Why Quality of Life Training is a Must for Direct Care Workforce

Millions of older adults and people living with disabilities rely on the direct care workforce, and the numbers are growing at an enormous rate every single day.  Sadly, we have undervalued the importance of the direct care workforce and ill prepared the critical need to provide  quality of life and quality of care training.  It’s time to change the paradigm.

While shortfalls in our long-term care system have been evident for decades, the fallout from COVID-19 has reinforced the need for revamping delivery of care at all levels.   Improving the Quality of Life, Quality of Care and Well-being of older adults and those living with disabilities starts with quality training for those directly involved in providing the care to these individuals.  We must look beyond “check-the-box” training and education and we must do it quickly, as staffing shortages are at critical levels and not showing signs of reversal until we make changes.

By 2025, millennials will make up to 75% of the workforce and 87% say one-the-job learning and development is important.  For too long, aging services workers have been subjected to training that could be described as “one size fits all”.   Direct care workers report that training is irrelevant and does very little to improve their capability to work with older adults. St. Cloud University and the Dementia Care Foundation found factors pointing to how likely staff were to leave their job within the next year.  Low satisfaction with orientation and training is a contributing factor in seeking other employment.

  • What is the People Impact of high turnover rates among the direct care workforce?
  • It prevents the development of health and trusting relationship between care providers and receivers.
  • Family members lose confidence in the care provider’s ability to provide consistent, quality of care and service.
  • It takes a toll on existing care team members.  Stress levels increase, and morale decreases.
  • Most importantly, resident care suffers.  Inconsistent staffing can translate to residents receiving only basic instrumental care, which does not lead to improved quality of life or well-being for the older adult.

Stakeholders must realize that shortchanging training affects all of us – from the entire health care system to society at large.  Providers suffer huge financial losses due to staff turnover and low occupancy by not delivering quality care.  As consumers become more educated in seeking care for their loved ones, the providers who have trained staff will consistently rank above their competitors.

For more information on direct care workforce  training and for access to AGE-u-cate’s REVEAL Aging white paper click here.

Pam Brandon is President/Founder of AGE-u-cate Training Institute, a global company dedicated to developing and delivery effective aging and dementia training for professional and family caregivers.  

Celebrating Older Americans Month – Communities of Strength

Each May, the Administration for Community Living champions the national observance  of Older Americans Month.  “Communities of Strength” is the theme for 2021.

I can think of no other time in that this theme could be more appropriate as we have witnessed one of the most challenging years in history.  Older Americans have proven to be our source of wisdom, strength, perseverance and a model of overcoming difficulties.   And I will add that the communities that support older adults have risen to the challenges of creating new ways to engage and build even stronger communities in the face of unprecedented challenges brought on by a global pandemic.

The health and well being of older adults, especially is grounded in connecting with others.  It is paramount to the health and well-being of everyone, but especially as we age.  Thanks to the Administration for Community Living and other governmental bodies that have collaborated to serve the needs of older adults, we have continued to see more emphasis placed on connection and engagement than ever before.  COVID created opportunities for bridging creativity and  technology so that older adults, especially those living alone or even in community could continue to engage with others in meaningful ways.

As we all look forward to seeing COVID in our rear view mirrors,  what we’ve learned as a body of stakeholders serving older adults, is first and foremost that we have even more ways than ever to strengthen our communities by collaborating with others, using technology and learning to be flexible.  We don’t know if and when we will be in a similar position, but chances are we will be much better prepared to serve older adults in times of need.

This is critically important as our older adult population grows at an extraordinary rate.  Because we are living longer, more stakeholders will need to work collaboratively and creatively than ever in our history to meet the physical, social, emotional and spiritual needs of an aging population.  We will need to broaden our efforts to educate others on important aging issues, so that older adults are not marginalized.  We must keep up our efforts to teach and support family members who are caring for older adults and strengthen our aging services’ providers with new policies and training to support the direct care workforce, currently facing monumental challenges.

As we honor our older adults who are the backbone of our society,  I hope all Americans will take time this month to reach out to older adults in their own lives who have made a difference, and consider donating needed time, money and resources to community organizations who are working tirelessly to support the needs of older Americans in this country.

Pam Brandon is President/Founder of AGE-u-cate Training Institute and a passionate advocate for older adults and those who care for them.   AGE-u-cate is a global organization dedicated to developing innovative and effective training for professional and family caregivers.  

Time for Solutions: Aging Services Workforce Development

We must build the future aging service workforce NOW.

Aging Services providers are screaming from the mountain tops about the workforce crisis.   Could it be that policy makers are finally listening?

The workforce crisis is about the inability of aging services providers to fill open positions and the lack of competitive wages.

Most definitely,  a hopeful headline announced President Biden’s plan investing billions to build an aging services workforce.  

The Value of Excellence in Elder Care

The time is right to seriously discuss the value of quality Elder Care in the United States.  In addition, it is imperative that we intensify  advocacy for improvements to strengthen services and supports for consumers.  Moreover,  we must enhance jobs for 4.6 million home care workers and nursing assistants.

With this in mind, the ethical and philosophical questions to examine include:

  • Does our system act in such a way to produce a greater amount of good over harm?
  • Do we maximize utility- the sum of the benefits produced minus the costs (dis-benefits)?
  • Do we have a system that we all want for ourselves?
  • Fidelity- have we kept our promise, and are we forsaking the well-being of our elders?
  • Have we assigned an appropriate societal value to the work provided by personal caregivers?

Next Steps

PHI is an organization on the front lines of advocacy for the aging services workforce.  To that end, PHI works to transform eldercare and disability services to foster dignity, respect, and independence—for all who receive care, and all who provide it.  Additionally, as the nation’s leading authority on the direct care workforce, PHI promotes quality direct care jobs as the foundation for quality care.

AGE-u-cate Training Institute® is excited to host Robert Espinoza, VP Policy, PHI for our next Virtual Road Trip.  Mr. Espinoza will discuss how we can advocate for improvements to enhance jobs for 4.6 million home care workers and nursing assistants.

Please join us Wednesday, April 21 at 1:00pm CST.  No cost registration here. 

Julie has worked in Aging Services for over 30 years and has been a Licensed Nursing Home Administrator since 1990. She is a the Director of Grants and Consulting Projects and a Certified Master Trainer with AGE-u-cate Training Institute. In addition, she is an instructor and of Gerontology and Leadership in Aging Services at Northern Illinois University and lives in the Chicago Northwest Suburb of Mount Prospect, IL.

How Can We Better Support and Educate Family Caregivers?

Family CaregiversAccording to estimates from the National Alliance for Caregiving, during the past year, 65.7 million Americans (or 29 percent of the adult U.S. adult population involving 31 percent of all U.S. households) served as family caregivers for an ill or disabled relative.   That is 65.7 million family caregivers who are desperately needing education, training, support and help with finding available resources.  We must do a better job as these numbers are increasing drastically with our aging population.

I am passionate about family caregiving needs.  Why?  Because over 25 years ago, I became a family caregiver myself.  With zero preparation and knowledge, little did I know that for the next 15 years I would be identified as a family caregiver for my aging parents.  But 25 year ago I didn’t identify as a caregiver for my parents.  I was raising my two young children for goodness sake!  I loved and respected my parents dearly so I was just doing what a loving child should do.  Little did I know the emotional, physical and spiritual challenges that comes with caring for an aging parent.  Would I trade  that time?  Absolutely not!  Did it make me a passionate advocate for anyone sharing the journey that I walked?  You bet.

I’m going to be very frank in saying that in the 25+ years that I have personally and professionally been in the family caregiving space, we have made some strides.  Not fast enough to keep up with demands.  We still have lots of work to do to include families to actively and  intentionally include them as part of the care team.

A new study lead by Jo-Ana Chase, assistant professor in the University of Missouri’s Sinclair School of Nursing, interviewed family caregivers of old adults who received home health care after a hospitalization to better understand caregiver’s experience regarding training and support.

She found that most family caregivers receive little formal training, and these caregivers need home health care providers to proactively engage them in planning and decision-making for more effective, coordinated care.

“Caregivers want to know how best to care for their loved ones, but they often feel like they are learning on their own,” Chase says.

As stakeholders across the spectrum of care, we will all see better outcomes by including families as a integral member of the care team.  But we must do so intentionally.  Are we including in our staff training the needs of families?  There are many complex issues that family caregivers face, and if staff do not understand their challenges, then they certainly cannot be expected to help them find solutions.

The weaknesses in our healthcare system have been made abundantly clear with the events of COVID-19.  At the same time, we have many opportunities to take from these lessons and make our organizations better.  This is the time that leaders must take a hard look at how effectively they are training and supporting their staff AND families.  Without both of these working together, we’ll continue to struggle in providing the quality of care that our older adults deserve.

Pam Brandon is President and Founder of AGE-u-cate Training Institute, a global company dedicated to quality aging and dementia care training.   AGE-u-cate’s latest initiative, REVEAL Aging Workforce training includes in all of it’s courses, staff training on the needs of families.  Pam may be reached at pam@AGEucate.com

 

 

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