Evidence map›Paper›PMID 21163911›Full record

ArticleThe Gerontologist2011

Culture change in long-term care: participatory action research and the role of the resident.

Robin Shura, Rebecca A Siders, Dale Dannefer

Abstract read
In one paragraph

Article in The Gerontologist, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing 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

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

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Participatory research approaches in long-term care facilities for older adults: a meta-ethnography.International journal of qualitative studies on health and well-being · 2024
    Review
  9. Article
  10. Article
  11. Article
  12. Article
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  15. Article
  16. Article
  17. Methods for Involving Older People in Health Research-A Review of the Literature.International journal of environmental research and public health · 2017
    Review
  18. Article
  19. Article
  20. Observational
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

3 authors.

Robin ShuraDepartment of Sociology, Hiram College, Hiram, OH 44234, USA. robinshura@gmail.com
Rebecca A Siders
Dale Dannefer

Funding

Carolina Population CenterR24HD050924 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MORGAN, SAMUEL PHILIP · 2005 to 2014
$10.0M
NICHD NIH HHS R24 HD050924
6 · The paper itself

Abstract

purposeThis study's purpose was to advance the process of culture change within long-term care (LTC) and assisted living settings by using participatory action research (PAR) to promote residents' competence and nourish the culture change process with the active engagement and leadership of residents. DESIGN AND

methodsSeven unit-specific PAR groups, each consisting of 4-7 residents, 1-2 family members, and 1-3 staff, met 1 hour per week for 4 months in their nursing home or assisted living units to identify areas in need of improvement and to generate ideas for community change. PAR groups included residents with varied levels of physical and cognitive challenges. Residents were defined as visionaries with expertise based on their 24/7 experience in the facility and prior life experiences.

resultsAll PAR groups generated novel ideas for creative improvements and reforms in their communities and showed initiative to implement their ideas. Challenges to the process included staff participation and sustainability. IMPLICATIONS: PAR is a viable method to stimulate creative resident-led reform ideas and initiatives in LTC. Residents' expertise has been overlooked within prominent culture change efforts that have developed and facilitated changes from outside-in and top-down. PAR may be incorporated productively within myriad reform efforts to engage residents' competence. PAR has indirect positive quality of life benefits as a forum of meaningful social engagement and age integration that may transform routinized and often ageist modes of relationships within LTC.

Indexed as

Long-Term CareActivities of Daily LivingCommunity-Based Participatory ResearchCultural EvolutionHealth Services Needs and DemandHealth Services ResearchHomes for the AgedHumansLeadershipNursing HomesOhioPilot ProjectsQuality of Life

Identifiers

PMID21163911
PMCPMC3140257

What OpenQuestion holds

Textmetadata
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.