Article Review . Burns, D. J., Hyde, P. J., & Killett,

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.

The survey issued to the residents had 25 individual responses. When residents were asked if the quality of care was inconsistent, 28% said yes, 48% said sometimes, and 24% said no, as shown in Figure 1. When asked if they were stress out or upset with the inconsistent care 4 of the resident said no, 9 of the residents said sometimes, and 12 of the residents said no. When the residents were asked from their experience if employees were leaving this organization frequently, 80% said yes and 20% said no, as shown in Figure 2. A fourth of the residents say they get the emotional care they need. Blank-Blank percent say that CNAs spend the time with them that they need while blank-blank percent say the care they receive is rushed. About 60% of the residents said that care providers seemed stressed and always on their

Shortage of nursing staff in the long-term care continues to rise due to a couple of reasons. Many studies have revealed several factors that play a significant role in nursing shortages over the years. These factors include health care organizations downsizing the number of staff on a unit and increasing workloads, prolong work hours, and the people leaving the workforce. These factors have a significant impact on the quality of care in the long-term setting. This paper will compare and contrast the effect of lack of staffing has on the quality of patient care in a long-term settings. Over the years, the toll of the economy has had an impacted on the healthcare system which led to the reduction in the number of nursing staff and increasing the workload.

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.

The goal of the LeadingAge Texas is to implement higher direct staffing hours for each resident allowing for positive outcomes, which is what the government was trying to accomplish through Texas Quality Incentive Payment Program (QIPP). QIPP implemented the goals of decreased pressure ulcers, decreased usage of antipsychotics, decrease in falls, and physical restraints (Texas Quality Incentive Payment Program, 2016). While these incentives assist in improving quality care, quality care starts at adequate quality staffing. Staffing is the key to quality care and is what consumers advocate; however, the nursing industry would rather implement incentive programs (Harrington et al., 2016). As shown by the failure of QIPP and NHQRE, quality staffing is needed to improve the quality of care.

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”

“High rates of staff turnover in nursing homes is not a recent phenomenon. As far back as the mid-1970s studies have documented average turnover rates for registered nurses (RNs), licensed vocational nurses (LVNs) and certified nurse’s aides (CNAs) ranging between 55% and 75%” (Mor,V., Mukamel, D.B., & Spector,W. D. 2009, 1). Long term care facilities (LTC) have staffing issues related to the high turnover of licensed staff. The effect can have a heavy financial burden and also affect the care given to residents. Many ask the question why is it hard to attract and keep nurses at a long term facility. The International

Before there was any type of reform, legislation those that were running these Long-Term Services were abusing and neglecting the patients they were be paid to take care of, in light of quality of life. They were giving them medications that were keep them in deep trances were they didn’t have to care for them, but could keep them in a trance like state for hours and even days at times. “Although Nursing Home Care in general has improved, problems persist in areas relevant to end-of-life care, including pressure sore, malnutrition, dehydration, pain and quality of life.” (Sarah Thompson, 2008 ) These were all serious issues that needed to be addressed and major improvements starting happening within Long-Term

The following scorecard was built on nursing practices in the various nursing homes in order to discover best practices that can be used to improve patient outcomes and experiences and to serve as matrices

Numerous studies in the past 3 decades have explored the relationships betweenstaffing levels in nursing homes and quality of care measures. (Systematic Review of Studies ofStaffing and Quality in Nursing Home). There have been an increases amount of turnovers in thepast couple years causing a decrease in the quality care of residents, according to Feurberg M.In a recent study. Staff turnovers are causing residents to have less care provided rather thanhaving the amount of care needed, which is causing an increase in the morality rate. Turnoverrates were higher in hospitals in which the staff were paid lower wages rather than hospitalswhose staff were paid higher.I feel as if this situation is very important regarding needed care for residents.

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.