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Complexity science and the dynamics of climate and communication: reducing nursing home turnover.

Publication ,  Journal Article
Anderson, RA; Corazzini, KN; McDaniel, RR
Published in: The Gerontologist
June 2004

Turnover in nursing homes is a widespread problem adversely affecting care quality. Using complexity theory, we tested the effect of administrative climate, communication patterns, and the interaction between the two on turnover, controlling for facility context.Perceptions of administrative climate and communication were collected from 3,449 employees in 164 randomly sampled nursing homes, and they were linked to secondary data on facility characteristics, resource allocation, and turnover. We used hierarchical regression to test the hypotheses.Climate and communication both affected turnover, but lower turnover was dependent on the interaction between climate and communication. In nursing homes with reward-based administrative climates, higher levels of communication openness and accuracy explained lower turnover of licensed vocational nurses and certified nurse assistants, relative to nursing homes with an ambiguous climate. Adequate staffing and longer tenure of the nursing director were also important predictors of turnover.Although context is important, managers can also influence turnover by addressing climate and communication patterns and by encouraging stable nursing leadership.

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Published In

The Gerontologist

DOI

EISSN

1758-5341

ISSN

0016-9013

Publication Date

June 2004

Volume

44

Issue

3

Start / End Page

378 / 388

Related Subject Headings

  • Workplace
  • Workforce
  • Texas
  • Regression Analysis
  • Personnel Turnover
  • Nursing Staff
  • Nursing Homes
  • Humans
  • Health Facility Environment
  • Health Care Surveys
 

Citation

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Anderson, R. A., Corazzini, K. N., & McDaniel, R. R. (2004). Complexity science and the dynamics of climate and communication: reducing nursing home turnover. The Gerontologist, 44(3), 378–388. https://doi.org/10.1093/geront/44.3.378
Anderson, Ruth A., Kirsten N. Corazzini, and Reuben R. McDaniel. “Complexity science and the dynamics of climate and communication: reducing nursing home turnover.The Gerontologist 44, no. 3 (June 2004): 378–88. https://doi.org/10.1093/geront/44.3.378.
Anderson RA, Corazzini KN, McDaniel RR. Complexity science and the dynamics of climate and communication: reducing nursing home turnover. The Gerontologist. 2004 Jun;44(3):378–88.
Anderson, Ruth A., et al. “Complexity science and the dynamics of climate and communication: reducing nursing home turnover.The Gerontologist, vol. 44, no. 3, June 2004, pp. 378–88. Epmc, doi:10.1093/geront/44.3.378.
Anderson RA, Corazzini KN, McDaniel RR. Complexity science and the dynamics of climate and communication: reducing nursing home turnover. The Gerontologist. 2004 Jun;44(3):378–388.
Journal cover image

Published In

The Gerontologist

DOI

EISSN

1758-5341

ISSN

0016-9013

Publication Date

June 2004

Volume

44

Issue

3

Start / End Page

378 / 388

Related Subject Headings

  • Workplace
  • Workforce
  • Texas
  • Regression Analysis
  • Personnel Turnover
  • Nursing Staff
  • Nursing Homes
  • Humans
  • Health Facility Environment
  • Health Care Surveys