ArticleHealth services insights2016
The Need for Higher Minimum Staffing Standards in U.S. Nursing Homes.
Article in Health services insights, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 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
44 citing papers in PubMed, 1 synthesis or guideline pooled it, 128 citations in OpenAlex.
- Therapy-based allied health delivery in residential aged care, trends, factors, and outcomes: a systematic review.BMC geriatrics · 2022Pooled it
- 12-month trajectory and predictors of affect balance in nursing home residents living with dementia.Aging & mental health · 2022Trial
- Staffing Audit Outcomes Among California Skilled Nursing Facilities, Prior to and After COVID-19-Related Staffing Waivers.Journal of the American Medical Directors Association · 2026Article
- How much is adequate staffing for a nursing home? Forecasting daily service need of its case mix.Health care management science · 2026Article
- Social Determinants of Health, Nursing Care Quality, and Patient Outcomes in Neurological Disorders: A Systematic Review.Risk management and healthcare policy · 2026Review
- How Neighborhood Social Deprivation Is Associated With Nursing Home Quality: A Structure, Process, Outcome Model.Innovation in aging · 2025Article
- Modeling Nursing Home Harms From COVID-19 Staff Furlough Policies.JAMA network open · 2024Article
- Changes in Nursing Staff Levels and Injury-Related Emergency Department Visits among Assisted Living Residents with Alzheimers Disease and Related Dementias.Journal of the American Medical Directors Association · 2024Article
- Perspectives on Admissions and Care for Residents With Opioid Use Disorder in Skilled Nursing Facilities.JAMA network open · 2024Article
- The operational experience of private owners of small-sized care homes in China: a qualitative study.BMC health services research · 2023Article
- Association of Staffing Instability With Quality of Nursing Home Care.JAMA network open · 2023Article
- Tiredness Takes Its Toll: An Integrative Review on Sleep and Occupational Outcomes for Long-Term Care Workers.Journal of gerontological nursing · 2023Review
- Emergency department performance assessment using administrative data: A managerial framework.PloS one · 2023Review
- Quality Use of Medicines Indicators and Associated Factors in Residential Aged Care Facilities: Baseline Findings from the Pharmacists in RACF Study in Australia.Journal of clinical medicine · 2022Article
- The Advanced Practice Registered Nurse Leadership Role in Nursing Homes: Leading Efforts Toward High Quality and Safe Care.The Nursing clinics of North America · 2022Review
- Daily Variation in Nursing Home Staffing and Its Association With Quality Measures.JAMA network open · 2022Article
- Medication use quality and safety in older adults: 2020 update.Journal of the American Geriatrics Society · 2022Review
- Nursing Home Residents With Dementia: Association Between Place of Death and Patient Safety Culture.The Gerontologist · 2021Article
- Everyday Life and Social Contacts of Dementia and Non-Dementia Residents over 80 Years in Long-Term Inpatient Care: A Multi-Level Analysis on the Effect of Staffing.International journal of environmental research and public health · 2021Article
- Larger Nursing Home Staff Size Linked To Higher Number Of COVID-19 Cases In 2020.Health affairs (Project Hope) · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Many U.S. nursing homes have serious quality problems, in part, because of inadequate levels of nurse staffing. This commentary focuses on two issues. First, there is a need for higher minimum nurse staffing standards for U.S. nursing homes based on multiple research studies showing a positive relationship between nursing home quality and staffing and the benefits of implementing higher minimum staffing standards. Studies have identified the minimum staffing levels necessary to provide care consistent with the federal regulations, but many U.S. facilities have dangerously low staffing. Second, the barriers to staffing reform are discussed. These include economic concerns about costs and a focus on financial incentives. The enforcement of existing staffing standards has been weak, and strong nursing home industry political opposition has limited efforts to establish higher standards. Researchers should study the ways to improve staffing standards and new payment, regulatory, and political strategies to improve nursing home staffing and quality.
Indexed as
Identifiers
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.