ArticleHealth services research2012
Nursing home work environment and the risk of pressure ulcers and incontinence.
Article in Health services research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 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
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.
- Association between organisational and workplace cultures, and patient outcomes: systematic review.BMJ open · 2017Pooled it
- Organizational Context and Quality Indicators in Nursing Homes: A Microsystem Look.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2024Article
- The Relationship between Nursing Practice Environment and Pressure Ulcer Care Quality in Portugal's Long-Term Care Units.Healthcare (Basel, Switzerland) · 2023Article
- Article
- Article
- The Impact of Nursing Staffs' Working Conditions on the Quality of Care Received by Older Adults in Long-Term Residential Care Facilities: A Systematic Review of Interventional and Observational Studies.Geriatrics (Basel, Switzerland) · 2021Review
- End-of-Life Care among Nursing Home Residents with Dementia Varies by Nursing Home and Market Characteristics.Journal of the American Medical Directors Association · 2021Article
- COVID-19 Infections and Deaths among Connecticut Nursing Home Residents: Facility Correlates.Journal of the American Geriatrics Society · 2020Article
- [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
- 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
- End-of-Life Care in Nursing Homes: From Care Processes to Quality.Journal of palliative medicine · 2016Article
- Improvement of pressure ulcer prevention care in private for-profit residential care homes: an action research study.BMC geriatrics · 2016Article
- Contextual Facilitators of and Barriers to Nursing Home Pressure Ulcer Prevention.Advances in skin & wound care · 2016Article
- Longitudinal Pressure Ulcer Rates After Adoption of Culture Change in Veterans Health Administration Nursing Homes.Journal of the American Geriatrics Society · 2016Article
- Extending the Peters-Belson approach for assessing disparities to right censored time-to-event outcomes.Statistics in medicine · 2013Article
- Nursing home work environment, care quality, registered nurse burnout and job dissatisfaction.Geriatric nursing (New York, N.Y.)Article
- Examination of the New Short-Stay Nursing Home Quality Measures: Rehospitalizations, Emergency Department Visits, and Successful Returns to the Community.Inquiry : a journal of medical care organization, provision and financingArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 4 institutions in 1 country.
Funding
Abstract
objectiveTo examine the association between nursing home (NH) work environment attributes such as teams, consistent assignment and staff cohesion, and the risk of pressure ulcers and incontinence. DATA SOURCES/
settingMinimum dataset for 46,044 residents in 162 facilities in New York State, for June 2006-July 2007, and survey responses from 7,418 workers in the same facilities. STUDY
designFor each individual and facility, primary and secondary data were linked. Random effects logistic models were used to develop/validate outcome measures. Generalized estimating equation models with robust standard errors and probability weights were employed to examine the association between outcomes and work environment attributes. Key independent variables were staff cohesion, percent staff in daily care teams, and percent staff with consistent assignment. Other facility factors were also included. PRINCIPAL
findingsResidents in facilities with worse staff cohesion had significantly greater odds of pressure ulcers and incontinence, compared with residents in facilities with better cohesion scores. Residents in facilities with greater penetration of self-managed teams had lower risk of pressure ulcers, but not of incontinence. Prevalence of consistent assignment was not significantly associated with the outcome measures.
conclusionsNH environments and management practices influence residents' health outcomes. These findings provide important lessons for administrators and regulators interested in promoting NH quality improvement.
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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.