Sharing Lessons From Successes: Long-term Care Facilities That Weathered the Storm of COVID-19 and Staffing Crises. Issue 1 (26th January 2023)

• Record Type: Journal Article
• Authors: Martin, Nicky; Frank, Barbara; Farrell, David; Brady, Cathie; Dixon-Hall, Janice; Mueller, Jessica; Rantz, Marilyn
• Is Part Of: Journal of nursing care quality. Volume 38:Issue 1(2023)
• Page Start: 19
• Page End: 25
• Publication Date: 2023-01-26
• Subjects: consistent assignment -- COVID-19 -- long-term care facilities -- positive deviants -- staffing -- staffing stability; Nursing -- Standards -- Periodicals; Nursing audit -- Periodicals; Health facilities -- Safety measures -- Periodicals; Nurse administrators -- Periodicals; 610.73
• DOI: 10.1097/NCQ.0000000000000662
• Languages: English
• ISSNs: 1057-3631

Abstract

Abstract : Purpose: To identify leadership styles and staffing strategies in Missouri long-term care (LTC) facilities that stood out among their peers as "positive deviants" with regard to COVID-19 infections and staffing shortages. Methods: Statewide survey of all LTC facilities to identify exemplar facilities with stable staffing and low rates of COVID-19. Interviews with senior leaders were conducted in 10 facilities in the state to understand the strategies employed that led to these "positive outliers." A result-based educational program was designed to describe their actions and staff reactions. Results: Exemplar leaders used transformational leadership style. Top reasons for their success were as follows: (1) trusting and supportive staff relationships; (2) positive presence and communication; and (3) use of consistent staffing assignments. Strong statewide participation was noted in the educational programs.