Certified nursing assistants care for approximately 1.5 million persons in nursing homes in the United States each year. Turnover and vacancy rates are high which may adversely affect residents. Additionally, the demand for services is growing faster than the labor pool. This study focused on wages and benefits, training, and organizational culture as policy interventions that may increase the supply and job tenure of certified nursing assistants. The major advantage of this research over other studies is its use of a nationally representative sample of certified nursing assistants within a nationally representative sample of nursing homes. All previous studies have been of local or regional samples that were not representative of the country as a whole.
This study underscores the importance of the basic economics of job choice by low-income workers. Wages, fringe benefits, job security, and alternative choices of employment are important determinants of job tenure, in addition to improvements in training and organizational culture.
Report Title: Why Do They Stay? Job Tenure among Certified Nursing Assistants in Nursing Homes http://aspe.hhs.gov/daltcp/reports/2009/whystay.htm
Agency Sponsor: OASPE-ODALTCP, Office of Disability, Aging, and Long-Term Care Policy
Federal Contact: Marie Squillace, 202-690-6250
Performer: Research Triangle Institute, HHS Office of the Assistant Secretary for Planning and Evaluation
Record ID: 9335 (Report issued November 20, 2009)