Predictors of Job Satisfaction and Intent to Leave among Home Health Workers: An Analysis of the National Home Health Aide Survey. Job satisfaction will be negatively correlated with intent to leave the job. The factors that influence intent to leave will differ for workers with high levels of job satisfaction and those with low levels of job satisfaction.


Data to conduct this study were obtained from the 2007 National Home Health Aide Survey (NHHAS) and the 2007 National Home and Hospice Care Survey (NHHCS). Sponsored by the Office of the Assistant Secretary for Planning and Evaluation (ASPE) and conducted in partnership with the National Center for Health Statistics (NCHS), the NHHAS was designed to gather information on the frontline--home health workforce employed by licensed or certified home health agencies and hospice providers. Data included demographic characteristics, education and training, experiences with client relations, job characteristics, work environment, recruitment and retention, and job satisfaction.

The NHHAS is a national, two-stage probability survey of home health workers that was conducted as a supplement to the NHHCS, a nationally representative sample survey of Medicare-certified and/or Medicaid-certified or state-licensed home health and hospice agencies (Bercovitz et al., 2010). In the first stage of the sample selection process, a stratified random sample of approximately 15,000 home health and hospice agencies stratified by agency type and metropolitan statistical area (MSA) were identified. These agencies were surveyed as part of the 2007 NHHCS, which was fielded between August 2007 and February 2008, to gather information on home health and hospice agencies’ organizational and patient characteristics, caseload or volume, staffing and management, and the provision of services. A total of 1,036 home agencies completed the NHHCS. Agencies that offered only homemaker services or that only supplied durable medical equipment and services were excluded. Home health workers were sampled from 955 of the 984 eligible agencies who had aides to sample.

In the second stage, between one and six aides employed by the agencies that participated in the NHHCS were selected to participate in the NHHAS. Excluded from this sample were aides that were not directly employed by the agency as well as aides that did not provide assistance with activities of daily living (ADLs). A total of 3,377 home health workers completed the NHHAS. Included in the sample were home health workers, certified nursing assistants, hospice aides (also referred to as certified hospice/palliative nursing assistants), and home care aides/personal care attendants.

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