Affiliation:
1. Advanced Health Fellow in Health Services Research & Development, Center for Innovation in Long-Term Services & Supports, Providence VA Medical Center, Providence, RI, USA
Abstract
This study examined whether certified nurse aide (CNA) retention was positively related to nursing home (NH) resident care experiences at the organizational-level. The 2017 Ohio Biennial Survey of Long-Term Care Facilities and the 2017 Ohio Nursing Home Resident Satisfaction Survey provided the key variables. Quartiles of CNA retention (0–48%, 49–60%, 61–72%, 73–100%) were created from the analysis sample (N = 667). Regression analyses clustered NHs within counties and controlled for structural characteristics, financial resources, empowered managers, resilience, quality of work-life, resident, and community characteristics. NHs in Quartile 3 of CNA retention had higher environment scores by 1.36 percentage points compared to Quartile 1 ( p < .05). NHs in Quartile 4 had lower facility culture scores by 1.31 percentage points than NHs in Quartiles 1–3 ( p < .05); this pattern repeated when Quartiles 3 and 4 were compared on other outcomes. Future research should explore NHs with very high CNA retention to improve understanding of the measure.
Funder
U.S. Department of Veterans Affairs, Veterans Health Administration, Office of Research and Development, Office of Academic Affiliation Advanced Fellowship in Health Services Research & Development
Subject
Geriatrics and Gerontology,Gerontology