ArticleJournal of applied gerontology : the official journal of the Southern Gerontological Society2018
Staff Empowerment Practices and CNA Retention: Findings From a Nationally Representative Nursing Home Culture Change Survey.
Article in Journal of applied gerontology : the official journal of the Southern Gerontological Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.
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Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- A systematic, integrative review exploring supports that promote the retention of employees working in the aged care sector.Australasian journal on ageing · 2025Pooled it
- Understanding Factors Influencing Personal Care Workers Intentions to Leave: A Systematic Integrative Review.The Gerontologist · 2025Pooled it
- Understanding Person-Centeredness in a Systemic Perspective: Implications for Long-Term Care.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026Article
- Unionization, Ownership Status, and Direct Care Worker Turnover.JAMA network open · 2026Article
- Perceived Work Environment and Work-Related Well-Being in Nursing Homes: Comparison of Different Care Worker Groups.Worldviews on evidence-based nursing · 2025Article
- The dementia care workforce: Essential to care but large research gaps exist.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025Review
- The Association of Nursing Homes' Organizational Context With Care Aide Empowerment: A Cross-Sectional Study.The Gerontologist · 2024Article
- Job Characteristics Associated With Intent to Quit Among Nursing Home Employees and Managers.The Gerontologist · 2023Article
- Impact of the COVID-19 pandemic on staff turnover at long-term care facilities: a qualitative study.BMJ open · 2022Article
- Prioritizing nursing home staff and leadership consistency to improve quality.Journal of the American Geriatrics Society · 2022Article
- Communication Disparities between Nursing Home Team Members.International journal of environmental research and public health · 2022Article
- Community Goal Setting and Attainment: Organizational Characteristics and Indicators of Staff Adoption.Journal of gerontological nursing · 2022Article
- The impact of health-related supports in senior housing on ambulance transfers and visits to emergency departments: The Right Care, Right Place, Right Time Project.Health services research · 2021Article
- Organizational Support Experiences of Care Home and Home Care Staff in Sweden, Italy, Germany and the United Kingdom during the COVID-19 Pandemic.Healthcare (Basel, Switzerland) · 2021Article
- A qualitative assessment of factors affecting nursing home caregiving staff experiences during the COVID-19 pandemic.PloS one · 2021Article
- Facilitators and Barriers Surrounding the Role of Administration in Employee Job Satisfaction in Long-Term Care Facilities: A Systematic Review.Healthcare (Basel, Switzerland) · 2020Review
- Leadership, Staff Empowerment, and the Retention of Nursing Assistants: Findings From a Survey of U.S. Nursing Homes.Journal of the American Medical Directors Association · 2020Article
- Predictors of Nursing Staff Voluntary Termination in Nursing Homes: A Case-Control Study.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2019Article
- WE'RE THE EYES AND THE EARS, BUT WE DON'T HAVE A VOICE: PERSPECTIVES OF HOSPICE AIDES.Journal of hospice and palliative nursing : JHPN : the official journal of the Hospice and Palliative Nurses Association · 2018Article
- The Intersections of Structural Racism and Ageism in the Time of COVID-19: A Call to Action for Gerontological Nursing Science.Research in gerontological nursingArticle
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Authors and funding
3 authors.
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Abstract
This article examines whether staff empowerment practices common to nursing home culture change are associated with certified nursing assistant (CNA) retention. Data from 2,034 nursing home administrators from a 2009/2010 national nursing home survey and ordered logistic regression were used. After adjustment for covariates, a greater staff empowerment practice score was positively associated with greater retention. Compared with the low empowerment category, nursing homes with scores in the medium category had a 44% greater likelihood of having higher CNA retention (odds ratio [OR] = 1.44; 95% confidence interval [CI] = [1.15, 1.81], p = .001) and those with high empowerment scores had a 64% greater likelihood of having higher CNA retention (OR = 1.64; 95% CI = [1.34, 2.00], p < 001). Greater opportunities for CNA empowerment are associated with longer CNA retention. This research suggests that staffing empowerment practices on the whole are worthwhile from the CNA staffing stability perspective.
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