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Nontraditional staffing models in long-term care

¹Kendal Corporation, Kennett Square, Pennsylvania 19348, USA.

Journal of Gerontological Nursing

|November 14, 1998

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Implementing new primary care models in long-term care facilities improves resident care quality and consistency while reducing costs. An all-licensed nursing staff model shows promise for higher acuity needs and staff shortages.

Area of Science:

Geriatric Care
Healthcare Management
Nursing Administration

Background:

Long-term care facilities face challenges in providing consistent, high-quality resident care.
Increasing resident acuity and a shortage of qualified nursing assistants necessitate innovative care models.
Current primary care models may not fully address these evolving demands.

Purpose of the Study:

To evaluate three primary care models for their impact on quality, consistency, and cost in long-term care.
To determine the most effective model for addressing higher resident acuity and nursing staff shortages.
To provide data supporting the adoption of efficient and effective care strategies.

Main Methods:

Comparative analysis of three distinct primary care models across five long-term care facilities.

Related Experiment Videos

Assessment of resident, family, and staff satisfaction levels.

Financial analysis including cost per resident per day and staff turnover rates.

Main Results:

All three evaluated models demonstrated improvements in care quality and consistency.
The all-licensed nursing staff model appears best suited for high-acuity residents and staffing challenges.
Primary team and all-licensed staff models resulted in an average cost reduction of $10 per resident per day.

Conclusions:

Primary care model redesign in long-term care offers significant benefits in quality, consistency, and cost-efficiency.
The all-licensed nursing staff model presents a viable solution for complex care needs and workforce issues.
Long-term care facilities must adopt leaner, more efficient operational strategies, similar to hospital advancements.