Personal Wellness, Job Satisfaction, and Turnover Intention Amongst Long-term Care Administrators

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Authors

Rawson-Hunt, Jolynn

Issue Date

2026-05

Type

Dissertation

Language

en

Keywords

Wellness , Job Satisfaction , Turnover Intention , Long-term Care Administrators , Business, Engineering, Science, & Technological Innovation , Healthcare Innovation & Delivery , Workforce Development Needs & Industry Alignment

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Turnover of administrators in long-term care has exceeded 43% and appears to be increasing. High turnover and an increasing need for nursing home services has detrimental effects resulting in a diminishing pool of qualified administrators, long-term care organizations going out of business, and seniors becoming homeless. The problem addressed by this study was high turnover among administrators in assisted living and skilled nursing facilities. The purpose of this quantitative correlational multiple regression study was to investigate how personal wellness domains and job satisfaction levels may predict job turnover intention among skilled nursing and assisted living administrators throughout the United States. This study utilized the personal wellness model in a non-experimental quantitative correlational research design in survey format. The study included 109 participants, 99 administrators fully completed the survey which consisted of the perceived wellness scale, The Minnesota Satisfaction Questionnaire Short Form, and the Turnover Intention Scale-6. The results were analyzed using Pearson correlation coefficient, hierarchical regression, and simple linear regression analysis. The findings demonstrated perceived personal wellness composite score has a significant negative relationship with turnover intention (N = 102, df = 100, r = -.422, p < .05). The spiritual wellness domain (b = -.253, t (91) = -2.08, p = .040) and job satisfaction (b = -.239, t (91) = -6.16, p < .001) are significant negative predictors of turnover intention. The physical (b = .544, t (92) = 2.35, p = .021) and intellectual wellness (b = .748, t (92) = 2.39, p = .019) domains are positive predictors of job satisfaction. Results suggest a support system focused on the spiritual, intellectual, and physical domains, may increase job satisfaction and reduce turnover intention. It is recommended policy makers allocate funding while employers and IO Psychologists implement programs to support administrator wellness; specifically, the spiritual, physical, and intellectual domains. Administrators should be supported through programs focused upon these specific wellness domains to enhance job satisfaction and reduce turnover intention. Future researchers could conduct a study that implements focus groups and explores mechanisms on how personal wellness and job satisfaction influences their decision making in the workplace.

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