ArticleHealth services research2016
Inside the Green House "Black Box": Opportunities for High-Quality Clinical Decision Making.
Article in Health services research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 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
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Failure or success of self-organizing teams in long-term care organizations: an integrative systematic literature review on the role of the organization structure.BMC health services research · 2025Pooled it
- Permanent cognitive or physical impairment after transfer from long-term care to acute care: a retrospective cohort study.Age and ageing · 2026Article
- Article
- A Mixed-Methods Scoping Review of Innovative Long-term Care Facility Design and Associated Outcomes.Innovation in aging · 2025Review
- Working at Green Care Farms and Other Innovative Small-Scale Long-Term Dementia Care Facilities Requires Different Competencies of Care Staff.International journal of environmental research and public health · 2021Article
- 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
- Development of a New Tool for Systematic Observation of Nursing Home Resident and Staff Engagement and Relationship.The Gerontologist · 2018Article
- Family involvement in timely detection of changes in health of nursing homes residents: A qualitative exploratory study.Journal of clinical nursing · 2018Article
- New Evidence on the Green House Model of Nursing Home Care: Synthesis of Findings and Implications for Policy, Practice, and Research.Health services research · 2016Article
- The Green House Model of Nursing Home Care in Design and Implementation.Health services research · 2016Article
- Studying Nursing Home Innovation: The Green House Model of Nursing Home Care.Health services research · 2016Article
- Workforce Characteristics, Perceptions, Stress, and Satisfaction among Staff in Green House and Other Nursing Homes.Health services research · 2016Observational
- Promoting an Alternative to Traditional Nursing Home Care: Evaluating the Green House Small Home Model. An Introduction from the Funders and the Green House Project.Health services research · 2016Article
- The Impact of Green House Adoption on Medicare Spending and Utilization.Health services research · 2016Article
- Green House Adoption and Nursing Home Quality.Health services research · 2016Article
- Making the Case for Centralized Dementia Care Through Adaptive Reuse in the Time of COVID-19.Inquiry : a journal of medical care organization, provision and financingArticle
- "It's a lot!" the universal worker model and dementia care in assisted living.Geriatric nursing (New York, N.Y.)Article
- Community Visioning for Innovation in Integrated Dementia Care: Stakeholder Focus Group Outcomes.Journal of primary care & community healthArticle
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.
Funding
Abstract
objectiveTo develop a conceptual model that explained common and divergent care processes in Green House (GH) nursing homes with high and low hospital transfer rates. DATA SOURCES/SETTINGS: Eighty-four face-to-face, semistructured interviews were conducted with direct care, professional, and administrative staff with knowledge of care processes in six GH organizations in six states. STUDY DESIGN/DATA COLLECTION: The qualitative grounded theory method was used for data collection and analysis. Data were analyzed using open, axial, and selective coding. Data collection and analysis occurred iteratively. PRINCIPAL
findingsElements of the GH model created significant opportunities to identify, communicate, and respond to early changes in resident condition. Staff in GH homes with lower hospital transfer rates employed care processes that maximized these opportunities. Staff in GH homes with higher transfer rates failed to maximize, or actively undermined, these opportunities.
conclusionsVariations in how the GH model was implemented across GH homes suggest possible explanations for inconsistencies found in past research on the care outcomes, including hospital transfer rates, in culture change models. The findings further suggest that the details of culture change implementation are important considerations in model replication and policies that create incentives for care improvements.
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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.