Job and organizational determinants of nursing home employee commitment, job satisfaction and intent to turnover

Abstract

The purpose of this study was to examine whether job characteristics, the work environment, participation in quality improvement activities and facility quality improvement environment predicted employee commitment and job satisfaction in nursing homes, and whether those same predictors and commitment and satisfaction predicted turnover intention. A total of 6584 nursing home employees from 76 nursing homes in a midwestern state participated. A self-administered questionnaire was used to collect the data. The results supported the hypotheses that job and organizational factors predicted commitment and satisfaction while commitment and satisfaction predicted turnover intentions. The implications for retaining nursing home employees are discussed.

Keywords:

• Quality improvement
• Nursing homes
• Long-term care
• Turnover
• Job satisfaction
• Commitment
• Job characteristics
• Work environment

Acknowledgements

This study was funded by a grant from the Agency for Healthcare Research and Quality (R01 HS09746 – 01). The authors thank Deirdre Frees for coordinating the data collection effort.