Abstract：
We examine what facility characteristics are associated with nurse turnover in residential care communities (RCCs). This is a cross-sectional study using the 2018 National Study of Long-term Care Provider Public Use File. There were 3331 RCCs (unweighted n = 272) represented when examining registered nurse (RN) turnover and when examining aide turnover there was a weighted sample of 13,676 RCCs (unweighted n = 68). RN turnover was 72% (95% confidence interval (CI) 59%, 84%), 52% reported 100% turnover. Aide turnover was 48% (95% CI 43%, 53%); 11% reported 100% turnover. We examined ownership and facility type, job design, economic, and working environment factors related to turnover. Using multivariate linear regression, non-profit RCCs had 25 percentage points lower RN turnover (95% CI: -44.46, -4.31) and 9.7 percentage points lower aide turnover (95% CI: 18.8, -0.6) compared to for-profits. We find larger RCCs had lower aide turnover.
摘要：
我们研究了哪些设施特征与住院护理社区（RCC）的护士流失有关。这是一项横断面研究，使用2018年国家长期护理提供者公共使用档案研究。在检查注册护士（RN）营业额时，有3331个RCC（未加权n=272），在检查助手营业额时，加权样本为13,676个RCC（未加权n=68）。RN流失率为72%(95%置信区间(CI)59%，84%），52%的人报告了100%的营业额。助手更替率为48%（95%CI43%，53%）；11%报告100%营业额。我们检查了所有权和设施类型，作业设计,经济,以及与营业额相关的工作环境因素。使用多元线性回归，与营利性相比，非营利性RCC的RN营业额降低了25个百分点（95%CI：-44.46，-4.31），助手营业额降低了9.7个百分点（95%CI：18.8，-0.6）。我们发现较大的RCC的助手营业额较低。
