Many factors affect quality care in long-term care (LTC) settings. A supportive organizational culture, strong leadership, appropriate staff and staffing, and effective training and professional development of staff members are all fundamental elements necessary for influencing quality care in LTC settings. This article discusses challenging issues confronting LTC settings and provides strategies for managing the complexities of culture change, staffing, and education in LTC.
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Caregiver staffing in nursing homes and their influence on quality of care: Using dynamic panel estimation methods
Medical Care. 2011; 49:545-552 Castle, N.G. ∙ Engberg, J. The influence of staffing characteristics on quality of care in nursing homes Health Services Research. 2007; 42:1822-1847 Centers for Medicare & Medicaid Services CMS 2012 Nursing Home Action Plan Retrieved fromFalling through the cracks: Challenges and opportunities for improving transitional care for persons with continuous complex care needs
Journal of the American Geriatrics Society. 2003; 51:549-555 Cope, P. ∙ Cuthbertson, P. ∙ Stoddart, B. Situated learning in the practice placement Journal of Advanced Nursing. 2008; 31:850-856 Corazzini, K.N. ∙ Anderson, R.A. ∙ Mueller, C. . Licensed practical nurse scope of practice and quality of nursing home care Nursing Research. 2013; 62:315-324 Corazzini, K.N. ∙ Anderson, R.A. ∙ Rapp, C.G. . Delegation in long-term care: Scope of practice or job description? The Online Journal of Issues in Nursing. 2010; 15 Cromwell, S.E. ∙ Kolb, J.A.An examination of work-environment support factors affecting transfer of supervisory skills training to the workplace
Human Resource Development Quarterly. 2004; 15:449-471 Davidson, J.E. ∙ Powers, K. ∙ Hedeyat, K.M. .Clinical practice guidelines for support of the family in the patient-centered intensive care unit: American College of Critical Care Medicine Task Force 2004—2005
Critical Care Medicine. 2007; 35:605-622 Dellefield, M.E. The work of the RN minimum data set coordinator in its organizational context Research in Gerontological Nursing. 2008; 1:42-51 Beyond ‘Unloving Care’: Linking human resource management and patient care quality in nursing homes The International Journal of Human Resource Management. 2000; 11:591-616 Eby, L. ∙ Adams, D. ∙ Russel, J. .Perceptions of organizational readiness for change: Factors related to employees' reactions to the implementation of team-based selling
Human Relations. 2000; 53:419442 Grabowski, D.C. ∙ Elliot, A. ∙ Leitzell, B. . Who are the innovators? Nursing homes implementing culture change The Gerontologist. 2014; 54:S65-S75 Greenhalgh, T. ∙ Robert, G. ∙ Macfarlane, F. . Diffusion of innovations in service organizations: Systematic review and recommendations Millbank Quarterly. 2004; 82:581-629 Harrington, C. ∙ Woolhandler, S. ∙ Mullan, J. . Does investor ownership of nursing homes compromise the quality of care American Journal of Public Health. 2001; 91:1452-1455 Harris-Kojetin, L. ∙ Lipson, D. ∙ Fielding, J. . Recent findings on frontline long-term care workers: A research synthesis 1999-2003 Institute for the Future of Aging Services, 2004 Retrieved from Kane, R.L. ∙ Garrard, J. ∙ Skay, C.L. . Effects of geriatric nurse practitioner on process and outcome of nursing home care American Journal of Publtc Health. 1989; 79:1271-1277 Kane, R.L. ∙ Keckhafer, G. ∙ Flood, S. . The effect of Evercare on hospital use Journal of the American Geriatrics Society. 2003; 51:1427-1434 Kash, B.A. ∙ Naufal, G.S. ∙ Cortés, L. . Exploring factors associated with turnover among registered nurse (RN) supervisors in nursing homes Journal of AppliedGerontology. 2010; 29:107-127 Person-centered care for nursing home residents: The Culture-change movement Health Affairs. 2010; 29:312-317 McConnell, E.S. ∙ Lekan, D. ∙ Corazzini, K.Assuring the adequacy of staffing of long-term care, strengthening the caregiving workforce, and making long-term care a career destination of choice: From mission impossible to mission critical
NC Medical Journal. 2010; 71:153-157 McConnell, E.S. ∙ Lekan-Rutledge, D. ∙ Nevidjon, B. .Complexity theory: A long-term care specialty practice exemplar for the education of advanced practice nurses
The Journal of Nursing Education. 2004; 43:84-87 McGilton, K.S. ∙ Boscart, V.M. ∙ Brown, M. .Making tradeoffs between the reasons to leave and reasons to stay employed in long-term care homes: Perspectives of licensed nursing staff
International Journal of Nursing Studies. 2014; 51:917-926 Mitty, E. ∙ Resnick, B. ∙ Allen, J. . Nursing delegation and medication administration in assisted living Nursing Administration Quarterly. 2010; 34:162-171 Mor, V. ∙ Caswell, C. ∙ Littlehale, S. . Changes in the quality of nursing homes in the US: A review and data update American Healthcare Association, Washington, DC, 2009 Mueller, C. ∙ Anderson, R.A. ∙ McConnell, E.S. . Licensed nurse responsibilities in nursing homes: A scope-of-practice issue Journal of Nursing Regulation. 2012; 3:13-20 Nolet, K. ∙ Roberts, T. ∙ Gilmore, A. . Preparing tomorrow's nursing home nurses: The Wisconsin Long Term Care Clinical Scholars Program Gerontology & Geriatrics Education. 2014; Ouslander, J. ∙ Lamb, G. ∙ Perloe, M. . Potentially avoidable hospitalizations of nursing home residents: Frequency, causes, and costs Journal of the American Geriatrics Society. 2010; 58:627-635 Rahman, A. ∙ Straker, J.K. ∙ Manning, L. Staff assignment practices in nursing homes: Review of the literature Journal of the American Medical Directors Association. 2009; 10:4-10 Rantz, M.J. ∙ Chesire, D. ∙ Flesner, M. . Helping nursing homes “at risk” for quality problems: A statewide evaluation Geriatric Nursing. 2009; 30:238-249 Rantz, M.J. ∙ Chesire, D. ∙ Flesner, M. . Helping nursing homes “at risk” for quality problems: A statewide evaluation Geriatric Nursing. 2009; 30:238-249 Roberts, T. ∙ Nolet, K.A. ∙ Bowers, B.J.Consistent assignment of nursing staff to residents in nursing homes: A critical review of conceptual and methodological issues
The Gerontologist. 2013;, 2013 Retrieved from Stone, R. ∙ Reinhard, S. ∙ Bowers, B. . Evaluation of the Wellspring Model for improving nursing home quality The Commonwealth Fund, New York, NY, 2002 Tourangeau, A. ∙ Cranley, L. ∙ Laschinger, S. .Relationships among leadership practices, work environments, staff communication and outcomes in long-term care
Journal of Nursing Management. 2010; 18:1060-1072 Vogelsmeier, A. Medication administration in nursing homes: RN delegation to unlicensed assistive personnel Journal of Nursing Regulation. 2011; 2:49-53 Warrick, D.D. Developing organizational change champions: A high payoff investment Organizational Development Network. 2009; 41:14-19 The role of skin assessment in older people British Journal of Community Nursing. 2009; 14:380-384 Yeboah, C. ∙ Bowers, B. ∙ Rolls, C. Culturally and linguistically diverse older adults relocating to aged care Contemporary Nurse. 2013; 44:50-61The content on this site is intended for healthcare professionals.
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