ArticleJournal of the American Geriatrics Society2010
Effects of nursing practice environments on quality outcomes in nursing homes.
Article in Journal of the American Geriatrics Society, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Nursing Home Work Environment and Burnout Association in Registered Nurses and Nursing Assistants: A Cross-Sectional Multicenter Study.Journal of nursing management · 2026Article
- Organizational Context and Quality Indicators in Nursing Homes: A Microsystem Look.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2024Article
- Article
- Professional development and career planning for nurses working in care homes for older people: A scoping review.International journal of older people nursing · 2023Article
- Article
- Perceptions of COVID-19 vaccines among healthcare assistants: A national survey.Journal of the American Geriatrics Society · 2022Article
- Effects of registered nurse staffing levels, work environment, and education levels on adverse events in nursing homes.Scientific reports · 2021Article
- A framework for delivering nursing care to older adults with COVID-19 in nursing homes.Public health nursing (Boston, Mass.) · 2021Article
- Which factors are related to Finnish home care workers' job satisfaction, stress, psychological distress and perceived quality of care? - a mixed method study.BMC health services research · 2020Article
- Effects of a pressure-ulcer audit and feedback regional programme at 1 and 2 years in nursing homes: A prospective longitudinal study.PloS one · 2020Article
- Registered Nurse Burnout, Job Dissatisfaction, and Missed Care in Nursing Homes.Journal of the American Geriatrics Society · 2019Article
- [Critical discussion on the current quality debate on long-term care-a plea for a systemic and empirical insight into the development and measurement of quality in long-term care].Zeitschrift fur Gerontologie und Geriatrie · 2019Review
- Nursing Home Employee and Resident Satisfaction and Resident Care Outcomes.Safety and health at work · 2018Article
- Article
- Factors Related to Healthcare Service Quality in Long-term Care Hospitals in South Korea: A Mixed-methods Study.Osong public health and research perspectives · 2017Article
- Measuring nurses' perception of work environment: a scoping review of questionnaires.BMC nursing · 2017Article
- Analysis of Racial and Ethnic Disparities as Possible Risk Factors for Development of Incontinence by Nursing Home Residents.Research in nursing & health · 2015Article
- Iraqi Nurses' Perspectives on Safety Issues in Maternity Services.Nursing and midwifery studies · 2015Article
- Home health agency work environments and hospitalizations.Medical care · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
The objective of this study was to determine whether nurse staffing levels and modifiable characteristics of the nursing practice environment are associated with important quality indicators represented by the percentage of residents with pressure ulcers and numbers of deficiency citations in nursing homes. A cross-sectional design linked nurse survey data, aggregated to the facility level, with Nursing Home Compare, a publicly available federal database containing nursing home-level measures of quality. The facility sample consisted of 63 Medicare- and Medicaid-certified nursing homes in New Jersey, and the nurse survey sample comprised 340 registered nurses providing direct resident care. Characteristics of the practice environment were measured using the Practice Environment Scale of the Nursing Work Index, included in the nurse survey. The total number of deficiency citations, the percentage of residents with pressure ulcers, nurse staffing levels, and facility characteristics were extracted from the Nursing Home Compare database. Results indicated that a supportive practice environment was inversely associated with the percentage of residents with pressure ulcers and fully mediated the effect of profit status on this important outcome. The nursing practice environment and facility size explained 25% of the variance in quality deficiencies. There were no associations between staffing levels and quality indicators. Findings indicate that administrative initiatives to create environments that support nursing practice may hold promise for improving quality indicators in nursing homes.
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What OpenQuestion holds
Registered trials
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.