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。