Changes in Nursing Home Staffing Instability Throughout the COVID-19 Pandemic

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…

The Increase in Contract CNA Staffing in US Nursing Homes and Associated Care Quality Outcomes

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…

First Generation College Students in the Health Professions

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…

2023 Health Workforce Research Symposium: Addressing Health Workforce Shortages Now and in the Future

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…

Health Information Technology Implementation: Implications for the Nursing Home Workforce

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…

Nursing Home Implementation of Health Information Technology: Review of the Literature Finds Inadequate Investment in Preparation, Infrastructure, and Training

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…

Director of Nursing Perceptions of Medical Directors’ Roles in US Nursing Homes

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…

Medical Care Delivery in US Nursing Homes: Current and Future Practice

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 Staffing Organization and Quality of Care Outcomes in Post-Acute Care Settings

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…

Utilizing Nontraditional Healthcare Delivery Practices: Alternative Care Sites During the COVID-19 Pandemic

Several states and cities established alternate care sites in locations such as convention centers and dormitories, to provide sub-acute care for people with SARS-Cov2 infection. This policy brief examines the roles of these sites, their staffing mix, their recruitment and deployment strategies, and their training approaches.ArrayBrief Arrayhttps://healthworkforce.ucsf.edu/publication/utilizing-nontraditional-healthcare-delivery-practices-alternative-care-sites-duringJuly 1, 2021Array, Array, Array, Array, Array July 1,…

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