The Impact of Nurse Delegation Regulations on the Provision of Home Care Services: A 4-State Case Study

Increased training and input from registered nurses is needed to identify appropriate health maintenance tasks to delegate to home care workers and to support development of training strategies. Using a qualitative case study approach, 4 states were selected with varying levels of restrictions in their nurse delegation regulations to conduct interviews. The researchers spoke with…

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…

Racial Disparities in Financial Security, Work and Leisure Activities, and Quality of Life Among the Direct Care Workforce

Personal care, home health, and nursing aides provide the majority of care to chronically ill and disabled older adults. This workforce faces challenging working conditions, resulting in high turnover and workforce instability that affect the quality of care for older adults. This study adds to the literature by examining racial and ethnic disparities in well-being…

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,…

The Role of Schedule Volatility in Home Health Nursing Turnover

Despite considerable research on nursing turnover, few studies have considered turnover among nurses working in home health care. Between 2016 and 2019, the average annual separation rate of home health nurses was over 30%, with most separations occurring voluntarily. Schedule volatility and turnover were positively associated for full-time nurses, but not for part-time nurses. This…

Workforce Displacement and Re-employment During the COVID-19 Pandemic: Implications for Direct Care Workforce Recruitment and Retention

Demand is rising for direct care workers (including personal care aides, home health aides, and nursing assistants), but recruitment and retention challenges are widespread. While the COVID-19 pandemic has greatly exacerbated these challenges, it has also created a new labor pool of millions of workers who have been displaced from occupations with similar entry-level requirements….

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