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NHS FPX 6008 Assessment 4 Lobbying for Change

William Adkins — Wed, 09 Oct 2024 13:40:58 +0000

NHS FPX 6008 Assessment 4 Lobbying for Change

Name

Capella University

NHS-FPX 6008 Economics and Decision Making in Health Care

Prof. Name

Date

Lobbying for Change

May 31, 2024

The Worthy Ted Budd

Secretary of Health and Human Services

304 Russell Senate Office Building

Washington, DC 20510

Respected Ted Budd,

I am writing to voice my concern about insufficient nurse staffing in our medical facilities, particularly nursing homes. Inadequate staffing in nursing homes is a significant healthcare economic issue that profoundly impacts the quality of care, healthcare costs, and the well-being of healthcare professionals and residents. This issue directly affects the elected officials’ constituents addressed in this letter, as many rely on nursing home care. Insufficient staffing leads to higher rates of adverse events such as pressure ulcers, falls, and medication errors, resulting in increased healthcare costs due to additional medical interventions and extended hospital stays. In a nursing home context, baseline calculations revealed 1471 fall incidents annually, leading to 345 injuries. Treating these injuries incurred a mean cost per year of €860,000 and over five years €4.63 million (Panneman et al., 2021). Vulnerable populations, including minority and low-income communities, face more significant challenges in accessing adequately staffed facilities, exacerbating existing health disparities (Nhongo et al., 2022).

The potential benefits of addressing the issue of inadequate staffing in nursing homes are substantial, and they promise a brighter future for our healthcare system. Improved staffing levels have been proven to correlate with better resident outcomes, reduced adverse events, and lower healthcare costs (Harrington et al., 2022). Furthermore, enhanced staffing conditions will lead to lower turnover rates, increased job satisfaction, and a more stable and satisfied workforce. This will ensure that nursing homes remain a vital resource for the community, particularly for vulnerable populations (Sharma & Xu, 2022). On the other hand, failing to address inadequate staffing will compromise care quality, leading to higher rates of adverse events and increased healthcare costs. Persistent understaffing will exacerbate burnout and turnover among healthcare professionals, further destabilizing care provision. Vulnerable populations will continue to suffer disproportionately from inadequate care, worsening existing disparities (Efobi, 2022).

NHS FPX 6008 Assessment 4 Lobbying for Change

The need to address the issue of inadequate staffing in nursing homes is further supported by a wealth of evidence from scholarly sources. Blatter et al. (2023) found a significant correlation between higher patient-to-nurse ratios and increased rates of adverse events in nursing homes. Sturmberg et al. (2024) highlighted the economic implications of inadequate staffing, estimating higher healthcare costs due to preventable adverse events and hospital readmissions. Gandhi et al. (2021) demonstrated the relationship between staffing levels, staff burnout, and job satisfaction. In U.S nursing homes, the nursing staff faced an annual turnover rate of approximately 128 percent and 94 percent. Harrington et al. (2020) provided compelling evidence through a meta-analysis that higher nurse staffing levels are associated with better quality of care and reduced adverse events. Panneman et al. (2021) discussed the cost-benefit analysis of improved staffing levels, showing that initial investments in staffing yield long-term financial gains through decreased hospital readmissions and improved patient outcomes.

By improved staffing levels intervention costing €702,000 over five years, healthcare cost savings amounted to €2.0 million, with €1.6 million attributed to nursing home injury care, demonstrating a significant return on investment. Additionally, the intervention saved 3050 nursing hours, 760 physician care hours, and 3100 paramedical care hours annually in nursing homes. The impact of inadequate staffing on healthcare institutions and providers is significant at all levels. Locally, nursing homes in the elected official’s district will experience immediate benefits from improved staffing, including better care quality and reduced healthcare costs. Statewide, healthcare systems will see a decrease in overall healthcare expenditure and an improvement in public health metrics. Nationally, addressing staffing shortages will reduce the burden on the healthcare system, enhance the quality of long-term care, and promote health equity (Blatter et al., 2023). Ethical, cultural, and diversity principles are crucial when implementing proposed changes. Cultural sensitivity involves providing care that respects residents’ cultural beliefs, values, and preferences, such as offering language interpretation services and training staff on cultural competence and humility (Kawamala, 2021).

NHS FPX 6008 Assessment 4 Lobbying for Change

Ethical considerations ensure that the proposed solution upholds beneficence, non-maleficence, and justice principles, prioritizing the well-being and dignity of residents while considering the ethical implications for staff and the broader community. Equity in access and cost is vital, ensuring that care is accessible and affordable to all residents, irrespective of their socioeconomic status or background, and addressing disparities in access to care and resources (Artisensi & Hansen, 2022). To address this economic issue, personal, professional, and organizational experiences have informed resource planning and risk analysis. Having a family member in long-term care highlighted the challenges of understaffing and the importance of adequate staffing for quality care. Working in an understaffed environment professionally underscored the need for comprehensive training and support programs. These experiences informed a detailed risk analysis, considering the potential costs and benefits, the need for staff recruitment and retention strategies, and the importance of leveraging technology to optimize efficiency (Clancy, 2020).

I eagerly await your response and am optimistic about your assistance in tackling this critical issue that profoundly affects the health and well-being of our nation’s populace.

Sincerely,

……

References

Artisensi, J. L. J. -, & Hansen, K. E. (2022). Quality of life and well-being for residents in long-term care communities. In Human well-being research and policy making. Springer International Publishing. https://doi.org/10.1007/978-3-031-04695-7

Blatter, C., Osińska, M., Simon, M., & Zúñiga, F. (2023). The relationship between nursing home staffing and resident safety outcomes: A systematic review of reviews. International Journal of Nursing Studies, 150, 104641–104641. https://doi.org/10.1016/j.ijnurstu.2023.104641

Clancy, T. R. (2020). Technology solutions for nurse leaders. Nursing Administration Quarterly, 44(4), 300–315. https://doi.org/10.1097/naq.0000000000000439

Efobi, O. C. (2022). Poor management skills: “A contributing factor to high turnover rate in nursing homes.” Fortune Journal of Health Sciences, 5(2), 232–242. https://fortuneonline.org/articles/poor-management-skills-ldquoa-contributing-factor-to-high-turnover-rate-in-nursing-homesrdquo.html

Gandhi, A., Yu, H., & Grabowski, D. C. (2021). High nursing staff turnover in nursing homes offers important quality information. Health Affairs, 40(3), 384–391. https://doi.org/10.1377/hlthaff.2020.00957

Harrington, C., Dellefield, M. E., Halifax, E., Fleming, M. L., & Bakerjian, D. (2020). Appropriate nurse staffing levels for U.S. nursing homes. Health Services Insights, 13. https://doi.org/10.1177/1178632920934785

Kawamala, P. N. (2021). The role of cultural consciousness and knowledge development in managing multicultural staff in Norwegian nursing homes. Oda.oslomet.no. https://oda.oslomet.no/oda-xmlui/handle/11250/2766125

NHS FPX 6008 Assessment 4 Lobbying for Change

Nhongo, D., Holt, A., Flenady, T., Rebar, A., & Bail, K. (2022). Nurse staffing and adverse events in residential aged care: Retrospective multi-site analysis. Collegian, 30(2). https://doi.org/10.1016/j.colegn.2022.09.017

Panneman, M. J. M., Sterke, C. S., Eilering, M. J., Blatter, B. M., Polinder, S., & Beeck, E. F. V. (2021). Costs and benefits of multifactorial falls prevention in nursing homes in the Netherlands. Experimental Gerontology, 143, 111173. https://doi.org/10.1016/j.exger.2020.111173

Sharma, H., & Xu, L. (2022). Association between wages and nursing staff turnover in Iowa nursing homes. Innovation in Aging, 6(4). https://doi.org/10.1093/geroni/igac004

Sturmberg, J. P., Gainsford, L., Goodwin, N., & Pond, D. (2024). Systemic failures in nursing home care—A scoping study. Journal of Evaluation in Clinical Practice. https://doi.org/10.1111/jep.13961

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NHS FPX 6008 Assessment 3 Business Case for Change

William Adkins — Wed, 09 Oct 2024 13:35:56 +0000

NHS FPX 6008 Assessment 3 Business Case for Change

Name

Capella University

NHS-FPX 6008 Economics and Decision Making in Health Care

Prof. Name

Date

Business Case for Change

Hello, everyone. I am _____. I am here to address the pressing issue of inadequate staffing in nursing homes. This challenge poses significant economic implications that impact the quality of care, healthcare costs, and the well-being of residents and healthcare professionals. Through a thorough examination of the data, we will delve into the complexities of this issue and propose evidence-based solutions to alleviate its effects. We aim to identify the challenges and offer practical remedies that can substantially improve staffing levels and, ultimately, resident care outcomes.

Problem and the Impact of Healthcare Economic Issues

Inadequate staffing in nursing homes is a significant healthcare economic issue that profoundly impacts the quality of care, healthcare costs, and the well-being of healthcare professionals and residents. This issue directly affects my ability to provide high-quality care and has far-reaching consequences for my colleagues, our organization, and the community. As a healthcare practitioner, I have witnessed the detrimental effects of understaffing, and I am deeply committed to advocating for meaningful changes to address this crisis. The correlation between higher patient-to-nurse ratios and increased burnout and job dissatisfaction among nursing staff is evident in nursing homes (Efobi, 2022). Personally, working in understaffed environments has been overwhelming, making it challenging to maintain the standard of care that residents deserve. This is not just my experience; my colleagues are also profoundly affected.

The increased workload and limited resources lead to higher stress levels, decreased job satisfaction, and high turnover rates. This creates a cycle of staffing shortages that continually impacts our ability to provide consistent, high-quality care (Efobi, 2022).Inadequate staffing in organizations like nursing homes can compromise care quality and increase the risk of adverse events such as falls, pressure ulcers, and medication errors (Nhongo et al., 2022). These incidents threaten residents’ health and safety and lead to significant economic costs due to additional medical interventions and extended hospital stays. Nursing homes with insufficient staffing also face higher rates of hospital readmissions, further burdening the healthcare system. Considering the long-term cost-effectiveness of investing in adequate staffing and implementing comprehensive policy reforms to address these issues (Nhongo et al., 2022).

NHS FPX 6008 Assessment 3 Business Case for Change

Vulnerable populations, including minority and low-income communities, bear a disproportionate burden from inadequate staffing in nursing homes. Public health data reveals that these communities depend heavily on nursing home care but encounter more difficulty accessing facilities with sufficient staffing (Hege et al., 2021). This disparity worsens existing socioeconomic and diversity gaps, resulting in poorer health outcomes for disadvantaged groups. Achieving equitable access to quality care for all residents, regardless of background, demands targeted interventions and policy reforms to address this ethical imperative (Hege et al., 2021).

Analyzing the financial and economic factors, such as cost-benefit, supply and demand, return on investment, and risks, highlights the substantial impact of inadequate staffing on patient care and organizational operations. While increasing staffing levels incur initial costs, the long-term benefits are significant. Improved staffing ratios correlate with better resident outcomes, reduced adverse events, and lower healthcare costs (Harrington et al., 2022). The return on investment is evident through decreased hospital readmissions, fewer legal liabilities, and a more stable and satisfied workforce.

NHS FPX 6008 Assessment 3 Business Case for Change

Investing in adequate staffing enhances care quality and promotes organizational efficiency and sustainability (Harrington et al., 2022). Addressing the economic challenge of inadequate staffing in nursing homes is crucial for enhancing care quality, lowering healthcare expenditures, and ensuring fair access to healthcare services. As a healthcare practitioner, I advocate for these essential reforms. Through investments in staffing, improved training programs, recruitment and retention incentives, and policy changes, we can establish a nurturing and inclusive workplace that benefits residents and healthcare staff. The time for decisive action is now, and by collaborating, we can profoundly impact the lives of nursing home residents and the dedicated professionals caring for them. Let us strive for a future where every resident receives the quality care they deserve and every healthcare worker feels valued and supported in their vital role (Berridge et al., 2020).

Considering Feasibility and Cost-Benefit Analysis

The feasibility and cost-benefit considerations of addressing the healthcare economic issue of inadequate staffing in nursing homes are critical. Research indicates that higher staff-to-resident ratios lead to better resident outcomes and reduced adverse events. For example, Blatter et al. (2023) found a significant correlation between higher patient-to-nurse ratios and increased rates of adverse events such as pressure ulcers, falls, and medication errors. Addressing staffing shortages through increased recruitment and training programs can save costs by reducing healthcare costs associated with preventable adverse events and hospital readmissions. Mitigating risks to healthcare organizations’ financial security requires proactive measures. Reducing these risks includes recruiting and retaining staff and offering competitive salaries, benefits, and career advancement opportunities. These investments enhance staff satisfaction and reduce turnover, improving resident outcomes and organizational stability (Sharma & Xu, 2022).

Leveraging technology and process improvements can streamline operations, improve efficiency, and reduce costs. Implementing electronic health records (EHRs) and automated medication dispensing systems can minimize errors and optimize resource utilization (Clancy, 2020). Healthcare organizations can mitigate financial risks by exploring alternative funding sources. Partnering with community organizations, engaging in telemedicine services, or offering specialized programs can supplement traditional revenue sources and enhance economic stability (Groom et al., 2021). Addressing inadequate staffing in nursing homes requires careful consideration of feasibility and cost-benefit considerations. By investing in staff recruitment and retention, implementing technology and process improvements, and diversifying revenue streams, healthcare organizations can mitigate risks to financial security while improving resident outcomes and care quality.

Proposed Solutions to Address Inadequate Staffing in Nursing Homes

To address the economic issue of inadequate staffing in nursing homes, I propose implementing several vital changes and solutions to improve staffing levels, enhance staff training and support, and leverage technology to optimize efficiency. These changes are essential for mitigating the adverse effects of understaffing, promoting better care outcomes for residents, and benefiting the organization, colleagues, and the community. Firstly, investing in increased staffing levels is paramount. Research has consistently shown that higher patient-to-nurse ratios are associated with better care quality and reduced adverse events in nursing homes (Blatter et al., 2023).

Hiring additional nursing staff and ensuring adequate coverage can enhance resident safety, improve care outcomes, and reduce healthcare costs associated with preventable complications. Secondly, providing comprehensive training and support programs for staff is essential. By investing in ongoing education and professional development opportunities, we can empower our healthcare professionals to deliver high-quality care and adapt to the complex needs of residents (Mlambo et al., 2021). Training programs focused on geriatric care, cultural competence, and emergency response will equip staff with the necessary skills to provide personalized and effective care, ultimately improving resident outcomes and satisfaction.

Additionally, leveraging technology solutions can help optimize staffing efficiency and resource allocation. Implementing electronic health record systems, predictive analytics, and scheduling software can help match staffing levels more effectively with resident acuity and care needs. By streamlining workflow processes and reducing administrative burden, technology can improve overall efficiency and ensure appropriate staffing levels, enhancing care quality and mitigating financial risks associated with inadequate staffing (Clancy, 2020). The potential benefits of implementing these changes are significant for our organization, colleagues, and the community. Improving staffing levels and enhancing staff training and support can reduce turnover rates, increase staff satisfaction, and create a more positive work environment (Sharma & Xu, 2022). This, in turn, can lead to improved care outcomes, reduced healthcare costs, and enhanced resident satisfaction and well-being. Moreover, investing in adequate staffing and training programs demonstrates our commitment to providing high-quality care. It ensures that nursing homes remain a vital resource for the community, particularly for vulnerable populations.

Ethical Solutions and Culturally Sensitive

In implementing the proposed solution to address inadequate staffing in nursing homes, it is imperative to ensure that the approach is culturally sensitive, ethical, and equitable within the community and healthcare setting. This entails considering the diverse needs and backgrounds of residents and staff while prioritizing fairness and accessibility across all groups in the community. Cultural sensitivity is vital in providing care that respects and honors residents’ cultural beliefs, values, and preferences. By offering culturally competent care, we can create a supportive and inclusive environment where residents feel understood and respected. This may involve providing language interpretation services, incorporating cultural traditions into care plans, and training staff on cultural competence and humility (Kawamala, 2021). Ethical considerations ensure that the proposed solution upholds beneficence, non-maleficence, and justice principles.

It is essential to prioritize the well-being and dignity of residents while also considering the ethical implications for staff and the broader community. This may involve implementing transparent and fair staffing policies, ensuring adequate resources and staff support, and addressing potential conflicts of interest or power differentials (Artisensi & Hansen, 2022). Equity in access and cost is crucial to ensuring that the benefits of the proposed solution are distributed fairly across all groups in the community. This means removing barriers to access, such as financial constraints or geographic limitations, and ensuring that care is affordable and accessible to all residents, regardless of their socioeconomic status or background. Additionally, efforts should be made to address disparities in access to care and resources, particularly for marginalized or underserved populations (Sohi et al., 2020).

By incorporating these cultural sensitivity, ethics, and equity principles into the proposed solution, we can ensure that the changes implemented to address inadequate staffing in nursing homes do not unfairly burden or disadvantage any specific groups. Instead, they promote a more inclusive and equitable healthcare environment where all residents receive high-quality care that respects their cultural values and individual needs.

Conclusion

In conclusion, addressing inadequate staffing in nursing homes is crucial for enhancing care quality, lowering healthcare costs, and ensuring equitable access to services. Investments in staffing, training, technology, and policy reforms are essential for improving resident outcomes and supporting healthcare professionals. Upholding cultural sensitivity, ethics, and equity principles ensures fair and inclusive care. Collaborative efforts and evidence-based strategies can create a future where every resident receives quality care, and healthcare workers feel valued.

References

Berridge, C., Lima, J., Schwartz, M., Bishop, C., & Miller, S. C. (2020). Leadership, staff empowerment, and the retention of nursing assistants: Findings from a survey of U.S. nursing homes. Journal of the American Medical Directors Association, 21(9), 1254-1259.e2. https://doi.org/10.1016/j.jamda.2020.01.109

Blatter, C., Osińska, M., Simon, M., & Zúñiga, F. (2023). The relationship between nursing home staffing and resident Safety outcomes: A systematic review of reviews. International Journal of Nursing Studies, 150, 104641–104641. https://doi.org/10.1016/j.ijnurstu.2023.104641

Clancy, T. R. (2020). Technology solutions for nurse leaders. Nursing Administration Quarterly, 44(4), 300–315. https://doi.org/10.1097/naq.0000000000000439

NHS FPX 6008 Assessment 3 Business Case for Change

Groom, L. L., Carthy, M. M. M., Stimpfel, A. W., & Brody, A. A. (2021). Telemedicine and telehealth in nursing homes: An integrative review. Journal of the American Medical Directors Association, 22(9). https://doi.org/10.1016/j.jamda.2021.02.037

Hege, A., Lane, S., Spaulding, T., Sugg, M., & Iyer, L. S. (2021). County-level social determinants of health and COVID-19 in nursing homes, United States, June 1, 2020–January 31, 2021. Public Health Reports, 003335492110536. https://doi.org/10.1177/00333549211053666

Kawamala, P. N. (2021). The role of cultural consciousness and knowledge development in managing multicultural staff in norwegian nursing homes. Oda.oslomet.no. https://oda.oslomet.no/oda-xmlui/handle/11250/2766125

Mlambo, M., Silén, C., & McGrath, C. (2021). Lifelong learning and nurses’ continuing professional development, a metasynthesis of the literature. BMC Nursing, 20(62), 1–13. https://bmcnurs.biomedcentral.com/articles/10.1186/s12912-021-00579-2

NHS FPX 6008 Assessment 3 Business Case for Change

Sharma, H., & Xu, L. (2022). Association between wages and nursing staff turnover in Iowa nursing homes. Innovation in Aging, 6(4). https://doi.org/10.1093/geroni/igac004

Sohi, S. C., Panagioti, M., White, G. D., Giles, S., Riste, L., Kirk, S., Ong, B. N., Poppleton, A., Campbell, S., & Sanders, C. (2020). Patient safety in marginalised groups: A narrative scoping review. International Journal for Equity in Health, 19(1). https://doi.org/10.1186/s12939-019-1103-2

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NHS FPX 6008 Assessment 2 Needs Analysis for Change

William Adkins — Wed, 09 Oct 2024 13:29:55 +0000

NHS FPX 6008 Assessment 2 Needs Analysis for Change

Name

Capella University

NHS-FPX 6008 Economics and Decision Making in Health Care

Prof. Name

Date

Needs Analysis for Change

Inadequate staffing in nursing homes poses significant economic challenges. It impacts care quality, increases healthcare costs, and elevates turnover rates. These issues disproportionately affect vulnerable populations due to existing socioeconomic and diversity disparities. Urgent action, including investment in staffing and policy reforms, is necessary to mitigate adverse outcomes and ensure equitable access to quality care.

Summary of the Nursing Staff Shortages Economic Issues

Inadequate staffing in nursing homes is a significant economic issue with widespread impacts. Working in understaffed environments leads to overwhelming workloads, affecting my ability to provide high-quality care and contributing to burnout. This compromises care quality, increasing the hazard of adverse events such as falls and medication errors in organizations. This endangers resident health and elevates healthcare costs. Colleagues face increased workloads, impacting job satisfaction and mental health, leading to higher turnover rates (Efobi, 2022). The broader community, especially vulnerable populations, experiences disparities in access to quality healthcare, resulting in poorer health outcomes and increased hospital readmissions.

The rationale for selecting inadequate staffing in nursing homes stems from its profound effect on a vulnerable population. Nursing homes require consistent, high-quality care for elderly residents with complex needs. Inadequate staffing undermines this care, leading to detrimental outcomes and significant economic costs (Crowley et al., 2022). Personal experiences, such as having a family member in long-term care, exposed me to the challenges nursing home staff and residents face. Observing overworked staff highlighted the importance of adequate staffing. My compassion, respect for the elderly, and commitment to equitable healthcare drive my focus on this issue.

The gap contributing to inadequate staffing lies in the disparity between increasing demand for long-term care services and an insufficient supply of qualified healthcare professionals. Addressing inadequate staffing requires investment in hiring and training more staff. While this incurs initial costs, the benefits include improved resident outcomes and reduced healthcare costs. Investing in adequate staffing yields a high return on investment (ROI) through improved care quality, resident satisfaction, and reduced turnover (Solid, 2020). Failure to address inadequate staffing poses significant risks, including continued poor health outcomes, increased healthcare costs, and legal liabilities (Halifax & Harrington, 2024). Urgent action, including policy reforms and investments in staffing, is imperative to mitigate the consequences of staffing shortages in nursing homes.

Socioeconomic or Diversity Disparities

Inadequate staffing in nursing homes intensifies current socioeconomic and diversity disparities, mainly impacting vulnerable residents. Public health statistics reveal that minority and low-income communities disproportionately rely on nursing home care. However, these communities often face more significant challenges in accessing facilities with adequate staffing due to geographic, financial, and systemic barriers. For instance, studies show that nursing homes in low-income areas are more likely to have insufficient staffing than facilities in affluent neighbourhoods (Falvey et al., 2020). This disparity in staffing levels contributes to poorer health outcomes among disadvantaged groups. Residents from marginalized communities are at a higher risk of experiencing adverse events such as medication errors, infections, and preventable hospital readmissions due to inadequate care resulting from staffing shortages (Sohi et al., 2020). Moreover, socioeconomic disparities intersect with other factors such as race, ethnicity, language, and cultural backgrounds, further exacerbating the impact of inadequate staffing on specific populations.

Ethical and culturally equitable solutions are essential to address these disparities and improve the quality of care for all residents. One approach involves implementing targeted recruitment and retention strategies to increase diversity among healthcare professionals (Kawamala, 2021). By hiring staff who reflect the racial, ethnic, and linguistic diversity of residents, nursing homes can enhance cultural competence and provide more personalized care. Investing in staff training programs that emphasize cultural sensitivity, communication skills, and implicit bias awareness can promote inclusive and equitable care practices (Kawamala, 2021). Furthermore, policy reforms are necessary to address the underlying socioeconomic factors contributing to staffing disparities. This may include initiatives to increase funding for nursing homes serving marginalized communities, improve reimbursement rates for Medicaid patients, and implement regulatory standards that prioritize staffing adequacy based on resident acuity and population demographics (Grabowski et al., 2023).

Evidence-Based Sources for Nursing Staff Shortages

Evidence-based sources emphasize the urgent need to address inadequate staffing in nursing homes and advocate for potential change or implementation plans. Research highlights the detrimental effects of understaffing on resident outcomes and the quality of care provided.

One study by Blatter et al. (2023) found a significant correlation between higher patient-to-nurse ratios and increased rates of adverse events such as pressure ulcers, falls, and medication errors in nursing homes. This underscores the critical importance of adequate staffing levels in ensuring resident safety and well-being. Another scholarly source by Sturmberg et al. (2024) explores the economic implications of inadequate staffing in nursing homes. The study estimates that facilities with lower staff-to-resident ratios experience higher healthcare costs due to preventable adverse events, hospital readmissions, and extended hospital stays. These findings underscore the financial burden of understaffing and emphasize the potential cost savings of investing in adequate staffing.

Research by Aloisio et al. (2021) highlights the relationship between staffing levels, staff burnout, and job satisfaction. The study demonstrates that higher patient-to-nurse ratios are associated with increased staff burnout and job dissatisfaction, leading to higher turnover rates. Addressing staffing shortages is crucial for resident outcomes and maintaining a stable and satisfied workforce. Additionally, a meta-analysis by Harrington et al. (2020) provides compelling evidence that higher nurse staffing levels are associated with better quality of care and reduced adverse events in nursing homes. This comprehensive review of existing literature strengthens the argument for implementing changes to improve staffing levels and enhance resident care. Qualitative and quantitative information from these sources guides economic decision-making by illustrating the significant impact of inadequate staffing on resident safety, healthcare costs, staff well-being, and organizational stability. These findings serve as a compelling rationale for stakeholders and colleagues to prioritize investments in staffing and enact policy reforms to address the issue effectively.

Opportunities and Predicted Outcomes

The suggested modification or implementation strategy aimed at addressing the issue of inadequate staffing in nursing homes that has the potential to produce noteworthy benefits and expansion prospects. Firstly, by improving staffing levels, nursing homes can expect a notable enhancement in the quality of care provided to residents. Studies have consistently shown that excellent staffing ratios are related to better resident results, including reduced rates of adverse events such as falls, pressure ulcers and medication errors. As a result, residents will likely experience improved health and well-being, leading to higher satisfaction levels and overall quality of life (Harrington et al., 2020). Addressing staffing shortages can benefit both patients and the organization economically. Reducing adverse events and hospital readmissions translates into lower healthcare costs and improved patient financial security. Additionally, residents may experience shorter hospital stays, resulting in faster recovery times and reduced financial strain for themselves and their families (Jutkowitz et al., 2023).

For nursing home organizations, investing in adequate staffing can result in long-term financial gains. By reducing preventable adverse events and hospitalizations, facilities can lower their healthcare costs and minimize the risk of legal liabilities associated with poor care outcomes. Furthermore, improved staffing levels can enhance the organization’s reputation within the community and among prospective residents and their families, leading to increased occupancy rates and revenue generation (Mileski et al., 2020). Ethically and culturally equitable economic strategies are integral to ensuring nursing home resources’ sustainability and future security.

Organizations can create a more inclusive and supportive work environment for healthcare professionals from all backgrounds by prioritising staffing improvements and investing in diverse recruitment and training programs. This fosters employee satisfaction and retention and enhances cultural competence and the ability to provide culturally sensitive care to residents from diverse communities (Effland et al., 2020). The proposed change to address inadequate staffing in nursing homes is poised to yield numerous positive outcomes and opportunities for growth. By improving the quality of care, reducing healthcare costs, and fostering a supportive and inclusive work environment, nursing homes can ensure the future security of their resources and their ability to provide superior care to all residents.

Conclusion

Addressing nursing staff shortages in long-term care facilities is imperative to mitigate economic burdens, enhance care quality, and promote equitable access to healthcare. By investing in adequate staffing levels, implementing targeted recruitment and retention strategies, and enacting policy reforms, organizations can improve resident outcomes, reduce healthcare costs, and foster a supportive work environment. Ethical considerations, cultural competence, and inclusivity must underpin these efforts to address disparities and ensure sustainable healthcare practices. Overall, prioritizing staffing improvements is essential for the well-being of residents, healthcare professionals, and the broader community.

References

Aloisio, L. D., Coughlin, M., & Squires, J. E. (2021). Individual and organizational factors of nurses’ job satisfaction in long-term care: A systematic review. International Journal of Nursing Studies, 123, 104073. https://doi.org/10.1016/j.ijnurstu.2021.104073

Crowley, R., Atiq, O., Hilden, D., Beachy, M. W., Brislen, H. C., Curry, W. A., Engel, L. S., Hollon, M., Mathew, S. M., Southworth, M., Tan, M. J., Mellacheruvu, P., Shoushtari, C. S., Sagar, A., Beachy, M. W., Brislen, H. C., Curry, W. A., Engel, L. S., Hollon, M., & Mathew, S. M. (2022). Long-term services and supports for older adults: A position paper from the American college of physicians. Annals of Internal Medicine, 175(8), 1172–1174. https://doi.org/10.7326/m22-0864

Effland, K. J., Hays, K., Ortiz, F. M., & Blanco, B. A. (2020). Incorporating an equity agenda into health professions education and training to build a more representative workforce. Journal of Midwifery & Women’s Health, 65(1), 149–159. https://doi.org/10.1111/jmwh.13070

Falvey, J. R., Hade, E. M., Friedman, S. G., Deng, R., Jabbour, J., Stone, R. I., & Travers, J. L. (2022). Severe neighborhood deprivation and nursing home staffing in the United States. Journal of American Geriatrics Society, 71(3), 711–719. https://doi.org/10.1111/jgs.17990

NHS FPX 6008 Assessment 2 Needs Analysis for Change

Grabowski, D. C., Chen, A., & Saliba, D. (2023). Paying for nursing home quality: An elusive but important goal. Public Policy & Aging Report, 33(Supplement_1), S22–S27. https://doi.org/10.1093/ppar/prac028

Halifax, E., & Harrington, C. (2024). Proposed minimum nurse staffing levels in nursing homes. Policy, Politics & Nursing Practice/Policy, Politics, & Nursing Practice, 25(2), 67–69. https://doi.org/10.1177/15271544241237653

Jutkowitz, E., Landsteiner, A., Ratner, E., Shippee, T., Madrigal, C., Ullman, K., Linskens, E., Wilt, T. J., & Porter, W. D. (2023). Effects of nurse staffing on resident outcomes in nursing homes: A systematic review. Journal of the American Medical Directors Association, 24(1), 75-81.e11. https://doi.org/10.1016/j.jamda.2022.11.002

Mileski, M., Pannu, U., Payne, B., Sterling, E., & McClay, R. (2020). The impact of nurse practitioners on hospitalizations and discharges from long-term nursing facilities: A systematic review. Healthcare, 8(2), 114. https://doi.org/10.3390/healthcare8020114

NHS FPX 6008 Assessment 2 Needs Analysis for Change

Solid, C. A. (2020). Return on investment for healthcare quality improvement. Springer International Publishing. https://doi.org/10.1007/978-3-030-46478-3

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NHS FPX 6008 Assessment 1 Identifying a Local Health Care Economic Issue

William Adkins — Wed, 09 Oct 2024 13:25:44 +0000

NHS FPX 6008 Assessment 1 Identifying a Local Health Care Economic Issue

Name

Capella University

NHS-FPX 6008 Economics and Decision Making in Health Care

Prof. Name

Date

Health Care Economic Issue and Its Impact

In nursing homes, inadequate staffing is a multifaceted issue with far-reaching consequences. A clear correlation exists between higher patient-to-nurse ratios and increased burnout and job dissatisfaction among nursing staff. This affects the care quality provided and impacts the healthcare professionals’ well-being. Furthermore, data indicates that nursing homes with lower staff-to-resident ratios experience a higher incidence of adverse events such as falls, pressure ulcers and medication errors. These preventable conditions not only compromise the health and safety of residents but also lead to increased healthcare costs due to the need for additional medical interventions and treatments (Perruchoud et al., 2021). Additionally, the Centers for Medicare & Medicaid Services (CMS) have reported that nursing homes with inadequate staffing levels have a significantly higher rate of hospital readmissions within 30 days of discharge than adequately staffed facilities. This places additional strain on an already overburdened healthcare system and highlights the critical role that staffing levels play in ensuring positive health outcomes for nursing home residents. The economic impact of inadequate staffing in nursing homes must be balanced (Gandhi et al., 2021).

A study published in Health Affairs estimated that inadequate staffing contributes to several billion dollars annually in healthcare costs. These costs arise from preventable hospital readmissions, longer hospital stays, and the need for additional medical interventions, all of which could have been avoided with sufficient staffing levels (Winter et al., 2020). In nursing homes, inadequate staffing degrades care quality, harms resident health, and economically burdens the healthcare system. Addressing this requires more staff, better training, and policies prioritizing resident well-being.

Rationale for selecting the Health Care Economic Issue

The selection of inadequate staffing in nursing homes as the primary subject of this healthcare economic issue is based on the fact that it affects a vulnerable population profoundly. Nursing homes require consistent and comprehensive care for elderly residents with complex medical needs. Inadequate staffing undermines this care, leading to detrimental resident outcomes and significant economic costs (Sworn & Booth, 2020). Personal experiences and values played a crucial role in informing this choice. Having a family member in long-term care exposed me to the challenges faced by nursing home staff and residents. Observing the struggles of overworked staff highlighted the importance of adequate staffing. My values of compassion, respect for the elderly, and commitment to equitable healthcare drove me to focus on this issue. Witnessing the toll on residents and caregivers solidified my understanding that inadequate staffing is a profound ethical and economic concern. Inadequate staffing in nursing homes directly affects the quality of care, safety, and dignity of elderly residents (Omotowa & Hussey, 2020).

The correlation between staffing levels and adverse health outcomes, such as increased falls, medication errors, and hospital readmissions, underscores the urgency of addressing this problem. Economic data shows that inadequate staffing contributes to billions in unnecessary healthcare costs annually due to preventable complications and extended hospital stays (Winter et al., 2020). Inadequate staffing in nursing homes significantly impacts a vulnerable population and imposes economic burdens, highlighting the need for targeted interventions and policy reforms. Personal experiences and ethical values reinforce the urgency of ensuring high-quality care for the elderly.

Effect on Work, Organization, Colleagues, and Community

The healthcare economic issue of inadequate staffing in nursing homes has significantly impacted work, organization, colleagues, and community. Personally, as a healthcare professional, I have experienced the strain of working in understaffed environments, where the workload is overwhelming and resources are stretched thin. This affects my ability to provide quality care and contributes to burnout among colleagues. Inadequate staffing challenges in my organization lead to compromised care and increased risks of adverse events like falls and medication errors. Moreover, the struggle to manage workload affects team morale and contributes to high turnover rates (Kalánková et al., 2020).

Colleagues express frustration due to the increased workload and limited resources, impacting their job satisfaction and mental health. Furthermore, disparities in access to quality healthcare are worsened, particularly for diverse or lower socio-economic groups (Ora et al., 2020). Inadequate staffing in nursing homes has far-reaching consequences, affecting work, organization, colleagues, and community. It compromises care quality, staff morale, and contributes to disparities in healthcare access and outcomes. Urgent action is needed to address this critical issue.

Identification of the Contributing Gap

The identified gap contributing to the need to address the economic issue of inadequate staffing in nursing homes lies in the disparity between the increasing demand for long-term care services and the insufficient supply of qualified healthcare professionals to meet this demand. Public health data indicates a projected growth in the aging population, leading to an increased need for long-term care services in nursing homes. However, despite this growing demand, there is a shortage of registered nurses and nursing aides, resulting in inadequate staffing levels in many facilities (Harrington et al., 2020). A peer-reviewed journal article highlights the gap between staffing needs and available resources in nursing homes. The study found that a higher patient-to-nurse ratio correlates with increased levels of burnout and job dissatisfaction among nursing staff. This evidence underscores the critical need to address the staffing shortage to ensure quality care for elderly residents in nursing homes (Ora et al., 2020). The identified gap between the increasing demand for long-term care services and the shortage of qualified healthcare professionals necessitates urgent action to address the economic issue of inadequate staffing in nursing homes. Failure to bridge this gap compromises the quality of care provided and jeopardizes the health and well-being of vulnerable elderly residents.

Conclusion

Inadequate staffing in nursing homes poses a significant economic burden and compromises the quality of care for elderly residents. This issue leads to increased burnout among staff, higher rates of adverse events, and unnecessary healthcare costs. Addressing the identified gap between demand and supply of healthcare professionals is critical to ensure quality care and alleviate economic strains on the healthcare system. Urgent action, including policy reforms and investments in staffing and training, is imperative to mitigate the far-reaching consequences of staffing shortages in nursing homes.

References

Kalánková, D., Kirwan, M., Bartoníčková, D., Cubelo, F., Žiaková, K., & Kurucová, R. (2020). Missed, rationed or unfinished nursing care: A scoping review of patient outcomes. Journal of Nursing Management, 28(8). https://doi.org/10.1111/jonm.12978

Omotowa, O. O., & Hussey, L. C. (2020). Nurse staffing and falls among the older adults in nursing homes • The Journal of Nursing Home Research. Www.jnursinghomeresearch.com. https://www.jnursinghomeresearch.com/2398-nurse-staffing-and-falls-among-the-older-adults-in-nursing-homes.html

Ora, C. D., Ball, J., Reinius, M., & Griffiths, P. (2020). Burnout in nursing: A theoretical review. Human Resources for Health, 18(1), 1–17. https://doi.org/10.1186/s12960-020-00469-9

NHS FPX 6008 Assessment 1 Identifying a Local Health Care Economic Issue

Perruchoud, E., Weissbrodt, R., Verloo, H., Fournier, C.-A., Genolet, A., Amoussou, J. R., & Hannart, S. (2021). The impact of nursing staffs’ working conditions on the quality of care received by older adults in long-term residential care facilities: A systematic review of interventional and observational studies. Geriatrics, 7(1), 6. https://doi.org/10.3390/geriatrics7010006

Sworn, K., & Booth, A. (2020). A systematic review of the impact of “missed care” in primary, community and nursing home settings. Journal of Nursing Management, 28(8). https://doi.org/10.1111/jonm.12969

Winter, V., Schreyögg, J., & Thiel, A. (2020). Hospital staff shortages: Environmental and organizational determinants and implications for patient satisfaction. Health Policy, 124(4), 380–388. https://doi.org/10.1016/j.healthpol.2020.01.001

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