Overview of Systematic Reviews on Factors Related to the Structure and Functioning of Residential Long-Term Care Facilities for Older Adults
Abstract
:1. Introduction
2. Method
2.1. Study Identification
2.2. Eligibility Criteria
2.3. Study Selection and Data Collection
2.4. Data Extraction
2.5. Quality Assessment
3. Results
4. Discussion
4.1. Limitations
4.2. Practical Implications
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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PICOS | |
---|---|
P | Older adult population residing in institutions or specific long-term care spaces |
I | Long-Term Care Facilities, among other synonyms |
C | Not applicable |
O | Classification of types of institutions and the need to structure some health services. Operational outcomes for critical points and attention: risk management (infection, falls, and pressure injuries) and dietary/food services, cleaning, and pharmaceutical assistance (excluding mental health). Structural outcomes: human resources, physics, technology, mobility/accessibility. |
S | Systematic reviews with and without meta-analysis |
Author/ Year | Country of Publication | Objective | Type of Establishment | Quality of the Study * | Study Funding |
---|---|---|---|---|---|
Bostick et al., 2006 [15] | USA | Evaluate a range of staffing measures and data sources for long-term use in public reporting on staffing as a measure of quality in nursing homes. | Nursing homes | Critically Low-quality review | No financing |
Sawka et al., 2006 [16] | Canada | Design a Bayesian random-effects model to pool binary outcome data from cluster randomized trials (CRTs) with individually randomized trials (IRTs), and then use this model to determine whether hip protectors decrease the risk of hip fracture in elderly people living in nursing homes. | Nursing homes | Critically Low-quality review | No financing |
Dwyer et al., 2011 [17] | Australia | Critically evaluate, synthesize, and present the best available evidence about nurses’ experiences as clinical leaders and managers in residential aged care institutions. | Residential Aged Care | Critically Low-quality review | No financing |
Neyens et al., 2011 [18] | Netherlands | Report the effectiveness and implementation aspects of interventions aimed at reducing falls in elderly residents of long-term care institutions: a systematic review of randomized controlled trials (RCTs). | Long-Term Care Facilities | Critically Low-quality review | No financing |
Sinclair et al., 2011 [19] | UK | Summarize the evidence base from published studies in the area, and analyze documents and other materials relevant to long-term diabetes care in residential and nursing homes. | Long-Term Care Facilities | Critically Low-quality review | No financing |
Bradshaw et al., 2012 [20] | UK | Conduct a systematic qualitative review of life in nursing homes and provide practical recommendations to improve the quality of life for residents. | Nursing homes | Critically Low-quality review | MS Society of Great Britain and Northern Ireland |
Tamura et al., 2012 [21] | USA | To assess factors associated with polypharmacy and high risk of medication-related problems among community-dwelling older people in the Netherlands, Greece, Croatia, Spain, and the United Kingdom. | Nursing homes | Critically Low-quality review | The John A. Hartford Foundation Center of Excellence in Geriatrics, University of Hawaii |
Valenzuela et al., 2012 [22] | Australia | Provide a synthesis of evidence from clinical trials to determine whether progressive resistance training, as a single exercise intervention, improves strength and functional performance in institutionalized older adults. | Nursing homes | Critically Low-quality review | No financing |
Abbott et al., 2013 [23] | UK | Determine the effectiveness of mealtime interventions for older adults living in residential care and, where possible, determine which types of mealtime interventions were most effective. | Nursing homes | Low-quality review | National Institute forHealth Research through Peninsula CLAHRC |
Donald et al., 2013 [24] | Canada | Report quantitative evidence of the effectiveness of advanced practice nursing roles, clinical nurse specialists, and nurse practitioners in meeting the health care needs of older adults living in long-term care residential settings. | Long-Term Care Facilities | Critically Low-quality review | National Institute for Health Research (NIHR) Oxford Biomedical Research Center (BRC) |
Edirippulige et al., 2013 [25] | Australia | Systematically review the literature on the use of telemedicine in LTCFs and assess the quality of published evidence. | Long-Term Care Facilities | Critically Low-quality review | University of Queensland |
Hughes et al., 2013 [26] | UK | Determine the effects of infection control strategies on preventing MRSA transmission in nursing homes. | Nursing homes | Critically Low-quality review | Research and Development Office, Northern Ireland, UK.NIHR/Department of Health (England), (Cochrane Wounds Group), UK |
Reyes-Alcázar et al., 2013 [27] | Spain | Seek recommendations on patient safety based on scientific evidence with the aim, in different socio-sanitary contexts, of achieving safer care. | Long-Term Care Facilities; Nursing homes, Residential Aged Care; Accommodation for the elderly | Critically Low-quality review | Andalusian Society for Quality in Health |
Silva et al., 2013 [28] | Australia | Analyze the impact and characteristics of the most effective physical exercise regimen to prevent falls and fractures in this specific scenario. | Long-Term Care Facilities | Critically Low-quality review | Nepean Medical Research Foundation and Science Without Borders CNPq Brazil Program |
Van Malderen et al., 2013 [29] | Belgium | Systematically review the literature, focusing on identifying interventions that attempt to improve the QoL of residents of LTCF facilities. | Long-Term Care Facilities | Critically Low-quality review | No financing |
Chan et al., 2014 [30] | China | Conduct a systematic review and meta-analysis for the effectiveness of influenza vaccination in institutionalized elderly people with measures to minimize these confounding factors. | Long-Term Care Facilities | Critically Low-quality review | No financing |
Flanagan et al., 2014 [31] | UK | Review interventional studies that included UI and/or fecal incontinence (FI) which investigated factors associated with management (economic, skin care, exercise and mobility, staff quality, and continence promotion), but where management of incontinence techniques was not the main focus or outcome. | Long-Term Care Facilities | Critically Low-quality review | Wirral University Teaching Hospitals NHS Foundation Trust Research and Development Fund |
Bunn et al., 2015 [32] | UK | To evaluate the effectiveness of interventions and environmental factors in increasing fluid intake or reducing the risk of dehydration in elderly people living in long-term care facilities. | Long-Term Care Facilities | Low-quality review | National Institute for Health Research (NIHR) |
Liu et al., 2015 [33] | USA | To evaluate the effectiveness of interventions on the dietary performance of elderly people with dementia in long-term care facilities (LTCFs). | Long-Term Care Facilities | Critically Low-quality review | No financing |
Low et al., 2015 [34] | Australia | Systematically identify and describe studies that investigated the effects of interventions to change staff practices or care approaches in order to improve outcomes for nursing home residents; identify interventions or intervention components that lead to successful team practices or changes in care approach in nursing homes; identify potential barriers and facilitators to team practice or change in care approach in nursing homes. | Nursing homes | Low-quality review | University of New South Wales, Queensland University of Technology, and Australian National University Collaborative Dementia Research Centres |
Marasinghe et al., 2015 [35] | Canada | To evaluate the impact of Computerized clinical decision support systems (CCDSS) on improving medication safety in Long-Term Care Facilities (LTCFs). | Long-Term Care Facilities | Critically Low-quality review | No financing |
Pagan et al., 2015 [36] | New Zealand | Establish the composition and effect of wound-related programs, implementation strategies, resident and clinical staff outcomes, and program sustainability in RAC facilities. | Residential Aged Care (RAC) | Critically Low-quality review | No financing |
Vlaeyen et al., 2015 [37] | Belgium | To determine the characteristics and effectiveness of single, multiple, and multifactorial fall prevention programs on the number of falls and recurrent falls in older adults permanently residing in a nursing home. | Long-Term Care Facilities | Critically Low-quality review | Flemish Ministry of Welfare, Public Health and Family of Belgium and the University Derde Leeftijd Leuven vzw. |
Alldred et al., 2016 [38] | UK | Determine the effect of interventions to optimize overall prescribing for older people living in nursing homes. | Nursing homes | Moderate quality review | School of Healthcare, University of Leeds, UK |
Diehl et al., 2016 [39] | Norway | Systematically review the effects of interventions to improve the implementation of guidance in nursing homes. | Long-Term Care Facilities | Moderate quality review | No financing |
Morin et al., 2016 [40] | Sweden | To systematically evaluate the prevalence of potentially inappropriate medication use in nursing home residents. | Nursing homes | Low-quality review | No financing |
Thiruchelvam et al., 2016 [41] | Malaysia | Assess the impact of medication reviews in aged care facilities, with additional focus on types of medication reviews, using randomized controlled trials (RCTs) and observational studies. | Long-Term Care Facilities | Low-quality review | No financing |
Ferrah et al., 2017 [42] | Australia | Determine the prevalence and characteristics of medication errors resulting in hospitalization and death of nursing home residents, and the factors associated with the risk of death and hospitalization. | Nursing homes | Critically Low-quality review | No financing |
Kjelle et al., 2017 [43] | Norway | Identify the outcomes of mobile radiography services for nursing home residents and society at large. | Nursing homes | Critically Low-quality review | University College of Southeast Norway |
Lee et al., 2017 [44] | South Korea | To evaluate the effectiveness of exercise interventions on the rate of falls and the number of falls in healthcare facilities. | Residential Aged Care | Low-quality review | Gachon University |
Barker et al., 2018 [45] | UK | Systematically identify and synthesize evidence on which professional group should provide first-line medical care (routine and/or unscheduled) to LTCF residents to improve health outcomes. | Long-Term Care Facilities | Low-quality review | National Institute for Health Research, School of Primary Care Research, and NIHR Health Services and Delivery Research |
Cao et al., 2018 [46] | China | Determine the effectiveness of exercise in preventing falls in nursing home residents. | Nursing homes | Critically Low-quality review | No financing |
Clarkson et al., 2018 [47] | UK | Provide an overview of the range of services that have been provided and studied to address the following research questions: What are the main characteristics of variation in organization, activities, and responsibilities? | Nursing homes | Critically Low-quality review | National Institute for Health Research (NIHR); School of Social Care Research (SSCR) |
Ghavarskhar et al., 2018 [48] | Iran | Determine the structure of modified and purpose-built housing, independent housing, residential care, and nursing homes in Iran and developed countries. | Nursing homes | Critically Low-quality review | Tabriz University of Medical Science |
MäkiÿTurjaÿRostedt et al., 2018 [49] | Finland | Explore the effectiveness of preventive interventions for pressure ulcers (PUs) in long-term care facilities (LTCFs). | Long-Term Care Facilities | Low-quality review | Government research funds: Satakunta Hospital District and Turku University Hospital |
Panza et al., 2018 [50] | Italy | To systematically review the body of evidence from the last three decades of clinical research dedicated to the implementation of broad geriatric assessment programs in LTCFs (i.e., nursing homes, residential homes, and rehabilitation facilities), analyzing the benefits arising from the application in these settings of tools based on CGA. | Long-Term Care Facilities: Nursing homes, Residential Aged Care | Critically Low-quality review | No financing |
Brett et al., 2019 [51] | Australia | (1) When and how are physiotherapy services used by elderly people living in nursing homes? (2) What are the factors associated with the use of physical therapy services in nursing homes? (3) How are physical therapy services in nursing homes documented and monitored? | Long-Term Care Facilities | Low-quality review | No financing |
Chen et al., 2019 [52] | Australia | To systematically review the literature reporting processes, impact, and outcomes of medication review and reconciliation in Australian residential aged care facilities (RACFs). | Long-Term Care Facilities | Critically Low-quality review | Cognitive Decline Partnership Center (CDPC). Australian Government. NHMRC Early Career. NHMRC Dementia Leadership Fellowship |
Donaldson et al., 2019 [53] | UK | To evaluate the effectiveness of meat-free high-protein supplementation on health-related quality of life (HRQoL) and relevant clinical and nutritional outcomes in older adults in a home setting. | Nursing homes | Low-quality review | National Institute for Health Research (NIHR) Oxford Biomedical Research Center (BRC) |
Huey Lee et al., 2019 [54] | Malaysia | Provide an overview of the evidence for pharmacist-led interventions to improve the quality of medication use in nursing homes and determine the impact of these interventions in nursing homes. | Long-Term Care Facilities | Critically Low-quality review | No financing |
Hye Lee et al., 2019 [55] | South Korea | Review and analyze the effectiveness and components of infection prevention and control programs in LTCFs for the elderly. | Long-Term Care Facilities | Low-quality review | National Research Foundation of Korea (NRF) is funded by the government of Korea (Ministry of Science and ICT) |
Maurer et al., 2019 [56] | Switzerland | Identify the attitudes and needs of nursing home residents regarding physical activity. | Nursing homes | Critically Low-quality review | No financing |
Nguyen et al., 2019 [57] | UK | Evaluate the effect of interventions to improve antimicrobial stewardship in nursing homes and report the results used in these trials. | Nursing homes | Low-quality review | Vietnam International Education Cooperation Development in Vietnam |
Schoberer et al., 2019 [58] | Austria | Provide a comprehensive collection of evidence on the effectiveness of exercise interventions to prevent falls and support clinical decision making. | Long-Term Care Facilities | Low-quality review | No financing |
Senderovich et al., 2019 [59] | Canada | Summarize the current literature available on the effectiveness of the HZ vaccine in adults over 60 years of age living in LTCFs and evaluate the cost-effectiveness of the HZ vaccine. | Long-Term Care Facilities | Critically Low-quality review | No financing |
van den Berg et al., 2020 [60] | Australia | Summarize reported barriers and facilitators to nursing home residents’ use of outdoor spaces. | Nursing homes | Critically Low-quality review | National Health and Medical Research Council (NHMRC) Partnership Centre |
Wu et al., 2020 [61] | Australia | Explore the effectiveness of nurse-led interventions to prevent urinary tract infections in older adults living in residential aged care facilities. | Residential Aged Care | High-quality review | GriffithUniversity |
Ali et al., 2021 [62] | Australia | To investigate the efficacy and effectiveness of pharmacist-led interventions to reduce adverse drug events (ADEs) in older people living in residential aged care facilities (RACFs). | Long-Term Care Facilities | Low-quality review | No financing |
Frazer et al., 2021 [63] | Ireland | Evaluate the extent to which measures in LTCFs have reduced transmission of COVID-19 (SARS-CoV-2) among residents, staff, and visitors, and the effect of these implemented measures on morbidity and mortality outcomes. | Long-Term Care Facilities | Critically Low-quality review | No financing |
Gonçalves et al., 2021 [64] | Portugal | Identify and evaluate pharmaceutical and/or pharmacy-based interventions in institutional long-term care settings, also mapping relevant medications. | Long-Term Care Facilities | Critically Low-quality review | No financing |
Huynh et al., 2021 [65] | Canada | Answer the question: “For elderly people living in nursing homes, does the greater or lesser use of railings reduce the incidence of falls?” | Nursing homes | Critically Low-quality review | No financing |
Konetzka et al., 2021 [66] | USA | Review empirical evidence on facility characteristics associated with COVID-19 cases and deaths. | Residential Aged Care | Critically Low-quality review | No financing |
Li et al., 2021 [67] | USA | Provide a holistic, up-to-date perspective on nursing assistant-related factors that impact resident satisfaction in long-term care settings. | Long-Term Care Facilities | Critically Low-quality review | No financing |
Wöhl et al., 2021 [68] | Germany | Update the state of knowledge on the effect of physical activity on the feasibility of activities of daily living (ADLs) for people admitted to geriatric care. | Nursing homes | Low-quality review | No financing |
Chu et al., 2022 [69] | Canada | To summarize the effects of exergaming interventions on the physical, cognitive, and quality of life outcomes of elderly people (>65 years of age) living in LTCFs. | Long-Term Care Facilities | Low-quality review | Alzheimer Society of Canada New Investigator Award. This study was funded in part by grants from Drs. Chu and Biss from the New Frontiers Research Fund and the Center for Innovation in Aging and Brain Health. |
Feehan et al., 2022 [70] | UK | To critically summarize the prevalence of vitamin D deficiency in nursing home residents worldwide and describe the effect of vitamin D intervention, alone or in combination with other nutrients or therapies, on improving vitamin D status and health outcomes associated with health care in nursing home residents. | Long-Term Care Facilities | Critically Low-quality review | Department of Economics. The authors thank the Rank Prize for the COVID-19 response grant. |
Lijas et al., 2022 [71] | Sweden | Examine the impact of facility and staff characteristics on the risk of infectious disease outbreaks in nursing homes. | Nursing homes | Critically Low-quality review | The Swedish Research Council (Vetenskapsrådet) (2020-05850). Open access funding provided by Karolinska Institute. |
Meulenbroeks et al., 2022 [72] | Australia | Fill this evidence gap by synthesizing evidence on (i) how therapy-based allied health care is delivered in RACFs globally, (ii) factors associated with levels of allied health service provision, and (iii) quality of resident care and outcomes of health care associated with allied health personnel. | Long-Term Care Facilities | Critically Low-quality review | Australian National Health and Medical Research Council (NHMRC) (APP2013953) |
Narsakka et al., 2022 [73] | Finland | Synthesize evidence and provide a comprehensive understanding of environmental aspects related to physical activity in older adults in long-term care settings. | Nursing homes; Long-Term Care Facilities | Low-quality review | No financing |
Albasha et al., 2023 [74] | Saudi Arabia | Synthesize the evidence on implementation strategies, implementation outcomes, and clinical outcomes included in fall prevention intervention studies. | Long-Term Care Facilities | Moderate quality review | Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia |
Kukkohov et al., 2023 [75] | Finland | Identify, critically evaluate, and synthesize evidence on the effectiveness of digital games on the physical, psychological, and social functioning and physical and social activity of elderly people in long-term care institutions. | Long-Term Care Facilities | Low-quality review | University of Oulu, including Oulu University Hospital. And Competitive State Research Financing. |
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Andrade, A.M.; Afonseca, K.R.; Jube, T.d.A.; Góes, S.M.; Ramos, M.C.; Elias, F.T.d.S. Overview of Systematic Reviews on Factors Related to the Structure and Functioning of Residential Long-Term Care Facilities for Older Adults. Geriatrics 2025, 10, 64. https://doi.org/10.3390/geriatrics10030064
Andrade AM, Afonseca KR, Jube TdA, Góes SM, Ramos MC, Elias FTdS. Overview of Systematic Reviews on Factors Related to the Structure and Functioning of Residential Long-Term Care Facilities for Older Adults. Geriatrics. 2025; 10(3):64. https://doi.org/10.3390/geriatrics10030064
Chicago/Turabian StyleAndrade, Aurélio Matos, Karine Rodrigues Afonseca, Tatiana de Almeida Jube, Suelen Meira Góes, Maíra Catharina Ramos, and Flavia Tavares da Silva Elias. 2025. "Overview of Systematic Reviews on Factors Related to the Structure and Functioning of Residential Long-Term Care Facilities for Older Adults" Geriatrics 10, no. 3: 64. https://doi.org/10.3390/geriatrics10030064
APA StyleAndrade, A. M., Afonseca, K. R., Jube, T. d. A., Góes, S. M., Ramos, M. C., & Elias, F. T. d. S. (2025). Overview of Systematic Reviews on Factors Related to the Structure and Functioning of Residential Long-Term Care Facilities for Older Adults. Geriatrics, 10(3), 64. https://doi.org/10.3390/geriatrics10030064