Exploring the Influence of the Regulatory Survey Process on Nursing Home Administrator Job Satisfaction and Job Seeking

Abstract

Nursing home administrators’ retention rate continues to be a serious problem. One factor potentially affecting administrator turnover that has received minimal research attention is the nursing home regulatory process. Using a random start systematic sample of 135 nursing home administrators, this study explores whether regulatory process perceptions, survey performance (number of deficiency citations on last survey), and demographic or facility variables are associated with job satisfaction and job seeking. Multivariate analyses revealed three main findings: (a) an overall positive perception of the survey process was a significant predictor of administrator job satisfaction and job seeking, (b) survey performance outcomes were not related to administrator job satisfaction, and (c) administrator job seeking was associated with perception of the survey process, performance outcomes, and four factors identified in prior research on staff turnover (type of facility, job tenure, salary, and job satisfaction). Results reinforce ongoing initiatives on retaining quality nursing home leadership.

Keywords

nursing home administration retention regulatory survey process

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References

Angelelli, J. , Gifford, D. , Shah, A. , & Mor, V. ( 2001). External threats and nursing home administrator turnover . Health Care Management Review, 26, 52-62.

Berlowitz, R. , Young, G. , Hickey, E. , Saliba, D. , Mittman, B. , Czernowski, E. , et al. (2003). Quality improvement implementation in the nursing home. Health Services Research, 38, 65-81.

Brown, C. , Belfield, C. , & Field, S. ( 2002). Cost effectiveness of continuing professional development in health care: A critical review of the evidence. British Medical Journal, 324, 652-655.

Castle, N. ( 2001). Administrator turnover and quality of care in nursing homes. The Gerontologist, 41, 757-767.

Castle, N. ( 2005). Turnover begets turnover. The Gerontologist , 45, 186-195.

Castle, N. , & Shugarman, L. ( 2005). The effects of top management professional development on administrator turnover. Journal of Applied Gerontology , 24, 404-418.

Chan, D. , Schmitt, N. , DeShon, R. , Clause, C. , & Delbridge, K. ( 1997). Reactions to cognitive ability tests: The relationships between race, test performance, face validity perceptions, and test-taking motivation. Journal of Applied Psychology, 82, 300-310.

Christensen, C. , & Beaver, S. ( 1996). Correlation between administrator turnover and survey results. Journal of Long-Term Care Administration, 24, 4-7.

Curry, J. , Wakefield, D.S. , Price, J. , Mueller, C. , & McCloskey, J. ( 1985). Determinants of turnover among nursing department employees . Research in Nursing and Health, 8, 396-411.

10.

Davis, W. , Haacker, R. , & Townsend, J. ( 2002). The principles of healthcare administration. Bossier City, LA: Professional Printing.

11.

Gabris, G.T. , & Ihrke, D.M. ( 2001). Does performance appraisal contribute to heightened levels of employee burnout? The results of one study. Public Personnel Management, 30, 157-172.

12.

Harrington, C. , Zimmerman, D. , Karon, S.L. , Robinson, J. , & Beutel, P. ( 2000). Nursing home staffing and its relationship to deficiencies . Journal of Gerontology: Social Sciences, 55B, S278-S287.

13.

Mor, V. , Berg, K. , Angelelli, J. , Gifford, D. , Morris, J. , & Moore, T. ( 2003). The quality of quality measurement in U.S. nursing homes . The Gerontologist, 43, 37-46.

14.

Mowday, R. , Porter, L. , & Steers, R. ( 1982). Employee-organization linkages: The psychology of commitment, absenteeism, and turnover. New York: Academic Press.

15.

Price, J. ( 1977). The study of turnover. Ames: Iowa State University Press.

16.

Putnam, M. , Tang, F. , Brooks-Danso, A. , Pickard, J. , & Morrow-Howell, N. (2007). Professionals’ beliefs about nursing home regulations in Missouri. Journal of Applied Gerontology, 26, 290-304.

17.

Rosenthal, R. ( 1991). Meta-analytic procedures for social research. Newbury Park, CA: Sage.

18.

Rotter, J. ( 1966). Generalized expectancies for internal versus external control of reinforcement. Psychological Monographs: General and Applied, 80, 1-28.

19.

Shortell, S. , O’Brien, J. , Carman, J. , Foster, R. , Hughes, E. , Boerstier, H. , et al. (1995). Assessing the impact of continuous quality improvement/total quality management. Health Services Research , 30, 377-401.

20.

Singh, D. , Amidon, R. , Shi, L. , & Samuels, M. ( 1996). Predictors of quality of care in nursing facilities. Journal of Long-Term Care Administration, 24, 22-26.

21.

Singh, D. , & Schwab, R. ( 1998). Retention of administrators in nursing homes: What can management do? The Gerontologist, 38, 362-369.

22.

Singh, D. , & Schwab, R. ( 2000). Predicting turnover and retention in nursing home administrators . The Gerontologist, 40, 310-319.

23.

Tweed, M. , & Cookson, J. ( 2001). The face validity of a final professional clinical examination . Medical Education, 35, 465-473.

24.

U.S. Department of Health and Human Services, Office of Inspector General. (2003). Nursing home deficiency trends and survey certification process consistency (Report No. OEI-02-01-00600) . Washington, DC: Author.