Evidence map›Paper›PMID 20435790›Full record

ArticleMedical care research and review : MCRR2010

Nursing home organizational change: the "Culture Change" movement as viewed by long-term care specialists.

Susan C Miller, Edward Alan Miller, Hye-Young Jung, Samantha Sterns, Melissa Clark, Vincent Mor

Abstract read
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In one paragraph

Article in Medical care research and review : MCRR, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  13. Physicians in nursing homes: effectiveness of physician accountability and communication.Journal of the American Medical Directors Association · 2015
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  14. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Susan C MillerDepartment of Community Health, Brown University, 121 South Main Street, Providence, RI 02912, USA. susan_miller@brown.edu
Edward Alan Miller
Hye-Young Jung
Samantha Sterns
Melissa Clark
Vincent Mor

Funding

TRAINing in Aging Health & Health Services for Alzheimer's Disease and Related Dementias (TRAIN-ADRD)T32AG023482 · NIA · BROWN UNIVERSITY · PI Vincent Mor, Theresa I. Shireman · 2004 to 2026
$3.0M
NIA NIH HHS T32 AG023482
6 · The paper itself

Abstract

A decade-long grassroots movement aims to deinstitutionalize nursing home (NH) environments and individualize care. Coined "NH Culture Change" the movement is often described by its resident-centered/directed care focus. While empirical data of "culture change's" costs and benefits are limited, it is broadly viewed as beneficial and widely promoted. Still, debate abounds regarding barriers to its adoption. We used data from a Web-based survey of 1,147 long-term care specialists (including NH and other providers, consumers/advocates, state and federal government officials, university/academic, researchers/consultants, and others) to better understand factors associated with perceived barriers. Long-term care specialists view the number-one barrier to adoption differently depending on their employment, familiarity with culture change, and their underlying policy views. To promote adoption, research and broad-based educational efforts are needed to influence views and perceptions. Fundamental changes in the regulatory process together with targeted regulatory changes and payment incentives may also be needed.

Indexed as

Long-Term CareOrganizational InnovationAgedAttitude of Health PersonnelCost-Benefit AnalysisFemaleGovernment RegulationHealth Care SurveysHumansMaleMedicineMiddle AgedModels, OrganizationalNursing HomesOrganizational CultureSocial Change

Identifiers

PMID20435790
PMCPMC5555354

What OpenQuestion holds

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LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.