Identifying Intention-to-Stay Patterns: Latent Class Growth Analysis of RNs in Korean Nursing Homes.

IF 1.1 4区医学 Q4 GERIATRICS & GERONTOLOGY

Journal of gerontological nursing Pub Date : 2025-08-01 Epub Date: 2025-05-27 DOI:10.3928/00989134-20250515-01

Jiyeon Lee

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引用次数: 0

Abstract

Purpose: To identify distinct longitudinal trajectories of RNs' intention to stay in nursing homes (NHs) and examine key determinants to inform targeted workforce strategies.

Method: A total of 163 RNs from 38 Korean NHs participated in a three-wave longitudinal survey (T1: August 2022; T2: May 2023; T3: February 2024). Latent class growth analysis identified three distinct trajectories: high-high (HH; consistently strong intention), high-low (HL; declining intention), and low-high (LH; improving intention). Individual- and organizational-level variables were measured.

Results: Distinct intention-to-stay trajectories revealed significant differences in resilience and retention rates. The LH group exhibited the greatest improvement in resilience and intention to stay, whereas the HL group showed a decline in these variables. Organizational factors, such as higher RN retention rates, were positively associated with stronger intention to stay.

Conclusion: The current study underscores the importance of individual and organizational factors in shaping RNs' intention to stay in NHs. Strategies to enhance resilience and address systemic staffing challenges are essential for improving workforce stability and care quality. Findings provide actionable insights for policymakers and health care administrators in under-resourced NH environments, particularly in rapidly aging societies, such as South Korea.

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识别逗留意向模式：韩国养老院注册护士的潜在阶层增长分析。

目的：确定注册护士留在养老院（NHs）的意向的不同纵向轨迹，并检查关键决定因素，以告知有针对性的劳动力战略。方法：来自韩国38家国民保健服务机构的163名注册护士参加了一项三波纵向调查(T1: 2022年8月；T2: 2023年5月；T3: 2024年2月)。潜在类别增长分析确定了三个不同的轨迹：高-高(HH；持续强烈的意图)，高-低(HL；下降意向)和低-高(LH；改善意图)。测量了个人和组织层面的变量。结果：不同的意向轨迹揭示了弹性和保留率的显著差异。LH组在恢复力和停留意愿方面表现出最大的改善，而HL组在这些变量方面表现出下降。组织因素，如更高的注册护士保留率，与更强的留任意愿呈正相关。结论：目前的研究强调了个人和组织因素在塑造注册护士留在NHs的意愿中的重要性。增强复原力和应对系统性人员配置挑战的战略对于提高劳动力稳定性和护理质量至关重要。研究结果为资源不足的卫生保健环境中的政策制定者和卫生保健管理人员提供了可操作的见解，特别是在快速老龄化的社会，如韩国。老年护理杂志，xx(xx), xx-xx。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of gerontological nursing 医学-护理

CiteScore

2.00

自引率

7.70%

发文量

审稿时长

6-12 weeks

期刊介绍： The Journal of Gerontological Nursing is a monthly, peer-reviewed journal publishing clinically relevant original articles on the practice of gerontological nursing across the continuum of care in a variety of health care settings, for more than 40 years.