ArticleThe Gerontologist2013
The relationships among licensed nurse turnover, retention, and rehospitalization of nursing home residents.
Article in The Gerontologist, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
36 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Nursing home nurses' turnover intention: A systematic review.Nursing open · 2022Pooled it
- Turnover of Housekeeping, Dietary, Laundry, and Maintenance Staff in Nursing Homes.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026Article
- Effect of Staffing and Wages on Turnover of Nonclinical Support Staff in Nursing Homes.Journal of the American Medical Directors Association · 2026Article
- Integrating Virtual Reality Simulation, Online Learning, and Group Reflection to Strengthen Dementia Care in Nursing Homes: Mixed Methods Pilot Study.JMIR formative research · 2026Article
- Experiences of care home staff in the delivery of heart failure care: a grounded theory.BMC geriatrics · 2025Article
- A Looming Disaster: The Certified Nursing Assistant Staffing Shortage.The Gerontologist · 2025Article
- Agency Nursing Staff Utilization and Turnover in Nursing Homes: A Longitudinal Analysis.Healthcare (Basel, Switzerland) · 2025Article
- The combined effect of bed-to-nurse ratio and nurse turnover rate on in-hospital mortality based on South Korean administrative data: a cross-sectional study.BMC nursing · 2025Article
- Heart failure in nursing homes: A scoping review of educational interventions for optimising care provision.International journal of nursing studies advances · 2024Article
- The Relationship Between Scope of Practice Laws for Task Delegation and Nurse Turnover in Home Health.Journal of the American Medical Directors Association · 2023Article
- Examination of Staffing Shortages at US Nursing Homes During the COVID-19 Pandemic.JAMA network open · 2023Article
- Care delivery approaches and perceived barriers to improving quality of care: A national survey of skilled nursing facilities.Journal of the American Geriatrics Society · 2023Article
- Association between career adaptability and turnover intention among nursing assistants: the mediating role of psychological capital.BMC nursing · 2023Article
- Factors Affecting Turnover Intention among New Graduate Nurses: Focusing on Job Stress and Sleep Disturbance.Healthcare (Basel, Switzerland) · 2022Article
- The Role of Schedule Volatility in Home Health Nursing Turnover.Medical care research and review : MCRR · 2022Article
- Association between nursing home staff turnover and infection control citations.Health services research · 2022Article
- Association Between Wages and Nursing Staff Turnover in Iowa Nursing Homes.Innovation in aging · 2022Article
- Implementing lateral flow devices in long-term care facilities: experiences from the Liverpool COVID-19 community testing pilot in care homes- a qualitative study.BMC health services research · 2021Article
- High Nursing Staff Turnover In Nursing Homes Offers Important Quality Information.Health affairs (Project Hope) · 2021Article
- Developing and Testing A Model of the Assisted Living Environment.Journal of aging and environment · 2021Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
purposeIndividuals receiving postacute care in skilled nursing facilities often require complex, skilled care provided by licensed nurses. It is believed that a stable set of nursing personnel is more likely to deliver better care. The purpose of this study was to determine the relationships among licensed nurse retention, turnover, and a 30-day rehospitalization rate in nursing homes (NHs). DESIGN AND
methodsWe combined two data sources: NH facility-level data (including characteristics of the facility, the market, and residents) and the Florida Nursing Home Staffing Reports (which provide staffing information for each NH) for 681 Florida NHs from 2002 to 2009. Using a two-way fixed effects model, we examined the relationships among licensed nurse turnover rates, retention rates, and 30-day rehospitalization rates.
resultsResults indicate that an NH's licensed nurse retention rate is significantly associated with the 30-day rehospitalization rate (est. = -.02, p = .04) controlling for demographic characteristics of the patient population, residents' preferences for hospitalization, and the ownership characteristics of the NH. The NHs experiencing a 10% increase in their licensed nurse retention had a 0.2% lower rehospitalization rate, which equates to 2 fewer hospitalizations per NH annually. Licensed nurse turnover is not significantly related to the 30-day rehospitalization rate. IMPLICATIONS: These findings highlight the need for NH administrators and policy makers to focus on licensed nurse retention, and future research should focus on the measures of staff retention for understanding the staffing/quality relationship.
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