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Nursing Home Turnover

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Mukamel, D. B., Spector, W. D., Limcangco, R., Wang, Y., Feng, Z., & Mor, V. (2009). The costs of turnover in nursing homes. Medical Care, 47(10), 1039-1045. doi:10.1097/MLR.0b013e3181a3cc62
Location: JSTOR
Purpose and Key finding: The aim of this paper is to estimate the net costs associated with turnover of direct care staff in nursing homes. The study showed that turnover and cost is negative i.e. turnover is associated with cost saving. According the study, an increase in turnover of 10 percentages is associated with 2.9 percentage cost saving close to 170,000 annually for an average facility.
Conclusions: The net savings associated with turnover offer an explanation for the persistence of this phenomenon over the last decades, despite the many policy initiatives to reduce it. Future policy efforts need to recognize …show more content…

Castle, N. G., Engberg, J., & Men, A. (2007). Nursing home staff turnover: Impact on nursing home compare quality measures. The Gerontologist, 47(5), 650-661. doi:10.1093/geront/47.5.650
Location: The Gerontological Society of America
Purpose and Key finding: The aim of this paper is examine the association between staff turnover and quality. The study found that reducing turnover from high to medium levels was associated with increased quality, but the evidence was mixed regarding the quality improvements from further lowering turnover to low levels
Conclusions: In conclusion, the turnover rate for nursing home staff is high. The 1-year turnover rates identified in this study were 59.4%, 37.0%, and 36.1% for NAs, LPNs, and RNs, respectively. These results add to a rather large body of research over the past 30 years also showing high rates of caregiver turnover. Most important, the study shows that, in general, high rates of turnover are associated with worse quality of care.
Application: I plan to use the article to show negative impact of high turnover of

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