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A Study Examining the Influence of Proximity to Nurse Education Resources on Quality of Care Outcomes in Nursing Homes

Bibliographic Data

ID13775950
AuthorsCourtney N Haun (0000-0002-1945-1763, Auburn University, AL, USA, corresponding author), Zachary Mahafza (0000-0003-3162-9066, Auburn University), Zachary B Mahafza (Auburn University, AL, USA), Chassidy L Cook (Auburn University, AL, USA), Geoffrey A Silvera (0000-0002-8835-1598, Auburn University, AL, USA)
Year2018
Volume55
Pages46958018787694-46958018787694
Publication date2018-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueINQUIRY The Journal of Health Care Organization Provision and Financing (JOURNAL)
Journal identifiersISSN: 0046-9580 • E-ISSN: 1945-7243
PublisherSAGE Publishing (PUBLISHER • US)
DOI10.1177/0046958018787694
PMID30035648
OpenAlexW2884809992
LanguageEN
Citations received1
References cited25

This examination seeks to determine the influence of proximal density to nurse education resources (nursing schools) on nursing home care quality outcomes in Alabama. Motivated by the social network theory, which highlights the influence of relational closeness on shared resources and values, we hypothesize that nursing homes that have higher levels of nursing education resources within a close proximity will exhibit significantly higher nursing home quality outcomes. As proximal density to nurse education resources increases, the opportunity for nursing homes to build closer, stronger ties increase, leading to higher quality outcomes. We examine this hypothesis via ordered logistic regressions of proximal density measures developed through geographic information systems (GIS) software, nurse education resource data from Johnson & Johnson's Campaign for Nursing's Future (n = 37), and nursing home quality outcome data from Centers for Medicare and Medicaid Services's (CMS) Nursing Home Compare from 2016 (n = 226). The results find that increases in proximal density to nurse education resources have a negative and significant association with nursing home quality outcomes in Alabama. Additional sensitivity analysis, which examines the degree to which the nature of this relationship is sensitive to health care facilities' location in high-density areas, is offered and confirms principal findings. Because nursing programs generally have stronger ties with hospitals, the findings suggest that the nursing homes in areas with higher nurse education resources may actually face greater competition for nurses

Closeness · Health care · Medicaid · Nurse education · Quality (philosophy · Team nursing · Geriatric Care and Nursing Homes · Medicine · Nursing · Palliative Care and End-of-Life Issues · Patient Satisfaction in Healthcare · Psychology

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Unique citing works1
Citations per year0,25
Citation span2022 - 2022 (1)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 1

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