Nursing Home Basics
System Failures
Staffing & Care
Resident Safety
Fixing the System
100

This type of care supports older adults who can no longer live independently at home.

What is Nursing Home Care?

100

These interconnected organizational problems affect multiple parts of nursing home care.

What are Systematic Failures?

100

These employees often experience demanding working conditions, limited resources, and poor job satisfaction.

Who are Nursing Home Staff?

100

Nursing homes may receive regulatory reprimands for unacceptable practices or practices described by this word.

What is Unsafe?

100

According to the researchers, meaningful improvement begins by establishing agreement about this central organizational goal.

What is the System's Purpose?

200

This care approach prioritizes residents' individual needs, preferences, and choices.

What is Person Centered Care?

200

Competing agendas prevent nursing homes from developing a clear understanding of this central organizational goal.

What is a Shared Purpose?

200

This workforce problem occurs when employees frequently leave their positions, disrupting continuity of resident care.

What is Staff Turnover?

200

DAILY DOUBLE!!

Of the 38 articles reviewed, this number examined the entire nursing home system, while this number focused on narrower systemic issues.

What are four whole-system studies and 34 studies examining narrower systemic issues?

200

Along with clearer governance, this responsibility for decisions and performance is essential to nursing home reform.

What is accountability?

300

Residents' needs, regulatory demands, and owners' financial interests are the three examples of these.

What are Competing Agendas?

300

DAILY DOUBLE!

These three competing priorities create tension throughout the nursing home system and contribute to organizational dysfunction.

What are meeting residents' needs, satisfying regulatory demands, and meeting owners' financial imperatives?

300

Insufficient staffing, inadequate training, and limited resources threaten this essential goal of nursing homes.

What is Safe, High-Quality Resident Care?

300

Some older adults fear being placed in this type of residential care facility.

What is a Nursing Home?

300

This approach examines how different parts of an organization interact rather than treating problems separately.

What is Systems Thinking?

400

This is the number of articles included in the scoping study.

What is 38?

400

Researchers identified this number of systemic issues across five organizational levels.

What is 29?

400

Dissatisfaction among residents, families, and employees represents these consequences of organizational problems.

What are Negative Outcomes of Systematic Failures?

400

Meeting regulatory requirements does not automatically guarantee this important resident-focused outcome.

What is Quality Care?

400

Nursing home reform must improve resident care while maintaining this ability to remain financially sustainable.

What is Financial Viability?

500

This research method maps existing literature to identify key concepts, findings, and gaps in knowledge.

What is a Scoping Review?

500

Out of the 38 articles reviewed, only this number examined the entire nursing home system.

What is Four?

500

These interconnected relationships explain how staffing, funding, policies, and regulations influence one another.

What are System Interdependencies?

500

Examining individual safety incidents without considering funding, staffing, and regulations overlooks this larger organizational structure.

What is the Nursing Home System?

500

Instead of making isolated changes, researchers recommend this comprehensive transformation of nursing home care.

What is Whole-System Redesign?