Date of Award

Spring 5-14-2015

Degree Type


Degree Name

PhD Health Sciences


Health and Medical Sciences


Genevieve Pinto-Zipp, Ed.D.

Committee Member

Lee Cabell, Ed.D.

Committee Member

Terrence Cahill, Ed.D.


Registered nurse job satisfaction, registered nurse job satisfaction in nursing homes, registered nurse turnover and retention, nursing home turnover


Over the next several years the aging population will increase the number of patients suffering from chronic illness. A sicker aging population, coupled with changes in healthcare reimbursement will require nursing homes to admit sicker patients for shorter lengths of stays. To meet the needs of the increased number of chronic patients and those patients with higher acuities, nursing homes will require more skilled, registered nurses. Registered nurses (RNs) are the linchpin to providing high-quality care in the healthcare environment and especially in nursing homes.

Understanding the factors of RN job satisfaction in the nursing home is important in increasing job satisfaction, decreasing RN turnover, and improving quality of care. The purpose of this study was to 1) Identify factors that contribute to job satisfaction for RNs working in Genesis nursing homes in the Northeast, 2) determine the overall job satisfaction levels of nursing home RNs working for Genesis in the Northeast. A descriptive, comparative, cross sectional study was conducted to gather quantitative data (survey) describing RN job satisfaction in eight domains. Five hundred forty nine RNs from eight states and one hundred sixty nine nursing homes met the inclusion criteria of the study.

Study results revealed that RNs were most satisfied with standards of care and personal satisfaction in nursing homes. They were least satisfied with pay, training and workload. The Mid-Atlantic RNs were significantly more satisfied than New England RNs with standards of care (p=

This study lends support to the position that continued staff reassessment and investment in staff development is key to the management of cost effective and efficient nursing home care especially as the need for RNs in nursing homes is expected to increase.