ERIC Number: EJ696315
Record Type: Journal
Publication Date: 2004-Jun
Pages: 11
Abstractor: Author
ISBN: N/A
ISSN: ISSN-0016-9013
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Available Date: N/A
Complexity Science and the Dynamics of Climate and Communication: Reducing Nursing Home Turnover
Anderson, Ruth A.; Corazzini, Kirsten N.; McDaniel, Reuben R., Jr.
Gerontologist, v44 n3 p378 Jun 2004
Purpose: Turnover in nursing homes is a widespread problem adversely affecting care quality. Using complexity theory, we tested the effect of administrative climate, communication patterns, and the interaction between the two on turnover, controlling for facility context. Design and Methods: Perceptions of administrative climate and communication were collected from 3,449 employees in 164 randomly sampled nursing homes, and they were linked to secondary data on facility characteristics, resource allocation, and turnover. We used hierarchical regression to test the hypotheses. Results: Climate and communication both affected turnover, but lower turnover was dependent on the interaction between climate and communication. In nursing homes with reward-based administrative climates, higher levels of communication openness and accuracy explained lower turnover of licensed vocational nurses and certified nurse assistants, relative to nursing homes with an ambiguous climate. Adequate staffing and longer tenure of the nursing director were also important predictors of turnover. Implications: Although context is important, managers can also influence turnover by addressing climate and communication patterns and by encouraging stable nursing leadership.
Descriptors: Resource Allocation, Nurses, Nursing Homes, Labor Turnover, Employer Employee Relationship, Employee Attitudes, Context Effect, Administrator Role, Institutional Characteristics, Work Environment
Gerontological Society of America, 1030 15th Street, NW, Suite 250, Washington, DC 20005-1503. Web site: http://www.gerontologyjournals.org
Publication Type: Journal Articles; Reports - Evaluative
Education Level: N/A
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A
Grant or Contract Numbers: N/A
Author Affiliations: N/A