ArticleHealth affairs (Project Hope)2024
Nursing Homes Increasingly Rely On Staffing Agencies For Direct Care Nursing.
Article in Health affairs (Project Hope), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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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.
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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
22 citing papers in PubMed.
- Three Case-Based Approaches to Preimplementation Evaluation in Nursing Homes: Understanding Enablers, Barriers, and Implementation Strategies.Journal of the American Medical Directors Association · 2026Article
- Associations between nursing home leadership turnover and resident satisfaction.The Gerontologist · 2026Article
- Nursing workload in Latvian intensive care units: a 3-month observation.BMC nursing · 2026Article
- Heterogeneous effects of nursing staff wages on turnover: evidence from U.S. nursing homes using an instrumental variable approach.The Gerontologist · 2026Article
- Changes in US Skilled Nursing Facility Capacity Following the COVID-19 Pandemic.JAMA internal medicine · 2026Article
- The effect of civil money penalties on the financial performance of nursing homes.Innovation in aging · 2026Article
- Medicaid payment rates and nursing home staffing levels across ownership types.Innovation in aging · 2026Article
- Nursing Outside the Lines: Identity, Policy, and the Rise of Gig Economy Nursing.Journal of nursing management · 2026Article
- Nursing home visitor policy and COVID-19 infection rates.American journal of infection control · 2025Article
- Temporary nurse deployments: a time-series analysis of shift scheduling dynamics and staffing level alignment.International journal of nursing studies advances · 2025Article
- Medicaid Payments and Racial and Ethnic Disparities in Alzheimer Disease Special Care Units.JAMA network open · 2025Article
- Addressing Staffing Shortages in Nursing Homes: Does Relaxing Training and Licensing Requirements Increase Nurse Aide Staffing?Health services research · 2025Article
- "Anybody who has a heart is going to think that it's a good idea": Pre-Implementation of the Individualized Positive Psychosocial Interaction.The Gerontologist · 2025Article
- Implementing a prediction driven framework for emergency department nurse staffing to optimize real time decisions.npj health systems · 2025Article
- The healthcare system in Sweden.European journal of epidemiology · 2025Review
- Developing a framework for infection control education in nursing homes: Applying the mixed-methods Delphi technique.Journal of Korean gerontological nursing · 2025Article
- Association of Racial and Ethnic Composition with Staff Levels in Nursing Homes: 2013-2019.Journal of the American Medical Directors Association · 2025Article
- Agency Nursing Staff Utilization and Turnover in Nursing Homes: A Longitudinal Analysis.Healthcare (Basel, Switzerland) · 2025Article
- Implementation challenges of the new federal nursing home staffing rules will vary across states.Health affairs scholar · 2025Article
- Access and care for people with opioid use disorder in U.S. skilled nursing facilities: A policy commentary.The International journal on drug policy · 2024Article
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Authors and funding
5 authors.
Funding
Abstract
When nursing homes experience a shortage in directly employed nursing staff, they may rely on temporary workers from staffing agencies to fill this gap. This article examines trends in the use of staffing agencies among nursing homes during the prepandemic and COVID-19 pandemic era (2018-22). In 2018, 23 percent of nursing homes used agency nursing staff, accounting for about 3 percent of all direct care nursing hours worked. When used, agency staff were commonly present for ninety or fewer days in a year. By 2022, almost half of all nursing homes used agency staff, accounting for 11 percent of all direct care nursing staff hours. Agency staff were increasingly used to address chronic staffing shortages, with 13.8 percent of nursing homes having agency staff present every day. Agency staff were 50-60 percent more expensive per hour than directly employed nursing staff, and nursing homes that used agency staff often had lower five-star ratings. Policy makers need to consider postpandemic changes to the nursing home workforce as part of nursing home reform, as increased reliance on agency staff may reduce the financial resources available to increase nursing staff levels and improve the quality of care.
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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.