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Medical Care Research and Review
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Job Satisfaction of Nursing Home Administrators and Turnover

Nicholas G. Castle

University of Pittsburgh, Pittsburgh, Pennsylvania

John Engberg

RAND, Pittsburgh, Pennsylvania

Ruth A. Anderson

Duke University School of Nursing, Durham, North Carolina

We know little about factors associated with job satisfaction and dissatisfaction for nursing home workers. In this investigation, the authors use data from a large sample of nursing home administrators (NHAs) to examine: (1) their levels of job satisfaction, (2) whether job satisfaction is associated with intent to leave, (3) whether job satisfaction is associated with turnover after 1 year, and (4) whether job satisfaction after 1 year varies for NHAs who left based on where they subsequently worked. Overall, NHAs were more satisfied with the job satisfaction subscales of: rewards, work skills, and workload but were less satisfied with work demands and coworkers. NHAs appeared particularly sensitive to work skills, with this area of job satisfaction being associated with intent to turnover and actual turnover. In general, the authors found a stronger association with job satisfaction and actual turnover than with intent to turnover.

Key Words: nursing homes • quality • turnover • top management

Medical Care Research and Review, Vol. 64, No. 2, 191-211 (2007)
DOI: 10.1177/1077558706298291
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