ArticleHealth services research2023
Perspectives of nursing home administrators across the United States during the COVID-19 pandemic.
Article in Health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 23 citations in OpenAlex.
- Crisis management and relational work in Swiss nursing homes during COVID-19: a qualitative multistakeholder study.BMJ public health · 2026Article
- COVID-19 outbreak management in Western Sydney residential aged care homes: A mixed-methods Donabedian evaluation.PloS one · 2025Article
- Skilled nursing facility staffing shortages: Sources, strategies, and impacts on staff who stayed.Health services research · 2024Article
- Nursing home leader response during COVID-19: a qualitative descriptive study about use of external resources during the pandemic.BMC health services research · 2024Article
- Efforts to Support the Mental Health and Well-being of Nursing Home Staff: Insights From Leaders.Journal of the American Medical Directors Association · 2024Article
- Perceived dilemma between protective measures and social isolation in nursing homes during the COVID-19 pandemic: a mixed methods study among Swiss nursing home directors.Frontiers in public health · 2024Article
- Examination of Staffing Shortages at US Nursing Homes During the COVID-19 Pandemic.JAMA network open · 2023Article
- Perspectives of nursing home administrators across the United States during the COVID-19 pandemic.Health services research · 2023Article
- U.S. nursing home leadership experiences with COVID-19 and its impact on residents and staff: A qualitative analysis.PloS one · 2023Article
- Quality at nursing homes with high proportion of residents with cognitive impairment.Geriatric nursing (New York, N.Y.)Article
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo characterize the experiences of nursing home administrators as they manage facilities across the United States during the COVID-19 pandemic. DATA SOURCES AND STUDY
settingWe conducted 156 interviews, consisting of four repeated interviews with administrators from 40 nursing homes in eight health care markets across the country from July 2020 through December 2021. STUDY
designWe subjected the interview transcripts to a rigorous qualitative analysis to identify overarching themes using a modified grounded theory approach to applied thematic analysis. DATA COLLECTION
methodsIn-depth, semi-structured qualitative interviews were conducted virtually or by phone, and audio-recorded, with participants' consent. Audio recordings were transcribed. PRINCIPAL
findingsInterviews with nursing home administrators revealed a number of important cross-cutting themes. In interviewing each facility's administrator four times over the course of the pandemic, we heard perspectives regarding the stages of the pandemic, and how they varied by the facility and changed over time. We also heard how policies implemented by federal, state, and local governments to respond to COVID-19 were frequently changing, confusing, and conflicting. Administrators described the effect of COVID-19 and efforts to mitigate it on residents, including how restrictions on activities, communal dining, and visitation resulted in cognitive decline, depression, and weight loss. Administrators also discussed the impact of COVID-19 on staff and staffing levels, reporting widespread challenges in keeping facilities staffed as well as strategies used to hire and retain staff. Administrators described concerns for the sustainability of the nursing home industry resulting from the substantial costs and pressures associated with responding to COVID-19, the reductions in revenue, and the negative impact of how nursing homes appeared in the media.
conclusionsFindings from our research reflect nursing home administrator perspectives regarding challenges operating during COVID-19 and have substantial implications for policy and practice.
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