Academic Journal
Associations between nursing home leadership turnover and resident satisfaction.
| Τίτλος: | Associations between nursing home leadership turnover and resident satisfaction. |
|---|---|
| Συγγραφείς: | Kwon JH; Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco, California, United States.; Department of Epidemiology & Biostatistics, University of California, San Francisco, California, United States., Bowblis JR; Department of Economics, Farmer School of Business, Miami University, Oxford, Ohio, United States.; Scripps Gerontology Center, Miami University, Oxford, Ohio, United States. |
| Πηγή: | The Gerontologist [Gerontologist] 2026 Jun 09; Vol. 66 (7). |
| Τύπος έκδοσης: | Journal Article; Research Support, Non-U.S. Gov't |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Oxford University Press Country of Publication: United States NLM ID: 0375327 Publication Model: Print Cited Medium: Internet ISSN: 1758-5341 (Electronic) Linking ISSN: 00169013 NLM ISO Abbreviation: Gerontologist Subsets: MEDLINE |
| Imprint Name(s): | Publication: 2009- : Cary, NC : Oxford University Press Original Publication: St. Louis, Gerontological Society. |
| Ιατρικοί όροι (MeSH): | Nursing Homes*/organization & administration , Personnel Turnover*/statistics & numerical data , Patient Satisfaction*/statistics & numerical data , Leadership* , Nurse Administrators*, Nursing Home Residents/psychology ; Humans ; Ohio ; Long-Term Care ; Surveys and Questionnaires ; Female ; Male |
| Περίληψη: | Background and Objectives: The impact of nursing home administrator (NHA) and director of nursing (DON) turnover on residents' care experiences remains underexplored. This study aims to examine the associations of NHA/DON turnover with resident satisfaction scores. Research Design and Methods: 5 data sources were merged to create an aggregate dataset of 752 Ohio nursing homes in 2017: the Ohio Nursing Home Resident Satisfaction Survey, the Ohio Biennial Survey of Long-Term Care Facilities, the Certification and Survey Provider Enhanced Reports, Medicaid Cost Report, and LTCFocus. Resident satisfaction was measured by 8 resident satisfaction scores: the overall satisfaction score and 7 individual domain scores. The scores were continuous variables ranging from 0 (low) to 100 (high). Leadership turnover was assessed using 4 specifications: 1 NHA turnover, 2 or more NHA turnovers, 1 DON turnover, and 2 or more DON turnovers over the past 3 years. Multiple linear regressions were conducted via SAS, adjusting for control variables. Results: 2 or more DON turnovers are associated with a lower overall resident satisfaction score by 1.14% points (p < .05), lower Environment domain score by 1.01% points (p < .05), and lower Caregivers domain score by 1.80% points (p < .01). NHA turnover is not statistically associated with overall resident satisfaction score but positively associated with 2 individual domain scores. Discussion and Implications: DON turnover is associated with lower resident satisfaction scores, while NHA turnover is not. A single DON turnover may not harm residents' care experiences; however, frequent turnover among DON could negatively impact them. (© The Author(s) 2026. Published by Oxford University Press on behalf of the Gerontological Society of America.) |
| Contributed Indexing: | Keywords: Caregiving—formal; Long-term care; Quality of life; Workforce issues |
| Entry Date(s): | Date Created: 20260512 Date Completed: 20260622 Latest Revision: 20260726 |
| Update Code: | 20260726 |
| PubMed Central ID: | PMC13284986 |
| DOI: | 10.1093/geront/gnag106 |
| PMID: | 42116604 |
| Βάση Δεδομένων: | MEDLINE |
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