Britt O'Keefe, Eva Yuen, Briony Dow, Susan Perlen, Alison M Hutchinson
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引用次数: 0
Abstract
Background and objectives: The global need for older persons' care, driven by demographic shifts such as an aging population and increased life expectancy, is outpacing the available care workforce. Nursing home operators face complex workforce challenges, including high turnover and low retention, particularly among personal care workers (PCWs). The objective of this review was to understand the factors influencing PCWs' intention to leave.
Research design and methods: Following Whittemore and Knafl's methodology and adhering to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, an integrative review of peer-reviewed literature published between 1997 and 2024 was undertaken. A comprehensive search was conducted across several databases, including Business Source Complete, CINAHL Complete, Medline Complete, APA PsycINFO, and EMBASE. All studies underwent independent screening and quality assessment using the Mixed-Methods Appraisal Tool.
Results: Included were 21 articles reporting 20 studies using quantitative (n = 17), qualitative (n = 3), and mixed methods (n = 1), which identified various factors influencing PCWs' intention to leave. These factors were categorized as individual, job and organizational, and socio-political-environmental. Demographic characteristics, employee satisfaction, health, career development, workplace conditions, leadership, empowerment, resident connections, and societal perceptions influenced personal care workers' intentions to leave.
Discussion and implications: The findings of this review reveal opportunities for nursing home operators and policy-makers to implement strategies to mitigate the high rates of turnover through PCW role and organizational reforms. Further, the findings underscore the need for qualitative research exploring the perceptions and experiences shaping the employment intentions of current and former PCWs.
期刊介绍：
The Gerontologist, published since 1961, is a bimonthly journal of The Gerontological Society of America that provides a multidisciplinary perspective on human aging by publishing research and analysis on applied social issues. It informs the broad community of disciplines and professions involved in understanding the aging process and providing care to older people. Articles should include a conceptual framework and testable hypotheses. Implications for policy or practice should be highlighted. The Gerontologist publishes quantitative and qualitative research and encourages manuscript submissions of various types including: research articles, intervention research, review articles, measurement articles, forums, and brief reports. Book and media reviews, International Spotlights, and award-winning lectures are commissioned by the editors.
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