ArticleJournal of the American Medical Directors Association2020
Leadership, Staff Empowerment, and the Retention of Nursing Assistants: Findings From a Survey of U.S. Nursing Homes.
Article in Journal of the American Medical Directors Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Impact of Unions on US Direct Care Workers in Long-Term Care Settings: A Systematic Review.Journal of the American Medical Directors Association · 2024Pooled it
- Development of Deep Learning Models for AI-Enhanced Telemedicine in Nursing Home Care.Journal of clinical medicine · 2026Article
- Nursing Home Work Environment and Burnout Association in Registered Nurses and Nursing Assistants: A Cross-Sectional Multicenter Study.Journal of nursing management · 2026Article
- A Qualitative Analysis of Variables Contributing to Registered Behavior Technicians' Burnout and Turnover in Florida.Behavior analysis in practice · 2025Article
- Relationship between different leadership styles of nursing managers and nurses' turnover intention in hospitals: an integrative review.BMC nursing · 2025Article
- Successful Care Conferences: Nursing Home Staff, Persons with Dementia, and Caregiver Perspectives.Journal of the American Medical Directors Association · 2025Article
- Building a Community Among Multicultural Healthcare Teams in Nursing Homes: A Qualitative Study of the International Caregiver Development Programme (ICDP).International journal of older people nursing · 2025Article
- Can Better Leadership Reduce Nursing Home Staff Turnover?Journal of the American Medical Directors Association · 2024Article
- Factors Impacting Retention of Aged Care Workers: A Systematic Review.Healthcare (Basel, Switzerland) · 2023Review
- Retention and Resilience of Nursing Home Staff During the COVID-19 Pandemic: Voices from the Frontline.Journal of the American Medical Directors Association · 2023Article
- Preliminary Evidence for Dementia Collaborative Coaching.American journal of speech-language pathology · 2023Article
- Job Characteristics Associated With Intent to Quit Among Nursing Home Employees and Managers.The Gerontologist · 2023Article
- Ethical Leadership in LTC: From Caregivers' Customer Orientation to Senior's Satisfaction and Well-Being.Journal of healthcare leadership · 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
- Perspectives of certified nursing assistants and administrators on staffing the nursing home frontline during the COVID-19 pandemic.Health services research · 2022Article
- Administrator Turnover in Oregon Assisted Living and Residential Care Communities, March 2020-February 2021.Journal of the American Medical Directors Association · 2022Article
- Mechanisms of impact and contextual aspects of a dementia special care unit in long-term care: a process evaluation.BMC geriatrics · 2021Article
- The development of knowledgeable nursing assistants as creative caregivers (KNACC).Geriatric nursing (New York, N.Y.)Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectivesWe examined the relationship between nursing assistant (NA) retention and a measure capturing nursing home leadership and staff empowerment.
designCross-sectional study using nationally representative survey data. SETTING AND
participantsData from the Nursing Home Culture Change 2016-2017 Survey with nursing home administrator respondents (N = 1386) were merged with facility-level indicators.
methodsThe leadership and staff empowerment practice score is an index derived from responses to 23 survey items and categorized as low, medium, and high. Multinomial logistic regression weighted for sample design and to address culture-change selection bias identified factors associated with 4 categories of 1-year NA retention: 0% to 50%, 51% to 75%, 76% to 90%, and 91% to 100%.
resultsIn an adjusted model, greater leadership and staff empowerment levels were consistently associated with high (76%-90% and 91%-100%) relative to low (0%-50%) NA retention. Occupancy rate, chain status, licensed practical nurse and certified nursing assistant hours per day per resident, nursing home administrator turnover, and the presence of a union were also significantly associated with higher categories of retention (vs low retention). CONCLUSIONS AND IMPLICATIONS: Modifiable leadership and staff empowerment practices are associated with NA retention. Associations are most significant when examining the highest practice scores and retention categories. Nursing homes seeking to improve NA retention might look to leadership and staff empowerment practice changes common to culture change.
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