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<h4 class="HMIRegistration__sub-title">Email Newsletters</h4>
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</svg></span><span class="HMIRegistration__sprite-fill u-active"></span></span><span class="HMIRegistration__text u-active">McKnight's Clinical Daily</span><span class="HMIRegistration__text HMIRegistration__desc">: The McKnight’s Clinical
Daily e-newsletter, a joint effort of McKnight's Long-Term Care News and McKnight's Senior Living, provides succinct coverage of clinical developments affecting care for the aged. Each item is researched and written by our editors to meet the
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Daily Editors' Notes
A FOUR-DAY WORKWEEK? WHY STOP THERE?
John O'Connor
@ltcritr
June 19, 2023
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John O’Connor
What are the three biggest challenges facing long-term care?
To borrow a familiar punch line from the real estate sector, they are staffing,
staffing and staffing.
For not only are labor challenges in this field as bad as ever, they could soon
get worse. For that, we can thank two culprits (not counting staffing mandates,
which CMS is seriously considering). The first is that a lot of nurses and other
caregivers in this field will soon be retiring. But that leak in the staffing
bucket is a small drip when compared to the other biggie: service demand is
about to explode.
You see, the first of the aging baby boomers we’ve been hearing so much about
are turning 78. From a resident-admissions perspective, that’s not quite the
sweet spot. But it’s pretty close, and getting closer by the day. As weird as
this might now sound, most skilled operators are less than seven years away from
a demand windfall of epic proportions.
But services cannot be delivered without staff. We’re seeing this self-evident
reality kick in already, as many facilities with open beds and billets are being
forced to limit new admissions.
The industry is petitioning lawmakers to set aside more funds for job training
and related facility payments. All things considered, those are certainly
reasonable requests. But other changes will also be needed.
One of those needed changes, frankly, will be for operators to find new ways of
managing working hours.
Which brings us to a new survey that revealed more than half of the nation’s
employers are willing to give a four-day workweek a test drive.
In fact, the ResumeBuilder.com poll of 976 business leaders found that
one-in-five (20%) have already made the switch. More than four-in-10 of the rest
(41%) indicated they plan to give the shortened workweek a trial.
If those numbers are anywhere near accurate, a staffing revolution is well
underway.
As for those who have made the switch, results so far are limited but promising.
One recent trial of the four-day workweek in Iceland turned out far better than
expected. In fact, the results were so overwhelmingly favorable that 90% of the
nation’s workers now enjoy reduced hours or other work-related modifications. A
separate study in the United Kingdom also was largely successful.
Advocates of the four-day workweek claim that the shift reduces stress and
raises energy levels. But could fewer days actually succeed in a long-term care
setting?
At first glance, such a change might seem problematic. After all, if the work
isn’t getting done in five days, how will it get done in four? It’s a fair
question.
Here’s my response: maybe try a 3-day schedule. And no, I haven’t lost my mind.
Actually, many hospitals have already embraced this approach with their nursing
staff. They do this by offering three 12-hour shifts per week.
And many nurses wouldn’t have it any other way. They are off four days each
week. Another plus for many is that their commuting and child-care demands have
been greatly reduced.
To be sure, there are possible downsides as well. Exhaustion, emotional damage
and health risks are legitimate concerns.
But let’s face it: When it comes to staffing, things cannot continue the way
they are. A three-day workweek may not be the only answer. But for many
operators, it might prove to be well worth a try.
John O’Connor is editorial director for McKnight’s.
Opinions expressed in McKnight’s Long-Term Care News columns are not necessarily
those of McKnight’s.
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