The importance of supervision in retention of CNAs

National Database of Nursing Quality Indicators, University of Kansas Medical Center, School of Nursing, Kansas City, Kansas 66160, USA.
Research in Nursing & Health (Impact Factor: 1.27). 04/2012; 35(2):187-99. DOI: 10.1002/nur.21461
Source: PubMed


Certified nursing assistants (CNAs) provide the majority of direct care in nursing homes, yet recruiting and retaining CNAs has been difficult. Retaining CNAs is important because it has been linked to the better quality of resident care in nursing homes. In this study, the investigators examined the relationships of work-related and personal factors to CNA job satisfaction and intent to leave. Linked data from the 2004 National Nursing Home Survey and the 2004 National Nursing Assistant Survey were analyzed using multilevel logistic regression. Personal factors such as age, education, and job history, were related to intent to leave but not to job satisfaction. Supportive supervision was a significant predictor of both job satisfaction and intent to leave.

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    • "in acute care hospitals are new, but unsurprising. Our findings are in line with previous research on RNs in hospitals (Aiken et al., 2012; Aiken, Clarke, & Sloane, 2002; Klopper, Coetzee, Pretorius, & Bester, 2012; Zhang et al., 2014), as well as on AHAs in nursing homes (Castle et al., 2007; Choi & Johantgen, 2012; Decker et al., 2009; Kuo et al., 2008). Thus, we were able to provide primary evidence to support Aiken et al.'s (2002) hospital organization, nursing organization, and patient outcome model from the perspective of non-RNs. "
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