Title

An exploration of nursing home organizational processes

Document Type

Article

Peer Reviewed

1

Publication Date

12-1-2006

Journal, Book or Conference Title

Western journal of nursing research

NLM Title Abbreviation

West J Nurs Res

PubMed ID

17099106

DOI

10.1177/0193945906287053

Abstract

The purpose of this study is to explore the relationship between nursing home staffs' perceptions of organizational processes (communication, teamwork, and leadership) with characteristics (turnover, tenure, and educational preparation) of the nursing home administrator (NHA) and director of nursing (DON). NHAs and DONs rate communication, teamwork, and leadership significantly higher than direct care staff do (registered nurses, licensed practical nurses, certified nurse aides [CNAs]). CNAs have the lowest ratings of communication and teamwork. Turnover of the NHA and DON is significantly and negatively associated with communication and teamwork. Two thirds of DONs surveyed hold less than a baccalaureate degree; this does not influence staffs' ratings of communication, teamwork, and leadership. Findings from this study highlight the need to explore differences in perceptions between administrative and direct care staff and how these may or may not influence staff development and quality improvement activities in nursing homes.

Keywords

Administrative Personnel, Cross-Sectional Studies, Institutional Management Teams, Leadership, Nurses, Nurses' Aides, Nursing Homes/organization & administration, Personnel Turnover

Published Article/Book Citation

The definitive version was published in Western journal of nursing research, 28:8 (2006) pp.935-954. DOI:10.1177/0193945906287053.

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URL

http://ir.uiowa.edu/nursing_pubs/1139