Article Review
Burns, D. J., Hyde, P. J., & Killett, A. M. (2016). How Financial Cutbacks Affect the Quality of Jobs and Care for the Elderly. ILR Review,69(4), 991-1016. doi:10.1177/0019793916640491
Introduction:
The purpose of this article is to illustrate how financial cutbacks affect job quality as well as quality of care (Burns, D. J., Hyde, P. J., & Killett, A. M., 2016, p. 991). The article further goes on to predict that ongoing and accelerated cost places pressure on facilities that ultimately affects the quality of jobs and care in nursing homes based on their approach. The quality of residential care is a global concern and as the number of aging adults only grows, this concern will only grow (Burns, D. J., Hyde, P. J., &
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The authors posed a question on whether or not the financial objectives of a “for profit” or “non-profit” play a role in the quality care. This study lacks the examination of whether or not these nursing homes have the resources to organize certain work processes or the actual outcomes they achieve in terms of care. The authors again use the two different approaches throughout the article to determine whether these approaches and financial cutbacks affect the quality of workforce that ultimately affect the quality of care residents receive (Burns, D. J., Hyde, P. J., & Killett, A. M., 2016, p. 995).
Methods:
The authors took a qualitative design to their research to developed an understanding why the quality of care varied across several nursing homes (Burns, D. J., Hyde, P. J., & Killett, A. M., 2016, p. 995). This study included 12 different nursing homes which consist of a mixture of non-profit and for profit nursing homes and residential living communities over the course of three years (2009-2012). Each nursing home varied from 10 to 65 bed facilities that varied in the terms of the level of care provided. Field research consisted of repeated site visits to each nursing home or living community, interviews, and observations. Each visit to the different nursing communities lasted from four to six weeks. During this time, the authors conducted 175 different interviews including department heads, nurses, caregivers, residents, and family or relatives of the
Nurse staffing and how it relates to the quality of patient care has been an important issue in the field of nursing for quite some time. This topic has been particularly popular recently due to the fact that there is an increasing age among those who make up the Baby Boomer era in the United States. There will be a greater need for nurse staffing to increase to help accommodate the higher demand of care. Although nursing is “the top occupation in terms of job growth,” there are still nursing shortages among various hospitals across America today. The shortage in nurses heavily weighs on the overall quality of care that each individual patient receives during their hospital stay (Rosseter, 2014).
Assisted living helps each person value life to its fullest potential. When it comes to making an older individual feel more at home and also be able to focus more on non-stressful activities, they need to be ensured the best care. “Families feel more confident and are less ‘protective’ when there is continuity in staff and they are deemed competent. Staff are more likely to be retained where they feel valued”2 part of the quote which is especially conducive to the argument is, “where they feel valued.” When picking and choosing a nursing home that fits individual the best, and will provide them with the care needed, it is important to make sure that everyone is valued in the process. This quote is important because if the workers are not being taken care of, then they are less enthusiastic and also less likely to give someone’s loved one the care needed and to know what is expected from them. It is assumed that when picking an assisted living home, that the well being of the person and also many other characteristics are taken into
Nursing Home Administration is an area which specialized in medical and health services management. Nursing home administrators specialize to supervise clinical and administrative affairs of nursing homes and related facilities. They also have a working knowledge of the physical and psychological effects of the aging process. An administrator’s duties includes overseeing staff and personnel, financial matters, medical care, medical supplies, facilities, and other duties as specific positions demand. This paper will discuss different aspects of nursing home administrator and I will follow up with an interview by Kathy Kondolf, an administrator at Heartland of Zephyrhills.
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Unfortunately, in recent years the cost of providing these traditional services has grown to a point that the programs set in place to care for seniors and chronically ill patients has undergone numerous cuts. This calls into question are the standards of care that nursing facilities provide being cut to compensate for these changes in the rate paid.
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The debate over non-profit versus for-profit healthcare organization has been ongoing, does one provide better care than the other? Do the operations of for profit perform better than the non-profit organizations? Are the criticisms about for-profit organization validated and is there proof? The goal is to examine those questions as well as offer options to improve the financial and operational performance of non-profit and for-profit organizations criticisms.
The information contained in this report was gathered in a private nursing home over 2 weeks that for the sake of this essay, be called “facility x”
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Inappropriate hospitalizations deserve considerable examination when evaluating the quality of care rendered to older adults residing in nursing homes (NH). Recent statistics indicate that there are approximately 1.4 million individuals residing in nursing homes across the United States (National Center for Health Statistics, 2014). These individuals are frail, advanced in age and clinically complex. In response to the complexity of NH residents, facilities often times facilitate a hospital transfer as a way of responding to advancing chronic disease or unanticipated change in condition. While hospitalization is at times a necessary response to an acute decline, many such hospital transfers taking place in NHs are deemed inappropriate. An
This paper explores a private home health care agency serving the five boroughs of New York City, which is attempting to handle its increasing costs and suffering performance rates stemming from the issue of high turnover rates with their nursing staff.