Evidence map›Paper›PMID 29888677›Full record

ReviewInquiry : a journal of medical care organization, provision and financing

Nursing Home Implementation of Health Information Technology: Review of the Literature Finds Inadequate Investment in Preparation, Infrastructure, and Training.

Michelle Ko, Laura Wagner, Joanne Spetz

Registry-linked trialAbstract readReview
In one paragraph

Review in Inquiry : a journal of medical care organization, provision and financing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05439304 (RoboCare - Implementation of a Smart Robot in Care Homes), which is not on this map. Cited by 39 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 5 pooled it
–field-weighted citation impact
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.

NCT05439304 unknown statusnot on this map

RoboCare - Implementation of a Smart Robot in Care Homes

TypeobservationalSponsorHelse Stavanger HFRan2022 to 2024Enrolled40ConditionsDementiaArmsNo intervention
3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Person-Centered Technology for Older Adults: Benefits, Limitations, and Considerations in Design and Use.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026
    Article
  7. Review
  8. Article
  9. System-level interventions for fall risk assessment, fall prevention and fall injury prevention in long-term care facilities: a scoping review.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Suitability and Adaptability of a Real-Time Location System to Mitigate Item Loss in Dementia Care Facilities.Gerontechnology : international journal on the fundamental aspects of technology to serve the ageing society · 2024
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
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

3 authors.

Michelle Ko1 University of California, Davis, USA.ORCID 0000-0001-8859-0022
Laura Wagner2 University of California, San Francisco, USA.
Joanne Spetz2 University of California, San Francisco, USA.

Funding

Targeted Research Training CoreT42OH008429 · OH · UNIVERSITY OF CALIFORNIA BERKELEY · PI HARRIS ADAMSON, CARISA · 2005 to 2024
$30.0M
NIOSH CDC HHS T42 OH008429
6 · The paper itself

Abstract

Health information technology (HIT) is increasingly adopted by nursing homes to improve safety, quality of care, and staff productivity. We examined processes of HIT implementation in nursing homes, impact on the nursing home workforce, and related evidence on quality of care. We conducted a literature review that yielded 46 research articles on nursing homes' implementation of HIT. To provide additional contemporary context to our findings from the literature review, we also conducted semistructured interviews and small focus groups of nursing home staff (n = 15) in the United States. We found that nursing homes often do not employ a systematic process for HIT implementation, lack necessary technology support and infrastructure such as wireless connectivity, and underinvest in staff training, both for current and new hires. We found mixed evidence on whether HIT affects staff productivity and no evidence that HIT increases staff turnover. We found modest evidence that HIT may foster teamwork and communication. We found no evidence that the impact of HIT on staff or workflows improves quality of care or resident health outcomes. Without initial investment in implementation and training of their workforce, nursing homes are unlikely to realize potential HIT-related gains in productivity and quality of care. Policy makers should consider creating greater incentives for preparation, infrastructure, and training, with greater engagement of nursing home staff in design and implementation.

Indexed as

CommunicationMedical InformaticsFocus GroupsHealth PersonnelHealth Plan ImplementationHumansNursing HomesQuality of Health CareUnited Statesinformation technologynursing homesnursing home staffoutcome and process assessment (health care)

Identifiers

PMID29888677
PMCPMC6050994

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

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.