title: Staff Empowerment Practices and CNA Retention: Findings From a Nationally Representative Nursing Home Culture Change Survey.
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.
authors: 1 University of Washington, Seattle, WA, USA.
authors: Clara
authors: C
authors: Berridge
authors: 2 Brown University, Providence, RI, USA.
authors: Denise A
authors: DA
authors: Tyler
authors: 2 Brown University, Providence, RI, USA.
authors: Susan C
authors: SC
authors: Miller
mesh_terms: D003657:Decision Making; D006801:Humans; D007588:Job Satisfaction; D009728:Nursing Assistants / Q000458:organization & administration* / Q000523:psychology; D009735:Nursing Homes / Q000458:organization & administration* / Q000706:statistics & numerical data; D015279:Organizational Culture; D010563:Personnel Turnover / Q000706:statistics & numerical data; D011209:Power, Psychological; D013192:Staff Development; D011795:Surveys and Questionnaires
keywords: culture change; nursing assistant; staff empowerment; staff stability