Relationships among employees' working conditions, mental health, and intention to leave in nursing homes.
Zhang Y; Punnett L; Gore R; The CPH-NEW Research Team
J Appl Gerontology 2014 Feb; 33(1):6-23
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.
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
Yuan Zhang, University of Massachusetts Lowell, Lowell, MA 01854
Healthcare and Social Assistance
Journal of Applied Gerontology
University of Massachusetts, Lowell