Relationships between job stressors, job satisfaction, and turnover intent in the assisted living sector of long term care

Abstract Prior research has demonstrated that ageism, specifically negative attitudes and behaviors about growing old, can be barriers to delivering high-quality long-term care (LTC), but little is known about how ageism may be related to job satisfaction – an important driver of workforce retention in LTC. Hence, the purpose of this study was to examine the role of ageism in job satisfaction in LTC. Our cross-sectional study used data collected from 265 staff members of aging services organizations (e.g. nursing homes, assisted living) representing the continuum of job types in LTC. The study examined the relationship between ageist attitudes (i.e. internalized and relational aging anxiety; affinity for older persons) and ageist behaviors, and job satisfaction when controlling for socio-demographic (i.e. age; gender; ethnicity) and employment-related variables (i.e. years of employment; advanced training in gerontology; direct care vs. managerial position). Results of a regression analysis showed that lower internalized aging anxiety and higher affinity for older people were significantly associated with higher levels of job satisfaction. Findings suggest addressing ageism to improve job satisfaction in LTC and provide some evidence for incorporating ageism screening and training into recruitment and onboarding of staff to enhance job satisfaction and to mitigate turnover.

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Job satisfaction of nurses employed in rural and urban long-term care facilities

Research in Nursing & Health ◽

10.1002/nur.4770180310 ◽

1995 ◽

Vol 18 (3) ◽

pp. 271-284 ◽

Cited By ~ 42

Author(s):

Raymond T. Coward ◽

Tiffany L. Hogan ◽

R. Paul Duncan ◽

Claydell H. Horne ◽

Mary Anne Hilker ◽

...

Keyword(s):

Job Satisfaction ◽

Long Term Care ◽

Term Care ◽

Rural And Urban ◽

Care Facilities

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Individual and organizational factors of nurses' job satisfaction in long-term care: A Systematic Review

International Journal of Nursing Studies ◽

10.1016/j.ijnurstu.2021.104073 ◽

2021 ◽

pp. 104073

Author(s):

Laura D. Aloisio ◽

Mary Coughlin ◽

Janet E. Squires

Keyword(s):

Systematic Review ◽

Job Satisfaction ◽

Long Term Care ◽

Organizational Factors ◽

Term Care

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A Comparison of Wandering Behavior in Nursing Homes and Assisted Living Facilities

Research and Theory for Nursing Practice ◽

10.1891/rtnp.19.2.181.66797 ◽

2005 ◽

Vol 19 (2) ◽

pp. 181-196 ◽

Cited By ~ 29

Author(s):

Elizabeth R. A. Beattie ◽

JunAh Song ◽

Shane LaGore

Keyword(s):

Nursing Homes ◽

Assisted Living ◽

Challenging Behavior ◽

Long Term Care ◽

Assisted Living Facilities ◽

Term Care ◽

Training Requirements ◽

Care Facilities ◽

Staffing And Training

Wandering, a challenging behavior associated with dementia, affects many residents of long-term care facilities and can result in elopement, injury, and death. Most studies of wandering have taken place in nursing homes (NH). Expansion of the long-term care sector over the last 2 decades has resulted in a surge in options such as assisted living facilities (ALF). This study compared wandering behavior of residents (N = 108) in 21 long-term care facilities (15 NH, 6 ALF). Staff used the Revised Algase Wandering Scale-Nursing Home Version (RAWS-NH) to quantify wandering. While there were some differences in demographic variables (i.e., race, motor ability) between NH and ALF participants, no significant differences were found in either RAWS-NH overall or any of the 6 subscale scores. This suggests that the expression of wandering is similar in long-term care residents across all dimensions of the RAWS-NH regardless of facility type. Findings are of concern for those involved in the safe management and protection of residents at risk for wandering, particularly in long-term care facilities with underregulated staffing and training requirements.

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