Rural Health
Resources by Topic: Nurses
Medicare and Medicaid Programs: Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting Final Rule (CMS 3442-F)
Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) final rule for minimum staffing standards for long-term care facilities. Details three core staffing proposals: 1) minimum nurse staffing standards; 2) a requirement to have an RN onsite 24 hours a day, seven days a week; and 3) enhanced facility assessment requirements. Outlines a staggered implementation approach, including a later implementation date for rural facilities, and hardship exemption qualification requirements. Also describes Medicaid payment transparency reporting provisions for nursing and intermediate care facilities related to the percentage of Medicaid funds spent on compensation to direct care workers and support staff.
Additional links: External FAQs
Date: 04/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) final rule for minimum staffing standards for long-term care facilities. Details three core staffing proposals: 1) minimum nurse staffing standards; 2) a requirement to have an RN onsite 24 hours a day, seven days a week; and 3) enhanced facility assessment requirements. Outlines a staggered implementation approach, including a later implementation date for rural facilities, and hardship exemption qualification requirements. Also describes Medicaid payment transparency reporting provisions for nursing and intermediate care facilities related to the percentage of Medicaid funds spent on compensation to direct care workers and support staff.
Additional links: External FAQs
Date: 04/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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With Current Staffing Levels, About 1 in 5 Nursing Facilities Would Meet Fully-Implemented Minimum Staffing Standards in the Final Rule
Describes a proposed federal standard for nursing home nurse staffing levels and analyzes current nursing home staffing levels, noting the percentage of facilities that will meet the proposed staffing level requirements when fully implemented.
Author(s): Priya Chidambaram, Alice Burns, Tricia Neuman, Robin Rudowitz
Date: 04/2024
Type: Document
Sponsoring organization: KFF
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Describes a proposed federal standard for nursing home nurse staffing levels and analyzes current nursing home staffing levels, noting the percentage of facilities that will meet the proposed staffing level requirements when fully implemented.
Author(s): Priya Chidambaram, Alice Burns, Tricia Neuman, Robin Rudowitz
Date: 04/2024
Type: Document
Sponsoring organization: KFF
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How Much Do Oregon's Registered Nurses Earn? 2023 Oregon Wage Study
Provides information on the wages of registered nurses (RNs) in Oregon, with salary data broken down by work location, education level, position, longevity, rural versus urban area, and more.
Author(s): Richard Allgeyer
Date: 04/2024
Type: Document
Sponsoring organization: Oregon Center for Nursing
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Provides information on the wages of registered nurses (RNs) in Oregon, with salary data broken down by work location, education level, position, longevity, rural versus urban area, and more.
Author(s): Richard Allgeyer
Date: 04/2024
Type: Document
Sponsoring organization: Oregon Center for Nursing
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2022 National Sample Survey of Registered Nurses Snapshot
Provides demographic, training and education, employment, COVID-19 impact, and workforce projection data for registered nurses (RNs) in the U.S.
Date: 03/2024
Type: Document
Sponsoring organization: Health Resources and Services Administration
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Provides demographic, training and education, employment, COVID-19 impact, and workforce projection data for registered nurses (RNs) in the U.S.
Date: 03/2024
Type: Document
Sponsoring organization: Health Resources and Services Administration
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North Carolina Healthcare Association Critical Workforce Needs Assessment
Reports on healthcare workforce trends in North Carolina, including discussion of state demographics, policy changes, and strategies influencing workforce needs and availability. Highlights the rural aging population and a need for health workers in rural communities.
Author(s): Patrick McHugh, Alison Bean de Hernandez, Chrystall Davis, Michael Hogan, Sara Nienow
Date: 03/2024
Type: Document
Sponsoring organization: North Carolina Healthcare Association
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Reports on healthcare workforce trends in North Carolina, including discussion of state demographics, policy changes, and strategies influencing workforce needs and availability. Highlights the rural aging population and a need for health workers in rural communities.
Author(s): Patrick McHugh, Alison Bean de Hernandez, Chrystall Davis, Michael Hogan, Sara Nienow
Date: 03/2024
Type: Document
Sponsoring organization: North Carolina Healthcare Association
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Associations of Demographic and Social Factors on Health-Related Quality-of-Life Changes Among Older Women With Breast or Gynecologic Cancer
Identifies factors associated with changes in physical and mental quality of life among women aged 65 and older with breast or gynecologic cancer, utilizing 1998-2017 SEER-MHOS data. Compares quality of life over time by race and ethnicity, marital status, level of health-related social interference, and rurality. Discusses implications to nurse-led quality-of-life interventions for older patients.
Author(s): Elizabeth K. Arthur, Melica Nikahd, J. Madison Hyer, et al.
Citation: Oncology Nursing Forum, 51(2), 127-141
Date: 03/2024
Type: Document
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Identifies factors associated with changes in physical and mental quality of life among women aged 65 and older with breast or gynecologic cancer, utilizing 1998-2017 SEER-MHOS data. Compares quality of life over time by race and ethnicity, marital status, level of health-related social interference, and rurality. Discusses implications to nurse-led quality-of-life interventions for older patients.
Author(s): Elizabeth K. Arthur, Melica Nikahd, J. Madison Hyer, et al.
Citation: Oncology Nursing Forum, 51(2), 127-141
Date: 03/2024
Type: Document
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Nursing Home Workforce Issues and Inequities
Offers an overview of issues related to the direct care workforce in nursing homes including staffing shortages, recruitment and retention, low wages, job training, interdisciplinary care, and more. Discusses proposed policies offering workforce-related reforms. Discusses rural throughout.
Author(s): Jasmine L. Travers, Rita Choula, Edem Hado
Date: 02/2024
Type: Document
Sponsoring organization: AARP Public Policy Institute
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Offers an overview of issues related to the direct care workforce in nursing homes including staffing shortages, recruitment and retention, low wages, job training, interdisciplinary care, and more. Discusses proposed policies offering workforce-related reforms. Discusses rural throughout.
Author(s): Jasmine L. Travers, Rita Choula, Edem Hado
Date: 02/2024
Type: Document
Sponsoring organization: AARP Public Policy Institute
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Investing in North Carolina's Caregiving Workforce: Recommendations to Strengthen North Carolina's Nursing, Direct Care, and Behavioral Health Workforce
Reports on North Carolina's caregiving workforce, with focus areas in nursing, behavioral health, and direct care. Provides context, describes existing solutions, and makes recommendations for addressing challenges and shortages in each focus area. Highlights state health investment, and lists current caregiving workforce initiatives. Mentions rural communities throughout.
Date: 01/2024
Type: Document
Sponsoring organization: North Carolina Department of Health and Human Services
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Reports on North Carolina's caregiving workforce, with focus areas in nursing, behavioral health, and direct care. Provides context, describes existing solutions, and makes recommendations for addressing challenges and shortages in each focus area. Highlights state health investment, and lists current caregiving workforce initiatives. Mentions rural communities throughout.
Date: 01/2024
Type: Document
Sponsoring organization: North Carolina Department of Health and Human Services
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An Overview of the Kansas Health Care Workforce
Provides an overview of the Kansas healthcare workforce, with data projected through 2030. Focuses on ambulatory healthcare services, hospitals, and nursing and residential care facilities. Includes metro versus nonmetro wage comparisons for nursing and personal aide occupations.
Author(s): Nathan Kessler
Date: 2024
Type: Presentation Slides
Sponsoring organization: Kansas Department of Labor
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Provides an overview of the Kansas healthcare workforce, with data projected through 2030. Focuses on ambulatory healthcare services, hospitals, and nursing and residential care facilities. Includes metro versus nonmetro wage comparisons for nursing and personal aide occupations.
Author(s): Nathan Kessler
Date: 2024
Type: Presentation Slides
Sponsoring organization: Kansas Department of Labor
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A Qualitative Study of Systems-Level Factors That Affect Rural Obstetric Nurses' Work During Clinical Emergencies
Evaluates systems-level factors affecting rural obstetric nurses and their care for patients experiencing clinical deterioration from interviews with 11 nurses and physicians at rural hospitals in Massachusetts and New Hampshire. Identifies challenges and opportunities related to resource shortages, cooperation in the workplace, conflicting workplace responsibilities, facility policies and procedures, and more.
Author(s): Samantha L. Bernstein, Maya Piccolo, Elisabeth Grills, Kenneth Catchpole
Citation: The Joint Commission Journal on Quality and Patient Safety, 2024
Date: 12/2023
Type: Document
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Evaluates systems-level factors affecting rural obstetric nurses and their care for patients experiencing clinical deterioration from interviews with 11 nurses and physicians at rural hospitals in Massachusetts and New Hampshire. Identifies challenges and opportunities related to resource shortages, cooperation in the workplace, conflicting workplace responsibilities, facility policies and procedures, and more.
Author(s): Samantha L. Bernstein, Maya Piccolo, Elisabeth Grills, Kenneth Catchpole
Citation: The Joint Commission Journal on Quality and Patient Safety, 2024
Date: 12/2023
Type: Document
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