Nursing Homes Struggled with Maintaining Staffing and Disparities Widened During the First Year of the COVID-19 Pandemic.

IF 2.1 3区社会学 Q2 GERONTOLOGY

Journal of Aging & Social Policy Pub Date : 2025-09-24 DOI:10.1080/08959420.2025.2563440

Micah Segelman, Kristie A Porter, Angela Gasdaska, Galina Khatutsky, Zhanlian Feng, Nathan Rowan, Denise A Tyler

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Abstract

Nursing homes have historically struggled to maintain adequate nurse staffing. We analyzed Payroll Based Journal data linked to other publicly available sources and conducted interviews to understand changes in nurse staffing between 2019 and 2020. We found large declines in total staffing hours, but slight increases in staffing measured as hours per resident day (HPRD). Staffing was nonetheless a major challenge for nursing homes because they required increased staffing due to the impact of the pandemic. Nursing homes in higher quartiles of percentage of racial/ethnic minority residents served lost more nurse staffing HPRD relative to nursing homes in the lowest quartile of minority residents. Mitigating disparities between nursing homes is central to strengthening the workforce and improving care delivered in nursing homes. Policymakers may consider policies to address the outcome disparities resulting from COVID-19 by considering more targeted resources to nursing homes in underserved areas where these health disparities are more prominent.

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在2019冠状病毒病大流行的第一年，养老院难以维持人员配备，差距扩大。

养老院一直在努力维持足够的护士人手。我们分析了与其他公开来源相关的Payroll Based Journal数据，并进行了采访，以了解2019年至2020年期间护士人员配置的变化。我们发现总工作时数大幅下降，但以每居民日工作时数（HPRD）衡量的工作时数略有增加。尽管如此，人员配备对养老院来说仍是一项重大挑战，因为由于大流行的影响，养老院需要增加人员配备。相对于少数族裔居民中最低四分位数的养老院，少数族裔居民中较高四分位数的养老院的HPRD护士人员流失更多。减轻养老院之间的差距对于加强劳动力队伍和改善养老院提供的护理至关重要。政策制定者可以考虑制定政策，解决COVID-19造成的结果差异，考虑向服务不足地区的养老院提供更有针对性的资源，这些地区的健康差异更为突出。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Aging & Social Policy GERONTOLOGY-

CiteScore

13.00

自引率

3.90%

发文量

期刊介绍： The Journal of Aging & Social Policy offers a platform for insightful contributions from an international and interdisciplinary group of policy analysts and scholars. It provides an in-depth examination and analysis of critical phenomena that impact aging and the development and implementation of programs for the elderly from a global perspective, with a broad scope that encompasses not only the United States but also regions including Europe, the Middle East, Australia, Latin America, Asia, and the Asia-Pacific rim. The journal regularly addresses a wide array of issues such as long-term services and supports, home- and community-based care, nursing-home care, assisted living, long-term care financing, financial security, employment and training, public and private pension coverage, housing, transportation, health care access, financing, and quality, family dynamics, and retirement. These topics are of significant importance to the field of aging and social policy, reflecting the journal's commitment to presenting a comprehensive view of the challenges and solutions related to aging populations around the world.