The Skills You Need to Work in a
Long-Term Care Facility
See also: Rapport Building
Working in a long-term care facility like a nursing home or assisted living community requires a special set of skills. While clinical skills and medical knowledge are important, soft skills are equally vital for providing high-quality care and ensuring residents' wellbeing.
Soft skills enable caregivers to connect with residents on a human level and truly enrich their quality of life. Although policies, procedures, and clinical competencies provide the foundation, soft skills bring the care environment to life. It's the power of soft skills that transforms a building into a community where residents feel safe, engaged, and valued. The little moments of compassion, patience, creativity and integrity shape each resident's daily experience and overall health. Soft skills allow caregivers to form meaningful relationships with residents that honor their dignity and humanity.
Here are some of the most important skills you need to be successful in long-term care.
Compassion and Empathy
Compassion and empathy are essential for forming meaningful connections with residents and understanding their unique needs. Long-term care residents are coping with declining health, loss of independence, and separation from their familiar homes and communities. Showing compassion helps build trust and reassure residents that you genuinely care about their wellbeing. Practicing empathy enables you to see each resident's perspective and provide customized care that suits their preferences. Whether you are assisting with intimate tasks like bathing or keeping residents company during activities, compassion and empathy should be core values that guide your interactions.
Communication and Interpersonal Skills
The clear communication and interpersonal skills you'll learn while studying for an AGACNP degree will help you collaborate with co-workers and develop rapport with residents. You need to communicate clearly with your team to ensure proper care coordination and report changes in residents' conditions. Interpersonal skills are key for making residents feel comfortable and addressing any concerns they may have. Adapt your communication style to match each resident's abilities and needs. Be an engaged listener to build relationships with residents and understand what quality of life means to them. Your way of speaking and interacting with others greatly impacts the care experience.
Patience and Resilience
Caring for elderly and disabled residents tests your patience and resilience on a daily basis. Residents may require extensive assistance for eating, dressing, bathing, and other tasks. Some may exhibit difficult behaviors like aggression or repetitive vocalizations due to dementia or other conditions. You need abundant patience and the resilience to handle challenging behaviors constructively. Even small feats like getting dressed can take a long time and require gentle persistence. No matter how residents behave, respond with patience and sensitivity. Develop resilience by practicing self-care and seeking support from colleagues when needed.
Reliability and Responsibility
Since you are entrusted with residents' wellbeing, you must be reliable and responsible at all times. Residents depend on you to be there when expected to assist with medications, meals, therapies, and activities. Take responsibility for providing attentive care, following care plans, monitoring changes in health status, and reporting concerns immediately. You are accountable for residents' safety and dignity. Conduct yourself professionally and follow proper protocols consistently. Residents should feel secure knowing you will deliver reliable, responsible care.
Creativity and Problem-Solving Skills
Every resident and situation are unique, so you need creativity and problem-solving skills to provide person-centered care. Adjust standard approaches to suit individual resident preferences and abilities. Improvise solutions on the spot when challenges arise, like finding alternate ways to assist a resistant resident with bathing. Identify and implement creative activities that engage each resident's interests to enhance their quality of life. Since residents often have complex physical and psychological needs, you need resourcefulness and critical thinking skills to provide the best possible care.
Teamwork and Collaboration
Quality care depends on effective teamwork and collaboration. Work cooperatively with nurses, therapists, housekeepers, activity staff, and others. Maintain open communication within the care team to ensure continuity of care between shifts and departments. Be willing to assist co-workers when needed, even if certain tasks are not your direct responsibility. Express your perspectives professionally while also being open-minded toward others' input. A positive, collaborative work environment helps attract and retain compassionate staff who feel supported to do their best work. This benefits residents through more engaged caregiving.
Cultural Competence and Inclusivity
Long-term care facilities serve increasingly diverse populations. You need cultural competence and a commitment to inclusivity to show respect for all residents, families, and co-workers. Avoid assumptions and appreciate each resident's individual values. Be aware of your own cultural perspectives and biases. Make an effort to learn about cultures that differ from your own experience. Accommodate language needs, religious customs, dietary restrictions, and other preferences related to residents' cultural backgrounds. An inclusive environment where all feel welcomed and have their identities honored promotes optimal wellbeing.
Stress Management and Emotional Intelligence
Managing stress and practicing emotional intelligence (EQ) helps you cope with challenging situations and interactions. The nature of the work exposes you to heavy emotions like grief over declining health and death. Stress management skills like mindful breathing enable you to stay calmly present. Emotional intelligence allows you to be attuned to others' needs and your own feelings. Keep stress and emotions in check to make sound decisions and provide steady care. Seek healthy outlets like exercise, humor, and peer support. Your own wellbeing enables you to be more present for residents.
Strong Ethics and Standards
Upholding strong ethical standards ensures every decision prioritizes residents' needs. Follow standards for privacy, dignity and autonomy. Earn residents' trust by demonstrating honesty and integrity at all times. Never exploit or deceive residents. Report any suspected abuse immediately. Adhere closely to safety and infection control protocols. The highest professional and personal standards guide you to make choices that promote each resident's health, rights and quality of life. Ethics and standards maintain the integrity of the care environment.
In Conclusion
While clinical skills are indispensable, soft skills make the difference between adequately addressing basic needs versus deeply enriching residents' wellbeing. Lead with compassion, communicate effectively, collaborate as a team, act creatively and ethically. Keep building these soft skills through continual learning and reflective practice. When soft skills become ingrained, you transform into a trusted partner who enhances residents' lives through every interaction.
About the Author
Sally Giles ran her own successful importing business for many years. She's now living the dream as a freelance writer, walking her dogs through the forest most days.
