Organizational and environmental effects on voluntary and involuntary turnover

Christopher Donoghue, Nicholas G. Castle

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

BACKGROUND: There are few studies of voluntary and involuntary turnover in the nursing home literature. Previous research in this area has focused mainly on the linear effects of individual and organizational characteristics on total turnover. PURPOSES: The purpose of this study was to examine both linear and nonlinear effects of organizational and environmental conditions on voluntary and involuntary nursing home staff turnover. METHODOLOGY/APPROACH: We analyzed both primary and secondary data on 854 nursing homes in six states. A negative binomial regression model was used to study both linear and curvilinear effects of organizational and environmental factors on voluntary and involuntary turnover among registered nurses, licensed practical nurses, and nurse aides. FINDINGS: Staffing levels and deficiency citations were the organizational characteristics most consistently linked with turnover among all nurse types. Links were also found between unemployment and type of location (urban or rural) and turnover, indicating that the economic environment is influential for retention. PRACTICE IMPLICATIONS: The results of this study support the notion that policy makers need to consider both the organization and the environment when evaluating the nature of nursing home staff turnover. The findings also offer further evidence that the antecedents of voluntary and involuntary turnover are not necessarily the same.

Original languageEnglish
Pages (from-to)360-369
Number of pages10
JournalHealth Care Management Review
Volume32
Issue number4
DOIs
StatePublished - 1 Oct 2007

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Nursing Homes
Nursing Staff
Nurses
Nurses' Aides
Unemployment
Statistical Models
Administrative Personnel
Economics
Organizations
Environmental effects
Turnover
Research
Nursing homes

Keywords

  • Environmental characteristics
  • Involuntary turnover
  • Nursing homes
  • Organizational characteristics
  • Voluntary turnover

Cite this

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Organizational and environmental effects on voluntary and involuntary turnover. / Donoghue, Christopher; Castle, Nicholas G.

In: Health Care Management Review, Vol. 32, No. 4, 01.10.2007, p. 360-369.

Research output: Contribution to journalArticle

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