Complete the required information related to the HSO type and problem of interest. Make sure to do the following: Using the information from the Di

APA format, in-text citation, references include

  • Complete the required information related to the HSO type and problem of interest. Make sure to do the following:
    • Using the information from the Discussion create no more than 1-2 sentences that describe the HSO type and problem of interest.
  • Complete the required information for the Problem of Interest on the planning form.
    • Using the information from the previous discussion, create no more than 1-2 sentences that describe the Problem of Interest in the appropriate space on the form.
    • Attach 1 PDF source to your initial posting that supports the Problem of Interest.
      • Make sure to have a reference list and 1 PDF source with your initial posting.

Peer Review:

I enjoyed reading your comprehensive post in which you provided an overview of your health service organization (HSO) of choice and your research interest.  In my evaluation of your post, I found that you adequately addressed the requirements of the history, services provided, governing regulatory bodies, and stakeholders of the HSO chosen. 

Regarding the issue of workforce shortage in long-term care (LTC) facilities, a report by the American Health Care Association (AHCA) (2024) indicated that 99 percent of nursing homes have job vacancies, of which 89 percent are for registered nurses, and 72 percent of facilities report shortages increased post-Covid-19 pandemic.  Additionally, 42 percent of LTC facilities have had to limit their admissions due to poor staffing, with almost 20 percent having to close one or more departments and 66% concerned about the potential of having to close if their workforce shortage issue is not addressed soon (AHCA, 2024).  This issue can have several implications for the LTC sector, including financial loss, staff burnout leading to worsening shortages, and poor patient outcomes.  Additionally, it can result in implications for other health sectors, such as acute hospitals, impeding the timely discharge of patients who require LTC services (Heiks & Sabine, 2022).

Your choosing to focus on this and similar healthcare topics related to the LTC sector will contribute to finding solutions to such existing problems.

 

References

American Health Care Association (AHCA). (2024, March 5).  State of the sector: Nursing home labor staffing shortages persist despite unprecedented efforts to attract more staff.  hcancal.org/News-and-Communications/Press-Releases/Pages/State-Of-The-Sector-Nursing-Home-Staffing-Shortages-Persist-Despite-Unprecedented-Efforts-To-Attract-More-Staff-.aspx

Heiks, C., & Sabine, N. (2022, December 31).  Long-term care and skilled nursing facilities. National Institutes of Health. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9894029/

Peer review 2:

Hello Kelly,

Thank you for sharing your research interests with the class. Long-term care is experiencing a significant shift in a number of areas. COVID-19 did exacerbate staffing challenges globally. However, staffing shortages related to COVID-19 have been extensively researched. I wonder if there might be another aspect of operating a long-term care organization that might be a problem. For example, there are a number of closures in my state (Nebraska). Access is going to be a problem. 

Please see eight domains listed here. They may help you further home in on a potential problem. 

General management  is the use of analytic, problem solving, and systems thinking skills to facilitate, support, and implement decision-making within an organization. 

Financial management  is the use of financial analysis, reimbursement techniques and strategies, financial outcome measures, and financial planning to achieve organizational objectives.

Human resource management  is the use of effective workforce planning, performance management, labor relations, and federal regulation compliance regarding employees of an organization. 

Organizational dynamics and governance  are the use of governance structures and organizational leadership to foster trust and effectively support operational systems in order to achieve organizational goals. 

Strategic planning and marketing  are setting organizational direction and strategies based on an understanding of the market and market forces and communicating an organization’s capabilities and strengths to consumers.

Information management  is the use of hard and soft technologies to promote managerial and clinical efficiency for improved health care delivery while planning for future organizational needs. 

Risk management  is the use of liability, compliance, and related information to implement strategies to mitigate risk, avoid malpractice, and plan for disasters.

Quality improvement  is the application of techniques that continually improve the quality of care provided, patient safety, organizational performance, and the financial health of the organization. 

,

Students | Complete your DHA project planning using this form. This form must be completed exactly as instructed in the appendix to be approved. For additional information and resources, refer to the DHA Project Completion page. There are five sections on the form to complete that must be approved by your committee. The six sections include:

1. Research Problem

2. Purpose and Review Question

3. Framework

4. Significance

5. Research Alignment Table

6. Appendix (The appendix provides examples and instructions on how to complete this form)

Submit this completed form into MyDR for formal evaluation and feedback when your project mentor indicates that you are ready to do so.

Student’s Name | Click or tap here to enter text. Student ID | Click or tap here to enter text.

Program | DHA Submission Date | Click arrow to select a date.

*Remember that your study focus must be within the realm of your program and specialization area.

Evaluators Only | Complete this section and provide feedback on responses and rubric scores in the form where noted.

Mentor’s Name | Click or tap here to enter text. Overall Assessment: Choose an item.

Co-Mentor’s Name | Click or tap here to enter text. Overall Assessment: Choose an item.

Working Title

(Click here for instructions and examples)

Provide a concise (aim for 12 words or fewer) working title for this study. (Be sure to include your HSO type and practice-based problem.)

Addressing Workforce Shortages in Long-Term Care Facilities: Strategies for Improving Retention and Patient Outcomes.

Section 1: Practice-based Problem

(Click here for instructions and examples)

Healthcare Services Organization (HSO) Type

With no more than 1-2 sentences identify and describe your selected HSO type.

Long-term care (LTC) facilities are healthcare organizations that provide extended care to elderly or disabled patients requiring nursing care.

HSO Problem of Interest

What is the healthcare services organization (HSO) problem of interest that prompted you to search the literature to find out more? Write only 1-2 complete sentences using a scholarly tone.

The long-term care industry is facing severe workforce shortages, particularly after the COVID-19 pandemic, leading to reduced quality of care and facility closures.

Healthcare Administration Problem

In one sentence, what is your healthcare administration problem? This will be more focused than the problem of interest noted above.

A critical healthcare administration problem is the inability of long-term care facilities to attract and retain enough qualified healthcare professionals, particularly registered nurses.

Health Administration Research Domains

Which DHA research domain does your healthcare administration problem align with?

Human resource management and quality improvement.

Healthcare Administration Research Problem Justification Sources

Provide a minimum of 3 sources that clearly state in the conclusion or research findings of the published source that a healthcare administration problem currently exists.

Source 1

(Required)

Full APA Citation:

Gleckman, H., & Favreault, M. M. (2021). Reforming Long-Term Care with Lessons from the COVID-19 Pandemic.

Purpose of Research (1 sentence only):

To examine workforce shortages in LTC facilities post-COVID-19.

Author’s Conclusion or Results of Research (1 sentence only):

The study found that LTC facilities are experiencing critical workforce shortages, especially in nursing positions.

How this relates to my study (1 sentence only):

This source highlights the workforce challenges that contribute to my research problem of interest.

Source 2

(Required)

Full APA Citation:

American Health Care Association. (2024). State of the sector: Nursing Home Labor staffing shortages persist despite unprecedented efforts to attract more staff. Press Releases. https://www.ahcancal.org/News-and-Communications/Press-Releases/Pages/State-Of-The-Sector-Nursing-Home-Staffing-Shortages-Persist-Despite-Unprecedented-Efforts-To-Attract-More-Staff-.aspx

Purpose of Research (1 sentence only):

To evaluate the current state of staffing in nursing homes and LTC facilities.

Author’s Conclusion or Results of Research (1 sentence only):

Nearly 90% of nursing homes report staffing shortages, leading to compromised care quality.

How this relates to my study (1 sentence only):

The findings support the existence of staffing issues in LTC, which is central to my study.

Source 3

(Required)

Full APA Citation:

Sun, W., Sparks, D., Rahman, F., & Fevry, M. W. (2021). Staffing Stability in Long-Term Care Homes. Cureus Journal of Medical Science.

Purpose of Research (1 sentence only):

To investigate how workforce stabilization can impact care quality in long-term care.

Author’s Conclusion or Results of Research (1 sentence only):

Workforce stabilization leads to improved patient outcomes and operational efficiency.

How this relates to my study (1 sentence only):

This research directly relates to strategies for improving workforce retention in LTC facilities.

Practice Gap Statement

Now that you have identified a current healthcare administration problem you will compose a Practice Gap Statement (PGS) following the example and instructions in the appendix. Your PGS should not be longer that 2-3 sentences.

Workforce shortages in long-term care facilities are leading to increased staff burnout and poor patient outcomes. This gap highlights the need for effective strategies to improve workforce retention and overall care quality.

Practice Gap Sources

Provide a minimum of 1 source that clearly states desired ideal state of professional practice related to your healthcare administration problem.

Source 1

(Required)

Full APA Citation:

American Health Care Association. (2024). State of the sector: Nursing home staffing shortages persist despite unprecedented efforts to attract more staff. American Health Care Association. https://www.ahcancal.org/News-and-Communications/Press-Releases/Pages/State-Of-The-Sector-Nursing-Home-Staffing-Shortages-Persist.aspx

Desired Ideal State of Professional Practice:

The desired ideal state is for long-term care facilities to maintain adequate staffing levels to ensure quality patient care, reduce staff burnout, and minimize the negative impact on admissions and operations, ensuring a sustainable and efficient healthcare system.

Source 2

(Optional)

Full APA Citation:

Centers for Medicare and Medicaid Services (CMS). (2024). Hospital quality initiative public reporting: Nursing home care standards. CMS.gov. https://www.cms.gov/medicare/quality/initiatives/hospital-quality-initiative/hospital-compare

Desired Ideal State of Professional Practice:

The desired ideal state is for all long-term care facilities to meet national benchmarks for staffing levels and quality care standards as outlined by CMS to ensure consistent, high-quality care for vulnerable patient populations.

Section 1: Feedback and Scoring

Project mentors will provide a scoring of “Met” or “Not Met” for this section. In the case of a “Not Met” scoring detailed feedback will be included on how to successfully revise the specific elements above.

Mentor

Met ☐

Not Met ☐

Detailed Feedback:

Click or tap here to enter text.

Program

Met ☐

Not Met ☐

Detailed Feedback:

Click or tap here to enter text.

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Section 2: Purpose and Review Questions

(Click here for instructions and examples)

The research purpose and review questions must be derived entirely by the sources provided in section 1.

Research Purpose

To address your stated problem, what is the purpose of your study using no more than 1-2 sentences??

To identify and evaluate strategies for improving workforce retention in long-term care facilities, with the aim of enhancing patient care and reducing operational challenges

Review Question(s)

Conclude with your review question. (1 sentences)

What are the most effective workforce retention strategies that can be implemented in long-term care facilities to address staffing shortages and improve patient outcomes?

Section 2: Feedback and Scoring

Project mentors will provide a scoring of “Met” or “Not Met” for this section. In the case of a “Not Met” scoring detailed feedback will be included on how to successfully revise the specific elements above.

Mentor

Met ☐

Not Met ☐

Detailed Feedback:

Click or tap here to enter text.

Program

Met ☐

Not Met ☐

Detailed Feedback:

Click or tap here to enter text.

Section 3: Framework

(Click here for instructions and examples)

Framework (Conceptual or Theoretical)

What theory(ies) and/or concept(s) support (frame) your study and who are the original authors? Provide an in-text citation with your response, and the complete APA reference.

Source 1

(Required)

Full APA Citation:

Rogers, E. M., Singhal, A., & Quinlan, M. M. (2014). Diffusion of innovations. In An integrated approach to communication theory and research (pp. 432-448). Routledge.

Purpose of Framework (1 sentence only):

To explain how innovations and new ideas are adopted over time within organizations.

Key Constructs of Framework (1 sentence only):

The model includes categories like innovators, early adopters, and the majority, which determine the rate of innovation adoption.

How this relates to my study (1 sentence only):

The diffusion of innovation framework will guide the study in understanding how new retention strategies can be adopted by LTC facilities.

Source 2

(Optional)

Full APA Citation:

Click or tap here to enter text.

Purpose of Framework (1 sentence only):

Click or tap here to enter text.

Key Constructs of Framework (1 sentence only):

Click or tap here to enter text.

How this relates to my study (1 sentence only):

Click or tap here to enter text.

How do these theories and/or concepts relate to your healthcare administration problem, purpose, and review question? (no more than 2-3 sentences)

The diffusion of innovation model is critical to understanding how new workforce retention strategies can be effectively adopted in LTC facilities to reduce staff turnover and improve patient care.

Section 3: Feedback and Scoring

Project mentors will provide a scoring of “Met” or “Not Met” for this section. In the case of a “Not Met” scoring detailed feedback will be included on how to successfully revise the specific elements above.

Mentor

Met ☐

Not Met ☐

Detailed Feedback:

Click or tap here to enter text.