scholarly journals Nurse Staffing in Nursing Homes During Hurricane Irma

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 285-286
Author(s):  
Kali Thomas ◽  
Lindsay Peterson ◽  
David Dosa ◽  
Ross Andel ◽  
Kathryn Hyer ◽  
...  
Keyword(s):  
Nursing Homes ◽  
Reporting System ◽  
Nurse Staffing ◽  
Nursing Assistants ◽  
Certified Nursing Assistants ◽  
Health Providers ◽  
Licensed Practical Nurses ◽  
Staffing Levels ◽  
Practical Nurses ◽  
Hurricane Irma

Abstract Little is known about the effect of hurricanes on nurse staffing in nursing homes. Hurricane Irma made landfall on September 10th, 2017 in Florida. This study examined daily nurse staffing levels from September 3rd-24th, 2017 in 653 nursing homes; 81 facilities evacuated and 572 facilities sheltered-in-place. Data from Payroll-Based Journaling (PBJ), Certification and Survey Provider Enhanced Reports (CASPER), and Florida’s health providers’ emergency reporting system were used. Among all facilities, we found significant increases in staffing for licensed practical nurses (p=.02) and certified nursing assistants (p<.001), but not for registered nurses (p=.10) before Hurricane Irma made landfall. In comparison to facilities that sheltered-in-place, evacuating facilities increased staffing levels of all nurse types (all p<.001). From one week before landfall to two weeks after landfall, an additional estimated $2.41 million was spent on nurse staffing. Policymakers attempting to reduce the burden of natural disasters on nursing homes should reimburse staffing-related expenses.

scholarly journals Assessing apathy in long-term care residents with dementia: Who should be the rater?

Dementia ◽  
2017 ◽  
Vol 18 (6) ◽  
pp. 2220-2229
Author(s):  
Ying-Ling Jao ◽  
Kristine Williams ◽  
Jacqueline Mogle ◽  
Liza Behrens ◽  
Caroline McDermott
Keyword(s):  
Long Term Care ◽  
Pearson Correlation ◽  
Statistical Significance ◽  
Nursing Assistants ◽  
Future Research ◽  
Certified Nursing Assistants ◽  
Term Care ◽  
Licensed Practical Nurses ◽  
Practical Nurses

Background Apathy is prominent in persons with dementia and apathy assessment is challenging. It remains unclear who should conduct apathy assessments in long-term care settings for residents with moderate to advanced dementia. The Apathy Evaluation Scale (AES) is a widely used instrument and its use for long-term care residents with dementia needs to be further established. This study explored the relationship among apathy assessments conducted by family and clinical caregivers using the original AES (AES-18) and the nursing home version (AES-10). Methods This study used a cross-sectional, descriptive design and enrolled 15 quartets of participants recruited from long-term care settings. Each quartet consisted of one resident with dementia, one family member, one certified nursing assistant, and one licensed practical nurse or activity staff. Family, certified nursing assistants, and licensed practical nurses/activity staff rated the resident’s apathy level on the AES independently. Bivariate Pearson correlation coefficients were used for analysis. Results The results revealed that ratings conducted by certified nursing assistants and licensed practical nurses/activity staff were moderately correlated for the AES-18 and the result approached statistical significance (r = 0.47, p = .08). None of the other AES ratings among family, certified nursing assistants, and licensed practical nurses/activity staff were significantly correlated. Discussion Family and clinical caregivers were incongruent on their AES ratings of apathy. It remains undetermined which rater provides the most valid AES rating for residents with dementia. Findings from this study further highlight challenges in rating apathy in this population. Future research is needed to determine best practices for accurate apathy assessment for residents with dementia in long-term care.

scholarly journals Nurse Staffing and Coronavirus Infections in California Nursing Homes

2020 ◽  
Vol 21 (3) ◽  
pp. 174-186 ◽  
Author(s):  
Charlene Harrington ◽  
Leslie Ross ◽  
Susan Chapman ◽  
Elizabeth Halifax ◽  
Bruce Spurlock ◽  
...  
Keyword(s):  
Los Angeles ◽  
Nursing Homes ◽  
Nursing Home Residents ◽  
Nurse Staffing ◽  
The United States ◽  
Study Data ◽  
Chronic Illnesses ◽  
Staffing Levels ◽  
Control Procedures ◽  
Relationship Of

In the United States, 1.4 million nursing home residents have been severely impacted by the COVID-19 pandemic with at least 25,923 resident and 449 staff deaths reported from the virus by June 1, 2020. The majority of residents have chronic illnesses and conditions and are vulnerable to infections and many share rooms and have congregate meals. There was evidence of inadequate registered nurse (RN) staffing levels and infection control procedures in many nursing homes prior to the outbreak of the virus. The aim of this study was to examine the relationship of nurse staffing in California nursing homes and compare homes with and without COVID-19 residents. Study data were from both the California and Los Angeles Departments of Public Health and as well as news organizations on nursing homes reporting COVID-19 infections between March and May 4, 2020. Results indicate that nursing homes with total RN staffing levels under the recommended minimum standard (0.75 hours per resident day) had a two times greater probability of having COVID-19 resident infections. Nursing homes with lower Medicare five-star ratings on total nurse and RN staffing levels (adjusted for acuity), higher total health deficiencies, and more beds had a higher probability of having COVID-19 residents. Nursing homes with low RN and total staffing levels appear to leave residents vulnerable to COVID-19 infections. Establishing minimum staffing standards at the federal and state levels could prevent this in the future.

Death Concern and Attitudes toward the Elderly in Nursing Home Personnel as a Function of Training

1994 ◽  
Vol 29 (3) ◽  
pp. 231-248 ◽  
Author(s):  
Stephen J. Depaola ◽  
Roberta Neimeyer ◽  
Stephanie K. Ross
Keyword(s):  
Nursing Home ◽  
Registered Nurses ◽  
The Elderly ◽  
Nursing Assistants ◽  
Licensed Practical Nurses ◽  
Positive Attitudes ◽  
Practical Nurses ◽  
Personal Anxiety ◽  
Nursing Professionals ◽  
The Relationship

The present project investigated the relationship between death fear, attitudes toward the elderly, and personal anxiety toward one's own aging in a group of nursing home employees. Contrary to predictions, nursing professionals (i.e., Registered Nurses, Licensed Practical Nurses) did not have higher levels of death concern when compared to Nursing Assistants; in fact, Nursing Assistants had higher levels of death concerns on four components of death fear (fear of the dead, fear of the unknown, fear of consciousness when dead, and fear for body after death). The results also indicated that Nursing Assistants displayed significantly fewer positive attitudes toward the elderly than did nursing professionals.

Dietary Service Staffing Impact Nutritional Quality in Nursing Homes

2017 ◽  
Vol 38 (5) ◽  
pp. 639-655 ◽  
Author(s):  
Kelly M. Smith ◽  
Kali S. Thomas ◽  
Shanthi Johnson ◽  
Hongdao Meng ◽  
Kathryn Hyer
Keyword(s):  
Nursing Homes ◽  
Online Survey ◽  
Certified Nursing Assistants ◽  
Staffing Levels ◽  
Nutrition Services ◽  
Service Staff ◽  
Food And Nutrition ◽  
The Impact ◽  
The Relationship

Objective: To examine the relationship between dietary service staff and dietary deficiency citations in nursing homes (NHs). Method: 2007-2011 Online Survey and Certification and Reporting data for 14,881 freestanding NHs were used to examine the relationship between dietary service staff and the probability of receiving a dietary service–related deficiency citation. An unconditional logit model with random effects was employed. Results: Findings suggest that higher staffing levels for dietitians (odds ratio [OR] = .955; p < .01), dietary service personnel (OR = .996; p < .01), and certified nursing assistants (CNAs; OR = .981; p < .05) decrease the likelihood of receiving a dietary service deficiency citation. Conclusion: Higher levels of dietary service and CNA staffing levels have the potential to improve the quality of nutritional care in NHs. Findings help substantiate the Centers for Medicare and Medicaid Services’ proposed rules for more stringent Food and Nutrition Services in the NH setting and signify the need for further research relative to the impact of dietary service staff on nutritional and clinical outcomes.

Long-Term Care Planning Study: Strengths and Learning Needs of Nursing Staff

2006 ◽  
Vol 25 (4) ◽  
pp. 347-361 ◽  
Author(s):  
Kathleen E. Cruttenden
Keyword(s):  
Nursing Homes ◽  
Nursing Staff ◽  
Active Role ◽  
Learning Needs ◽  
Planning Study ◽  
Term Care ◽  
Licensed Practical Nurses ◽  
Direct Observations ◽  
Practical Nurses

ABSTRACTThis planning study was designed and conducted in a predominantly rural Canadian province to examine the strengths and learning needs of four categories of nursing staff practising in New Brunswick nursing homes. Participants included directors of care, registered nurses, licensed practical nurses, and resident attendants. The nursing homes ranged in size from 38 to 196 beds and were located throughout the province. In health and planning studies, ethnography conveys a coherent statement of peoples' local knowledge as culture-sharing groups (Muecke, 1994). The study derived information from the Nursing Home Act, reports, the literature, key informants, and direct observations of and interviews with participants. Leadership strengths defined the roles for categories of staff and supported the capacity of each category to identify their learning needs. In conclusion, nurses practising in nursing homes can and must take an active role in decision making for their learning.

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