• Publications
  • Influence
What is nursing home quality and how is it measured?
TLDR
Improvements in nursing home quality have likely occurred, but improvements are still needed, according to Donabedian's structure, process, and outcome (SPO) model. Expand
Nursing Home Caregiver Staffing Levels and Quality of Care
TLDR
The author concludes that studies in this area need to be further enhanced, as the few studies that seem methodologically most robust would seem to indicate that an association between nursing home staffing levels and quality exists. Expand
Organizational characteristics associated with staff turnover in nursing homes.
TLDR
The results consistently show that, for all caregivers, lower staffing levels, lower quality, for-profit ownership, and higher bed size are associated with higher turnover. Expand
Staff Turnover and Quality of Care in Nursing Homes
TLDR
Multivariate analysis shows that decreases in quality are associated with decreases in RN turnover, and with increases in NA and LPN turnover, especially increases from moderate-to-high levels of turnover. Expand
Measuring staff turnover in nursing homes.
  • N. Castle
  • Medicine
  • The Gerontologist
  • 1 April 2006
TLDR
Findings show that the definition of turnover used could influence the relative difference between these reported rates by as much as 47%. Expand
Administrator turnover and quality of care in nursing homes.
  • N. Castle
  • Medicine
  • The Gerontologist
  • 1 December 2001
TLDR
Preliminary evidence is provided that the turnover of administrators may have an important association with quality of care in nursing homes, and this study provides preliminary evidence of this association. Expand
Caregiver Staffing in Nursing Homes and Their Influence on Quality of Care: Using Dynamic Panel Estimation Methods
TLDR
For many nursing homes improving staffing characteristics will improve quality of care, and regression analyses show a robust association between the staffing characteristic variables and quality indicators. Expand
Innovation in nursing homes: which facilities are the early adopters?
  • N. Castle
  • Business, Medicine
  • The Gerontologist
  • 1 April 2001
TLDR
Organizational and market characteristics of nursing homes affect their propensity toward early adoption of innovations, and four market factors that increase the likelihood of early innovation adoption are larger bed size, chain membership, and high levels of private-pay residents. Expand
Turnover begets turnover.
  • N. Castle
  • Medicine
  • The Gerontologist
  • 1 April 2005
TLDR
Preliminary evidence that the turnover of top managers may have an important influence on caregiver turnover in nursing homes is provided. Expand
Assessing job satisfaction of nurse aides in nursing homes: the Nursing Home Nurse Aide Job Satisfaction Questionnaire.
  • N. Castle
  • Medicine
  • Journal of gerontological nursing
  • 1 May 2007
TLDR
The findings indicate that in general, nurse aides enjoy working with residents and their coworkers but are less satisfied with pay. Expand
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