Patient Centered Care and Turnover in Hospice Care Organizations

Abstract

Hospice care has significantly changed over the past 40 years. The industry has seen a growth in utilization rates, an increase in insurance coverage, and changing governmental funding. To reduce the significant risk of employee turnover, hospice care organizations have responded to these pressures. This study examines whether nursing turnover is affected as organizations respond to environmental pressures for increased patient-centered care (PCC). Does the use of patient-centered approaches to meeting client needs reduce turnover in the nursing staff? Using hierarchical regression to analyze organizational, market, and personnel data from 695 hospices across the United States, this study finds innovative PCC practices are significantly related to reduced nursing turnover.