NHS FPX 6008 Assessment 3 Business Case for Change

Name

Capella University

NHS-FPX 6008 Economics and Decision Making in Health Care

Prof. Name

Date

Business Case for Change

Hello, everyone. I am _____. I am here to address the pressing issue of inadequate staffing in nursing homes. This challenge poses significant economic implications that impact the quality of care, healthcare costs, and the well-being of residents and healthcare professionals. Through a thorough examination of the data, we will delve into the complexities of this issue and propose evidence-based solutions to alleviate its effects. We aim to identify the challenges and offer practical remedies that can substantially improve staffing levels and, ultimately, resident care outcomes.

Problem and the Impact of Healthcare Economic Issues

Inadequate staffing in nursing homes is a significant healthcare economic issue that profoundly impacts the quality of care, healthcare costs, and the well-being of healthcare professionals and residents. This issue directly affects my ability to provide high-quality care and has far-reaching consequences for my colleagues, our organization, and the community. As a healthcare practitioner, I have witnessed the detrimental effects of understaffing, and I am deeply committed to advocating for meaningful changes to address this crisis. The correlation between higher patient-to-nurse ratios and increased burnout and job dissatisfaction among nursing staff is evident in nursing homes (Efobi, 2022). Personally, working in understaffed environments has been overwhelming, making it challenging to maintain the standard of care that residents deserve. This is not just my experience; my colleagues are also profoundly affected.

The increased workload and limited resources lead to higher stress levels, decreased job satisfaction, and high turnover rates. This creates a cycle of staffing shortages that continually impacts our ability to provide consistent, high-quality care (Efobi, 2022).Inadequate staffing in organizations like nursing homes can compromise care quality and increase the risk of adverse events such as falls, pressure ulcers, and medication errors (Nhongo et al., 2022). These incidents threaten residents’ health and safety and lead to significant economic costs due to additional medical interventions and extended hospital stays. Nursing homes with insufficient staffing also face higher rates of hospital readmissions, further burdening the healthcare system. Considering the long-term cost-effectiveness of investing in adequate staffing and implementing comprehensive policy reforms to address these issues (Nhongo et al., 2022).

NHS FPX 6008 Assessment 3 Business Case for Change

Vulnerable populations, including minority and low-income communities, bear a disproportionate burden from inadequate staffing in nursing homes. Public health data reveals that these communities depend heavily on nursing home care but encounter more difficulty accessing facilities with sufficient staffing (Hege et al., 2021). This disparity worsens existing socioeconomic and diversity gaps, resulting in poorer health outcomes for disadvantaged groups. Achieving equitable access to quality care for all residents, regardless of background, demands targeted interventions and policy reforms to address this ethical imperative (Hege et al., 2021).

Analyzing the financial and economic factors, such as cost-benefit, supply and demand, return on investment, and risks, highlights the substantial impact of inadequate staffing on patient care and organizational operations. While increasing staffing levels incur initial costs, the long-term benefits are significant. Improved staffing ratios correlate with better resident outcomes, reduced adverse events, and lower healthcare costs (Harrington et al., 2022). The return on investment is evident through decreased hospital readmissions, fewer legal liabilities, and a more stable and satisfied workforce.

NHS FPX 6008 Assessment 3 Business Case for Change

Investing in adequate staffing enhances care quality and promotes organizational efficiency and sustainability (Harrington et al., 2022). Addressing the economic challenge of inadequate staffing in nursing homes is crucial for enhancing care quality, lowering healthcare expenditures, and ensuring fair access to healthcare services. As a healthcare practitioner, I advocate for these essential reforms. Through investments in staffing, improved training programs, recruitment and retention incentives, and policy changes, we can establish a nurturing and inclusive workplace that benefits residents and healthcare staff. The time for decisive action is now, and by collaborating, we can profoundly impact the lives of nursing home residents and the dedicated professionals caring for them. Let us strive for a future where every resident receives the quality care they deserve and every healthcare worker feels valued and supported in their vital role (Berridge et al., 2020).

Considering Feasibility and Cost-Benefit Analysis

The feasibility and cost-benefit considerations of addressing the healthcare economic issue of inadequate staffing in nursing homes are critical. Research indicates that higher staff-to-resident ratios lead to better resident outcomes and reduced adverse events. For example, Blatter et al. (2023) found a significant correlation between higher patient-to-nurse ratios and increased rates of adverse events such as pressure ulcers, falls, and medication errors. Addressing staffing shortages through increased recruitment and training programs can save costs by reducing healthcare costs associated with preventable adverse events and hospital readmissions. Mitigating risks to healthcare organizations’ financial security requires proactive measures. Reducing these risks includes recruiting and retaining staff and offering competitive salaries, benefits, and career advancement opportunities. These investments enhance staff satisfaction and reduce turnover, improving resident outcomes and organizational stability (Sharma & Xu, 2022).

Leveraging technology and process improvements can streamline operations, improve efficiency, and reduce costs. Implementing electronic health records (EHRs) and automated medication dispensing systems can minimize errors and optimize resource utilization (Clancy, 2020). Healthcare organizations can mitigate financial risks by exploring alternative funding sources. Partnering with community organizations, engaging in telemedicine services, or offering specialized programs can supplement traditional revenue sources and enhance economic stability (Groom et al., 2021). Addressing inadequate staffing in nursing homes requires careful consideration of feasibility and cost-benefit considerations. By investing in staff recruitment and retention, implementing technology and process improvements, and diversifying revenue streams, healthcare organizations can mitigate risks to financial security while improving resident outcomes and care quality.

Proposed Solutions to Address Inadequate Staffing in Nursing Homes

To address the economic issue of inadequate staffing in nursing homes, I propose implementing several vital changes and solutions to improve staffing levels, enhance staff training and support, and leverage technology to optimize efficiency. These changes are essential for mitigating the adverse effects of understaffing, promoting better care outcomes for residents, and benefiting the organization, colleagues, and the community. Firstly, investing in increased staffing levels is paramount. Research has consistently shown that higher patient-to-nurse ratios are associated with better care quality and reduced adverse events in nursing homes (Blatter et al., 2023).

Hiring additional nursing staff and ensuring adequate coverage can enhance resident safety, improve care outcomes, and reduce healthcare costs associated with preventable complications. Secondly, providing comprehensive training and support programs for staff is essential. By investing in ongoing education and professional development opportunities, we can empower our healthcare professionals to deliver high-quality care and adapt to the complex needs of residents (Mlambo et al., 2021). Training programs focused on geriatric care, cultural competence, and emergency response will equip staff with the necessary skills to provide personalized and effective care, ultimately improving resident outcomes and satisfaction.

Additionally, leveraging technology solutions can help optimize staffing efficiency and resource allocation. Implementing electronic health record systems, predictive analytics, and scheduling software can help match staffing levels more effectively with resident acuity and care needs. By streamlining workflow processes and reducing administrative burden, technology can improve overall efficiency and ensure appropriate staffing levels, enhancing care quality and mitigating financial risks associated with inadequate staffing (Clancy, 2020). The potential benefits of implementing these changes are significant for our organization, colleagues, and the community. Improving staffing levels and enhancing staff training and support can reduce turnover rates, increase staff satisfaction, and create a more positive work environment (Sharma & Xu, 2022). This, in turn, can lead to improved care outcomes, reduced healthcare costs, and enhanced resident satisfaction and well-being. Moreover, investing in adequate staffing and training programs demonstrates our commitment to providing high-quality care. It ensures that nursing homes remain a vital resource for the community, particularly for vulnerable populations.

Ethical Solutions and Culturally Sensitive

In implementing the proposed solution to address inadequate staffing in nursing homes, it is imperative to ensure that the approach is culturally sensitive, ethical, and equitable within the community and healthcare setting. This entails considering the diverse needs and backgrounds of residents and staff while prioritizing fairness and accessibility across all groups in the community. Cultural sensitivity is vital in providing care that respects and honors residents’ cultural beliefs, values, and preferences. By offering culturally competent care, we can create a supportive and inclusive environment where residents feel understood and respected. This may involve providing language interpretation services, incorporating cultural traditions into care plans, and training staff on cultural competence and humility (Kawamala, 2021). Ethical considerations ensure that the proposed solution upholds beneficence, non-maleficence, and justice principles.

It is essential to prioritize the well-being and dignity of residents while also considering the ethical implications for staff and the broader community. This may involve implementing transparent and fair staffing policies, ensuring adequate resources and staff support, and addressing potential conflicts of interest or power differentials (Artisensi & Hansen, 2022). Equity in access and cost is crucial to ensuring that the benefits of the proposed solution are distributed fairly across all groups in the community. This means removing barriers to access, such as financial constraints or geographic limitations, and ensuring that care is affordable and accessible to all residents, regardless of their socioeconomic status or background. Additionally, efforts should be made to address disparities in access to care and resources, particularly for marginalized or underserved populations (Sohi et al., 2020).

By incorporating these cultural sensitivity, ethics, and equity principles into the proposed solution, we can ensure that the changes implemented to address inadequate staffing in nursing homes do not unfairly burden or disadvantage any specific groups. Instead, they promote a more inclusive and equitable healthcare environment where all residents receive high-quality care that respects their cultural values and individual needs.

Conclusion

In conclusion, addressing inadequate staffing in nursing homes is crucial for enhancing care quality, lowering healthcare costs, and ensuring equitable access to services. Investments in staffing, training, technology, and policy reforms are essential for improving resident outcomes and supporting healthcare professionals. Upholding cultural sensitivity, ethics, and equity principles ensures fair and inclusive care. Collaborative efforts and evidence-based strategies can create a future where every resident receives quality care, and healthcare workers feel valued.

References

Artisensi, J. L. J. -, & Hansen, K. E. (2022). Quality of life and well-being for residents in long-term care communities. In Human well-being research and policy making. Springer International Publishing. https://doi.org/10.1007/978-3-031-04695-7

Berridge, C., Lima, J., Schwartz, M., Bishop, C., & Miller, S. C. (2020). Leadership, staff empowerment, and the retention of nursing assistants: Findings from a survey of U.S. nursing homes. Journal of the American Medical Directors Association, 21(9), 1254-1259.e2. https://doi.org/10.1016/j.jamda.2020.01.109

Blatter, C., Osińska, M., Simon, M., & Zúñiga, F. (2023). The relationship between nursing home staffing and resident Safety outcomes: A systematic review of reviews. International Journal of Nursing Studies, 150, 104641–104641. https://doi.org/10.1016/j.ijnurstu.2023.104641

Clancy, T. R. (2020). Technology solutions for nurse leaders. Nursing Administration Quarterly, 44(4), 300–315. https://doi.org/10.1097/naq.0000000000000439

Efobi, O. C. (2022). Poor management skills: “A contributing factor to high turnover rate in nursing homes.” Fortune Journal of Health Sciences, 5(2), 232–242. https://fortuneonline.org/articles/poor-management-skills-ldquoa-contributing-factor-to-high-turnover-rate-in-nursing-homesrdquo.html

NHS FPX 6008 Assessment 3 Business Case for Change

Groom, L. L., Carthy, M. M. M., Stimpfel, A. W., & Brody, A. A. (2021). Telemedicine and telehealth in nursing homes: An integrative review. Journal of the American Medical Directors Association, 22(9). https://doi.org/10.1016/j.jamda.2021.02.037

Harrington, C., Dellefield, M. E., Halifax, E., Fleming, M. L., & Bakerjian, D. (2020). Appropriate nurse staffing levels for U.S. nursing homes. Health Services Insights, 13. https://doi.org/10.1177/1178632920934785

Hege, A., Lane, S., Spaulding, T., Sugg, M., & Iyer, L. S. (2021). County-level social determinants of health and COVID-19 in nursing homes, United States, June 1, 2020–January 31, 2021. Public Health Reports, 003335492110536. https://doi.org/10.1177/00333549211053666

Kawamala, P. N. (2021). The role of cultural consciousness and knowledge development in managing multicultural staff in norwegian nursing homes. Oda.oslomet.no. https://oda.oslomet.no/oda-xmlui/handle/11250/2766125

Mlambo, M., Silén, C., & McGrath, C. (2021). Lifelong learning and nurses’ continuing professional development, a metasynthesis of the literature. BMC Nursing, 20(62), 1–13. https://bmcnurs.biomedcentral.com/articles/10.1186/s12912-021-00579-2

Nhongo, D., Holt, A., Flenady, T., Rebar, A., & Bail, K. (2022). Nurse staffing and adverse events in residential aged care: Retrospective multi-site analysis. Collegian, 30(2). https://doi.org/10.1016/j.colegn.2022.09.017

NHS FPX 6008 Assessment 3 Business Case for Change

Sharma, H., & Xu, L. (2022). Association between wages and nursing staff turnover in Iowa nursing homes. Innovation in Aging, 6(4). https://doi.org/10.1093/geroni/igac004

Sohi, S. C., Panagioti, M., White, G. D., Giles, S., Riste, L., Kirk, S., Ong, B. N., Poppleton, A., Campbell, S., & Sanders, C. (2020). Patient safety in marginalised groups: A narrative scoping review. International Journal for Equity in Health, 19(1). https://doi.org/10.1186/s12939-019-1103-2