Evidence map›Paper›PMID 23445455›Full record

ArticleHealth services research2013

Nursing home staffing requirements and input substitution: effects on housekeeping, food service, and activities staff.

John R Bowblis, Kathryn Hyer

Abstract read
In one paragraph

Article in Health services research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.0field-weighted citation impact, top 8% of its field
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

11 citing papers in PubMed, 27 citations in OpenAlex.

  1. Turnover of Housekeeping, Dietary, Laundry, and Maintenance Staff in Nursing Homes.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026
    Article
  2. Effect of Staffing and Wages on Turnover of Nonclinical Support Staff in Nursing Homes.Journal of the American Medical Directors Association · 2026
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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

2 authors at 2 institutions in 1 country.

John R BowblisDepartment of Economics, Farmer School of Business, Miami University, E. High Street, Oxford, OH 45056, USA. bowblijr@miamihio.edu
Kathryn Hyer
Scripps (United States) · USUniversity of South Florida · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo study the effect of minimum nurse staffing requirements on the subsequent employment of nursing home support staff. DATA SOURCES: Nursing home data from the Online Survey Certification and Reporting (OSCAR) System merged with state nurse staffing requirements. STUDY

designFacility-level housekeeping, food service, and activities staff levels are regressed on nurse staffing requirements and other controls using fixed effect panel regression. DATA EXTRACTION

methodOSCAR surveys from 1999 to 2004. PRINCIPAL

findingsIncreases in state direct care and licensed nurse staffing requirements are associated with decreases in the staffing levels of all types of support staff.

conclusionsIncreased nursing home nurse staffing requirements lead to input substitution in the form of reduced support staffing levels.

Indexed as

Food ServicesHousehold WorkNursing HomesHumansPersonnel Staffing and SchedulingUnited StatesWorkforceactivities stafffood servicehousekeepingNursing homesregulationstaffing requirementssupport staff

Identifiers

PMID23445455
PMCPMC3725539
OpenAlexW2065763502

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.