N G Castle

Summary

Affiliation: University of Pittsburgh
Country: USA

Publications

  1. ncbi request reprint Job satisfaction of nurse aides in nursing homes: intent to leave and turnover
    Nicholas G Castle
    Health Policy and Management, University of Pittsburgh, A649 Crabtree Hall, 130 DeSoto Street, Pittsburgh, PA 15261, USA
    Gerontologist 47:193-204. 2007
  2. doi request reprint Consistent assignment of nurse aides: association with turnover and absenteeism
    Nicholas G Castle
    Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania 15261, USA
    J Aging Soc Policy 25:48-64. 2013
  3. doi request reprint Resident-to-resident abuse in nursing homes as reported by nurse aides
    Nicholas G Castle
    Department of Health Policy and Management, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania 15261, USA
    J Elder Abuse Negl 24:340-56. 2012
  4. ncbi request reprint Measuring administrators' and direct care workers' perceptions of the safety culture in assisted living facilities
    Nicholas G Castle
    Department of Health Policy and Management, Graduate School of Public Health, University of Pittsburgh, USA
    Jt Comm J Qual Patient Saf 38:375-82. 2012
  5. doi request reprint The Nursing Home Compare report card: consumers' use and understanding
    Nicholas G Castle
    Professor, Department of Health Policy and Management, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania 15261, USA
    J Aging Soc Policy 21:187-208. 2009
  6. ncbi request reprint Perceived advantages and disadvantages of using agency staff related to care in nursing homes: a conceptual model
    Nicholas G Castle
    University of Pittsburgh, Department of Health Policy and Management, Pittsburgh, Pennsylvania 15261, USA
    J Gerontol Nurs 35:28-36. 2009
  7. doi request reprint The influence of agency staffing on quality of care in nursing homes
    Nicholas G Castle
    Department of Health Policy and Management, University of Pittsburgh, Pittsburgh, Pennsylvania 15261, USA
    J Aging Soc Policy 20:437-57. 2008
  8. ncbi request reprint Further examination of the influence of caregiver staffing levels on nursing home quality
    Nicholas G Castle
    School of Public Health, University of Pittsburgh, Pittsburgh, PA 15261, USA
    Gerontologist 48:464-76. 2008
  9. pmc Nursing home evacuation plans
    Nicholas G Castle
    Graduate School of Public Health, University of Pittsburgh, 130 DeSoto St, Pittsburgh, PA 15261, USA
    Am J Public Health 98:1235-40. 2008
  10. ncbi request reprint Special care units and their influence on nursing home occupancy characteristics
    Nicholas G Castle
    University of Pittsburgh, Pennsylvania, USA
    Health Care Manage Rev 33:79-91. 2008

Research Grants

  1. EXAMINING NURSING HOME COMPARE
    Nicholas Castle; Fiscal Year: 2005
  2. POOR QUALITY IN PSYCHOACTIVE DRUG USE
    Nicholas Castle; Fiscal Year: 2004
  3. The Influence of Staff Turnover on Quality
    Nicholas Castle; Fiscal Year: 2007
  4. Staffing Characteristics of Nursing Homes and Quality
    Nicholas Castle; Fiscal Year: 2007
  5. INCIDENT REPORTING IN NURSING HOMES
    Nicholas Castle; Fiscal Year: 2007
  6. Agency Staffing and Nursing Home Quality
    Nicholas G Castle; Fiscal Year: 2010

Detail Information

Publications87

  1. ncbi request reprint Job satisfaction of nurse aides in nursing homes: intent to leave and turnover
    Nicholas G Castle
    Health Policy and Management, University of Pittsburgh, A649 Crabtree Hall, 130 DeSoto Street, Pittsburgh, PA 15261, USA
    Gerontologist 47:193-204. 2007
    ..The relationship between job satisfaction of nurse aides and intent to leave and actual turnover after 1 year is examined...
  2. doi request reprint Consistent assignment of nurse aides: association with turnover and absenteeism
    Nicholas G Castle
    Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania 15261, USA
    J Aging Soc Policy 25:48-64. 2013
    ..01). Consistent assignment is a practice recommended by many policy makers, government agencies, and industry advocates. The findings presented here provide some evidence that the use of this staffing practice can be beneficial...
  3. doi request reprint Resident-to-resident abuse in nursing homes as reported by nurse aides
    Nicholas G Castle
    Department of Health Policy and Management, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania 15261, USA
    J Elder Abuse Negl 24:340-56. 2012
    ..Resident-to-resident abuse is common enough to be considered an issue of concern impacting the quality of life and safety of many residents...
  4. ncbi request reprint Measuring administrators' and direct care workers' perceptions of the safety culture in assisted living facilities
    Nicholas G Castle
    Department of Health Policy and Management, Graduate School of Public Health, University of Pittsburgh, USA
    Jt Comm J Qual Patient Saf 38:375-82. 2012
    ..The safety culture of a large sample of assisted living (AL) facilities was examined...
  5. doi request reprint The Nursing Home Compare report card: consumers' use and understanding
    Nicholas G Castle
    Professor, Department of Health Policy and Management, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania 15261, USA
    J Aging Soc Policy 21:187-208. 2009
    ..The findings show that consumers understand Nursing Home Compare information, and approximately 12% currently access the Web site...
  6. ncbi request reprint Perceived advantages and disadvantages of using agency staff related to care in nursing homes: a conceptual model
    Nicholas G Castle
    University of Pittsburgh, Department of Health Policy and Management, Pittsburgh, Pennsylvania 15261, USA
    J Gerontol Nurs 35:28-36. 2009
    ..The conceptual model and empirical analyses show that agency staff likely influence other staff, facility operations, and residents. Administrators listed more disadvantages than advantages of using agency staff...
  7. doi request reprint The influence of agency staffing on quality of care in nursing homes
    Nicholas G Castle
    Department of Health Policy and Management, University of Pittsburgh, Pittsburgh, Pennsylvania 15261, USA
    J Aging Soc Policy 20:437-57. 2008
    ....
  8. ncbi request reprint Further examination of the influence of caregiver staffing levels on nursing home quality
    Nicholas G Castle
    School of Public Health, University of Pittsburgh, Pittsburgh, PA 15261, USA
    Gerontologist 48:464-76. 2008
    ..In this analysis, we specified the nursing home labor composition by using staff stability, use of agency staff, and professional staff mix, in addition to staffing levels...
  9. pmc Nursing home evacuation plans
    Nicholas G Castle
    Graduate School of Public Health, University of Pittsburgh, 130 DeSoto St, Pittsburgh, PA 15261, USA
    Am J Public Health 98:1235-40. 2008
    ..I examined evacuation plans from 2134 nursing homes and analyzed national data to determine the types of nursing homes cited for deficiencies in their evacuation plans...
  10. ncbi request reprint Special care units and their influence on nursing home occupancy characteristics
    Nicholas G Castle
    University of Pittsburgh, Pennsylvania, USA
    Health Care Manage Rev 33:79-91. 2008
    ..One belief is that SCUs in nursing homes developed to provide better resident care. However, few studies have examined the impact of opening an SCU on the nursing home, rather than the impact on residents...
  11. ncbi request reprint Nursing home staff turnover: impact on nursing home compare quality measures
    Nicholas G Castle
    Graduate School of Public Health, University of Pittsburgh, A610 Crabtree Hall, 130 DeSoto Street, Pittsburgh, PA 15261, USA
    Gerontologist 47:650-61. 2007
    ..We used data from a large sample of nursing homes to examine the association between staff turnover and quality...
  12. ncbi request reprint Impact of establishing an Alzheimer's special care unit in a nursing home on facility occupancy and payer mix
    Nicholas G Castle
    Graduate School of Public Health, Pittsburgh, PA 15261, USA
    Alzheimer Dis Assoc Disord 21:191-8. 2007
    ..These gains occurred while the national trend was one of declining occupancy and private-pay census...
  13. ncbi request reprint The search and selection of assisted living facilities by elders and family
    Nicholas G Castle
    Graduate School of Public Health, Pittsburgh, PA 15261, USA
    Med Care 45:729-38. 2007
    ..In this study, we examine factors associated with the search, selection, and satisfaction of residents and family members in assisted living...
  14. doi request reprint The health consequences of using physical restraints in nursing homes
    Nicholas G Castle
    Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA 15261, USA
    Med Care 47:1164-73. 2009
    ..Using a national longitudinal sample of nursing homes residents (N = 264,068), we examine whether physical restraint use contributes to subsequent physical or psychological health decline...
  15. ncbi request reprint Assessing job satisfaction of nurse aides in nursing homes: the Nursing Home Nurse Aide Job Satisfaction Questionnaire
    Nicholas G Castle
    University of Pittsburgh, Department of Health Policy Management, PA 15261, USA
    J Gerontol Nurs 33:41-7. 2007
    ..5 for the workload subscale, and 5.3 for the rewards subscale. Mean score for the global ratings was 7.4. The findings indicate that in general, nurse aides enjoy working with residents and their coworkers but are less satisfied with pay...
  16. ncbi request reprint A review of satisfaction instruments used in long-term care settings
    Nicholas G Castle
    Department of Health Policy and Management, University of Pittsburgh, Pittsburgh, PA 15261, USA
    J Aging Soc Policy 19:9-41. 2007
    ....
  17. ncbi request reprint Consumers' use of internet-based nursing home report cards
    Nicholas G Castle
    Department of Health Policy and Management, Graduate School of Public Health, University of Pittsburgh, USA
    Jt Comm J Qual Patient Saf 35:316-23. 2009
    ..These questions, which are significant because the nursing home market presents several challenges to the effectiveness of report cards, were pursued in a study...
  18. doi request reprint Results of a longitudinal analysis of national data to examine relationships between organizational and market characteristics and changes in antipsychotic prescribing in US nursing homes from 1996 through 2006
    Nicholas G Castle
    Department of Health Policy and Management, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania 15213, USA
    Am J Geriatr Pharmacother 7:143-50. 2009
    ..The aim of this work was to examine the association between organizational characteristics, market characteristics, and changes in antipsychotic medication use in US nursing homes over time...
  19. doi request reprint Assessing resident safety culture in nursing homes: using the nursing home survey on resident safety
    Nicholas G Castle
    Department of Health Policy and Management, A620 Crabtree Hall, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
    J Patient Saf 6:59-67. 2010
    ....
  20. doi request reprint The influence of consistent assignment on nursing home deficiency citations
    Nicholas G Castle
    Department of Health Policy and Management, Graduate School of Public Health, University of Pittsburgh, A610 Crabtree Hall, 130 DeSoto Street, Pittsburgh, PA 15261, USA
    Gerontologist 51:750-60. 2011
    ..The association of consistent assignment of nurse aides (NAs) with quality of care and quality of life of nursing home residents is examined (using 5 groups of deficiency citations)...
  21. doi request reprint Top management leadership style and quality of care in nursing homes
    Nicholas G Castle
    Graduate School of Public Health, University of Pittsburgh, PA 15261, USA
    Gerontologist 51:630-42. 2011
    ..The purpose of this study was to examine the association of Nursing Home Administrator (NHA) leadership style and Director of Nursing (DON) leadership style with quality of care...
  22. doi request reprint Staff assist: a resource to improve nursing home quality and staffing
    Nicholas G Castle
    Department of Health Policy and Management, Graduate School of Public Health, University of Pittsburgh, PA 15261, USA
    Gerontologist 51:714-22. 2011
    ..This study describes the creation and use of a web-based resource, designed to help nursing homes implement quality improvements through changes in staffing characteristics...
  23. doi request reprint Caregiver staffing in nursing homes and their influence on quality of care: using dynamic panel estimation methods
    Nicholas G Castle
    Department of Health Policy and Management, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA 15261, USA
    Med Care 49:545-52. 2011
    ..In this research, the relationship of caregiver staffing levels, turnover, agency use, and professional staff mix with quality is further examined using a longitudinal analysis to overcome weaknesses of earlier research...
  24. doi request reprint Nursing home deficiency citations for infection control
    Nicholas G Castle
    Department of Health Policy and Management, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA 15261, USA
    Am J Infect Control 39:263-9. 2011
    ..This study examined the deficiency citation for infection control (ie, F-Tag 441). This information represents potential problems in infection control as identified in the yearly certification process of almost all US nursing homes...
  25. doi request reprint Safety culture of nursing homes: opinions of top managers
    Nicholas G Castle
    Department of Health Policy and Management, Graduate School of Public Health, University of Pittsburgh, Pennsylvania, USA
    Health Care Manage Rev 36:175-87. 2011
    ..Examining the perception of patient safety culture (PSC) of top managers in health care settings is important because their orientation to PSC can have a large influence on the facility...
  26. doi request reprint An instrument to measure job satisfaction of certified nurse assistants
    Nicholas G Castle
    Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA 15261, USA
    Appl Nurs Res 23:214-20. 2010
    ..Criterion validity was high (.77) as was the index of content validity (p > .05). We believe that we have produced a short psychometrically sound job satisfaction instrument for use in nursing homes...
  27. doi request reprint A further opinion on reimagining nursing homes
    Nicholas G Castle
    Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania 15261, USA
    J Aging Soc Policy 22:334-8. 2010
    ..The text is provocative. It is also thought-provoking. In this commentary I provide a further opinion that we could do better within the current system using the current resources...
  28. doi request reprint Top management turnover and quality in nursing homes
    Nicholas G Castle
    Department of Health Policy and Management, Graduate School of Public Health, University of Pittsburgh, Pennsylvania, USA
    Health Care Manage Rev 35:161-74. 2010
    ..Understanding the relationship between top management turnover and quality of care is important because turnover among top managers in nursing homes is generally high...
  29. doi request reprint An examination of special focus facility nursing homes
    Nicholas G Castle
    Graduate School of Public Health, A610 Crabtree Hall, 130 DeSoto Street, Pittsburgh, PA 15261, USA
    Gerontologist 50:400-7. 2010
    ..The purpose of this research was to provide descriptive information on these SFFs and to examine the quality characteristics of these facilities...
  30. doi request reprint Use of agency staff in nursing homes
    Nicholas G Castle
    Department of Health Policy and Management, University of Pittsburgh, Graduate School of Public Health, Pittsburgh, PA 15261, USA
    Res Gerontol Nurs 2:192-201. 2009
    ..The influence on quality for the highest levels of agency use, compared with no agency use, was clinically significant. On the basis of these findings, facilities considering using high levels of agency staff should do so carefully...
  31. pmc Factors associated with increasing nursing home closures
    Nicholas G Castle
    Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA 15261, USA
    Health Serv Res 44:1088-109. 2009
    ..We determine the rate of nursing home closures for 7 years (1999-2005) and examine internal (e.g., quality), organizational (e.g., chain membership), and external (e.g., competition) factors associated with these closures...
  32. ncbi request reprint Family members as proxies for satisfaction with nursing home care
    Nicholas G Castle
    Jt Comm J Qual Patient Saf 32:452-8. 2006
    ..DISCUSSION: Proxy ratings do not necessarily substitute for resident ratings and are dependent on the nature of the question asked. Examining resident-proxy responses at different points in time may be useful...
  33. ncbi request reprint Mental health outcomes and physical restraint use in nursing homes {private}
    Nicholas G Castle
    A649 Crabtree Hall, Graduate School of Public Health, Pittsburgh, PA 15261, USA
    Adm Policy Ment Health 33:696-704. 2006
    ..We conclude that if facilities reduce restraint use then the prevalence of resident mental health problems will also likely decline...
  34. ncbi request reprint Characteristics of nursing homes that close
    Nicholas G Castle
    Graduate School of Public Health, University of Pittsburgh, PA, USA
    Health Care Manage Rev 31:78-88. 2006
    ..On the one hand, the results show that nursing homes are sensitive to their operating environment; on the other hand, the likelihood of closure is very small, representing less than 1 percent of facilities per year...
  35. ncbi request reprint Organizational characteristics associated with staff turnover in nursing homes
    Nicholas G Castle
    Health Policy and Management, University of Pittsburgh, A649 Crabtree Hall, 130 DeSoto Street, Pittsburgh, PA 15261, USA
    Gerontologist 46:62-73. 2006
    ..The association between certified nurse aide, licensed practical nurse, and registered nurse turnover and the organizational characteristics of nursing homes are examined...
  36. ncbi request reprint Nursing home closures, changes in ownership, and competition
    Nicholas G Castle
    Department of Health Policy and Management, Graduate School of Public Health, University of Pittsburgh, PA 15261, USA
    Inquiry 42:281-92. 2005
    ..The incidence rate of closures was .7% of facilities per year. The multivariate analysis shows that facilities located in more competitive environments were significantly more likely to close...
  37. ncbi request reprint Are family members suitable proxies for transitional care unit residents when collecting satisfaction information?
    Nicholas Castle
    Department of Health Policy and Management, University of Pittsburgh, 130 DeSoto Street, Pittsburgh, PA 15261, USA
    Int J Qual Health Care 17:439-45. 2005
    ..To examine the agreement and association of elders' responses with family member proxy responses using the same, previously validated satisfaction instrument on both groups of respondents...
  38. ncbi request reprint Organizational commitment and turnover of nursing home administrators
    Nicholas G Castle
    University of Pittsburgh, Department of Health Policy and Management, Graduate School of Public Health, Pittsburgh, Pennsylvania, USA
    Health Care Manage Rev 31:156-65. 2006
    ..Multivariate analyses show work overload has a strong and robust association with both intent-to-turnover and turnover of NHAs, and may indicate that NHAs are leaving their positions because they are understaffed...
  39. ncbi request reprint Nursing home administrators' opinions of the nursing home compare web site
    Nicholas G Castle
    Health Policy and Management, University of Pittsburgh, A649 Crabtree Hall, 130 DeSoto Street, Pittsburgh, PA 15261, USA
    Gerontologist 45:299-308. 2005
    ..This study examines administrators' opinions of this initiative and whether it has fostered quality improvement...
  40. ncbi request reprint Facility charter and quality of care for board and care residents
    Nicholas G Castle
    Graduate School of Public Health, Pittsburgh, PA 15261, USA
    J Health Soc Policy 20:23-42. 2004
    ..These results are discussed emphasizing their implications for efficient and effective resident care...
  41. ncbi request reprint Administrative deficiency citations and quality of care in nursing homes
    Nicholas G Castle
    Graduate School of Public Health, Pittsburgh, Pennsylvania 15261, USA
    Health Serv Manage Res 19:144-52. 2006
    ..We find that 5% of facilities received a deficiency citation for administration, and lower facility quality is associated with these administration deficiency citations...
  42. ncbi request reprint Downsizing in the nursing home industry
    Nicholas G Castle
    Graduate School of Public Health, University of Pittsburgh, Pennsylvania, USA
    Health Care Manage Rev 31:231-40. 2006
    ..Downsizing in the nursing home industry from 1992 to 2003 was examined. Most significantly, we show that downsizing is subsequently associated with improved quality...
  43. ncbi request reprint Mental health care deficiency citations in nursing homes and caregiver staffing
    Nicholas G Castle
    Department of Health Policy and Administration, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA 15261, USA
    Adm Policy Ment Health 33:215-25. 2006
    ..We found no association between mental health provider staffing levels and mental health outcomes...
  44. pmc An instrument to measure job satisfaction of nursing home administrators
    Nicholas G Castle
    A649 Crabtree Hall, Graduate School of Public Health, 130 DeSoto Street, Pittsburgh, PA 15261, USA
    BMC Med Res Methodol 6:47. 2006
    ..The psychometric properties of the nursing home administrator job satisfaction questionnaire (NHA-JSQ) are presented, and the steps used to develop this instrument...
  45. ncbi request reprint Does quality pay for nursing homes?
    Nicholas G Castle
    Graduate School of Public Health, Pittsburgh, PA, 15261, USA
    J Health Soc Policy 21:35-51. 2005
    ..Second, the change score analyses show that nursing homes can increase their private-pay census by increasing quality...
  46. ncbi request reprint Report cards and nursing homes
    Nicholas G Castle
    University of Pittsburgh, Graduate School of Public Health, 130 DeSoto Street, Pittsburgh, PA 15261, USA
    Gerontologist 45:48-67. 2005
    ....
  47. ncbi request reprint Turnover begets turnover
    Nicholas G Castle
    Health Policy and Management, University of Pittsburgh, PA 15261, USA
    Gerontologist 45:186-95. 2005
    ..The top managers examined were administrators and directors of nursing, and the caregivers examined were registered nurses, licensed practical nurses, and nurse aides...
  48. ncbi request reprint Nurse Aides' ratings of the resident safety culture in nursing homes
    Nicholas G Castle
    Department of Health Policy and Management, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA 15261, USA
    Int J Qual Health Care 18:370-6. 2006
    ..Second, how the safety culture of nursing homes varied according to facility characteristics and market characteristics was examined...
  49. ncbi request reprint Family members as proxies for satisfaction with nursing home care
    Nicholas G Castle
    Department of Health Policy and Management, Graduate School of Public Health, University of Pittsburgh, USA
    Jt Comm J Qual Patient Saf 32:452-8. 2006
    ..A study was conducted to explore the agreement and association of nursing home residents' responses with family member proxy responses...
  50. pmc What is nursing home quality and how is it measured?
    Nicholas G Castle
    Department of Health Policy and Management, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania 15261, USA
    Gerontologist 50:426-42. 2010
    ..In this commentary, we examine nursing home quality and indicators that have been used to measure nursing home quality...
  51. ncbi request reprint The association of Nursing Home Compare quality measures with market competition and occupancy rates
    Nicholas G Castle
    Department of Health Policy and Management, University of Pittsburgh, PA, USA
    J Healthc Qual 30:4-14. 2008
    ..As policies to promote more competition in Long-term care proceed, further reducing occupancy rates, further, albeit small, quality gains will likely be made in the future...
  52. ncbi request reprint Staff turnover and quality of care in nursing homes
    Nicholas G Castle
    Graduate School of Public Health, University of Pittsburgh, Pennsylvania 15261, USA
    Med Care 43:616-26. 2005
    ..In this work, the association between nurse aide (NA) plus licensed practical nurse (LPN) and registered nurse (RN) turnover and quality indicators in nursing homes is examined...
  53. doi request reprint A national view of workplace injuries in nursing homes
    Nicholas G Castle
    Graduate School of Public Health, University of Pittsburgh, Pennsylvania, USA
    Health Care Manage Rev 34:92-103. 2009
    ..Data from a large sample of nursing homes were used to examine the cross-sectional association between workplace injuries and organizational factors, caregiver staffing levels, and quality...
  54. doi request reprint The impact of special focus facility nursing homes on market quality
    Nicholas G Castle
    Graduate School of Public Health, Pittsburgh, PA 15261, USA
    Gerontologist 50:519-30. 2010
    ..The purpose of this research was to examine whether nursing facilities included in the 2007 SFF initiative subsequently influenced the quality of other facilities in their market...
  55. ncbi request reprint Assisted living checklists for consumers
    Nicholas G Castle
    Graduate School of Public Health, Pittsburgh, PA, USA
    J Healthc Qual 31:54-63. 2009
    ..It is important to enable consumers to make a direct comparison between ALFs, and in order to do that there needs to be obvious standardization of presented information among the different states...
  56. pmc A culture of patient safety in nursing homes
    N G Castle
    Graduate School of Public Health, 130 DeSoto Street, Pittsburgh, PA 15261, USA
    Qual Saf Health Care 15:405-8. 2006
    ..Few accounts of patient safety initiatives in nursing homes exist...
  57. ncbi request reprint Nursing home administrators' opinions of the resident safety culture in nursing homes
    Nicholas G Castle
    Graduate School of Public Health, University of Pittsburgh, Pennsylvania, USA
    Health Care Manage Rev 32:66-76. 2007
    ..In recent years, we have seen substantial interest in patient safety initiatives in health care. However, most studies in this area have examined hospital settings; few studies have examined nursing homes...
  58. doi request reprint Nursing home deficiency citations for safety
    Nicholas G Castle
    Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania 15261, USA
    J Aging Soc Policy 23:34-57. 2011
    ..In many cases, this likely influences the quality of life and quality of care of residents...
  59. pmc Have Nursing Home Compare quality measure scores changed over time in response to competition?
    Nicholas G Castle
    Graduate School of Public Health, Pittsburgh, Pennsylvania, USA
    Qual Saf Health Care 16:185-91. 2007
    ..In this investigation, we examine changes in QM scores, and whether competition and/or excess demand have influenced these change scores over a period of 1 year...
  60. pmc Determinants of staff job satisfaction of caregivers in two nursing homes in Pennsylvania
    Nicholas G Castle
    Department of Health Policy and Management, University of Pittsburgh, Pittsburgh, USA
    BMC Health Serv Res 6:60. 2006
    ..However, we know little about factors associated with job satisfaction and dissatisfaction for nursing home workers...
  61. ncbi request reprint Measuring staff turnover in nursing homes
    Nicholas G Castle
    University of Pittsburgh, Health Policy and Management, A649 Crabtree Hall, 130 DeSoto St, Pittsburgh, PA, USA
    Gerontologist 46:210-9. 2006
    ..With the use of primary data collected from 354 facilities, the study addresses the various degrees of bias that result, depending on how staff turnover is defined in nursing homes...
  62. ncbi request reprint Variation in the use of nursing home deficiency citations
    Nicholas G Castle
    Department of Health Policy and Management, University of Pittsburgh, PA, USA
    J Healthc Qual 29:12-23. 2007
    ..The high degree of variation limits the usefulness of deficiency citations not only for CMS but also for consumers and providers...
  63. ncbi request reprint Professional association membership by nursing facility administrators and quality of care
    Nicholas G Castle
    RAND, Pittsburgh, Pennsylvania, USA
    Health Care Manage Rev 27:7-17. 2002
    ..The study suggests that these facilities do not do better because they have more resources or because they care for less-challenging residents-they do better because they have a professional association as a resource...
  64. ncbi request reprint Nursing homes with persistent deficiency citations for physical restraint use
    Nicholas G Castle
    RAND, Pittsburgh, Pennsylvania 15213, USA
    Med Care 40:868-78. 2002
    ..Deficiency citations for physical restraint use in two and three consecutive certification survey inspections are used as our measures of poor quality...
  65. pmc Patient safety culture assessment in the nursing home
    S M Handler
    Division of Geriatric Medicine, Department of Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
    Qual Saf Health Care 15:400-4. 2006
    ..To assess patient safety culture (PSC) in the nursing home setting, to determine whether nursing home professionals differ in their PSC ratings, and to compare PSC scores of nursing homes with those of hospitals...
  66. ncbi request reprint Physical restraint initiation in nursing homes and subsequent resident health
    John Engberg
    RAND Corporation, Pittsburgh, PA, USA
    Gerontologist 48:442-52. 2008
    ..Yet few studies exist showing an association between restraint initiation and health decline. In this research, we examined whether physical restraint initiation is associated with subsequent lower physical or mental health...
  67. ncbi request reprint Job satisfaction of nursing home administrators and turnover
    Nicholas G Castle
    University of Pittsburgh, Pittsburgh, Pennsylvania, USA
    Med Care Res Rev 64:191-211. 2007
    ..In general, the authors found a stronger association with job satisfaction and actual turnover than with intent to turnover...
  68. ncbi request reprint Effect of staff turnover on staffing: A closer look at registered nurses, licensed vocational nurses, and certified nursing assistants
    Bita A Kash
    Department of Health Policy and Management, Texas A and M University Health Science Center, School of Rural Public Health, TAMU 1266, College Station, TX 77843, USA
    Gerontologist 46:609-19. 2006
    ..We examined the effects of facility and market-level characteristics on staffing levels and turnover rates for direct care staff, and we examined the effect of staff turnover on staffing levels...
  69. doi request reprint Nurse aide agency staffing and quality of care in nursing homes
    Nicholas G Castle
    University of Pittsburgh, Pittsburgh, Pennsylvania, USA
    Med Care Res Rev 65:232-52. 2008
    ....
  70. pmc The influence of staffing characteristics on quality of care in nursing homes
    Nicholas G Castle
    Graduate School of Public Health, 130 DeSoto Street, Pittsburgh, PA 15261, USA
    Health Serv Res 42:1822-47. 2007
    ..The influence staffing levels, turnover, worker stability, and agency staff had on quality of care in nursing homes was examined...
  71. ncbi request reprint Nursing home spending, staffing, and turnover
    Bita A Kash
    Department of Health Policy and Management, School of Rural Public Health, Texas A and M University Health Science Center, College Station, TX, USA
    Health Care Manage Rev 32:253-62. 2007
    ..Recent work on nursing home staffing and turnover has stressed the importance of ownership and resources. However, few studies have examined spending behaviors, which might also influence staffing levels and staff turnover rates...
  72. pmc Antidepressant prescribing in US nursing homes between 1996 and 2006 and its relationship to staffing patterns and use of other psychotropic medications
    Joseph T Hanlon
    Division of Geriatric Medicine, Department of Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, PA 15213, USA
    J Am Med Dir Assoc 11:320-4. 2010
    ..Few studies have examined factors associated with antidepressant prescribing in older nursing home residents...
  73. pmc Financial exploitation and psychological mistreatment among older adults: differences between African Americans and non-African Americans in a population-based survey
    Scott R Beach
    University Center for Social and Urban Research, University of Pittsburgh, Pittsburgh, PA 15260, USA
    Gerontologist 50:744-57. 2010
    ....
  74. pmc Frequency of laboratory monitoring of chronic medications administered to nursing facility residents: results of a national Internet-based study
    Steven M Handler
    Department of Medicine, Division of Geriatric Medicine, University of Pittsburgh, Pittsburgh, PA 15213, USA
    Consult Pharm 23:387-95. 2008
    ....
  75. ncbi request reprint State variability in indicators of quality of care in nursing facilities
    Nicholas G Castle
    Department of Health Policy and Management, A649 Crabtree Hall, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania 15261, USA
    J Gerontol A Biol Sci Med Sci 60:1173-9. 2005
    ..The objective of this research was to profile and compare state-level physical restraint use, urethral catheterization, contractures, pressure ulcers, and psychoactive medication use as indicators of quality of care in nursing facilities...
  76. pmc Consensus list of signals to detect potential adverse drug reactions in nursing homes
    Steven M Handler
    Division of Geriatric Medicine, Department of Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania 15213, USA
    J Am Geriatr Soc 56:808-15. 2008
    ..To develop a consensus list of agreed-upon laboratory, pharmacy, and Minimum Data Set signals that a computer system can use in the nursing home to detect potential adverse drug reactions (ADRs)...
  77. ncbi request reprint Resident satisfaction with long-term care services
    Farida K Ejaz
    Margaret Blenkner Research Institute of the Benjamin Rose Institute, Cleveland, OH 44120, USA
    J Aging Soc Policy 19:1-8. 2007
  78. ncbi request reprint Searching for and selecting a nursing facility
    Nicholas G Castle
    RAND, USA
    Med Care Res Rev 60:223-47; discussion 248-52. 2003
    ..Fourth, prior knowledge of the chosen facility was limited. Finally, the authors also show that the time taken to choose a facility was in most cases extremely limited...
  79. ncbi request reprint Low-care residents in nursing homes: the impact of market characteristics
    Nicholas G Castle
    Long Term Care Studies, Institute for Health, Health Care Policy and Aging Research, New Brunswick, NJ 08901, USA
    J Health Soc Policy 14:41-58. 2002
    ..These results are discussed along with several issues inherent to channeling low-care residents to other care setting...
  80. pmc Review of the literature on survey instruments used to collect data on hospital patients' perceptions of care
    Nicholas G Castle
    Graduate School of Public Health Pittsburgh, PA 15261, USA
    Health Serv Res 40:1996-2017. 2005
    ..To review the existing literature (1980-2003) on survey instruments used to collect data on patients' perceptions of hospital care...
  81. ncbi request reprint Providing outcomes information to nursing homes: can it improve quality of care?
    Nicholas G Castle
    Gerontologist 43:483-92. 2003
    ..These were the rates of physical restraint use, urethral catheterization, contractures, pressure ulcers, psychotropic medication use, and certification survey quality of care deficiencies...
  82. ncbi request reprint Organizational and environmental effects on voluntary and involuntary turnover
    Christopher Donoghue
    Department of Sociology and Anthropology, Kean University, Union, NJ, USA
    Health Care Manage Rev 32:360-9. 2007
    ..There are few studies of voluntary and involuntary turnover in the nursing home literature. Previous research in this area has focused mainly on the linear effects of individual and organizational characteristics on total turnover...
  83. ncbi request reprint Consumer satisfaction in long-term care: state initiatives in nursing homes and assisted living facilities
    Timothy J Lowe
    Rutgers University, Institute for Health, Health Care Policy, and Aging Research, 30 College Avenue, New Brunswick, NJ 08901 1293, USA
    Gerontologist 43:883-96. 2003
    ....
  84. ncbi request reprint Nursing homes with persistent high and low quality
    David C Grabowski
    University of Alabama at Birmingham, Alabama, USA
    Med Care Res Rev 61:89-115. 2004
    ..Their results further show that public reimbursement and asymmetric information are both important factors in explaining why low quality persists over time in certain facilities...
  85. ncbi request reprint Response formats and satisfaction surveys for elders
    Nicholas G Castle
    RAND, Pittsburgh, PA 15213 1516, USA
    Gerontologist 44:358-67. 2004
    ..In this paper, we first examine elders' preferences between five response formats and then examine the response variability of these five commonly used formats...
  86. ncbi request reprint Nursing home closures and quality of care
    Nicholas G Castle
    University of Pittsburg, USA
    Med Care Res Rev 62:111-32. 2005
    ..However, overall, the author concludes that nursing facility closures are relatively rare events. And the likelihood of closure, even for poor-quality facilities, is low...
  87. ncbi request reprint Strategic groups and outcomes in nursing facilities
    Nicholas G Castle
    RAND, Pittsburgh, Pennsylvania, USA
    Health Care Manage Rev 28:217-27. 2003
    ..The author hypothesizes that prospector nursing facilities will have the highest quality outcomes, followed by defender, analyzer, and reactor facilities...

Research Grants9

  1. EXAMINING NURSING HOME COMPARE
    Nicholas Castle; Fiscal Year: 2005
    ..abstract_text> ..
  2. POOR QUALITY IN PSYCHOACTIVE DRUG USE
    Nicholas Castle; Fiscal Year: 2004
    ..abstract_text> ..
  3. The Influence of Staff Turnover on Quality
    Nicholas Castle; Fiscal Year: 2007
    ....
  4. Staffing Characteristics of Nursing Homes and Quality
    Nicholas Castle; Fiscal Year: 2007
    ..We will examine the associations between staffing levels, turnover, stability, and use of agency staff and quality, not only for licensed practical nurses (LPNs), and registered nurses (RNs), but also for nurse aides (NAs). ..
  5. INCIDENT REPORTING IN NURSING HOMES
    Nicholas Castle; Fiscal Year: 2007
    ..This information will further our development of a standardized incident reporting mechanism recommended by the Institute of Medicine and others. ..
  6. Agency Staffing and Nursing Home Quality
    Nicholas G Castle; Fiscal Year: 2010
    ..This investigation examines use of agency staff and quality of care. Our results will have implications for policy makers, practitioners, and consumers. ..