Measuring staff turnover in nursing homes

Purpose: In this study the levels of staff turnover reported in the nursing home literature (1990–2003) are reviewed, as well as the definitions of turnover used in these prior studies. With the use of primary data collected from 354 facilities, the study addresses the various degrees of bias that result, depend-ing on how staff turnover is defined in nursing homes. Design and Methods: Data came from a sur-vey mailed to administrators of 526 nursing homes during March 2003. Facilities were located in fou