Group 1 - The nursing staff in the elderly care facility is primarily composed of nurses and caregivers, with a significant disparity in their roles and experiences [3][7] - Caregivers earn an average monthly salary of around 5,000 to 6,000 yuan, while nurses earn about 8,000 to 9,000 yuan, but both face high work intensity and irregular shifts [8][9] - The high turnover rate among nursing staff is attributed to the mismatch between salary and workload, making it difficult to retain skilled personnel [9][10] Group 2 - The management structure in elderly care facilities is unstable, with frequent changes in mid-level management, often due to the industry's slow profitability and high pressure from upper management [15][16] - Many companies entering the elderly care sector are large groups from various industries, but they struggle to achieve significant profits in this new field [16][17] - Cost-cutting measures by management can lead to increased pressure on employees, resulting in overwork without adequate compensation or benefits [20][21] Group 3 - The emotional toll on employees is significant, as they must cope with the loneliness and sadness of the elderly residents, which can affect their mental health [29][34] - The elderly often change care facilities multiple times, not solely due to dissatisfaction but also for better cost-effectiveness or family decisions [33] - There is a lack of psychological support for employees in the elderly care sector, despite the emotional challenges they face [35][36]