Significance of The Problem in Terms of Patient Outcomes

 

Understaffing has resulted in several issues for the patients, including isolation, neglect, and improper safety conditions. By considering the acquired data, one can review the ways in which investing in more employees could help. Some of the problems that proper funding can aid overcome are underpayment, stressful working conditions, and improper training. In addition, the lack of adequate measures in infection control and prevention can be solved with an increase in monetary support. As the Government Accountability Office reports, in the period of time between 2013 and 2017, 82% of nursing homes were deficient in those aspects (White House, 2022). The article accentuates some of the consequences residents had, such as severe weight loss and higher depression rates. Data from the Centers for Medicare and Medicaid Services is used for this research. Moreover, the film depicts some of the measures that are currently being taken to improve the situation. That way, many lives will be saved, and there will be higher chances of positive health outcomes for nearly 1.1 million nursing home patients.

PICOT Question

  • P = senior members of the society
  • I = how is the patient safety culture in nursing homes implemented
  • C = compared to care homes for older people
  • O = be of assistance in enhancing safety
  • T = for the period of patients’ stay in nursing homes

The Purpose of the Paper

The purpose of the paper was to review the data that was acquired during the pandemic. That way, the team could review the statistics related to the shortage of staff and the consequences for the residents and their families. Having analyzed this information, they offer solutions and describe the measures that should be taken and the ones that are currently being implemented to solve this problem.

Levels of Evidence

Identify the Type of Question Being Asked

The question being asked is, “What are the consequences of understaffing in nursing homes?” The type of this question is meaningful, as it considers the patients’ experiences and concerns.

The Best Type of Evidence to Answer That Question

The question asked in this study can be answered by qualitative analysis. The goal is to review the impact – the improvement or deterioration of the quality of nursing due to the shortage of staff in nursing homes. This can be assessed by collecting information related to the matter. It will provide context, explain the importance of the problem, and specify the measures that can be taken to prevent further deterioration of the situation. Thus, this information can be used to improve outcomes and care in nursing homes.

Search Strategy

List of Search Terms and Results

The search strategy applied in this study contained such words as “nursing home,” “staff shortage,” and “consequences.”It was important to avoid outdated sources and the ones that reviewed the matter outside of the US. The use of professional websites helped ensure that the gathered information would be relevant. This led to the discovery of the following file: The Consumer Voice. (2022). Inadequate Staffing During the COVID-19 Pandemic. National Consumer Voice. https://theconsumervoice.org/uploads/files/issues/suffering-in-lockdown.pdf

2nd article

Clinical Question Section/Description of the Problem

COVID-19 has drawn extra attention to the problems and disparities in healthcare, causing multiple debates and discussions. The following study reviews the correlation between COVID-19 deaths, understaffing in nursing homes, Medicaid users, racial and ethnic minorities. There is an implication of injustice in the situation, as it is stated that the latter three groups were more severely affected by the pandemic than the other ones. The study suggests reviewing crucial facility characteristics as well, as they may mean the difference between possible positive and negative outcomes.

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Significance of The Problem in Terms of Patient Outcomes

The groups depicted in the study (elderly people, racial and ethnic minorities) are at risk of COVID and similar conditions. Due to immune and physical functions, they are disproportionately affected by the disease. The disparity among ethnic minorities and Medicaid users is another crucial feature, as they represent the highest numbers of COVID cases. According to the ethnic research dataset, the share of adults that are at risk of COVID stands at 34% for American Indian/Alaska Natives, 27% for black, and 23% for Native Hawai

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