Evidence map›Paper›PMID 32981662›Full record

ArticleJournal of the American Medical Directors Association2020

Finding the Right Balance: An Evidence-Informed Guidance Document to Support the Re-Opening of Canadian Nursing Homes to Family Caregivers and Visitors during the Coronavirus Disease 2019 Pandemic.

Nathan M Stall, Jennie Johnstone, Allison J McGeer, Misha Dhuper, Julie Dunning, Samir K Sinha

Open access · bronzeAbstract read
In one paragraph

Article in Journal of the American Medical Directors Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed
17.8field-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

41 citing papers in PubMed, 81 citations in OpenAlex.

  1. Article
  2. Association Between State Essential Caregiver Programs and Antipsychotic Medication Use Rate in Nursing Homes During the COVID-19 Pandemic.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Equity Lens on Canada's COVID-19 Response: Review of the Literature.International journal of health policy and management · 2024
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Poor and Lost Connections: Essential Family Caregivers' Experiences Using Technology with Family Living in Long-Term Care Homes during COVID-19.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2022
    Article
  18. Article
  19. Psychological and Functional Impact of COVID-19 in Long-Term Care Facilities: The COVID-A Study.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2022
    Article
  20. Review
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 at 4 institutions in 2 countries.

Nathan M StallNational Institute on Aging, Ryerson University, Toronto, Canada; Division of General Internal Medicine and Geriatrics, Sinai Health System and the University Health Network, Toronto, Canada; Women's College Research Institute, Women's College Hospital, Toronto, Canada; Division of Geriatric Medicine, Department of Medicine, University of Toronto, Toronto, Canada; Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Canada. Electronic address: nathan.stall@sinaihealth.ca.
Jennie JohnstoneInfection Prevention and Control, Sinai Health System, Toronto, Canada; Public Health Ontario, Toronto, Canada; Dalla Lana School of Public Health, University of Toronto, Toronto, Canada; Department of Laboratory Medicine and Pathobiology, University of Toronto, Canada.
Allison J McGeerDepartment of Laboratory Medicine and Pathobiology, University of Toronto, Canada.
Misha DhuperNational Institute on Aging, Ryerson University, Toronto, Canada.
Julie DunningNational Institute on Aging, Ryerson University, Toronto, Canada.
Samir K SinhaNational Institute on Aging, Ryerson University, Toronto, Canada; Women's College Research Institute, Women's College Hospital, Toronto, Canada; Division of Geriatric Medicine, Department of Medicine, University of Toronto, Toronto, Canada; Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Canada; Division of Geriatrics and Gerontology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
Toronto Metropolitan University · CAUniversity of Toronto · CAJohns Hopkins University · USUniversity Health Network · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

During the first few months of the coronavirus disease 2019 (COVID-19) pandemic, Canadian nursing homes implemented strict no-visitor policies to reduce the risk of introducing COVID-19 in these settings. There are now growing concerns that the risks associated with restricted access to family caregivers and visitors have started to outweigh the potential benefits associated with preventing COVID-19 infections. Many residents have sustained severe and potentially irreversible physical, functional, cognitive, and mental health declines. As Canada emerges from its first wave of the pandemic, nursing homes across the country have cautiously started to reopen these settings, yet there is broad criticism that emerging visitor policies are overly restrictive, inequitable, and potentially harmful. We reviewed the nursing home visitor policies for Canada's 10 provinces and 3 territories as well as international policies and reports on the topic to develop 10 provi-informed, data-driven, and expert-reviewed guidance for the re-opening of Canadian nursing homes to family caregivers and visitors.

Indexed as

AgingBetacoronavirusCanadaCoronavirus InfectionsCOVID-19Disease ManagementHealth PolicyHumansLonelinessNursing HomesPandemicsPatient SafetyPneumonia, ViralSARS-CoV-2Social Isolation

Identifiers

PMID32981662
PMCPMC7396877
OpenAlexW3046909777

What OpenQuestion holds

Textmetadata
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.