The Role of Schedule Volatility in Home Health Nursing Turnover.

The Role of Schedule Volatility in Home Health Nursing Turnover.
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DOI:
10.1177/10775587211034310
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发表时间:
2022-06
影响因子:
2.5
通讯作者:
Candon, Molly
Candon, Molly
中科院分区:
医学3区
文献类型:
--
作者:
Bergman, Alon;Song, Hummy;David, Guy;Spetz, Joanne;Candon, Molly

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尽管相当多的研究护理营业额,很少有研究认为营业额护士在家庭保健工作。使用来自美国最大的家庭医疗保健组织之一的新管理数据,本研究探讨家庭护理人员的流动性,重点是时间表波动的作用。我们估计了全职和兼职注册护士和执业护士之间的分离率,并使用每日访视日志来估计时间表波动性,其定义为前四周每日访视次数的变异系数。2016年至2019年,家庭保健护士的年均离职率超过30%,其中大多数离职是自愿发生的。对于全职护士来说,日程波动性和流动率呈正相关,但对于兼职护士来说则不然。这些结果表明,减少全职护士的时间表波动可以减轻家庭医疗护理的护理周转。
Despite considerable research on nursing turnover, few studies have considered turnover among nurses working in home health care. Using novel administrative data from one of the largest home health care organizations in the U.S., this study examined turnover among home health nurses, focusing on the role of schedule volatility. We estimated separation rates among full-time and part-time registered nurses and licensed practical nurses and used daily visit logs to estimate schedule volatility, which was defined as the coefficient of variation of the number of daily visits in the prior four weeks. Between 2016 and 2019, the average annual separation rate of home health nurses was over 30%, with most separations occurring voluntarily. Schedule volatility and turnover were positively associated for full-time nurses, but not for part-time nurses. These results suggest that reducing schedule volatility for full-time nurses could mitigate nursing turnover in home health care.
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