Evidence map›Paper›PMID 30015532›Full record

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

Culture Change in Nursing Homes: What Is the Role of Nursing Home Resources?

Latarsha Chisholm, Ning J Zhang, Kathryn Hyer, Rohit Pradhan, Lynn Unruh, Feng-Chang Lin

Abstract read
In one paragraph

Article 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. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–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.

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

15 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Provider adherence to training components from theContemporary clinical trials communications · 2022
    Article
  6. Nursing Home Alzheimer's Special Care Units: Geographic Location Matters.Journal of the American Medical Directors Association · 2022
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Nursing Home Star Ratings and New Onset of Depression in Long-Stay Nursing Home Residents.Journal of the American Medical Directors Association · 2019
    Article
  13. Review
  14. Article
  15. 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

6 authors.

Latarsha Chisholm1 University of Central Florida, Orlando, USA.ORCID 0000-0003-3705-9412
Ning J Zhang2 Seton Hall University, South Orange, NJ, USA.
Kathryn Hyer3 University of South Florida, Tampa, USA.
Rohit Pradhan4 University of Arkansas for Medical Sciences, Little Rock, USA.
Lynn Unruh1 University of Central Florida, Orlando, USA.
Feng-Chang Lin5 The University of North Carolina at Chapel Hill, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Quality of care has been a long-standing issue in US nursing homes. The culture change movement attempts to transition nursing homes from health care institutions to person-centered homes. While the adoption of culture change has been spreading across nursing homes, barriers to adoption persist. Nursing homes that disproportionately serve minority residents may have additional challenges implementing culture change compared with other facilities due to limited financial and staffing resources. The objective of this study was to examine how nursing home characteristics are associated with culture change adoption in Central Florida nursing homes. This cross-sectional study included 81 directors of nursing (DONs) who completed the Artifacts of Culture Change survey. In addition, nursing home organizational data were obtained from the Certification and Survey Provider Enhanced Reports (CASPER). A logistic regression was conducted to examine the relationship between high culture change adoption and nursing home characteristics. The overall adoption of culture change scores in Central Florida nursing homes was low. Nevertheless, there was variability across nursing homes in the adoption of culture change. High culture change adoption was associated with nursing homes having lower proportions of Medicaid residents.

Indexed as

Organizational CultureOrganizational InnovationCross-Sectional StudiesFloridaHealth ResourcesHumansMedicaidNursing HomesQuality of Health CareUnited Statesartifacts of culture changecross-sectionalculture changedisparitiesMedicaidnursing homes

Identifiers

PMID30015532
PMCPMC6050816

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Registered trials

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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.