Registered nurses (RNs) are integral to healthcare delivery in the United States, with approximately 4.3 million licensed RNs in 2022, the majority working in hospital settings. However, nearly 10% of RNs are employed in long-term care (LTC) settings such as nursing homes, assisted living communities, and home health agencies. LTC settings are projected to experience…
Nursing homes provide essential 24-hour long-term and rehabilitative care for 1.4 million Americans, but have long faced persistent staffing challenges that worsened during the COVID-19 pandemic. Nurse staffing hours declined sharply in 2020 and 2021, especially among certified nurse aides (CNAs), while contract staffing rose dramatically before stabilizing in 2022. Staffing shortfalls were particularly acute…
Higher levels of certified nursing assistant (CNA) staffing are positively associated with improved care quality outcomes for nursing home residents, but low wages and other job-quality concerns drive high turnover and job vacancies within the CNA workforce. Evidence suggests that nursing homes have addressed workforce pressures by increasing their reliance on contract CNAs from staffing…
Increasing the diversity of health professionals enhances efforts to address underlying determinants of health, as providers from underserved backgrounds are more likely to provide care to patients who are at highest risk for disparities in access to health care. This webinar explores a career development program at the University of California, San Francisco School of…
The 2023 Symposium featured experts from 9 federally-funded health workforce research centers discussing the most pressing issues facing the health workforce today. Recorded live on October 11, 2023 at the National Press Club in Washington, DC. SESSION 1: Health Career Pathways – What’s Working? This session describes several very different health career paths—some that are…
Many nursing homes have adopted health information technology (HIT) to help improve quality of care and staff productivity. However, it has been unclear as to whether HIT systems have had the intended effect on staff productivity and patient outcomes. This report describes a study utilizing a literature review as well as interviews and focus groups…
Many nursing homes have adopted health information technology (HIT) to help improve quality of care and staff productivity. However, the success of HIT systems in nursing homes depend on implementation and little is known about how these systems impact nursing home staff. This article describes a study that included a literature review of articles on…
Nursing homes are important for providing accessible long-term care options for post-acute care patients. Unfortunately, the quality of care for these patients in the nursing home setting is often inadequate. This article examines the roles and relationships between directors of nursing and physicians in nursing homes to determine how these relationships affect patient care.ArrayArticle Arrayhttps://www.jamda.com/article/S1525-8610(19)30424-4/fulltextJuly…
The delivery of medical care services in nursing homes is dependent on a workforce that includes physicians, nurse practitioners, and physician assistants. Each of these professions operates under a unique regulatory framework while adhering to common standards of care. Nursing home provider characteristics and their roles in care delivery can illuminate potential links to clinical…
Medical providers are significant drivers of care in post-acute long-term care settings, yet little research has examined the medical provider workforce and its role in ensuring quality of care. This article examines the impact of nursing home medical staffing organization dimensions on the quality of care in US nursing homes. Respondents who reported having a…
