ArticleHealth services research2022
Association between nursing home staff turnover and infection control citations.
Article in Health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.
What it found
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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
27 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.
- Pooled it
- Environmental Disinfection in Long-Term Care Facilities-A Scoping Review.Microorganisms · 2026Review
- Invisible staffing churn in nursing homes: CMS turnover metrics miss a growing short-term workforce.Health affairs scholar · 2026Article
- Heterogeneous effects of nursing staff wages on turnover: evidence from U.S. nursing homes using an instrumental variable approach.The Gerontologist · 2026Article
- A Simultaneous Mixed-Methods Examination of Factors Influencing Intent-to-Leave Among Nursing Home Care Providers in 25 Long-Term Care Facilities.Journal of the American Medical Directors Association · 2026Article
- Predicting turnover intention among newly graduated nurses in South Korea: a decision tree analysis.BMC nursing · 2025Article
- Impact of a Collaboration-Focused Intervention to Prevent Healthcare-Associated Infections Before and During the COVID-19 Pandemic.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025Article
- A Looming Disaster: The Certified Nursing Assistant Staffing Shortage.The Gerontologist · 2025Article
- Developing a framework for infection control education in nursing homes: Applying the mixed-methods Delphi technique.Journal of Korean gerontological nursing · 2025Article
- Characteristics of nursing homes with high rates of invasive methicillin-resistant Staphylococcus aureus infections.Journal of the American Geriatrics Society · 2025Article
- Workplace Violence and Worker Well-Being: A Preliminary Cross-Sectional Study.Journal of gerontological nursing · 2024Article
- Modeling Nursing Home Harms From COVID-19 Staff Furlough Policies.JAMA network open · 2024Article
- Sleep quality as a mediator between family function and life satisfaction among Chinese older adults in nursing home.BMC geriatrics · 2024Observational
- Characterizing infection prevention programs and urinary tract infection prevention practices in nursing homes: A mixed-methods study.Infection control and hospital epidemiology · 2024Article
- Factors Impacting Retention of Aged Care Workers: A Systematic Review.Healthcare (Basel, Switzerland) · 2023Review
- The Relationship Between Scope of Practice Laws for Task Delegation and Nurse Turnover in Home Health.Journal of the American Medical Directors Association · 2023Article
- Examination of Staffing Shortages at US Nursing Homes During the COVID-19 Pandemic.JAMA network open · 2023Article
- Care delivery approaches and perceived barriers to improving quality of care: A national survey of skilled nursing facilities.Journal of the American Geriatrics Society · 2023Article
- Experiences of Healthcare Workers in Long-Term Care during COVID-19: A Scoping Review.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2023Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 4 institutions in 1 country.
Funding
Abstract
objectiveTo describe the association between nursing home staff turnover and the presence and scope of infection control citations. DATA SOURCES: Secondary data for all US nursing homes between March 31, 2017, through December 31, 2019 were obtained from Payroll-Based Journal (PBJ), Nursing Home Compare, and Long-Term Care: Facts on Care in the US (LTC Focus). STUDY
designWe estimated the association between nurse turnover and the probability of an infection control citation and the scope of the citation while controlling for nursing home fixed effects. Our turnover measure is the percent of the facility's nursing staff hours that were provided by new staff (less than 60 days of experience in the last 180 days) during the 2 weeks prior to the health inspection. We calculated turnover for all staff together and separately for registered nurses, licensed practical nurses (LPNs), and certified nursing assistants. DATA COLLECTION/EXTRACTION
methodsWe linked nursing homes standard inspection surveys to 650 million shifts from the PBJ data. We excluded any nursing home with incomplete or missing staffing data. Our final analytic sample included 12,550 nursing homes with 30,536 surveys. PRINCIPAL
findingsStaff turnover was associated with an increased likelihood of an infection control citation (average marginal effect [AME] = 0.12 percentage points [pp]; 95% confidence interval [CI]: 0.05, 0.18). LPN (AME = 0.06 pp; 95% CI: 0.01, 0.11) turnover was conditionally associated with an infection control citation. Conditional on having at least an isolated citation for infection control, staff turnover was positively associated with receiving a citation coded as a "pattern" (AME = 0.21 pp; 95% CI: 0.10, 0.32). Conditional of having at least a pattern citation, staff turnover was positively associated with receiving a widespread citation (AME = 0.21 pp; 95% CI: 0.10, 0.32).
conclusionsTurnover was positively associated with the probability of an infection control citation. Staff turnover should be considered an important factor related to the spread of infections within nursing homes.
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What OpenQuestion holds
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.