“Sometimes it's not about the money... it's the way you treat people...”: A Qualitative Study of Nursing Home Staff Turnover

• DOI: 10.1016/j.jamda.2021.11.036
• Publication Date: 2022-01-03T23:37:16Z
• Authors: Sarah L. Krein; Molly Turnwald; Barry Anderson; Donovan T. Maust
• Keywords: Staffing; Nursing Assistant; Turnover; Skill mix

ObjectiveTo better understand and compare resident family nursing home staff experiences perceptions of licensed unlicensed direct care turnover.DesignDescriptive qualitative design.Setting ParticipantsNursing members registered nurses (RNs), practical (LPNs), certified assistants (CNAs), administrative staff.MethodsWe conducted semistructured interviews with between September 2019 July 2020. Using a rapid analysis approach, we compared member, RNs, LPNs, CNAs, related to turnover, ways reduce strategies for minimizing disruptions.ResultsWe completed 17 members, 25 6 from 13 homes primarily located in southeastern Michigan. Family had mixed but commonly described the need consistent, personalized ensure safe, high-quality care. Direct CNAs expressed similar viewpoint frustration not being able provide they would like because turnover or short staffing. Although wages were mentioned, all groups also identified importance feeling appreciated supported as critical decreasing turnover. Adequate training acclimate new preferences noted approaches disruptions during turnover.Conclusions ImplicationsOur findings largely confirm those others regarding potential contributing factors consequences However, our clear message about important areas on which focus. This includes identifying effectively person-centered residents context staffing inconsistencies more people-oriented work environment minimize