ArticleJournal of the American Geriatrics Society2025
Comparing Disaster-Related Surge Staffing Practices Across Rural and Non-Rural Nursing Homes.
Article in Journal of the American Geriatrics Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
backgroundClarifying whether rural and non-rural nursing homes implement different disaster-related staffing approaches is vital to developing targeted preparedness strategies.
methodsIn this retrospective cohort study of 361 nursing homes exposed to Hurricane Michael (2018), we used a comparative interrupted time series design to assess changes in staffing intensity and composition from 30 days before landfall to 7 days after. We examined three outcomes using the Centers for Medicare & Medicaid Services (CMS) Payroll Based Journal: total staffing intensity (hours per resident per day), licensure composition (percentage of registered nurses (RN) and licensed practical nurses (LPN)), and employment composition (percentage of routine staff who are not independent contractors). We evaluated staffing intensity with linear mixed-effects models and licensure and employment composition using linear probability models. We report point estimates and 95% confidence intervals (CI).
resultsOf 361 nursing homes, 39.9% were rural. At baseline, rural facilities had 8% (0.92; 95% CI 0.87-0.96) lower total staffing intensity compared to non-rural facilities. In the post-event period, rural facilities increased total staffing by an additional 4% (95% CI 1.02 to 1.06) in the post-event period compared to non-rural facilities. Rural facilities increased their routine staff representation (0.46% points; 95% CI 0.14 to 0.78) but decreased licensed staff representation (-1.00% points; 95% CI -1.39 to 0.61) compared to the post-disaster staffing changes in non-rural facilities.
conclusionsDistinct disaster-related staffing approaches may heighten baseline staffing differences between rural and non-rural nursing homes. Disaster-related staffing intensity increased in rural facilities, with rural facilities starting from a lower baseline. Although rural facilities may have benefited from greater reliance on routine staff, they were unable to augment licensed nurse staffing. These findings offer foundational evidence regarding the influence of baseline staffing practices and local healthcare workforce conditions on disaster-related staffing strategies.
Indexed as
Identifiers
What OpenQuestion holds
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.