Grief and loss are a natural part of life, and they are particularly prevalent in nursing homes where residents often have advanced age and multiple health conditions. 

Data from my recent research highlights that the emotional toll of losing residents is not only felt by the families of those who pass away but also by the entire workforce, including administrators, nurse managers and direct care staff. Unfortunately, many nursing homes fall short of providing adequate grief support for their workforce. 

Out of the surveyed facilities, a significant number reported the absence of structured mechanisms to address the emotional needs of staff members to deal with the loss of residents. Grief is a natural response to loss, and without proper support, the grieving process can result in burnout of administrators and staff alike.

AITs, who are the future leaders of nursing homes, are particularly vulnerable to the lack of grief support. The data revealed that most AITs had not received any formal training in death management or grief support within their facilities. Instead, they had to rely on their personal experiences or learn on the job. This highlights a systemic deficiency in preparing administrators for the challenges they will face in their careers, and it underscores the need for comprehensive and standardized training programs.

Addressing the gap in grief support for facility management is not only essential for the emotional well-being of administrators but also has a direct impact on the quality of care provided to residents. When administrators are equipped with the necessary knowledge and coping strategies, they can better support their staff members and families of residents during the end-of-life journey.

Grief support also plays a critical role in fostering a positive and compassionate work environment. When staff members receive adequate support during difficult times, it creates a sense of camaraderie and strengthens their ability to cope with grief-related challenges. Additionally, providing formal support systems, such as counseling services or employee assistance programs, can help in preventing burnout and reducing turnover rates among facility management.

To better address the emotional needs of staff members, nursing homes can enhance existing informal support networks within their facilities. Chaplains, pastors and social workers emerged as significant sources of support, but some staff members might feel hesitant to approach them for help. Encouraging open communication and breaking down barriers to seeking support can make a significant difference in providing comfort and guidance to grieving administrators and staff.

Facilities should also consider developing comprehensive training programs for administrators and other staff members. These programs should cover topics such as grief management, end-of-life care, and self-care techniques to ensure that staff members are equipped to cope with the emotional challenges they encounter in their roles.

By prioritizing grief support and investing in training programs, nursing homes can create a more compassionate work environment that promotes the well-being of both staff and residents. Only by addressing this critical gap can nursing homes truly fulfill their mission of providing the highest quality of care to their residents and support to their dedicated staff members.

Frances M. Hawes, Ph.D., MS, is an Assistant Professor in the Health Administration Program at the University of Wisconsin – Eau Claire, a program that educates future senior care leaders. She has over 10 years of experience working in the long-term care field.

The opinions expressed in McKnight’s Long-Term Care News guest submissions are the author’s and are not necessarily those of McKnight’s Long-Term Care News or its editors.

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