Relationship between the Ownership Status of Nursing Homes and Their Outcomes During the COVID-19 Pandemic: A Rapid Literature Review

Kruse, Florien Margareth; Mah, Jasmine; Metsemakers, Sanne J. J. P. M.; Andrew, Melissa K.; Sinha, Samir K.; Jeurissen, Patrick

doi:10.31389/jltc.85

Cited by 15 publications

(12 citation statements)

References 57 publications

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“… Bos et al (2017) argued that work well-being was better in non-profit nursing homes, but their results were limited to the United States and primarily emphasized staffing levels and resident well-being. Similarly, a rapid review found a relationship between for-profit incentives and increased COVID-19 cases and the number of deaths among nursing home residents ( Kruse et al, 2021 ).…”

Section: Discussionmentioning

confidence: 99%

“…As discussed by Banerjee et al (2021) , enforcing stricter staffing-level regulations to combat incentives to cut the workforce could be one option. Kruse et al (2021) discussed different approaches: disincentivizing for-profit ownership, favoring non-profit ownership, and demanding higher minimum staffing standards. Another suggestion has been to demand transparency through reporting on financial and quality outcomes and on how resources are utilized, with the possible addition of regulated cost controls ( Harrington et al, 2017 ; Ronald et al, 2016 ).…”

Section: Discussionmentioning

confidence: 99%

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Psychosocial Work Environment and Well-Being of Direct-Care Staff Under Different Nursing Home Ownership Types: A Systematic Review

2022

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This systematic review investigated the psychosocial work environment and well-being of direct-care staff under different nursing home ownership types. Databases searched: Scopus, Web of Science, Cinahl, and PubMed, 1990–2020. Inclusion criteria: quantitative or mixed-method studies; population: direct-care staff in nursing homes; exposure: for-profit and non-profit ownership; and outcomes: psychosocial work environment and well-being. In total, 3896 articles were screened and 17( n = 12,843 participants) were assessed using the Joanna Briggs Institute Critical Appraisal tools and included in the narrative synthesis. The results were inconsistent, but findings favored non-profit over for-profit settings, for example, regarding leaving intentions, organizational commitment, and stress-related outcomes. There were no clear differences concerning job satisfaction. Job demands were higher in non-profit nursing homes but alleviated by better job resources in one study. The result highlights work environment issues, with regulations concerning for-profit incentives being discussed in terms of staff benefits.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Psychosocial Work Environment and Well-Being of Direct-Care Staff Under Different Nursing Home Ownership Types: A Systematic Review

2022

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“…We focused on mapping which types of interventions were studied during the pandemic but did not attempt to systematically synthesise findings on the effectiveness of these. Other reviews have systematically synthesised available evidence on the effects of specific interventions or other factors that could explain variations in outcomes (Kruse et al, 2021;National Collaborating Centre for Methods and Tools, 2021).…”

Section: Limitationsmentioning

confidence: 99%

What Long-Term Care Interventions and Policy Measures Have Been Studied During the Covid-19 Pandemic? Findings from a Rapid Mapping Review of the Scientific Evidence Published During 2020

Byrd

Salcher‐Konrad

Smith

et al. 2021

JLTC

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Context: Throughout the Covid-19 pandemic, long-term care researchers have aimed to generate evidence rapidly to inform the pandemic response. It is unclear which areas were prioritised during this period of rapid evidence generation. Objectives: We aimed to map the international scientific evidence on interventions and policy measures to mitigate the impacts of the Covid-19 pandemic on people who use and provide long-term care. Methods: We conducted a pragmatic, rapid mapping review of international evidence to identify the range of interventions, policies, and measures in long-term care studied during the Covid-19 pandemic and published throughout 2020. Studies were primarily identified from two academic databases (MEDLINE; Web of Science). Findings: We included 137 studies from 22 countries, mostly focusing on the United States, Europe, and Canada. Half of the studies focused on preventing or controlling Covid-19 infections. Other common types of interventions were measures to treat Covid-19 or improve access to general healthcare and studies of possible targets for policies and interventions, such as care home ownership. Only 13 studies covered home-based or community-based care. Limitations: This was a pragmatic review that aimed to map key areas of research in long-term care during the pandemic, rather than a systematic review of all available studies. Implications: During the first year of the Covid-19 pandemic, a substantial body of evidence on interventions to mitigate impacts of the pandemic in the long-term care sector emerged. However, reflecting the context and speed with which they were carried out, most studies did not apply an analytical lens and instead provided descriptive findings only. There were very few studies on home-based or communitybased care settings. As countries assess the lessons that can be learnt from the pandemic and improve the preparedness of their long-term care systems for future pandemics and other shocks, it will be important to consider the importance of facilitating rapid generation of more robust evidence.

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“…NHs affiliated with a multi-facility chain may have different organizational structures and pandemic responses to PPE shortages than non-chain facilities. 18,19 One study found that chain affiliation was associated with a higher probability of PPE shortages in June-July of 2020. 8 This disadvantage may make financial resources more important to chain-affiliated NHs, suggesting that chain affiliation can potentially moderate the association of financial performance with PPE shortages.…”

Section: Introductionmentioning

confidence: 99%

Financial Performance is Associated With PPE Shortages in Chain-Affiliated Nursing Homes During the COVID-19 Pandemic: A Longitudinal Study

Kang,

David,

Bowblis

et al. 2023

INQUIRY

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Many nursing homes operated at thin profit margins prior to the COVID-19 pandemic. This study examines the role of nursing homes’ financial performance and chain affiliation in shortages of personal protection equipment (PPE) during the first year of the COVID-19 pandemic. We constructed a longitudinal file of 79 868 nursing home-week observations from 10 872 unique facilities. We found that a positive profit margin was associated with a 21.0% lower probability of reporting PPE shortages in chain-affiliated nursing homes, but not in non-chain nursing homes. Having adequate financial resources may help nursing homes address future emergencies, especially those affiliated with a multi-facility chain.

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Relationship between the Ownership Status of Nursing Homes and Their Outcomes During the COVID-19 Pandemic: A Rapid Literature Review

Cited by 15 publications

References 57 publications

Psychosocial Work Environment and Well-Being of Direct-Care Staff Under Different Nursing Home Ownership Types: A Systematic Review

Psychosocial Work Environment and Well-Being of Direct-Care Staff Under Different Nursing Home Ownership Types: A Systematic Review

What Long-Term Care Interventions and Policy Measures Have Been Studied During the Covid-19 Pandemic? Findings from a Rapid Mapping Review of the Scientific Evidence Published During 2020

Financial Performance is Associated With PPE Shortages in Chain-Affiliated Nursing Homes During the COVID-19 Pandemic: A Longitudinal Study

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