Evidence map›Paper›PMID 35957612›Full record

ArticlePolicy, politics & nursing practice2022

Changes in Nursing Home Populations Challenge Practice and Policy.

M Barton Laws, Aly Beeman, Sylvia Haigh, Ira B Wilson, Renée R Shield

Open access · greenAbstract read
In one paragraph

Article in Policy, politics & nursing practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.7field-weighted citation impact, top 15% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

5 authors at 3 institutions in 2 countries.

M Barton LawsDepartment of Health Services, Policy and Practice, 174610Brown University School of Public Health, Providence, RI, USA.ORCID 0000-0002-0790-5879
Aly BeemanYouth Development Labs (YLabs), Kigali, Rwanda.
Sylvia Haigh20100VA Medical Center, Providence, RI, USA.
Ira B WilsonDepartment of Health Services, Policy and Practice, 174610Brown University School of Public Health, Providence, RI, USA.
Renée R ShieldDepartment of Health Services, Policy and Practice, 174610Brown University School of Public Health, Providence, RI, USA.
Brown University · USProvidence VA Medical Center · USRwanda Development Board · RW

Funding

Translational ScienceP30AI042853 · NIAID · MIRIAM HOSPITAL · PI CURT G BECKWITH · 1998 to 2026
$51.7M
Tracking and Evaluation CoreU54GM115677 · NIGMS · BROWN UNIVERSITY · PI KOGUT, STEPHEN J · 2016 to 2025
$45.0M
Aging, comorbid conditions, and health care utilization in persons with HIVR01MH102202 · NIMH · BROWN UNIVERSITY · PI WILSON, IRA B · 2014 to 2017
$2.6M
Disparities in Nursing Home Care Quality for Patients Living with HIV/AIDSR01MH109394 · NIMH · BROWN UNIVERSITY · PI WILSON, IRA B · 2016 to 2019
$2.3M
NIAID NIH HHS P30 AI042853NIGMS NIH HHS U54 GM115677NIMH NIH HHS R01 MH102202NIMH NIH HHS R01 MH109394
6 · The paper itself

Abstract

U.S. nursing homes (NH) have a growing prevalence of individuals with severe mental illness (SMI) and substance use disorders (SUD), and an associated increasing proportion of people under 65. We explored how Directors of Nursing (DONs) perceive challenges and strategies in caring for these populations. We conducted semi-structured telephone interviews with 32 DONs from diverse facilities around the U.S. Participants reported that people with SUD and SMI often present behavioral challenges requiring resource intensive responses, while regulations constrain optimal medication treatment. Younger individuals are considered more demanding of staff and impatient with traditional NH activities designed for older people. Some NHs report they screen out people with behavioral health disorders; they tend to be concentrated in NHs in economically disadvantaged communities. Individuals may remain in NHs because suitable settings for discharge are unavailable. These developments constitute a back door "re-institutionalization" of people with behavioral health disorders, and a growing crisis.

Indexed as

Mental DisordersNursing HomesAgedHumansPolicySkilled Nursing Facilitiesinstitutionalizationmental illnessnursing homessubstance use disorder

Identifiers

PMID35957612
PMCPMC10155416
OpenAlexW4291155703

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.