Institute for Healthcare Improvement (IHI) Age-Friendly Health Systems: Guide to Care of Older Adults in Nursing Homes

The Age-Friendly Health Systems: Guide to Care of Older Adults in Nursing Homes and the Age-Friendly Health Systems: A Workbook for Nursing Home Teams are designed to be used simultaneously to help care teams in SNFs and NFs “prepare for, test, and implement a specific set of evidence-based or evidence-informed …

Prepare for a Collaboration with Therapy Using SBAR

Appendix PP of the State Operations Manual states that every resident must receive treatment and care to promote the highest practicable physical, mental, and psychosocial well-being. This optimal treatment and care requires collaboration. When the nursing department involves therapy in discussions about changes in residents’ conditions, they can improve resident …

The Importance of Facility Culture

In this podcast, Denise Winzeler, BSN, RN, LNHA, DNS-MT, QCP-MT, curriculum development specialist for AAPACN, and Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, discuss facility culture—what it is, why it’s important, and how listeners can assess and implement strategies to improve their culture. Additional …

The Art of Delegation for the Director of Nursing Services: Safe Practices and Strategies to Overcome Common Challenges

The role of the director of nursing services (DNS) in a skilled nursing facility (SNF) can be stressful due to the number of competing priorities in each day. Delegation, when done properly, can help relieve some stressors while ensuring tasks are completed. In contrast, failure to delegate can lead to …

AAPACN’s Nursing Department Culture Assessment and Improvement Worksheet

To improve staff retention, the director of nursing services (DNS) and administrator should regularly assess the nursing department’s culture. AAPACN’s Nursing Department Culture Assessment and Improvement Worksheet can help the DNS and administrator review multiple areas of their department’s culture that they have observed and adjust where needed. This tool …

Improve Staffing and Quality Care Through Individualized Culture Change of the Nursing Department

Staff turnover is a nationwide problem for nursing homes and it may be worse than previous reports have suggested, according to a study of newly available Payroll-Based Journal data published in the National Library of Medicine. The study also noted a possible negative relationship between a facility’s overall Five-Star rating …

Respiratory Outbreak! How to Protect the MDS and Capture Key Assessment Data

With the influenza season in full swing plus the ongoing peaks and valleys of COVID-19 and respiratory syncytial virus (RSV) outbreaks across the United States, nurse assessment coordinators (NACs) should take steps both to protect the MDS process and to capture relevant clinical events on MDS assessments when a respiratory …

Communication Basics: How Nurse Leaders Can Build a Two-Way Street

A top-down or autocratic management style is becoming increasingly outdated for dealing with today’s healthcare workforce in non-emergent situations. Other leadership styles, such as transformational leadership, often work better to help staff feel valued, supported, and satisfied in their job—and to give them the sense of ownership in creating positive …

Speak Up! Improve Communication to Bolster the MDS Process

Effective communication is the glue holding the MDS process together, says Stacy Grondel, BSN, RN, RAC-MT, CMAC, QCP. director of reimbursement operations at QRM in Addison, TX. “The nurse assessment coordinator (NAC) who is a strong communicator can develop better working relationships with the interdisciplinary team and executive leadership—and establish …

Mentoring, Coaching, and Counseling, Oh My! How They All Fit Into The Disciplinary Process

As the leader of the nursing department, the director of nursing services (DNS) plays an integral role in the disciplinary process. Managing employee performance can be challenging, but it is necessary. Failure to address employees’ negative behaviors and actions can destroy morale among the staff. Knowing when and how to …