An exploration of nursing home organizational processes
NLM Title Abbreviation
West J Nurs Res
Western journal of nursing research
DOI of Published Version
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.
Administrative Personnel, Cross-Sectional Studies, Institutional Management Teams, Leadership, Nurses, Nurses' Aides, Nursing Homes/organization & administration, Personnel Turnover
Published Article/Book Citation
Western journal of nursing research, 28:8 (2006) pp.935-954. DOI:10.1177/0193945906287053.