06Jun

For good health eat more fruit, vegetables, and whole grains. Get your protein from poultry, beans, nuts, and lean meat. Limit your sugar to less than 10% of your daily calories and don’t have more than 2 alcoholic drinks a day – 1 if you’re a woman.

Sound familiar? It should. It’s what we’ve been told for years, and now will hear for 5 more years.

dietary guidelines logo.JPG

Just before New Year’s, the US Department of Agriculture and Health and Human Services issued the latest edition of Dietary Guidelines for Americans. The guidelines are issued every 5 years. This one is not much different from the 2015 edition, though a number of scientists, physicians and dietitians say at least in a few places it should be.

For the first time, dietary guidelines for infants and toddlers, breastfeeding mothers and mothers-to-be are included

Infants should be breastfed exclusively for the first six months. Then, the guidelines say, they “should be introduced to nutrient-dense, developmentally appropriate foods to complement human milk or infant formula feedings.”

The guidelines unambiguously declare that for infants and young children there is “virtually no room in their diet for added sugars.”

Controversy arose, however, over the sugar – and alcohol – limits for everyone else.

Despite a strong recommendation from the government’s advisory committee to limit added sugar to no more than 6% of daily calories and alcohol to one a day, the USDA and HSS decided to retain the 2015 guideline of 10% and retain the 2 and 1 drink limits, explaining in a press release there was “not a preponderance of evidence… to support specific changes.”

Elizabeth J. Mayer-Davis, who chaired the advisory committee’s beverages and added sugars subcommittee, told The Wall Street Journal that rejecting the 6% recommendation was “a lost opportunity for a stronger public health message.”

The decision not to reduce the 2 drink limit for men “is very disappointing,” said Nigel Brockton, vice president of research at the American Institute for Cancer Research . “The evidence for cancer is so overwhelming.”

Throughout, the guidelines do emphasize a need for Americans to limit their sugar intake and in the section on alcoholic beverages the report says, “Evidence indicates that, among those who drink, higher average alcohol consumption is associated with an increased risk of death from all causes compared with lower average alcohol consumption.”

Beyond those issues, the guidelines detail what a nutrient-rich menu looks like and provides some examples of meals that meet the dietary recommendations.

[bdp_post_carousel]

Nursing Home Minimum Staffing Rule: Finalized New Mandate

Nursing home staffing is a critical component of resident care and safety. Recent federal mandates have underscored the importance of adequate staff in these facilities, particularly in light of the challenges faced during the pandemic.

The pandemic exposed the vulnerabilities within nursing homes, revealing the devastating consequences of understaffing. Inadequate staffing levels contributed to the spread of infections and compromised resident care. The need for sufficient staff to provide quality care and ensure resident safety has never been more evident.

Key Points of the Mandate

According to a fact sheet published by the White House, “The Nursing Home Minimum Staffing Rule finalized today will require all nursing homes that receive federal funding through Medicare and Medicaid to have 3.48 hours per resident per day of total staffing, including a defined number from both registered nurses (0.55 hours per resident per day) and nurse aides (2.45 per resident per day). This means a facility with 100 residents would need at least two or three RNs and at least ten or eleven nurse aides as well as two additional nurse staff (which could be registered nurses, licensed professional nurses, or nurse aides) per shift to meet the minimum staffing standards. Many facilities would need to staff at a higher level based on their residents’ needs. It will also require facilities to have a registered nurse onsite 24 hours a day, seven days a week, to provide skilled nursing care, which will further improve nursing home safety. Adequate staffing is proven to be one of the measures most strongly associated with safety and good care outcomes.”

The fact sheet also stated, “To make sure nursing homes have the time they need to hire necessary staff, the requirements of this rule will be introduced in phases, with longer timeframes for rural communities. Limited, temporary exemptions will be available for both the 24/7 registered nurse requirement and the underlying staffing standards for nursing homes in workforce shortage areas that demonstrate a good faith effort to hire.”

Industry Opinions

Some experts raise concerns about the feasibility of meeting the mandated requirements, citing the ongoing challenges of staffing shortages within the industry. According to Skilled Nursing News, “Katie Smith Sloan, president and CEO of LeadingAge, criticized the rule for not including any support for recruitment and training of needed staff. “How can providers hire more RNs when they do not exist?” she said in a statement. “Nurse aides, who are the backbone of aging services, are also in short supply – yet again, the rule does not include support to recruit, train and hire more of these critical workers. By the Centers for Medicare and Medicaid Services’ (CMS) estimate, the rule will add to providers’ financial burden – by $43 billion, over 10 years.”

To address these concerns, the rule will be implemented gradually, allowing nursing homes time to hire additional staff and adjust to the new requirements. This phased approach aims to minimize disruptions to resident care while ensuring compliance with the mandate.

Particular attention will be paid to the challenges faced by rural communities, where recruiting and retaining staff may be more challenging.

The new nursing home staffing mandate represents a pivotal moment in prioritizing resident care and safety. By establishing minimum staffing ratios and requiring 24/7 RN coverage, the mandate aims to address longstanding challenges within the industry. While concerns about staffing shortages persist, the potential positive impact on residents’ well-being cannot be overstated.

If you are looking to transition into a new role within the healthcare industry, be sure to check out our jobs page for our recent postings and to connect with one of our industry expert recruiters.

Jun 6, 2023

Americans Give Nurses High Marks for Ethics

Americans give nurses their highest approval for honesty and ethics, rating them above every other profession in a recent Gallup survey that included doctors, school teachers, judges and clergy.

ethical standards ratings - blog.jpg

Conducted in December, Gallup found more Americans than ever say nurses have high or very high standards of honesty and ethics.

While nurses have been at the top of the ratings for 20 of the last 21 years, the COVID pandemic has so spotlighted the work they do that the percentage of survey respondents rating them highly increased by 4 points over 2019. According to Gallup, 89% of Americans gave nurses the highest ratings. Only firefighters have ever scored higher and that was in 2001 shortly after the 9/11 attack when they measured at 90%.

Doctors, who last year were said to have high or very high ethical standards by 65% of survey takers, improved by 12 points. Their previous high of 70% came in 2011 and 2012. Pharmacists, too, improved their standing for honesty and ethics in the view of the public, increasing to 71% from last year’s 64%.

Coming in just behind doctors were grade school teachers (the only teacher category Gallup measured). Their current 75% rating is nine points higher than the last time the group was included which was in 2017 when they were measured at 66%. Gallup says, “This may reflect public appreciation for the risks taken by teachers in going back to school during the pandemic, as well as their commitment to teaching under unprecedented circumstances, whether in the classroom or online.”

Rounding out the top five rankings are police officers who were measured at 52%, a drop of 2 points from the 2019 survey. Despite the decline, they were still one of only five professions to have a majority of Americans rating them high or very high for honesty and ethics.

Gallup’s annual Honesty and Ethics poll surveys a number of different professions each year, with a handful such as nurses, doctors and police officers included consistently. Besides reporting the cumulative results, Gallup breaks down the results by demographics and party affiliation. The divide among the various groups can be substantial for some ratings of professionals.

However, for nurses it didn’t matter whether the respondent was a Democrat, Republican, or Independent, the results were the same. They all thought highly of the profession’s ethics.

Photo by Bermix Studio

[bdp_post_carousel]