End-of-life care in nursing homes: The high cost of staff turnover

Virginia Tilden, Sarah A. Thompson, Byron J. Gajewski, Marjorie J. Bott

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Nursing home staff turnover results in high cost - both economic and personal - and has a negative impact on the quality of care provided to residents at the end of life. Reducing staff turnover in nursing homes would benefit both the cost to the U.S. health care system, and, most importantly, the care residents receive in the vulnerable period leading to death. There is rising pressure on nursing homes to improve their palliative and end-of-life care practices and reduce transfers to hospital for situations and conditions that can be safely managed on site. Nursing care staff deserve an investment in the specific training necessary for them to give the highest quality care to dying residents. This training should be multifaceted and include the physiological, psychological, spiritual, interpersonal, and cultural (including ethnic) aspects of dying. Empowerment with these necessary knowledge, skills, and attitudes will not only result in better care for residents but likely also will reduce the burnout and frustration staff experience in caring for residents near death.

Original languageEnglish (US)
Pages (from-to)163-166
Number of pages4
JournalNursing Economics
Volume30
Issue number3
StatePublished - May 2012
Externally publishedYes

Fingerprint

Terminal Care
Nursing Homes
Quality of Health Care
Nursing Staff
Costs and Cost Analysis
Frustration
Nursing Care
Cost-Benefit Analysis
Economics
Psychology
Delivery of Health Care
Pressure

ASJC Scopus subject areas

  • Leadership and Management

Cite this

Tilden, V., Thompson, S. A., Gajewski, B. J., & Bott, M. J. (2012). End-of-life care in nursing homes: The high cost of staff turnover. Nursing Economics, 30(3), 163-166.

End-of-life care in nursing homes : The high cost of staff turnover. / Tilden, Virginia; Thompson, Sarah A.; Gajewski, Byron J.; Bott, Marjorie J.

In: Nursing Economics, Vol. 30, No. 3, 05.2012, p. 163-166.

Research output: Contribution to journalArticle

Tilden, V, Thompson, SA, Gajewski, BJ & Bott, MJ 2012, 'End-of-life care in nursing homes: The high cost of staff turnover', Nursing Economics, vol. 30, no. 3, pp. 163-166.
Tilden V, Thompson SA, Gajewski BJ, Bott MJ. End-of-life care in nursing homes: The high cost of staff turnover. Nursing Economics. 2012 May;30(3):163-166.
Tilden, Virginia ; Thompson, Sarah A. ; Gajewski, Byron J. ; Bott, Marjorie J. / End-of-life care in nursing homes : The high cost of staff turnover. In: Nursing Economics. 2012 ; Vol. 30, No. 3. pp. 163-166.
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