Who's in the House? Staffing in Long-Term Care Homes Before and During COVID-19 Pandemic

Article Nursing

A Call to Address RN, Social Work, and Advanced Practice Registered Nurses in Nursing Homes Solutions From the Missouri Quality Initiative

Lori L. Popejoy et al.

Summary: US nursing homes need to establish regulations to enhance nurse and social work requirements, and remove barriers for APRN services in order to support staff and residents.

JOURNAL OF NURSING CARE QUALITY (2022)

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Article Geriatrics & Gerontology

Transforming Direct Care Jobs, Reimagining Long-Term Services and Supports

Kezia Scales

Summary: The direct care workers who assist individuals in need of long-term services and supports play a critical role in ensuring their safety, health, and well-being. However, these workers have been inadequately compensated, supported, and respected, leading to high turnover and job vacancy rates. This article emphasizes the importance of transforming direct care jobs and stabilizing the workforce, and highlights key requirements such as competitive wages, updated training standards, investment in frontline supervisors and peer mentors, and an elevated position for direct care workers within the care team.

JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION (2022)

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Article Management

Factors associated with missed nursing care and nurse-assessed quality of care during the COVID-19 pandemic

Leodoro J. Labrague et al.

Summary: The study identified factors contributing to missed nursing care and nurse-assessed quality of care during the COVID-19 pandemic. Modifying elements of the work environment, such as nurse staffing levels, safety culture, and adequacy of protective equipment, may help reduce care compromise and improve nursing care quality. Addressing these predictors could support nurses' professional role and ensure safe, complete, and quality care delivery during the pandemic.

JOURNAL OF NURSING MANAGEMENT (2022)

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Article Gerontology

Technology Recommendations to Support Person-Centered Care in Long-Term Care Homes during the COVID-19 Pandemic and Beyond

Charlene H. Chu et al.

Summary: The COVID-19 pandemic has highlighted disparities in the long-term care sector, emphasizing the need to update technological infrastructure to support residents' connections with loved ones.

JOURNAL OF AGING & SOCIAL POLICY (2021)

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Article Hospitality, Leisure, Sport & Tourism

The impact of COVID-19 on Therapeutic Recreation practice in long-term care homes across Canada

M. Rebecca Genoe et al.

Summary: During the COVID-19 pandemic in Canada, long-term care facilities have been heavily impacted, with residents accounting for a significant portion of cases and deaths. Therapeutic recreation professionals in these facilities have had to adapt their practices to meet the needs of residents under public health restrictions. Despite the challenges, they managed to enhance resident quality of life through creativity and person-centered care.

WORLD LEISURE JOURNAL (2021)

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Review Nursing

The relationship between quality and staffing in long-term care: A systematic review of the literature 2008-2020

Sara Clemens et al.

Summary: The relationship between staffing levels and quality in long-term care remains mixed, with higher levels generally supporting better outcomes. Some categories of nursing staff may be more effective at improving certain quality indicators, but there has been minimal improvement in study quality over the past decade.

INTERNATIONAL JOURNAL OF NURSING STUDIES (2021)

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Article Multidisciplinary Sciences

A qualitative assessment of factors affecting nursing home caregiving staff experiences during the COVID-19 pandemic

Rachel L. Snyder et al.

Summary: A qualitative assessment was conducted to understand the impact of COVID-19 on Certified Nursing Assistants (CNAs) and Environmental Services (EVS) staff in nursing homes. Findings showed that staffing problems, emotional stress, increased responsibilities, and lack of consistent guidance on infection prevention protocols were major concerns. Suggestions to address low wages, provide financial incentives, and access mental health resources were recommended to attract and retain employees and help staff cope with the emotional burden of the pandemic.

PLOS ONE (2021)

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Article Health Care Sciences & Services

Complexity of Nurse Practitioners' Role in Facilitating a Dignified Death for Long-Term Care Home Residents during the COVID-19 Pandemic

Shirin Vellani et al.

Summary: Long-term care home residents are increasingly vulnerable to poor outcomes in crisis situations due to complex factors, and nurse practitioners play a key role in facilitating a dignified death for these residents, optimizing their end-of-life experiences.

JOURNAL OF PERSONALIZED MEDICINE (2021)

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Article Gerontology

Nurse Practitioners Rising to the Challenge During the Coronavirus Disease 2019 Pandemic in Long-Term Care Homes

Katherine S. McGilton et al.

Summary: This study aimed to understand the roles of NPs in LTC homes during the pandemic. NPs played important roles in containing the spread of COVID-19, supporting staff and families, and establishing links between fragmented systems of care. The findings suggest that innovative care models involving NPs are needed to enhance the quality of care in LTC homes.

GERONTOLOGIST (2021)

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Article Geriatrics & Gerontology