In the Ahead of Print article published this week, John Bowblis of Miami University and his team of coauthors examine trends in the use of staffing agencies among freestanding nursing homes before and during the COVID-19 pandemic.
The researchers find that between 2018-19, on average, 22.5 percent of nursing homes used any direct care agency nursing staff, but during 2022, this number rose to 49.1 percent.
Bowblis and coauthors also determine in 2022 that there was “significant variation in the use of agency staff across states.”
Vermont, New York, Maryland, and Pennsylvania had more than 70 percent of nursing homes using any direct care agency nursing staff, while Oklahoma, Alabama, Washington, DC, and Arkansas had fewer than 30 percent of nursing homes using agency staff.
The share of hours worked by agency staff also increased from 3.2 percent in 2018 and 2019 to 11 percent in 2022.