Turnover begets turnover

Purpose: This study examined the association be-tween turnover of caregivers and turnover of nursing home top management. The top managers examined were administrators and directors of nursing, and the caregivers examined were registered nurses, licensed practical nurses, and nurse aides. Design and Methods: The data came from a survey of 419 nursing facilities and the Online Survey, Certification, and Reporting system. Multinomial logistic regression analyses were used to examine the association between turnover of nursing home top management and turnover of caregivers. Results: A 10 % in-crease in top management turnover is associated (p,.05) with a 21 % increase in the odds that a faci-lity will have a high turnover rate of nurse aides and is associated (p,.05) with an 8 % decrease in the odds that a facility will have a low turnover rate of nurse aides. A 10 % increase in top management turnover is associated (p,.1) with a 30 % increase in the odds that a facility will have a high turnover rate for registered and licensed practical nurses. Impli-cations: This study provides preliminary evidence that the turnover of top managers may have an important influence on caregiver turnover in nursing homes. Key Words: Turnover, Top management, Nursing home staff The turnover rate of nursing home personnel is clearly important. Previous research has shown the turnover rate of registered nurses (RNs), licensed practical nurses (LPNs), and nurse aides to be an important influence on the quality of care of nursing home residents (Davis, 1991). Likewise, some re-search has determined that the turnover of top management in nursing homes may affect quality o