ArticleThe Gerontologist2017
Development and Validation of A Scheduled Shifts Staffing (ASSiST) Measure of Unit-Level Staffing in Nursing Homes.
Article in The Gerontologist, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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.
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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
5 citing papers in PubMed.
- Sustained effects of the INFORM cluster randomized trial: an observational post-intervention study.Implementation science : IS · 2021Trial
- Burnout Among Nursing Home Care Aides and the Effects on Resident Outcomes.Medical care research and review : MCRR · 2024Article
- Counting what counts: assessing quality of life and its social determinants among nursing home residents with dementia.BMC geriatrics · 2024Article
- Organizational Context and Quality Indicators in Nursing Homes: A Microsystem Look.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2024Article
- Depressive symptoms in long term care facilities in Western Canada: a cross sectional study.BMC geriatrics · 2019Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
Purpose of the study: To (a) describe A Scheduled Shifts Staffing measure (ASSiST) to derive care aide worked hours per resident day (HCA WHRD) at facility and unit levels in nursing homes, (b) report reliability through comparisons to administrative staffing data; (c) report validity by examining associations between HCA WHRD, staff outcomes (job satisfaction, emotional exhaustion), and resident quality indicators (QIs) (e.g. falls, delirium, stage 2+ pressure ulcers), and (d) explore intrafacility variation in staffing intensity levels related to unit-level variation in resident and staff outcomes. Design and Methods: We used data from 40 care units in 12 Canadian nursing homes between 2007 and 2012. Descriptive statistics and tests of association and difference described relationships of two measures of staffing with resident and staff outcomes. Results: Annualized rates of HCA WHRD from both data sources compared well at the facility level (Pearson Product Correlation; R = 0.847, p < .001), and were correlated similarly to staff work life and many QIs. Using ASSiST data, we show that staffing levels can vary by up to 40% at the unit-level within nursing homes. Implications: ASSiST is easy to collect, more timely to retrieve than administrative data, has good criterion and construct validity, and reflects intrafacility variation in health care aide staffing levels.
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