Individual factors associated with intentions to leave among directors of nursing in nursing homes.

摘要: Background: Although the importance of nurse leadership stability and participation in decision making innursing homes is well established, scarce literature exists on determinants intent to leave among directorsof nursing (DONs) homes.Purpose: The purpose this study was examine factors associated with DON homes.Methodology: We examined potential at three levels: individualDON characteristics, facility, county-level market factors. A survey supervisors Texas nursinghomes, 2003 Nursing Facility Medicaid Cost Report, Area Resource File were merged. Weonly included respondents who identified themselves as DONs (572 observations). examinedbivariate differences individual characteristics basis facility ownership (for-profit versusnot-for-profit homes) geographic location (urban versus rural location). constructed threealternative logit models explore relationships between DON, andmarket characteristics.Findings: working for-profit more inclined leave, less satisfied their job, hadlower levels perceived empowerment terms autonomy. Educational level intention weresignificantly higher for urban areas. Job satisfaction significantly inversely associatedwith all models. Higher salary competitiveness empowermentwere reduced odds intending leave. educational higherodds intentions leave.Practice Implications: should focus improving job satisfaction, decisionmaking, when designing retention strategies DONs.246 July–September 2010