Calling all nurses-Now is the time to take action on improving the quality of care in nursing homes.

For a number of decades, nurses have raised concerns about nursing-related issues in nursing homes (NH) such as inadequate registered nurse (RN) staffing, insufficient RN and advanced practice registered nurse (APRN) gerontological expertise, and lack of RN leadership competencies. The NASEM Committee on the Quality of Care in Nursing Homes illuminated the long-standing issues and concerns affecting the quality of care in nursing homes and proposed seven goals and associated recommendations intended to achieve the Committee's vision: Nursing home residents receive care in a safe environment that honors their values and preferences, addresses goals of care, promotes equity, and assesses the benefits and risks of care and treatments. This paper outlines concrete and specific actions nurses and nursing organizations can take to ensure the recommendations are implemented.

[1]  D. Gifford,et al.  Facility characteristics and costs associated with meeting proposed minimum staffing levels in skilled nursing facilities , 2022, Journal of the American Geriatrics Society.

[2]  M. Kletečka-Pulker,et al.  Using telemedicine in nursing homes during the COVID‐19 pandemic: A multi‐perspective view on the implementation process , 2021, Nursing open.

[3]  D. Laplanche,et al.  The Use of Telemedicine in Nursing Homes: A Mixed-Method Study to Identify Critical Factors When Connecting with a General Hospital , 2021, International journal of environmental research and public health.

[4]  D. Grabowski,et al.  High Nursing Staff Turnover In Nursing Homes Offers Important Quality Information. , 2021, Health affairs.

[5]  Bei Wu,et al.  Assessment of Coronavirus Disease 2019 Infection and Mortality Rates Among Nursing Homes With Different Proportions of Black Residents , 2021, Journal of the American Medical Directors Association.

[6]  D. Vlahov,et al.  Federal requirements for nursing homes to include certified nursing assistants in resident care planning and interdisciplinary teams: A policy analysis. , 2021, Nursing outlook.

[7]  R. Konetzka,et al.  Factors Associated With Racial Differences in Deaths Among Nursing Home Residents With COVID-19 Infection in the US , 2021, JAMA network open.

[8]  Micah B. Hartman,et al.  National Health Care Spending In 2019: Steady Growth For The Fourth Consecutive Year. , 2020, Health affairs.

[9]  J. Baumbusch,et al.  Not Just How Many but Who Is on Shift: The Impact of Workplace Incivility and Bullying on Care Delivery in Nursing Homes , 2020, The Gerontologist.

[10]  Sabrina T. Howell,et al.  Does Private Equity Investment in Healthcare Benefit Patients? Evidence from Nursing Homes , 2020, SSRN Electronic Journal.

[11]  Steven J. Miller,et al.  A Coordinated Response to the COVID-19 Pandemic in Missouri Nursing Homes , 2020, Journal of nursing care quality.

[12]  Charlene H. Chu,et al.  Uncovering the Devaluation of Nursing Home Staff During COVID-19: Are We Fuelling the Next Health Care Crisis? , 2020, Journal of the American Medical Directors Association.

[13]  Andrew Georgiou,et al.  Advancing health information technology roadmaps in long term care , 2020, Int. J. Medical Informatics.

[14]  Dori A. Cross,et al.  Health information exchange between hospital and skilled nursing facilities not associated with lower readmissions. , 2019, Health services research.

[15]  N. Castle,et al.  Exploring social-based discrimination among nursing home certified nursing assistants. , 2019, Nursing inquiry.

[16]  Jeffrey N. Doucette,et al.  Nursing Management partners with ANCC's Pathway to Excellence® Program. , 2018, Nursing management.

[17]  A. Coustasse,et al.  Is There a Trade-off Between Quality and Profitability in United States Nursing Homes? , 2017, The health care manager.

[18]  J. Banaszak-Holl,et al.  Do Nursing Home Chain Size and Proprietary Status Affect Experiences With Care? , 2016, Medical care.

[19]  M Rantz,et al.  Preparing Nursing Homes for the Future of Health Information Exchange , 2015, Applied Clinical Informatics.

[20]  Marjorie Skubic,et al.  Developing a comprehensive electronic health record to enhance nursing care coordination, use of technology, and research. , 2010, Journal of gerontological nursing.

[21]  M. Rantz,et al.  Helping nursing homes "at risk" for quality problems: a statewide evaluation. , 2009, Geriatric nursing.

[22]  M. Rantz,et al.  Systematic review of studies of staffing and quality in nursing homes. , 2006, Journal of the American Medical Directors Association.

[23]  Susan C. Miller,et al.  Driven to tiers: socioeconomic and racial disparities in the quality of nursing home care. , 2004, The Milbank quarterly.

[24]  D. Mehr,et al.  Statewide strategy to improve quality of care in nursing facilities. , 2003, The Gerontologist.