turnover among nursing assistants in the National Nursing Home Survey.

机译：在《全国疗养院调查》中探究护理助理人员的更替率。

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BACKGROUND: High turnover of nursing assistants (NAs) has implications for the quality of nursing home care. Greater understanding of correlates of NA turnover is needed to provide insight into possible retention strategies. PURPOSE: This study examined nursing home organizational characteristics and specific job characteristics of staff in relation to turnover of NAs. METHODOLOGY: Cross-sectional data on 944 nationally representative nursing homes were derived from the 2004 National Nursing Home Survey. Using a 3-month turnover rate, 25% of the facilities with the lowest turnover rates were classified as low turnover, 25% of the facilities with the highest turnover were classified as high turnover, and the remaining 50% of the facilities were classified as moderate turnover. Multinomial logistic regression was used to examine organizational and job characteristics associated with low and high turnover compared with moderate turnover. FINDINGS: One organizational characteristic, staffing levels at or greater than 4.0 hours per patient day, was associated with greater odds of low NA turnover and reduced odds of high NA turnover. Job characteristics including higher wages and union membership were associated with greater odds of low NA turnover, whereas wages, fully paid health insurance, employee assistance benefits, and involvement in resident care planning were associated with reduced odds of high NA turnover. PRACTICE IMPLICATIONS: The results of this study suggest that job characteristics of NA staff may be particularly important for turnover. Specifically, the provision of competitive wages and benefits (particularly health insurance) and involvement of NAs in resident care planning could potentially reduce NA turnover, as could maintaining high levels of nurse staffing.
机译：背景：护理助理（NAs）的高离职率对疗养院的护理质量有影响。需要深入了解北美营业额的相关性，以洞悉可能的保留策略。目的：本研究检查了与NA流动相关的疗养院组织特征和员工的具体工作特征。方法：944个具有国家代表性的疗养院的横断面数据来自2004年国家疗养院调查。使用三个月的周转率，将周转率最低的设施的25％归类为低周转率，将周转率最高的设施的25％归类为高周转，将其余50％的设施归为：适度的营业额。多项逻辑回归分析用于检验与中低离职率相比高和低离职率的组织和工作特征。结果：一个组织特征，即每位患者每天工作人员人数等于或大于4.0小时，与低资产净值周转率更高的机率和降低的资产净值流失率更高的机率有关。包括较高的工资和工会会员资格在内的工作特征与低资产净值周转率较高的可能性相关，而工资，足额医疗保险，员工援助福利和参与居民护理计划的参与与资产净值流失率较高的可能性降低相关。实践的意义：这项研究的结果表明，北美地区工作人员的工作特征对于离职尤其重要。具体而言，提供具有竞争力的工资和福利（尤其是健康保险）以及将NA纳入居民护理计划可能会降低NA的流失率，并保持高水平的护士配备。

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