SynthesisInternational journal of older people nursing2025
How Have Quality Improvement Strategies Been Adopted and How Has Impact Been Assessed in Care Homes for Older People? A Systematic Search and Narrative Review.
Synthesis in International journal of older people nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
2 citing papers in PubMed, 1 synthesis or guideline pooled it.
- How Have Quality Improvement Strategies Been Adopted and How Has Impact Been Assessed in Care Homes for Older People? A Systematic Search and Narrative Review.International journal of older people nursing · 2025Pooled it
- Construction of an evaluation indicator system for humanistic care quality in nursing homes.BMC geriatrics · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionWe conducted a systematic search and narrative review of quality improvement in care homes. Our aim was to examine how quality improvement strategies have been adopted and how impact has been assessed in care homes for older people.
methodsFollowing PRISMA guidelines, we conducted systematic searches of the electronic databases Cumulative Index to Nursing and Allied Health Literature (CINAHL), Medline, PsycINFO and Applied Social Sciences Index & Abstracts (ASSIA) (2019-2024). We replicated the search strategy of a previously published review. Three co-authors undertook selection and data extraction.
resultsForty-four articles were included describing varied stages of quality improvement initiatives in care homes. The United States produced the largest number of studies. Quality improvement strategies were often poorly reported. Included papers reported stages of quality improvement from inception to evaluation. Most aimed for improved clinical outcomes, mainly those subject to external scrutiny. Few studies reported impact robustly. Quantitative measures, surveys and qualitative data were reported alongside staff-reported changes. There was no evidence of sustained improvement. There is some evidence of the use of theories, models and frameworks usually associated with implementation and knowledge mobilisation.
conclusionCurrent improvement practice is inconsistent and having limited impact. IMPLICATIONS FOR PRACTICE: We recommend any initiative to enhance resident experience and outcomes should involve establishing a project team, moving away from a deficit model, prioritising areas for improvement, identifying best practice, deciding how to measure improvement, understanding the challenges to best practice, co-designing strategies to effect change, sustaining the improvement, sharing learning and providing clear, detailed and accessible reporting.
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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.