ArticleThe Gerontologist2020
No Other Safe Care Option: Nursing Home Admission as a Last Resort Strategy.
Article in The Gerontologist, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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
16 citing papers in PubMed.
- The Well-Being of Older Offenders on Release in the Community.International journal of offender therapy and comparative criminology · 2026Article
- The predictive role of feeling lonely in nursing home placement in older adults hospitalized in an emergency setting.Aging clinical and experimental research · 2026Observational
- Shaping older adults' care policy: a scoping review of key determinants in post-acute and community reintegration transitions.BMC health services research · 2025Article
- Assessing the impact of day programs on individuals living with dementia and their family/friend caregivers (AIDA-DemCare): protocol of a prospective cohort study combined with a qualitative evaluation.BMC public health · 2025Article
- "Nobody Can Be Equipped for This": Advice From New Residents of Long-Term Care Facilities.Journal of the American Geriatrics Society · 2025Article
- Network Analyses to Explore Comorbidities Among Older Adults Living With Dementia.Journal of the American Geriatrics Society · 2025Article
- Risk factors and economic impact of long-term nursing care after major trauma.Frontiers in public health · 2025Article
- From images to health insight: integrating MLLM, NLP, and objective Q-sorting of nursing-home built environment orientations.Frontiers in medicine · 2025Article
- Article
- Predictors of Nursing Home Entry within 36 Months after Hospitalization via the Emergency Department among Persons Aged 75 Years or Older.Geriatrics (Basel, Switzerland) · 2023Article
- Codesigning a Culture-Centered Age-Friendly Community for Māori Kaumātua: Cultural Principles and Practices.The journals of gerontology. Series B, Psychological sciences and social sciences · 2022Article
- Older Women's Loneliness and Depression Decreased by a Reminiscence Program in Times of COVID-19.Frontiers in psychology · 2022Article
- Iatrogenesis in the Context of Residential Dementia Care: A Concept Analysis.Innovation in aging · 2022Review
- [A care concept and its contribution to the stability of home-based care arrangements : Cross-sectoral care between vision and reality].Zeitschrift fur Gerontologie und Geriatrie · 2021Review
- Association of Social Isolation of Long-term Care Facilities in the United States With 30-Day Mortality.JAMA network open · 2021Article
- "I'll fill in the gaps": perspectives of HHAs on promoting aging in place for older adults with low incomes.Home health care services quarterlyArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
BACKGROUND AND
objectivesNursing homes are intended for older adults with the highest care needs. However, approximately 12% of all nursing home residents have similar care needs as older adults who live in the community and the reasons they are admitted to nursing homes is largely unstudied. The purpose of this study was to explore the reasons why lower-care nursing home residents are living in nursing homes. RESEARCH DESIGN AND
methodsA qualitative interpretive description methodology was used to gather and analyze data describing lower-care nursing home resident and family member perspectives regarding factors influencing nursing home admission, including the facilitators and barriers to living in a community setting. Data were collected via semistructured interviews and field notes. Data were coded and sorted, and patterns were identified. This resulted in themes describing this experience.
resultsThe main problem experienced by lower-care residents was living alone in the community. Residents and family members used many strategies to avoid safety crises in the community but experienced multiple care breakdowns in both community and health care settings. Nursing home admission was a strategy used to avoid a crisis when residents did not receive the needed support to remain in the community. DISCUSSION AND IMPLICATIONS: To successfully remain in the community, older adults require specialized supports targeting mental health and substance use needs, as well as enhanced hospital discharge plans and improved information about community-based care options. Implications involve reforming policies and practices in both hospital and community-based care settings.
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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.