Strengthening the long-term care workforce: The influence of the WIN A STEP UP workplace intervention on the turnover of direct care workers

Janette S. Dill, Jennifer Craft Morgan, Thomas R. Konrad

Research output: Contribution to journalArticlepeer-review

17 Scopus citations

Abstract

Given high rates of turnover among direct care workers in long-term care settings, it is important to identify factors affecting organizational-level turnover rates. In this study, the authors examine the impact of a workforce intervention program (Workforce Improvement for Nursing Assistants: Supporting Training, Education, and Payment for Upgrading Performance [WIN A STEP UP]) on turnover rates of direct care workers in nursing homes. Using data collected yearly between 2002 and 2006 from 405 nursing homes in North Carolina, the authors employ random effects modeling to predict a dichotomous outcome of "above-average" versus "below-average" turnover. Results indicate that nursing homes participating in the WIN A STEP UP program are 15% more likely to have below-average turnover than are nonparticipating nursing homes. Organizational factors such as ownership type and Medicaid participation also influenced turnover, whereas labor market factors had no independent effects. The results suggest that workforce development projects that increase the training of direct care workers and provide associated rewards show some potential to lower turnover rates of the direct care workforce.

Original languageEnglish (US)
Pages (from-to)196-214
Number of pages19
JournalJournal of Applied Gerontology
Volume29
Issue number2
DOIs
StatePublished - Apr 2010
Externally publishedYes

Keywords

  • Direct care workers
  • Long-term care
  • Turnover
  • Workforce interventions

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