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The Relationships among Licensed Nurse Turnover, Retention, and Rehospitalization of Nursing Home Residents

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Title: The Relationships among Licensed Nurse Turnover, Retention, and Rehospitalization of Nursing Home Residents
Language: English
Authors: Thomas, Kali S., Mor, Vincent, Tyler, Denise A., Hyer, Kathryn
Source: Gerontologist. Apr 2013 53(2):211-221.
Availability: Oxford University Press. Great Clarendon Street, Oxford, OX2 6DP, UK. Tel: +44-1865-353907; Fax: +44-1865-353485; e-mail: jnls.cust.serv@oxfordjournals.org; Web site: http://gerontologist.oxfordjournals.org
Peer Reviewed: Y
Page Count: 11
Publication Date: 2013
Document Type: Journal Articles
Reports - Research
Descriptors: Nursing Homes, Nurses, Nursing Education, Labor Turnover, Health Services, Hospitals, Correlation, Persistence, Older Adults, Patients, Research Needs, Public Policy
Geographic Terms: Florida
DOI: 10.1093/geront/gns082
ISSN: 0016-9013
Abstract: Purpose: Individuals receiving postacute care in skilled nursing facilities often require complex, skilled care provided by licensed nurses. It is believed that a stable set of nursing personnel is more likely to deliver better care. The purpose of this study was to determine the relationships among licensed nurse retention, turnover, and a 30-day rehospitalization rate in nursing homes (NHs). Design and Methods: We combined two data sources: NH facility-level data (including characteristics of the facility, the market, and residents) and the Florida Nursing Home Staffing Reports (which provide staffing information for each NH) for 681 Florida NHs from 2002 to 2009. Using a two-way fixed effects model, we examined the relationships among licensed nurse turnover rates, retention rates, and 30-day rehospitalization rates. Results: Results indicate that an NH's licensed nurse retention rate is significantly associated with the 30-day rehospitalization rate (est. = -0.02, p = 0.04) controlling for demographic characteristics of the patient population, residents' preferences for hospitalization, and the ownership characteristics of the NH. The NHs experiencing a 10% increase in their licensed nurse retention had a 0.2% lower rehospitalization rate, which equates to 2 fewer hospitalizations per NH annually. Licensed nurse turnover is not significantly related to the 30-day rehospitalization rate. Implications: These findings highlight the need for NH administrators and policy makers to focus on licensed nurse retention, and future research should focus on the measures of staff retention for understanding the staffing/quality relationship.
Abstractor: As Provided
Entry Date: 2013
Accession Number: EJ999638
Database: ERIC
FullText Text:
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  Data: The Relationships among Licensed Nurse Turnover, Retention, and Rehospitalization of Nursing Home Residents
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  Data: <searchLink fieldCode="AR" term="%22Thomas%2C+Kali+S%2E%22">Thomas, Kali S.</searchLink><br /><searchLink fieldCode="AR" term="%22Mor%2C+Vincent%22">Mor, Vincent</searchLink><br /><searchLink fieldCode="AR" term="%22Tyler%2C+Denise+A%2E%22">Tyler, Denise A.</searchLink><br /><searchLink fieldCode="AR" term="%22Hyer%2C+Kathryn%22">Hyer, Kathryn</searchLink>
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  Data: <searchLink fieldCode="SO" term="%22Gerontologist%22"><i>Gerontologist</i></searchLink>. Apr 2013 53(2):211-221.
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  Data: Oxford University Press. Great Clarendon Street, Oxford, OX2 6DP, UK. Tel: +44-1865-353907; Fax: +44-1865-353485; e-mail: jnls.cust.serv@oxfordjournals.org; Web site: http://gerontologist.oxfordjournals.org
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  Data: Y
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  Data: 11
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  Data: Journal Articles<br />Reports - Research
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  Data: <searchLink fieldCode="DE" term="%22Nursing+Homes%22">Nursing Homes</searchLink><br /><searchLink fieldCode="DE" term="%22Nurses%22">Nurses</searchLink><br /><searchLink fieldCode="DE" term="%22Nursing+Education%22">Nursing Education</searchLink><br /><searchLink fieldCode="DE" term="%22Labor+Turnover%22">Labor Turnover</searchLink><br /><searchLink fieldCode="DE" term="%22Health+Services%22">Health Services</searchLink><br /><searchLink fieldCode="DE" term="%22Hospitals%22">Hospitals</searchLink><br /><searchLink fieldCode="DE" term="%22Correlation%22">Correlation</searchLink><br /><searchLink fieldCode="DE" term="%22Persistence%22">Persistence</searchLink><br /><searchLink fieldCode="DE" term="%22Older+Adults%22">Older Adults</searchLink><br /><searchLink fieldCode="DE" term="%22Patients%22">Patients</searchLink><br /><searchLink fieldCode="DE" term="%22Research+Needs%22">Research Needs</searchLink><br /><searchLink fieldCode="DE" term="%22Public+Policy%22">Public Policy</searchLink>
– Name: Subject
  Label: Geographic Terms
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Florida%22">Florida</searchLink>
– Name: DOI
  Label: DOI
  Group: ID
  Data: 10.1093/geront/gns082
– Name: ISSN
  Label: ISSN
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  Data: 0016-9013
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Purpose: Individuals receiving postacute care in skilled nursing facilities often require complex, skilled care provided by licensed nurses. It is believed that a stable set of nursing personnel is more likely to deliver better care. The purpose of this study was to determine the relationships among licensed nurse retention, turnover, and a 30-day rehospitalization rate in nursing homes (NHs). Design and Methods: We combined two data sources: NH facility-level data (including characteristics of the facility, the market, and residents) and the Florida Nursing Home Staffing Reports (which provide staffing information for each NH) for 681 Florida NHs from 2002 to 2009. Using a two-way fixed effects model, we examined the relationships among licensed nurse turnover rates, retention rates, and 30-day rehospitalization rates. Results: Results indicate that an NH's licensed nurse retention rate is significantly associated with the 30-day rehospitalization rate (est. = -0.02, p = 0.04) controlling for demographic characteristics of the patient population, residents' preferences for hospitalization, and the ownership characteristics of the NH. The NHs experiencing a 10% increase in their licensed nurse retention had a 0.2% lower rehospitalization rate, which equates to 2 fewer hospitalizations per NH annually. Licensed nurse turnover is not significantly related to the 30-day rehospitalization rate. Implications: These findings highlight the need for NH administrators and policy makers to focus on licensed nurse retention, and future research should focus on the measures of staff retention for understanding the staffing/quality relationship.
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        Value: 10.1093/geront/gns082
    Languages:
      – Text: English
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      Pagination:
        PageCount: 11
        StartPage: 211
    Subjects:
      – SubjectFull: Nursing Homes
        Type: general
      – SubjectFull: Nurses
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      – SubjectFull: Nursing Education
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      – SubjectFull: Labor Turnover
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      – SubjectFull: Health Services
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      – SubjectFull: Hospitals
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      – SubjectFull: Correlation
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      – SubjectFull: Persistence
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      – SubjectFull: Older Adults
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      – SubjectFull: Patients
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      – SubjectFull: Research Needs
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      – SubjectFull: Public Policy
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      – SubjectFull: Florida
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      – TitleFull: The Relationships among Licensed Nurse Turnover, Retention, and Rehospitalization of Nursing Home Residents
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