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Organizational Commitment and Turnover of Nursing Home Administrators

Castle, Nicholas G.

Health Care Management Review:

Abstract: In this investigation, the associations between organizational commitment (OC), intent-to-turnover, and actual turnover of a large sample of nursing home administrators (NHAs) are examined. Data used come from a mail survey, from which 632 responses were received from the NHAs (response rate = 63%). The one-year turnover rate of NHAs was 39 percent, and in almost all cases (87%) these NHAs had also exhibited low OC scores. The intent-to-turnover results show thinking about quitting comes before searching for a new position, which in turn both comes before the intention to quit. Multivariate analyses show work overload has a strong and robust association with both intent-to-turnover and turnover of NHAs, and may indicate that NHAs are leaving their positions because they are understaffed.

Author Information

Nicholas G. Castle, PhD, is Assistant Professor, University of Pittsburgh, Department of Health Policy and Management, Graduate School of Public Health, Pittsburgh, Pennsylvania. E-mail:

© 2006 Lippincott Williams & Wilkins, Inc.