Evidence map›Paper›PMID 35187203›Full record

ArticleGerontology & geriatric medicine

Veterans Health Administration Staff Perceptions of Overseeing Care in Community Nursing Homes During COVID-19.

Leah M Haverhals, Kate H Magid, Kelly N Blanchard, Cari R Levy

Abstract read
In one paragraph

Article in Gerontology & geriatric medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Community Nursing Home Program Oversight: Can the VA Meet Increased Demand for Community-Based Care?Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2023
    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

4 authors.

Leah M HaverhalsRocky Mountain Regional VA Medical Center, Aurora, CO, USA.ORCID https://orcid.org/0000-0002-8155-5491
Kate H MagidRocky Mountain Regional VA Medical Center, Aurora, CO, USA.
Kelly N BlanchardRocky Mountain Regional VA Medical Center, Aurora, CO, USA.
Cari R LevyRocky Mountain Regional VA Medical Center, Aurora, CO, USA.ORCID https://orcid.org/0000-0002-7485-280X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe Veterans Health Administration (VA) contracts with non-VA owned and operated community nursing homes (CNHs) to provide Veterans nursing home care. This study explored VA staffs' experiences coordinating care with CNH staff during the COVID-19 pandemic.

methodsQualitative study interviewing VA staff overseeing and coordinating care for CNH Veterans. Interviews were recorded, transcribed, and analyzed using inductive and deductive thematic analysis.

resultsThree themes influenced care coordination. (1) Pre-established working relationships strengthened trust in CNH staff and remote access to CNH electronic medical records (EMRs). (2) Remote oversight proved challenging as virtual visits did not fully capture Veterans' needs and Veterans experienced challenges due to cognitive status, hearing impairment, and discomfort with technology. (3) Partnerships strengthened as VA staff provided CNHs personal protective equipment, COVID-19 testing, infection control education, and emotional support. DISCUSSION: Despite pre-existing relationships and improved partnerships, most VA staff felt uncertain about the quality of oversight provided through remote monitoring and preferred in-person interactions. However, they found benefit in remote access to CNH EMRs and shared optimism with expanding virtual care.

conclusionsFostering strong partnerships between VAs and CNHs improve care coordination during crises like the COVID-19 pandemic and for daily care.

Indexed as

care coordinationCOVID-19nursing homesVeterans

Identifiers

PMID35187203
PMCPMC8855220

What OpenQuestion holds

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LicenceCC BY-NC
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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.