@article{ref1,
title="Staff turnover intention at long-term care facilities: implications of resident aggression, burnout, and fatigue",
journal="Journal of the American Medical Directors Association",
year="2023",
author="Yan, Elsie and Wan, Debby and To, Louis and Ng, Haze K. L. and Lai, Daniel W. L. and Cheng, Sheung-Tak and Kwok, Timothy and Leung, Edward M. F. and Lou, Vivian W. Q. and Fong, Daniel and Chaudhury, Habib and Pillemer, Karl and Lachs, Mark",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVES: Staff shortages and the high turnover rate of nursing assistants pose great challenges to long-term care. This study examined the effects of aggression from residents of long-term care facilities, burnout, and fatigue on staff turnover intention. The findings will help managers to devise effective measures to retain their staff. <br><br>DESIGN: Cross-sectional descriptive study design. SETTING AND PARTICIPANTS: A total of 800 nursing assistants were recruited from 70 long-term care facilities using convenience sampling. <br><br>METHODS: The participants were individually interviewed and provided information about their turnover intention, resident aggression witnessed and experienced, self-efficacy, neuroticism, burnout, fatigue, and personal and facility characteristics. <br><br>RESULTS: Hierarchical multiple regression analysis revealed that the size and organizational practices of long-term care facilities were not associated with staff turnover intention. Staff who spent less time in the industry reported witnessing resident-to-resident aggression, experienced resident-to-staff aggression, reported high levels of burnout, had acute or chronic fatigue, and had low levels of inter-shift recovery were more likely than others to report a high turnover intention. <br><br>CONCLUSIONS AND IMPLICATIONS: Staff turnover poses great challenges to staff, residents, and organizations. This study identified important factors that may help support staff in long-term care facilities. Specific measures, such as person-centered care to diminish resident aggression by addressing residents' unmet needs, work-directed programs to mitigate burnout and improve staff mental health, and flexible schedules to prevent fatigue should also be advocated to prevent staff turnover.<p /> <p>Language: en</p>",
language="en",
issn="1525-8610",
doi="10.1016/j.jamda.2023.10.008",
url="http://dx.doi.org/10.1016/j.jamda.2023.10.008"
}