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Comparing Disaster-Related Surge Staffing Practices Across Rural and Non-Rural Nursing Homes.

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PubMed
Summary
This summary is machine-generated.

Rural nursing homes had lower baseline staffing but increased intensity post-disaster. They relied more on routine staff but struggled to increase licensed nurses, highlighting disparities in disaster preparedness.

Keywords:
disaster responsenursing homesolder adultsruralstaffing

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Area of Science:

  • Healthcare Management
  • Disaster Preparedness
  • Nursing Home Operations

Background:

  • Understanding disaster-related staffing differences between rural and non-rural nursing homes is crucial for targeted preparedness.
  • Existing research lacks clarity on how facility location impacts disaster response staffing.

Purpose of the Study:

  • To compare disaster-related staffing intensity and composition changes in rural versus non-rural nursing homes following Hurricane Michael.
  • To identify distinct staffing strategies employed by nursing homes based on their geographic location during a natural disaster.

Main Methods:

  • Retrospective cohort study of 361 nursing homes impacted by Hurricane Michael (2018).
  • Comparative interrupted time series design analyzing staffing from 30 days pre- to 7 days post-landfall.
  • Outcomes included total staffing intensity, licensure composition (RNs, LPNs), and employment composition (routine vs. contractor staff) using CMS Payroll Based Journal data.

Main Results:

  • Rural nursing homes exhibited 8% lower baseline total staffing intensity compared to non-rural facilities.
  • Post-disaster, rural facilities increased staffing intensity by an additional 4% relative to non-rural facilities.
  • Rural facilities increased routine staff representation but decreased licensed nurse representation compared to non-rural facilities' post-disaster changes.

Conclusions:

  • Disaster events may exacerbate pre-existing staffing disparities between rural and non-rural nursing homes.
  • While rural facilities boosted overall staffing and routine staff, they could not increase licensed nurse staffing post-disaster.
  • Findings underscore the influence of baseline staffing, local workforce conditions, and geographic location on disaster staffing strategies in nursing homes.