Building a Home Healthcare Workforce to Meet the Quality Imperative

~ Exam ~

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This test has 10 questions.

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By participating in this independent study offering, the reader will be able to do the following:

  1. Recognize the impact of nursing workforce trends on the home healthcare industry.
  2. Give examples of factors that influence satisfaction levels of the home healthcare nursing workforce.
  3. Explain the significance of measuring the staffing-outcomes relationship in home healthcare.


1. During which of the following time frames did the home healthcare industry contribute almost 30% to the largest job growth in the nursing workforce over the last 20 years:

  a. 1984–1988

  b. 1988–1992

  c. 1992–1996

  d. 1996–2000


2. By the end of the decade, which of the following nursing workforce trends existed?

  a. There continued to be substantial job growth overall.

  b. The ambulatory care setting contributed negatively to job growth.

  c. Growth in nursing home employment outstripped that of the hospital setting.

  d. Employment in the home healthcare sector declined substantially


3. Projections for the home healthcare nursing workforce over the next 20 years include the following except

  a. A growing demand for services by an aging population will require nearly doubling home care staff.

  b. The home healthcare industry will supply a greater number of nursing jobs than any other setting.

  c. Factors contributing to the instability of the home healthcare workforce will diminish to improve retention.

  d. The demand for home healthcare nurses will be greater than that for all healthcare workers.


4. Which of the following is referred to as a sign that meeting the predicted demands of the home healthcare workforce will not be easy?

  a. Difficulty of recruiting and retaining nurses.

  b. Struggle of hiring qualified and skilled nurses to fit the environment.

  c. Insufficient levels of resources for the education and training of nurses.

  d. Complexity of the care provided with multidisciplinary teams.


5. Which statement regarding job satisfaction rates for the nursing workforce is not true?

  a. Home healthcare staff nurses reported satisfaction levels that were slightly higher than ambulatory care nurses.

  b. Satisfaction levels for top management in home health were lower than those in the ambulatory and community settings.

  c. Middle management satisfaction levels suggest that their capacity to provide support to staff nurses may be compromised across settings.

  d. National estimates of job satisfaction levels for professional workers reinforce the disparities among nurses across settings.


6. Recommendations to ensure a high-quality workforce are to focus attention on all except

  a. assessing adequate staffing levels

  b. supporting front-line clinical managers

  c. measuring under-performing clinicians

  d. advancing the understanding of workplace features


7. Work environment features that are crucial for sustaining the home healthcare nursing workforce do not include

  a. flexibility in work hours and job structure.

  b. less interaction with frontline managers.

  c. opportunities for career growth and advancement.

  d. recognition for contribution to patient outcomes.


8. Which of the following complicates the analysis of the contribution of the nursing workforce to patient outcomes in home healthcare?

  a. the sizable empirical base on patient outcomes in home healthcare

  b. the increasing age of the workforce and the potential for retirement

  c. the changing demographics of the population and their preference for care

  d. the diverse population served and the multiple services provided


9. An approach to engage home healthcare nurses in the recognition of their contribution to patient outcomes is by involving staff in the

  a. design and implementation of outcome and process-of-care studies.

  b. collection of Outcome and Assessment Information Set data.

  c. communication with other caregivers involved in coordination of care.

  d. investigation of new point-of-service operating systems.


10. Potential benefits of involving the home healthcare workforce in exploring its role in patient outcomes include all except

  a. allowing home healthcare nurses to be directly involved in the design of their work and work environment

  b. offering home healthcare nurses prospects for professional development

  c. bolstering the role of the middle managers to provide support

  d. increasing the evidence base of outcomes research for home healthcare