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The Significance of Autonomy in the Nursing Home Administrator Profession: A Qualitative Study

McCarthy, Jennifer; Friedman, Leonard H.


Abstract: Nursing home administration is seeing high turnover and low entrance into the profession. Face-to-face interviews were conducted with thirty NH administrators and coded using qualitative analytical techniques. It was found that constrained autonomy contributes to job dissatisfaction in the nursing home administrator profession, and that autonomy contributes to increased satisfaction and may lower administrator turnover.

Jennifer McCarthy, PhD, MPH, University of California, San Francisco, Institute for Health Policy Studies, Center for Tobacco Control Research and Education. E-mail:

Leonard H. Friedman, PhD, MPH, Department of Public Health, Oregon State University, Corvallis.

© 2006 Lippincott Williams & Wilkins, Inc.