ArticleJournal of the American Medical Directors Association2013
Sampling challenges in nursing home research.
Article in Journal of the American Medical Directors Association, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Challenges of conducting research in long-term care facilities: a systematic review.BMC geriatrics · 2018Pooled it
- The triple challenge of recruiting older adults with dementia and high medical acuity in skilled nursing facilities.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2013Trial
- Breaking the cycle: how Spain's dependency care system creates occupational inequalities in geriatric nursing assistants and the need for reform.International journal for equity in health · 2025Article
- Generating and translating evidence for safe and effective medication management in aged care homes.British journal of clinical pharmacology · 2025Review
- Staff Empowerment Practices and CNA Retention: Findings From a Nationally Representative Nursing Home Culture Change Survey.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2018Article
- Predictive Modeling for End-of-Life Pain Outcome using Electronic Health Records.Advances in data mining. Industrial Conference on Data Mining · 2015Article
- Surveying multiple health professional team members within institutional settings: an example from the nursing home industry.Evaluation & the health professions · 2014Article
- Blended Facilitation as an Effective Implementation Strategy for Quality Improvement and Research in Nursing Homes.Journal of nursing care qualityArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundResearch on end-of-life care in nursing homes is hampered by challenges in retaining facilities in samples through study completion. Large-scale longitudinal studies in which data are collected on-site can be particularly challenging.
objectivesTo compare characteristics of nursing homes that dropped from the study to those that completed the study.
methodsOne hundred two nursing homes in a large geographic 2-state area were enrolled in a prospective study of end-of-life care of residents who died in the facility. The focus of the study was the relationship of staff communication, teamwork, and palliative/end-of-life care practices to symptom distress and other care outcomes as perceived by family members. Data were collected from public data bases of nursing homes, clinical staff on site at each facility at 2 points in time, and from decedents' family members in a telephone interview.
resultsSeventeen of the 102 nursing homes dropped from the study before completion. These non-completer facilities had significantly more deficiencies and a higher rate of turnover of key personnel compared to completer facilities. A few facilities with a profile typical of non-completers actually did complete the study after an extraordinary investment of retention effort by the research team.
conclusionNursing homes with a high rate of deficiencies and turnover have much to contribute to the goal of improving end-of-life care, and their loss to study is a significant sampling challenge. Investigators should be prepared to invest extra resources to maximize retention.
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