Organizational predictors of outcomes of long-stay nursing home residents

Resource allocation and resident outcomes in nursing homes: Comparisons between the best and worst

“…Best and worst groups, based on average resident outcomes, did not differ in the allocation of human and financial resources, a finding that is consistent with those of Zinn et al (1993). Viewing Table 1, it is of note that in previous research 6 of 11 (55%) relationships were reported as significant when relating resource allocation variables to outcome indicators based on the average, static levels of the variables (Cherry, 1991;Kolanowski, Hurwitz, Talyor, Evans, & Strumpf, 1994;Phillips, Hawes, & Fries, 1993;Rohrer, Momany, & Chang, 1993;Rudman et al, 1993). Of these, three of the findings were in the wrong direction (Cherry, 1991;Phillips et al, 1993;Rohrer et al, 1993); that is, greater resource allocation related to worst outcomes, indicating substantial inconsistency in findings.…”

“…Viewing Table 1, it is of note that in previous research 6 of 11 (55%) relationships were reported as significant when relating resource allocation variables to outcome indicators based on the average, static levels of the variables (Cherry, 1991;Kolanowski, Hurwitz, Talyor, Evans, & Strumpf, 1994;Phillips, Hawes, & Fries, 1993;Rohrer, Momany, & Chang, 1993;Rudman et al, 1993). Of these, three of the findings were in the wrong direction (Cherry, 1991;Phillips et al, 1993;Rohrer et al, 1993); that is, greater resource allocation related to worst outcomes, indicating substantial inconsistency in findings. When relating improvement in resident outcomes, specifically functional improvement, to resource allocation variables (Table 1), 7 of 12 (58%) effects were statistically significant (M. Linn, Gurel, & B. Linn, 1977;Rohrer et al, 1993;Rudman et al, 1993;Spector & Takada, 1991).…”

“…Of these, three of the findings were in the wrong direction (Cherry, 1991;Phillips et al, 1993;Rohrer et al, 1993); that is, greater resource allocation related to worst outcomes, indicating substantial inconsistency in findings. When relating improvement in resident outcomes, specifically functional improvement, to resource allocation variables (Table 1), 7 of 12 (58%) effects were statistically significant (M. Linn, Gurel, & B. Linn, 1977;Rohrer et al, 1993;Rudman et al, 1993;Spector & Takada, 1991). In addition, only one of the findings was in the wrong direction (Rohrer et al, 1993).…”

“…When relating improvement in resident outcomes, specifically functional improvement, to resource allocation variables (Table 1), 7 of 12 (58%) effects were statistically significant (M. Linn, Gurel, & B. Linn, 1977;Rohrer et al, 1993;Rudman et al, 1993;Spector & Takada, 1991). In addition, only one of the findings was in the wrong direction (Rohrer et al, 1993). Previous research, in concert with our findings, provides strong evidence that improvements in resident outcomes, rather than average outcomes, are sensitive to managerial processes.…”

Resource allocation and resident outcomes in nursing homes: Comparisons between the best and worst

“…Best and worst groups, based on average resident outcomes, did not differ in the allocation of human and financial resources, a finding that is consistent with those of Zinn et al (1993). Viewing Table 1, it is of note that in previous research 6 of 11 (55%) relationships were reported as significant when relating resource allocation variables to outcome indicators based on the average, static levels of the variables (Cherry, 1991;Kolanowski, Hurwitz, Talyor, Evans, & Strumpf, 1994;Phillips, Hawes, & Fries, 1993;Rohrer, Momany, & Chang, 1993;Rudman et al, 1993). Of these, three of the findings were in the wrong direction (Cherry, 1991;Phillips et al, 1993;Rohrer et al, 1993); that is, greater resource allocation related to worst outcomes, indicating substantial inconsistency in findings.…”

“…Viewing Table 1, it is of note that in previous research 6 of 11 (55%) relationships were reported as significant when relating resource allocation variables to outcome indicators based on the average, static levels of the variables (Cherry, 1991;Kolanowski, Hurwitz, Talyor, Evans, & Strumpf, 1994;Phillips, Hawes, & Fries, 1993;Rohrer, Momany, & Chang, 1993;Rudman et al, 1993). Of these, three of the findings were in the wrong direction (Cherry, 1991;Phillips et al, 1993;Rohrer et al, 1993); that is, greater resource allocation related to worst outcomes, indicating substantial inconsistency in findings. When relating improvement in resident outcomes, specifically functional improvement, to resource allocation variables (Table 1), 7 of 12 (58%) effects were statistically significant (M. Linn, Gurel, & B. Linn, 1977;Rohrer et al, 1993;Rudman et al, 1993;Spector & Takada, 1991).…”

“…Of these, three of the findings were in the wrong direction (Cherry, 1991;Phillips et al, 1993;Rohrer et al, 1993); that is, greater resource allocation related to worst outcomes, indicating substantial inconsistency in findings. When relating improvement in resident outcomes, specifically functional improvement, to resource allocation variables (Table 1), 7 of 12 (58%) effects were statistically significant (M. Linn, Gurel, & B. Linn, 1977;Rohrer et al, 1993;Rudman et al, 1993;Spector & Takada, 1991). In addition, only one of the findings was in the wrong direction (Rohrer et al, 1993).…”

“…When relating improvement in resident outcomes, specifically functional improvement, to resource allocation variables (Table 1), 7 of 12 (58%) effects were statistically significant (M. Linn, Gurel, & B. Linn, 1977;Rohrer et al, 1993;Rudman et al, 1993;Spector & Takada, 1991). In addition, only one of the findings was in the wrong direction (Rohrer et al, 1993). Previous research, in concert with our findings, provides strong evidence that improvements in resident outcomes, rather than average outcomes, are sensitive to managerial processes.…”

Nursing Home Caregiver Staffing Levels and Quality of Care

“…Five other studies (e.g., Carter & Porell, 2003;Castle & Engberg, 2005;Kash, Castle, & Hawes, 2006;Schnelle et al, 2004) meet these criteria but use a cross sectional design. A further 4 studies (Rantz et al, 2004;Rohrer, Momany, & Chang, 1993;Svarstad & Mount, 2001;Weech-Maldonado, Neff, & Mor, 2004) meet these criteria but have low sample sizes. From these 12 studies, 52% of the quality indicators examined had a positive and significant association with staffing levels.…”

Resource allocation and resident outcomes in nursing homes: Comparisons between the best and worst

“…Best and worst groups, based on average resident outcomes, did not differ in the allocation of human and financial resources, a finding that is consistent with those of Zinn et al (1993). Viewing Table 1, it is of note that in previous research 6 of 11 (55%) relationships were reported as significant when relating resource allocation variables to outcome indicators based on the average, static levels of the variables (Cherry, 1991;Kolanowski, Hurwitz, Talyor, Evans, & Strumpf, 1994;Phillips, Hawes, & Fries, 1993;Rohrer, Momany, & Chang, 1993;Rudman et al, 1993). Of these, three of the findings were in the wrong direction (Cherry, 1991;Phillips et al, 1993;Rohrer et al, 1993); that is, greater resource allocation related to worst outcomes, indicating substantial inconsistency in findings.…”

“…Viewing Table 1, it is of note that in previous research 6 of 11 (55%) relationships were reported as significant when relating resource allocation variables to outcome indicators based on the average, static levels of the variables (Cherry, 1991;Kolanowski, Hurwitz, Talyor, Evans, & Strumpf, 1994;Phillips, Hawes, & Fries, 1993;Rohrer, Momany, & Chang, 1993;Rudman et al, 1993). Of these, three of the findings were in the wrong direction (Cherry, 1991;Phillips et al, 1993;Rohrer et al, 1993); that is, greater resource allocation related to worst outcomes, indicating substantial inconsistency in findings. When relating improvement in resident outcomes, specifically functional improvement, to resource allocation variables (Table 1), 7 of 12 (58%) effects were statistically significant (M. Linn, Gurel, & B. Linn, 1977;Rohrer et al, 1993;Rudman et al, 1993;Spector & Takada, 1991).…”

“…Of these, three of the findings were in the wrong direction (Cherry, 1991;Phillips et al, 1993;Rohrer et al, 1993); that is, greater resource allocation related to worst outcomes, indicating substantial inconsistency in findings. When relating improvement in resident outcomes, specifically functional improvement, to resource allocation variables (Table 1), 7 of 12 (58%) effects were statistically significant (M. Linn, Gurel, & B. Linn, 1977;Rohrer et al, 1993;Rudman et al, 1993;Spector & Takada, 1991). In addition, only one of the findings was in the wrong direction (Rohrer et al, 1993).…”

“…When relating improvement in resident outcomes, specifically functional improvement, to resource allocation variables (Table 1), 7 of 12 (58%) effects were statistically significant (M. Linn, Gurel, & B. Linn, 1977;Rohrer et al, 1993;Rudman et al, 1993;Spector & Takada, 1991). In addition, only one of the findings was in the wrong direction (Rohrer et al, 1993). Previous research, in concert with our findings, provides strong evidence that improvements in resident outcomes, rather than average outcomes, are sensitive to managerial processes.…”

Nursing Home Caregiver Staffing Levels and Quality of Care

“…Five other studies (e.g., Carter & Porell, 2003;Castle & Engberg, 2005;Kash, Castle, & Hawes, 2006;Schnelle et al, 2004) meet these criteria but use a cross sectional design. A further 4 studies (Rantz et al, 2004;Rohrer, Momany, & Chang, 1993;Svarstad & Mount, 2001;Weech-Maldonado, Neff, & Mor, 2004) meet these criteria but have low sample sizes. From these 12 studies, 52% of the quality indicators examined had a positive and significant association with staffing levels.…”

Resource allocation and resident outcomes in nursing homes: Comparisons between the best and worst

“…Best and worst groups, based on average resident outcomes, did not differ in the allocation of human and financial resources, a finding that is consistent with those of Zinn et al (1993). Viewing Table 1, it is of note that in previous research 6 of 11 (55%) relationships were reported as significant when relating resource allocation variables to outcome indicators based on the average, static levels of the variables (Cherry, 1991;Kolanowski, Hurwitz, Talyor, Evans, & Strumpf, 1994;Phillips, Hawes, & Fries, 1993;Rohrer, Momany, & Chang, 1993;Rudman et al, 1993). Of these, three of the findings were in the wrong direction (Cherry, 1991;Phillips et al, 1993;Rohrer et al, 1993); that is, greater resource allocation related to worst outcomes, indicating substantial inconsistency in findings.…”

“…Viewing Table 1, it is of note that in previous research 6 of 11 (55%) relationships were reported as significant when relating resource allocation variables to outcome indicators based on the average, static levels of the variables (Cherry, 1991;Kolanowski, Hurwitz, Talyor, Evans, & Strumpf, 1994;Phillips, Hawes, & Fries, 1993;Rohrer, Momany, & Chang, 1993;Rudman et al, 1993). Of these, three of the findings were in the wrong direction (Cherry, 1991;Phillips et al, 1993;Rohrer et al, 1993); that is, greater resource allocation related to worst outcomes, indicating substantial inconsistency in findings. When relating improvement in resident outcomes, specifically functional improvement, to resource allocation variables (Table 1), 7 of 12 (58%) effects were statistically significant (M. Linn, Gurel, & B. Linn, 1977;Rohrer et al, 1993;Rudman et al, 1993;Spector & Takada, 1991).…”

“…Of these, three of the findings were in the wrong direction (Cherry, 1991;Phillips et al, 1993;Rohrer et al, 1993); that is, greater resource allocation related to worst outcomes, indicating substantial inconsistency in findings. When relating improvement in resident outcomes, specifically functional improvement, to resource allocation variables (Table 1), 7 of 12 (58%) effects were statistically significant (M. Linn, Gurel, & B. Linn, 1977;Rohrer et al, 1993;Rudman et al, 1993;Spector & Takada, 1991). In addition, only one of the findings was in the wrong direction (Rohrer et al, 1993).…”

“…When relating improvement in resident outcomes, specifically functional improvement, to resource allocation variables (Table 1), 7 of 12 (58%) effects were statistically significant (M. Linn, Gurel, & B. Linn, 1977;Rohrer et al, 1993;Rudman et al, 1993;Spector & Takada, 1991). In addition, only one of the findings was in the wrong direction (Rohrer et al, 1993). Previous research, in concert with our findings, provides strong evidence that improvements in resident outcomes, rather than average outcomes, are sensitive to managerial processes.…”

Nursing Home Caregiver Staffing Levels and Quality of Care

“…Five other studies (e.g., Carter & Porell, 2003;Castle & Engberg, 2005;Kash, Castle, & Hawes, 2006;Schnelle et al, 2004) meet these criteria but use a cross sectional design. A further 4 studies (Rantz et al, 2004;Rohrer, Momany, & Chang, 1993;Svarstad & Mount, 2001;Weech-Maldonado, Neff, & Mor, 2004) meet these criteria but have low sample sizes. From these 12 studies, 52% of the quality indicators examined had a positive and significant association with staffing levels.…”