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Enhancing geriatric nursing care: Policy recommendations for improving long-term care quality.
Senthil T1, P Vanaja2, Femila P3
1Maharishi Markandeshwar College Of Nursing, Maharishi Markandeshwar (Deemed To Be University), Mullana - Ambala, Haryana 133207, India.
Geriatric Nursing (New York, N.Y.)
|May 29, 2026
Summary
Effective nursing home policies require integrated investments across all care domains to ensure quality and equity for older adults. Coherent reforms grounded in the Integrated Long-Term Care framework are essential for sustainable geriatric nursing.
Area of Science:
- Geriatric Nursing
- Health Policy Analysis
- Long-Term Care Systems
Background:
- Aging populations increase demand for nursing home long-term care (LTC).
- Nursing home systems face challenges: workforce shortages, fragmented financing, integration issues, and variable oversight.
- Geriatric nursing is crucial for care quality, safety, and system sustainability.
Purpose of the Study:
- Critically examine nursing home-based LTC policies.
- Utilize the World Health Organization's Integrated Long-Term Care (ILTC) framework.
- Identify strengths, gaps, and opportunities for system improvement in LTC.
Main Methods:
- Comparative policy analysis across selected countries.
- Structured analysis around the five ILTC domains: person-centered care, workforce capacity, sustainable financing, integrated service delivery, and governance/accountability.
Main Results:
- High-performing nursing home systems demonstrate aligned investments across ILTC domains.
- Fragmented policy approaches negatively impact care quality and equity.
- Integration across ILTC domains is key to system performance.
Conclusions:
- Strengthening geriatric nursing necessitates coherent, needs-based policy reform.
- The ILTC framework provides a foundation for improving nursing home care.
- Policy reform aims to ensure dignified, high-quality care for older adults.
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