{"id":"https://openalex.org/W7160495309","doi":"https://doi.org/10.3389/fpsyg.2026.1796483","title":"Machine learning insights into nurse retention through job satisfaction and financial incentives","display_name":"Machine learning insights into nurse retention through job satisfaction and financial incentives","publication_year":2026,"publication_date":"2026-05-07","ids":{"openalex":"https://openalex.org/W7160495309","doi":"https://doi.org/10.3389/fpsyg.2026.1796483","pmid":"https://pubmed.ncbi.nlm.nih.gov/42183547","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13189787"},"language":"en","primary_location":{"id":"doi:10.3389/fpsyg.2026.1796483","doi":"https://doi.org/10.3389/fpsyg.2026.1796483","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fpsyg.2026.1796483","pdf_url":null,"source":{"id":"https://openalex.org/S9692511","display_name":"Frontiers in Psychology","issn_l":"1664-1078","issn":["1664-1078"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","erih-plus","jufo-1","ki-jl-1","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Psychology","raw_type":"journal-article"},"parent_works":[],"lineage":["https://openalex.org/W7160495309"],"child_works_count":0,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.3389/fpsyg.2026.1796483","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5127026698","display_name":"AY\u015eE ATILGAN SARIDO\u011eAN","orcid":"https://orcid.org/0000-0001-5160-7687","observed_orcids":["https://orcid.org/0000-0001-5160-7687"]},"institutions":[{"id":"https://openalex.org/I115953327","display_name":"\u00c7anakkale Onsekiz Mart \u00dcniversitesi","ror":"https://ror.org/05rsv8p09","country_code":"TR","type":"education","lineage":["https://openalex.org/I115953327"]}],"countries":["TR"],"is_corresponding":true,"raw_author_name":"Ay\u015fe At\u0131lgan Sar\u0131do\u011fan","raw_affiliation_strings":["Department of Accounting and Tax Applications, \u00c7anakkale Onsekiz Mart University, \u00c7anakkale Vocational School of Social Sciences"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Accounting and Tax Applications, \u00c7anakkale Onsekiz Mart University, \u00c7anakkale Vocational School of Social Sciences","institution_ids":["https://openalex.org/I115953327"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5035785395","display_name":"Nabi K\u00fc\u00e7\u00fckgergerli","orcid":"https://orcid.org/0000-0003-2995-5188","observed_orcids":["https://orcid.org/0000-0003-2995-5188"]},"institutions":[{"id":"https://openalex.org/I4387153344","display_name":"Istanbul Health and Technology University","ror":"https://ror.org/008rwr521","country_code":"TR","type":"education","lineage":["https://openalex.org/I4387153344"]}],"countries":["TR"],"is_corresponding":false,"raw_author_name":"Nabi K\u00fc\u00e7\u00fckgergerli","raw_affiliation_strings":["Department of Business Administration, Istanbul Health and Technology University, Faculty of Economics, Administrative, and Social Sciences"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Business Administration, Istanbul Health and Technology University, Faculty of Economics, Administrative, and Social Sciences","institution_ids":["https://openalex.org/I4387153344"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5046691611","display_name":"Muzaffer Ert\u00fcrk","orcid":"https://orcid.org/0000-0002-1968-9210","observed_orcids":["https://orcid.org/0000-0002-1968-9210","https://orcid.org/0000-0002-5916-4478"]},"institutions":[{"id":"https://openalex.org/I282159120","display_name":"\u0130stanbul Ni\u015fanta\u015f\u0131 \u00dcniversitesi","ror":"https://ror.org/04tah3159","country_code":"TR","type":"education","lineage":["https://openalex.org/I282159120"]}],"countries":["TR"],"is_corresponding":false,"raw_author_name":"Muzaffer Ert\u00fcrk","raw_affiliation_strings":["School of Civil Aviation, Istanbul Ni\u015fanta\u015f\u0131 University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Civil Aviation, Istanbul Ni\u015fanta\u015f\u0131 University","institution_ids":["https://openalex.org/I282159120"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5027842895","display_name":"Murat Eme\u00e7","orcid":"https://orcid.org/0000-0002-9407-1728","observed_orcids":["https://orcid.org/0000-0002-9407-1728"]},"institutions":[{"id":"https://openalex.org/I282159120","display_name":"\u0130stanbul Ni\u015fanta\u015f\u0131 \u00dcniversitesi","ror":"https://ror.org/04tah3159","country_code":"TR","type":"education","lineage":["https://openalex.org/I282159120"]}],"countries":["TR"],"is_corresponding":false,"raw_author_name":"Murat Eme\u00e7","raw_affiliation_strings":["School of Civil Aviation, Istanbul Ni\u015fanta\u015f\u0131 University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Civil Aviation, Istanbul Ni\u015fanta\u015f\u0131 University","institution_ids":["https://openalex.org/I282159120"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5018420760","display_name":"Adem YAMAN","orcid":"https://orcid.org/0000-0002-3065-5329","observed_orcids":["https://orcid.org/0000-0002-3065-5329"]},"institutions":[{"id":"https://openalex.org/I115953327","display_name":"\u00c7anakkale Onsekiz Mart \u00dcniversitesi","ror":"https://ror.org/05rsv8p09","country_code":"TR","type":"education","lineage":["https://openalex.org/I115953327"]}],"countries":["TR"],"is_corresponding":false,"raw_author_name":"Adem Yaman","raw_affiliation_strings":["Directorate of Internal Audit (\u0130\u00e7 Denetim Direkt\u00f6rl\u00fc\u011f\u00fc), \u00c7anakkale Onsekiz Mart University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Directorate of Internal Audit (\u0130\u00e7 Denetim Direkt\u00f6rl\u00fc\u011f\u00fc), \u00c7anakkale Onsekiz Mart University","institution_ids":["https://openalex.org/I115953327"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5127026698"],"corresponding_institution_ids":["https://openalex.org/I115953327"],"apc_list":{"value":3150,"currency":"CHF","value_usd":3801},"apc_paid":{"value":3150,"currency":"CHF","value_usd":3801},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"17","issue":null,"first_page":"1796483","last_page":"1796483"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10186","display_name":"Nursing education and management","score":0.9320999979972839,"subfield":{"id":"https://openalex.org/subfields/2922","display_name":"Research and Theory"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10186","display_name":"Nursing education and management","score":0.9320999979972839,"subfield":{"id":"https://openalex.org/subfields/2922","display_name":"Research and Theory"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11376","display_name":"Geriatric Care and Nursing Homes","score":0.03420000150799751,"subfield":{"id":"https://openalex.org/subfields/2717","display_name":"Geriatrics and Gerontology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11990","display_name":"Global Health Workforce Issues","score":0.01269999984651804,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/nurse-retention","display_name":"nurse retention","score":0.996999979019165},{"id":"https://openalex.org/keywords/nursing-shortage","display_name":"nursing shortage","score":0.7319999933242798},{"id":"https://openalex.org/keywords/job-satisfaction","display_name":"job satisfaction","score":0.6489999890327454},{"id":"https://openalex.org/keywords/financial-incentives","display_name":"financial incentives","score":0.9959999918937683},{"id":"https://openalex.org/keywords/nursing-homes","display_name":"nursing homes","score":0.5139999985694885},{"id":"https://openalex.org/keywords/workload","display_name":"workload","score":0.5350000262260437},{"id":"https://openalex.org/keywords/institutional-capacity","display_name":"institutional capacity","score":0.3869999945163727},{"id":"https://openalex.org/keywords/patient-volume","display_name":"patient volume","score":0.5299999713897705},{"id":"https://openalex.org/keywords/nurse-turnover","display_name":"nurse turnover","score":0.5149999856948853}],"concepts":[{"id":"https://openalex.org/C2778476105","wikidata":"https://www.wikidata.org/wiki/Q628539","display_name":"Workload","level":2,"score":0.6399000287055969},{"id":"https://openalex.org/C2777512617","wikidata":"https://www.wikidata.org/wiki/Q1783605","display_name":"Staffing","level":2,"score":0.6366999745368958},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.5174000263214111},{"id":"https://openalex.org/C29122968","wikidata":"https://www.wikidata.org/wiki/Q1414816","display_name":"Incentive","level":2,"score":0.46790000796318054},{"id":"https://openalex.org/C2780148112","wikidata":"https://www.wikidata.org/wiki/Q1432581","display_name":"Proxy (statistics)","level":2,"score":0.4643000066280365},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.4618000090122223},{"id":"https://openalex.org/C2718322","wikidata":"https://www.wikidata.org/wiki/Q629463","display_name":"Job satisfaction","level":2,"score":0.4607999920845032},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.4528000056743622},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.41999998688697815},{"id":"https://openalex.org/C70437156","wikidata":"https://www.wikidata.org/wiki/Q7228652","display_name":"Pooling","level":2,"score":0.39419999718666077},{"id":"https://openalex.org/C162118730","wikidata":"https://www.wikidata.org/wiki/Q1128453","display_name":"Actuarial science","level":1,"score":0.31690001487731934},{"id":"https://openalex.org/C2781385661","wikidata":"https://www.wikidata.org/wiki/Q4677918","display_name":"Acute care","level":3,"score":0.3100999891757965},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.3070000112056732},{"id":"https://openalex.org/C2779328685","wikidata":"https://www.wikidata.org/wiki/Q1475557","display_name":"Patient safety","level":3,"score":0.29919999837875366},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.29789999127388},{"id":"https://openalex.org/C2775944032","wikidata":"https://www.wikidata.org/wiki/Q22907659","display_name":"Patient satisfaction","level":2,"score":0.29089999198913574},{"id":"https://openalex.org/C2984889486","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing care","level":2,"score":0.2858000099658966},{"id":"https://openalex.org/C10138342","wikidata":"https://www.wikidata.org/wiki/Q43015","display_name":"Finance","level":1,"score":0.28119999170303345},{"id":"https://openalex.org/C2780591783","wikidata":"https://www.wikidata.org/wiki/Q7070284","display_name":"Nursing shortage","level":3,"score":0.2802000045776367},{"id":"https://openalex.org/C56739046","wikidata":"https://www.wikidata.org/wiki/Q192060","display_name":"Knowledge management","level":1,"score":0.27619999647140503},{"id":"https://openalex.org/C38775462","wikidata":"https://www.wikidata.org/wiki/Q1569376","display_name":"Transformational leadership","level":2,"score":0.2632000148296356},{"id":"https://openalex.org/C2778755073","wikidata":"https://www.wikidata.org/wiki/Q10858537","display_name":"Scale (ratio)","level":2,"score":0.2632000148296356},{"id":"https://openalex.org/C21547014","wikidata":"https://www.wikidata.org/wiki/Q1423657","display_name":"Operations management","level":1,"score":0.2590000033378601},{"id":"https://openalex.org/C137992405","wikidata":"https://www.wikidata.org/wiki/Q1137608","display_name":"Health administration","level":3,"score":0.25859999656677246},{"id":"https://openalex.org/C107327155","wikidata":"https://www.wikidata.org/wiki/Q330268","display_name":"Decision support system","level":2,"score":0.2574000060558319},{"id":"https://openalex.org/C2780877353","wikidata":"https://www.wikidata.org/wiki/Q2518253","display_name":"Health services research","level":3,"score":0.2565000057220459},{"id":"https://openalex.org/C46304622","wikidata":"https://www.wikidata.org/wiki/Q374814","display_name":"Certification","level":2,"score":0.2517000138759613},{"id":"https://openalex.org/C66204764","wikidata":"https://www.wikidata.org/wiki/Q219416","display_name":"Sustainability","level":2,"score":0.25110000371932983}],"mesh":[],"locations_count":5,"locations":[{"id":"doi:10.3389/fpsyg.2026.1796483","doi":"https://doi.org/10.3389/fpsyg.2026.1796483","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fpsyg.2026.1796483","pdf_url":null,"source":{"id":"https://openalex.org/S9692511","display_name":"Frontiers in Psychology","issn_l":"1664-1078","issn":["1664-1078"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","erih-plus","jufo-1","ki-jl-1","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Psychology","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13189787","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13189787/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13189787/pdf/fpsyg-17-1796483.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Front Psychol","raw_type":"Text"},{"id":"pmid:42183547","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42183547","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in psychology","raw_type":"Journal Article"},{"id":"pmh:oai:openaccess.istun.edu.tr:20.500.13055/1438","doi":null,"is_oa":true,"landing_page_url":"https://hdl.handle.net/20.500.13055/1438","pdf_url":"https://openaccess.istun.edu.tr/bitstreams/7d64de0e-5b2a-4430-b9bc-bd87405e6809/download","source":{"id":"https://openalex.org/S7407055258","display_name":"Istanbul Health and Technology University Institutional Repository","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Article"},{"id":"pmh:oai:doaj.org/article:c3a9837eac554801a9f708966ff7cd44","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/c3a9837eac554801a9f708966ff7cd44","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Frontiers in Psychology, Vol 17 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.3389/fpsyg.2026.1796483","doi":"https://doi.org/10.3389/fpsyg.2026.1796483","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fpsyg.2026.1796483","pdf_url":null,"source":{"id":"https://openalex.org/S9692511","display_name":"Frontiers in Psychology","issn_l":"1664-1078","issn":["1664-1078"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","erih-plus","jufo-1","ki-jl-1","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Psychology","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Decent work and economic growth","score":0.9333999752998352,"id":"https://metadata.un.org/sdg/8"},{"display_name":"Good health and well-being","score":0.6240000128746033,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7160495309.pdf","grobid_xml":"https://content.openalex.org/works/W7160495309.grobid-xml"},"referenced_works_count":40,"referenced_works":["https://openalex.org/W1821884958","https://openalex.org/W1985868979","https://openalex.org/W1986860519","https://openalex.org/W2010348352","https://openalex.org/W2010755961","https://openalex.org/W2021991395","https://openalex.org/W2027218345","https://openalex.org/W2037253481","https://openalex.org/W2078129253","https://openalex.org/W2127625785","https://openalex.org/W2396408641","https://openalex.org/W2969779647","https://openalex.org/W2980413922","https://openalex.org/W3007674818","https://openalex.org/W3009454129","https://openalex.org/W3011614181","https://openalex.org/W3045295849","https://openalex.org/W3088713722","https://openalex.org/W3131054037","https://openalex.org/W4205186611","https://openalex.org/W4205915054","https://openalex.org/W4288758376","https://openalex.org/W4308343607","https://openalex.org/W4324018044","https://openalex.org/W4388418511","https://openalex.org/W4389340240","https://openalex.org/W4392022795","https://openalex.org/W4396514193","https://openalex.org/W4402818426","https://openalex.org/W4403637231","https://openalex.org/W4404355479","https://openalex.org/W4407280671","https://openalex.org/W4407605985","https://openalex.org/W4407860120","https://openalex.org/W4408758495","https://openalex.org/W4409105935","https://openalex.org/W4410587991","https://openalex.org/W4414419851","https://openalex.org/W4415541470","https://openalex.org/W4416188487"],"related_works":["https://openalex.org/W2396408641","https://openalex.org/W1724684427","https://openalex.org/W7118471523","https://openalex.org/W2124944717","https://openalex.org/W4240888970","https://openalex.org/W4408579631","https://openalex.org/W2984745378","https://openalex.org/W2998865187","https://openalex.org/W2057985621"],"abstract_inverted_index":{"The":[0,146],"global":[1],"nursing":[2,70,238],"shortage":[3],"has":[4],"reached":[5],"a":[6,25,76,94,190,219],"critical":[7],"inflection":[8],"point,":[9],"where":[10],"the":[11,32,60,121,135,152,170,211,232],"financial":[12,47,181,233],"sustainability":[13],"of":[14,35,97,124,137,142,173,213,237],"healthcare":[15,225],"institutions":[16],"is":[17],"increasingly":[18],"determined":[19],"by":[20,129],"their":[21],"ability":[22],"to":[23,227],"maintain":[24],"stable,":[26],"high-quality":[27],"workforce.":[28],"This":[29],"study":[30],"investigates":[31],"structural":[33],"determinants":[34],"nurse":[36,187],"staffing":[37,125,174],"quality\u2014operationalized":[38],"as":[39,117,151],"an":[40,55],"institutional-level":[41],"proxy":[42],"for":[43,222],"retention":[44,188],"capacity\u2014by":[45],"integrating":[46],"incentives,":[48],"workload":[49,198],"demands,":[50],"and":[51,74,85,102,109,131,140,166,200,208,224,230,234],"job-satisfaction":[52],"metrics":[53],"into":[54],"advanced":[56],"machine-learning":[57],"framework.":[58],"Using":[59],"comprehensive":[61],"CMS":[62],"Provider":[63],"Information":[64],"dataset":[65],"(":[66],"N":[67],"=":[68],"15,640":[69],"facilities),":[71],"we":[72],"developed":[73],"validated":[75],"predictive":[77,154],"architecture":[78],"comparing":[79],"Random":[80],"Forest,":[81],"Support":[82],"Vector":[83],"Machines,":[84],"Histogram-based":[86],"Gradient":[87,147],"Boosting":[88,148],"(HGB)":[89],"models.":[90],"Our":[91],"analysis":[92],"reveals":[93],"clear":[95],"hierarchy":[96],"influence:":[98],"while":[99],"Financial":[100],"Incentives":[101],"penalties":[103],"(Total":[104],"Fines,":[105],"importance":[106],"weight:":[107],"0.083)":[108],"Job":[110],"Satisfaction":[111],"Proxies":[112],"(QM":[113],"Rating,":[114],"0.079)":[115],"serve":[116],"significant":[118],"secondary":[119],"drivers,":[120],"primary":[122],"boundaries":[123],"stability":[126],"are":[127,169,184],"governed":[128],"Workload":[130],"capacity":[132,201],"constraints,":[133],"specifically":[134],"Number":[136,141],"Residents":[138],"(0.309)":[139],"Certified":[143],"Beds":[144],"(0.287).":[145],"model":[149],"emerged":[150],"superior":[153],"tool":[155],"(Balanced":[156],"Accuracy:":[157],"0.42;":[158],"Macro":[159],"F1:":[160],"0.41),":[161],"demonstrating":[162],"that":[163,180,192],"institutional":[164],"scale":[165],"patient":[167],"volume":[168],"dominant":[171],"predictors":[172],"quality":[175],"ratings.":[176],"These":[177],"findings":[178],"suggest":[179],"interventions":[182],"alone":[183],"insufficient;":[185],"sustainable":[186],"requires":[189],"dual-strategy":[191],"aligns":[193],"fiscal":[194],"incentives":[195],"with":[196],"rigorous":[197],"management":[199],"optimization.":[202],"By":[203],"identifying":[204],"these":[205],"high-impact":[206],"variables":[207],"explicitly":[209],"acknowledging":[210],"limitations":[212],"proxy-based":[214],"operationalization,":[215],"this":[216],"research":[217],"provides":[218],"data-driven":[220],"roadmap":[221],"policymakers":[223],"executives":[226],"mitigate":[228],"turnover":[229],"enhance":[231],"operational":[235],"resilience":[236],"care":[239],"systems.":[240]},"counts_by_year":[],"updated_date":"2026-11-14T11:04:58.165337","created_date":"2026-05-08T00:00:00"}