Striving to Provide in Long-Term Care: Why Professionals Must Prioritize Wellbeing in 2026

Posted on February 11, 2026 by Joseph Gerard

stressed nurse Written by Lucy Peters,

Nurses who work in long-term care (LTC) have been working longer shifts. A McKnights Long-Term Care News article by Alicia Lasek highlights the data, noting that according to Vivian Health, the average full shift consisted of 10.5 hours in 2024. Long hours, often due to mounting concerns like staff shortages, are just one workforce pressure that has the potential to contribute to greater issues among healthcare professionals, such as excess stress that can snowball into burnout. For those that specialize in long-term care, a unique set of challenges brings to light the importance of self-care as well as greater intervention via workplace solutions.

The many challenges of LTC

Working in a long-term care facility can present a variety of benefits to workers, particularly for those who have a passion for providing quality care. In residential facilities like nursing homes, nurses are able to connect with residents while gaining a deeper insight into individualized care needs. This can often make the job even more fulfilling for some professionals, especially when compared with positions that focus on short-term or emergency care. While long-term care positions can be rewarding, they often present a characterized set of unique challenges.

Reputable facilities strive to provide the very best for patients. Day care, residential facilities, and end-of-life care are just a few types of LTC that work to successfully care for individuals with varying needs. However, even in the best facilities, there are challenges. Low pay, an aging population that drives demand for LTC services, and staffing shortages are just a few key concerns. In the United States specifically, staffing shortages in nursing homes are just one example of a major workforce issue that puts more pressure on current workers. One article from the Association of Health Care Journalists by Liz Seegert dissects the concern by citing an analysis, which showcases the issue of staffing shortages throughout U.S. nursing homes. According to this analysis, a shocking 12,000 LTC and “skilled rehabilitation facilities” failed to provide high quality care, with a lack of staff serving as just one prevalent issue. Seegert further mentions that better staffing is actually a significant benefit for patients, with sufficient staffing linked to having a positive impact on patient outcomes – a factor that underlines a gap that is well worth addressing.

Staffing shortages in the general care industry are not limited to the United States, further emphasizing a need for skilled workers that extends around the globe. While it differs from American LTC, the adult social care industry in the UK is just one example of where staff shortages echo similar concerns. For context, the adult social care industry in England boasts 111,000 vacancies alone. The significant need for care workers stems from a variety of issues that are unique to the area, such as changes in immigration policies in 2024. Workforce conditions are another contributing factor in the UK adult social care sector that almost mirrors the concerns seen in US LTC facilties, with low pay an issue especially for those who are just entering the industry.

The specific LTC setting can factor into the unique challenges that a healthcare professional may face while on the clock. While some individuals will require intermittent help with tasks like bathing, others may have more complex needs that require extensive care routines. Individuals who work in a residential facility may find themselves more easily burned out due to repetitive routines. On the other hand, those who specialize in end-of-life care may experience complex feelings like grief on a routine basis. Regardless of the setting, healthcare professionals who specialize in LTC have the potential to encounter a variety of physical and mental health concerns.

An August 2025 article from McKnights Long-Term Care News by John Roszkowski highlights that policies that aim to address mental health are a pressing need for nursing home caregivers, based on a study conducted by researchers from China and Malaysia. According to the article, the study featured in Geriatric Nursing and involved a review of 26 studies that came from 13 countries, which highlights the worldwide need and impact that such policies could have. The studies focused primarily on nursing home caregivers, with the review ultimately unveiling that caregivers’ mental health reflected concerns that included those such as anxiety, depression, and “perceived stress.” The article explores this further, citing the study authors who wrote that the perceived stress of caregivers is “closely linked to workplace demands and expectations.” Workplace related factors that affected mental health concerns were identified as frequent night shifts, staff shortages, low wages, conditions of the workplace, and chronic burnout, to highlight a few.

Discovering individualized solutions

Compassion is essential for healthcare workers across all sectors, though along with excess stress and burnout, compassion fatigue is another risk that many face. In LTC settings, this may be due to the fact that nurses often have to juggle a variety of challenges. A 2021 article from the American Nurse Journal by Marlene M. Steinheiser, PhD, RN, CRNI highlights the risk of compassion fatigue as it relates to nurses in skilled nursing facilities (SNF). “For example, they may care for residents with multiple co-morbidities and cognitive and emotional issues, as well as residents who’ve lost function and independence,” Steinheiser writes.

It’s not uncommon for healthcare professionals to place their own personal needs on the backburner in order to prioritize those of their patients. Steinheiser’s article proposes that a combination of both self-care in addition to workplace support in the form of an “organizational resiliency program” can make a difference. To bring further yet stark context to the matter, a Nurse Journal article on nurses and self-care by Daniel Bal highlights that 70% of nurses were of the opinion that they put the care of their patients above their own. While suggestions to benefit self-care often include a healthy diet, regular physical activity, time spent away from screens, and taking part in enjoyable hobbies or activities, the dedication to a solid work-life balance can help build a sustainable approach.

Long-term care professionals may find self-care to be particularly challenging due ot the connections that are often built with their patients, and may even feel guilty when they do put their own needs first. For example, a nurse may feel guilty for taking time off when a patient enjoys or may expect the care of a specific individual. However, it’s important to remember that healthcare professionals with healthy work-life boundaries and who routinely dedicate time to self-care activities will be better equipped and rested to perform at work. Bal’s article echoes the words of pediatric oncology nurse Kendall Conn, who emphasizes the importance of flexibility. For LTC nurses who often find themselves with long shifts, the definition of self-care may vary widely depending on the day. For instance, one day may allow ample time for a nature walk after work, while other days may lean towards a simple routine, like light yoga or taking part in a hobby to unwind.

The critical need for a supportive workplace

Beyond personal measures, a supportive workplace is crucial in minimizing the impact of workforce pressures for nurses in long-term care. One January 2025 report from the McKinsey Health Institute explores the role that employers can have. While it doesn’t focus on workplaces in the healthcare industry, the report suggests that a workplace can experience heightened productivity when employers focus on and invest in employee health, which can further translate to benefits such as an increase in economic value. “Organizations that prioritize health often see marked improvements in productivity, reduced absenteeism, lower healthcare costs, and heightened employee engagement and retention,” the report states, going on to cite additional benefits including bettered resilience among the workforce.

The American Nurses Foundation has pioneered a unique program that aims to support the wellbeing of nurses, and has already been brought to four different healthcare organizations in the United States. Called The Nurse Well-Being: Building Peer and Leadership Support Program, the initiative aims to address nurse recovery from stress reactions through the access of resources, support, and tools, accoridng to the American Nurses Foundation webpage that discusses the program. The American Nurses Foundation also highlights the words of Kristy Todd, MSN, RN, ONC and Clinical Advisor at Indiana University Health in Bloomington, who notes that the program “equips us to effectively help each other in directly meaningful ways.”

While long-term care facilities across the board have significant room for improvement, there are a few ways that healthcare professionals can advocate and lead by example until there are more structured programs in place. The promotion of open communication among workers can be a great way that leaders in the workplace can create a supportive atmosphere. Communication among healthcare workers can also help identify current issues and shared concerns among nurses that may have never come to light otherwise. Through positive communication that encourages employees to voice their concerns and potential solutions or other ideas, healthcare workers in long-term care facilities can band together and work towards a greater good.

Healthcare workers in long term care facilities across the board face an assortment of unique challenges due to the characteristics of the workplace. With concerns that range from burnout to emotional stress and worker shortages, healthcare professionals within the sector can take charge of their personal wellbeing while propelling change for the greater good by banding together through positive communication.

Author bio

Lucy Peters is a freelance writer who enjoys contributing to a range of publications, both in print and online. She spent almost a decade working in the care sector with vulnerable people before taking a step back to start a family and now focuses on her first love of writing.

Please also review AIHCP’s Nursing Management Certification program and Nursing Management Courses see if it meets your academic and professional goals. These programs are online and independent study and open to qualified professionals seeking a four year certification

Exploring the Benefits of Case Management in Long-Term Care Today ‍

Posted on December 7, 2022July 1, 2025 by Dominick Flarey

By: Dominick L. Flarey, Ph.D, RN-BC, ANP-BC, NEA-BC, FACHE
       Board Certified, Adult Nurse Practitioner
       Board Certified, Nurse Executive Advanced
       Fellow, The American College of Health Care Executives

Photo of a collection of words related to the topic of Long Term Care

In today’s health care system, case management is becoming an increasingly important way to ensure quality care for long-term health care patients. Case management is a process that involves a team of health care professionals, who work together to coordinate and provide comprehensive care for patients with long-term health care needs. This team of professionals is responsible for assessing a patient’s medical needs, developing a care plan, and monitoring the patient’s progress. Case management has numerous benefits, from reducing hospitalizations and emergency room visits to improving overall quality of life. It also helps to reduce costs, as case managers can ensure that patients receive the most appropriate and cost-effective care. By exploring the benefits of case management in long-term health care, we can better understand how it can help improve patient outcomes and reduce costs.

What is Case Management?

Case management is a process that involves a team of health care professionals, who work together to coordinate and provide comprehensive care for patients with long-term health care needs. Rather than having health care providers treat specific issues, case managers consider the entire individual and how different aspects of their care are related. This team is responsible for assessing a patient’s medical needs, developing a care plan, and monitoring the patient’s progress. Case management has been used in different areas of healthcare for some time, but in recent years, it has also gained prevalence in long-term care. This type of care typically involves a combination of services, such as nursing, pharmaceutical, social work, and rehabilitation. Long-term care services are generally needed by individuals who have a chronic illness or disability that requires ongoing care.

Long-Term Care

Long-term care is an interdisciplinary field of health care encompassing a range of services and supports for individuals who are chronically ill or have a disability. This type of care is used to provide assistance with activities of daily living such as bathing, dressing, grooming, and eating, as well as instrumental activities like housekeeping, shopping, and managing finances. Long-term care can be provided at home or in other settings such as adult day programs, assisted living facilities and nursing homes.

Benefits of Case Management

Case management has numerous benefits, from reducing hospitalizations and emergency room visits to improving overall quality of life. In exploring the benefits of case management in long term care today, it also helps to reduce costs, as case managers can ensure that patients receive the most appropriate and cost-effective care. By exploring the benefits of case management in long-term health care, we can better understand how it can help improve patient outcomes and reduce costs: 1). Reduced Hospitalizations and Emergency Room Visits, when patients receive coordinated and comprehensive care, they may spend less time in the hospital, as well as in the ER. This is particularly true for patients with chronic illnesses and/or long-term care patients. 2). Ensures greater quality of care, due to the interdisciplinary approach of case management, patients are often provided with more thorough care. This can help to ensure that each aspect of the patient’s care is addressed, which can ultimately improve overall quality of life. 3). Case Management in Long-Term Health Care, one of the primary ways in which case management is used in long-term health care is to help provide an ongoing assessment of a patient’s care, as well as their needs. 4). Provides for a more collaborate approach to long-term care delivery, long-term health care has traditionally been managed by physicians, who have been responsible for both diagnosis and treatment. With the implementation of case management, however, other types of health care professionals, such as nurses and social workers, are also able to provide care. This helps to provide a more interdisciplinary, collaborative approach to long-term care delivery.

Helps to improve patient outcomes

index card on table that is written on it Long Term Care with a blue stethoscope laid around it and a red heart and a pair of eyeglasses laying next to the index care

Case Management is also known as care coordination and/or care management. When individuals in long-term care are involved in case management, there is a potential for improvement in their overall health outcomes. Patients in long-term care who participate in case management are more likely to receive the medical care and services that they need. This could include medications, nutrition therapy, or specialized therapies such as physical therapy. People in long-term care who receive the services that they need may experience better outcomes in terms of their mental health. This may include a reduction in feelings of depression, anxiety, and/or feelings of isolation. People in long-term care who receive the services that they need may experience better outcomes in terms of their ability to live independently. This may include a reduction in the amount of assistance needed to perform daily living tasks, such as bathing or eating.

Challenges of Case Management

While case management offers many benefits, it is important to note that it is not a cure-all for the challenges that exist in today’s long-term health care system. One challenge is that not every patient who needs long-term care has access to it. Although long-term health care is becoming increasingly common, there are still not enough resources available to meet current needs. There is also not enough consistency in the services offered throughout the long-term health care system, as there are many different types of providers, who offer long-term care. This means that patients and families may not receive the same level of care from one provider as another. Another challenge of case management is that it is not always the best option for all patients. While it can be beneficial, it is not appropriate for everyone. This can make it more challenging to identify patients who will benefit from case management services.

Conclusion

Case management is a growing trend in long-term health care, as it offers numerous benefits and helps to improve outcomes. Although it is not a cure-all, it can help to improve the quality of care patients receive and reduce costs. While challenges remain, case management remains a promising way to improve long-term health care.

Education and Certification in Case Management

Are you a registered nurse, social worker or a health care professional who is interested in case management? If so, the American Academy of Case Management offers a unique, online curriculum of core courses that leads to a full Certification and Fellowship Status in the Academy. You may access this link for full information on the program. Courses are continuing education courses with Board approvals and may be taken one course at a time until completion. All of the courses are online with faculty mentoring as needed and there are no travel requirements. Any questions may be addresses to: info@aihcp.org

The many challenges of LTC

Discovering individualized solutions

The critical need for a supportive workplace

By: Dominick L. Flarey, Ph.D, RN-BC, ANP-BC, NEA-BC, FACHE Board Certified, Adult Nurse Practitioner Board Certified, Nurse Executive Advanced Fellow, The American College of Health Care Executives

Long-Term Care

Education and Certification in Case Management

Suggested Readings

By: Dominick L. Flarey, Ph.D, RN-BC, ANP-BC, NEA-BC, FACHE
Board Certified, Adult Nurse Practitioner
Board Certified, Nurse Executive Advanced
Fellow, The American College of Health Care Executives