Evidence map›Paper›PMID 31488333›Full record

ArticleGeriatric nursing (New York, N.Y.)

Nursing home work environment, care quality, registered nurse burnout and job dissatisfaction.

Elizabeth M White, Linda H Aiken, Douglas M Sloane, Matthew D McHugh

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Geriatric nursing (New York, N.Y.). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 69 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed, 3 pooled it
27.8field-weighted citation impact, top 1% of its field
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

69 citing papers in PubMed, 3 syntheses or guidelines pooled it, 165 citations in OpenAlex.

  1. Pooled it
  2. Psychosocial Work Environment and Well-Being of Direct-Care Staff Under Different Nursing Home Ownership Types: A Systematic Review.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2023
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9 more citing papers are in PubMed but not listed here.

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

4 authors at 1 institution in 1 country.

Elizabeth M WhiteCenter for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, PA, USA. Electronic address: elizabeth_white@brown.edu.
Linda H AikenCenter for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, PA, USA.
Douglas M SloaneCenter for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, PA, USA.
Matthew D McHughCenter for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, PA, USA.
University of Pennsylvania · US

Funding

ADVANCED TRAINING IN NURSING OUTCOMES RESEARCHT32NR007104 · NINR · UNIVERSITY OF PENNSYLVANIA · PI JACQUELINE MARGO BROOKS CARTHON, EILEEN T LAKE · 1999 to 2026
$11.6M
The Impact of Changes in Nursing Systems and Models of Care on Patient Outcomes: A Panel StudyR01NR014855 · NINR · UNIVERSITY OF PENNSYLVANIA · PI Matthew D. McHugh · 2014 to 2026
$7.5M
National Research Service AwardT32HS000011 · AHRQ · BROWN UNIVERSITY · PI TRIVEDI, AMAL N. · 1986 to 2024
$6.1M
AHRQ HHS T32 HS000011NINR NIH HHS R01 NR014855NINR NIH HHS T32 NR007104
6 · The paper itself

Abstract

The objective of this cross-sectional study was to examine the relationships between work environment, care quality, registered nurse (RN) burnout, and job dissatisfaction in nursing homes. We linked 2015 RN4CAST-US nurse survey data with LTCfocus and Nursing Home Compare. The sample included 245 Medicare and Medicaid-certified nursing homes in four states, and 674 of their RN employees. Nursing homes with good vs. poor work environments, had 1.8% fewer residents with pressure ulcers (p = .02) and 16 fewer hospitalizations per 100 residents per year (p = .05). They also had lower antipsychotic use, but the difference was not statistically significant. RNs were one-tenth as likely to report job dissatisfaction (p < .001) and one-eighth as likely to exhibit burnout (p < .001) when employed in good vs. poor work environments. These results suggest that the work environment is an important area to target for interventions to improve care quality and nurse retention in nursing homes.

Indexed as

Health Facility EnvironmentJob SatisfactionNursing HomesQuality of Health CareAdultBurnout, ProfessionalCross-Sectional StudiesFemaleHumansMaleMiddle AgedNursing StaffUnited StatesWorkplaceBurnoutNursing homeQualityRegistered nursesWork environment

Identifiers

PMID31488333
PMCPMC7051884
OpenAlexW2972255183

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.