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Relationships among employees' working conditions, mental health, and intention to leave in nursing homes.

Authors
Zhang-Y; Punnett-L; Gore-R; The CPH-NEW Research Team
Source
J Appl Gerontology 2014 Feb; 33(1):6-23
NIOSHTIC No.
20044118
Abstract
Employee turnover is a large and expensive problem in the long-term care environment. Stated intention to leave is a reliable indicator of likely turnover, but actual predictors, especially for nursing assistants, have been incompletely investigated. This quantitative study identifies the relationships among employees' working conditions, mental health, and intention to leave. Self-administered questionnaires were collected with 1,589 employees in 18 for-profit nursing homes. A working condition index for the number of beneficial job features was constructed. Poisson regression modeling found that employees who reported four positive features were 77% less likely to state strong intention to leave (PR = 0.23, p < .001). The strength of relationship between working conditions and intention to leave was slightly mediated by employee mental health. Effective workplace intervention programs must address work organization features to reduce employee intention to leave. Healthy workplaces should build better interpersonal relationships, show respect for employee work, and involve employees in decision-making processes.
Keywords
Nursing; Workers; Work-capacity; Work-capability; Work-environment; Total-Worker-Health; Humans; Men; Women; Health-care-personnel; Mental-health; Questionnaires; Stress; Psychological-stress; Psychological-fatigue; Psychological-effects; Psychology; Author Keywords: intention to leave; mental health; nursing homes; working conditions
Contact
Yuan Zhang, University of Massachusetts Lowell, Lowell, MA 01854
Publication Date
20140201
Document Type
Journal Article
Email Address
zhangyuan829@hotmail.com
Funding Type
Cooperative Agreement
Fiscal Year
2014
NTIS Accession No.
NTIS Price
Identifying No.
Cooperative-Agreement-Number-U19-OH-008857; M042014
Issue of Publication
1
ISSN
0733-4648
Source Name
Journal of Applied Gerontology
State
MA
Performing Organization
University of Massachusetts, Lowell
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