ArticleNursing open2023
Registered Nurses' perspective of systemic factors affecting nursing home care quality decline: A qualitative descriptive study.
Article in Nursing open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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.
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Who cites it
5 citing papers in PubMed.
- The Mobile Hospital delivers outreach acute care to nursing homes: healthcare staff interviews.International journal of emergency medicine · 2026Article
- Registered Nurse Workload and Resident Outcomes in Nursing Homes: A Scoping Review of Workforce Sustainability and Nursing Management.Journal of nursing management · 2026Review
- The Impact of Person-Centered Care Indicators on Care Strain Among Care Aides in Long-Term Care Homes in New Brunswick: A Cross-Sectional Study.Nursing reports (Pavia, Italy) · 2025Article
- Adverse events and contributing factors in Chinese nursing homes: a multisite cross-sectional study.Frontiers in public health · 2025Article
- Registered Nurses' perspective of systemic factors affecting nursing home care quality decline: A qualitative descriptive study.Nursing open · 2023Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimA growing number of older people are living in nursing homes worldwide, but their safety and quality of care are not guaranteed. This study explores registered nurses' (RNs) perspectives on systemic factors affecting the quality of care and safety decline of nursing home.
designQualitative descriptive study.
methodsIn this study, semi-structured interviews were conducted with 10 RNs working in six nursing homes, who were chosen through purposive sampling. Data were collected from 1 August-19 September 2019, and analysed using thematic analysis.
resultsThe following five themes were derived: lack of sufficient number of RNs, poor work conditions, unclear job descriptions for RNs, no official position of nursing director and absence of transition care system. PATIENT OR PUBLIC CONTRIBUTION: All reports of RNs affecting resident safety and quality of care decline were related to systemic factors. Therefore, improving quality of care in nursing homes should be supported by changes in systemic factors, such as maintaining an appropriate number of RNs and improving their working conditions.
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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.