title: Relationships among employees' working conditions, mental health, and intention to leave in nursing homes.
abstract: Employee turnover is a large and expensive problem in the long-term care environment. Stated intention to leave is a reliable indicator of likely turnover, but actual predictors, especially for nursing assistants, have been incompletely investigated. This quantitative study identifies the relationships among employees' working conditions, mental health, and intention to leave. Self-administered questionnaires were collected with 1,589 employees in 18 for-profit nursing homes. A working condition index for the number of beneficial job features was constructed. Poisson regression modeling found that employees who reported four positive features were 77% less likely to state strong intention to leave (PR = 0.23, p < .001). The strength of relationship between working conditions and intention to leave was slightly mediated by employee mental health. Effective workplace intervention programs must address work organization features to reduce employee intention to leave. Healthy workplaces should build better interpersonal relationships, show respect for employee work, and involve employees in decision-making processes.
authors.affiliation: University of Massachusetts Lowell, Lowell, MA, USA.
authors.forename: Yuan
authors.initials: Y
authors.lastname: Zhang
authors.forename: Laura
authors.initials: L
authors.lastname: Punnett
authors.forename: Rebecca
authors.initials: R
authors.lastname: Gore
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D005260:Female; D006801:Humans; D033182:Intention; D007588:Job Satisfaction; D008134:Long-Term Care; D008297:Male; D008603:Mental Health; D008875:Middle Aged; D009735:Nursing Homes; D016272:Occupational Health; D010563:Personnel Turnover / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D000078329:Workforce; D017132:Workplace
keywords: intention to leave; mental health; nursing homes; working conditions