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Sharing Lessons From Successes: Long-term Care Facilities That Weathered the Storm of COVID-19 and Staffing Crises
Nicky Martin1, Barbara Frank, David Farrell
1Sinclair School of Nursing, University of Missouri, Columbia (Mss Martin, Dixon-Hall, and Mueller and Dr Rantz); B&F Consulting, Warren, Rhode Island (Ms Frank); Alameda County Public Health Department, Oakland, California (Mr Farrell); and B&F Consulting, Charlestown, Rhode Island (Ms Brady).
Purpose:
To identify leadership styles and staffing strategies in Missouri long-term care (LTC) facilities that stood out among their peers as "positive deviants" with regard to COVID-19 infections and staffing shortages.
Methods:
Statewide survey of all LTC facilities to identify exemplar facilities with stable staffing and low rates of COVID-19. Interviews with senior leaders were conducted in 10 facilities in the state to understand the strategies employed that led to these "positive outliers." A result-based educational program was designed to describe their actions and staff reactions.
Results:
Exemplar leaders used transformational leadership style. Top reasons for their success were as follows: (1) trusting and supportive staff relationships; (2) positive presence and communication; and (3) use of consistent staffing assignments. Strong statewide participation was noted in the educational programs.
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