Nursing assistant turnover in nursing homes: A scoping review of the literature

Geriatr Nurs. 2023 May-Jun:51:360-368. doi: 10.1016/j.gerinurse.2023.03.027. Epub 2023 Apr 25.

Abstract

Background: Nurse aide turnover in long-term care is projected to increase in the coming years. Guided by a social ecological framework, this scoping review systematically searched for peer-reviewed journal articles on nursing assistant or nurse aide turnover in nursing homes.

Methods: Using the PICO and PRISMA guidelines, 8 university-based library databases via EBSCOhost were searched to source peer-reviewed journal articles published between 2002 and 2022 on nurse aide turnover in nursing homes.

Results: The initial article search revealed 997 articles. After a three-stage article screening and removal process, a final sample of 43 articles (N = 43) remained. Guided by levels of influence, nurse aide turnover is found to be influenced by intrapersonal, interpersonal, institutional, community, and public policy level factors.

Conclusion: Findings highlight the need for further research with nursing facility administrators and nurse aides to evaluate the complex interactions within long-term care nursing homes.

Keywords: Nurse aides; Nursing assistants; Nursing homes; Staffing.

Publication types

  • Systematic Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Humans
  • Long-Term Care
  • Nursing Assistants*
  • Nursing Homes*
  • Personnel Turnover