Open research questions in Geriatric Care and Nursing Homes
649 unresolved questions extracted from the limitations and future-work sections of 6,368 Geriatric Care and Nursing Homes papers in our library. Each links back to the study that raised it.
What the literature leaves open
The study identifies challenges in providing long-term care services to older adults, including a lack of healthcare personnel and limited finances. The study highlights the importance of understanding the factors that influence care-related quality of life in older adults.
Individual and interpersonal factors associated with care-related quality of life in older adults: a comparison of home-based services, nursing homes and sheltered housing · 2026 · DOIExclusion criteria were receiving end-of-life care and receiving LTC for less than two weeks, - The study did not report on the ASCOT tool used, - Limited to Norway
Individual and interpersonal factors associated with care-related quality of life in older adults: a comparison of home-based services, nursing homes and sheltered housing · 2026 · DOIThe paper identifies low pay, insecure employment, poor working conditions, and exploitation as challenges. It also highlights the lack of workforce capacity and the impact of digital technology on the LTC workforce. The fragmentation of service delivery by independent providers is another challenge identified.
limited time and reliance on individual workers can restrict support - poorly designed or malfunctioning digital systems can create additional pressures for LTC workers
Misaligned functionalities and limited staff engagement undermined adoption. Ethical tensions emerged as residents' autonomy and preferences were overridden by care partners. Barriers to sustained adoption were encountered due to the limited integration of the RTLS into workflows.
The study was conducted in one long-term care home, - The sample size was limited, - Residents were ineligible to participate if they were unable to assent to an interview
The paper identifies the challenge of ensuring that disqualifying offenses have a meaningful role in direct care. It also highlights the challenge of implementing electronic fingerprinting and RAP Back systems in background checks. The paper notes the challenge of balancing the need to protect older adults with the need to ensure that background-check policies do not unfairly discriminate against potential employees.
The paper identifies a gap in the existing literature on the differences in background-check policies between NBCP and non-NBCP states. It also highlights the need to assess the impact of these policies on hiring practices and quality of care.
Identifying successful funding applications to support infrastructure developments and increase program effectiveness, - Examining the impact of emerging technologies on the quality of care delivered to older Australians, - Investigating the effects of workforce shortages on the aged care system
Comprehensive analysis of Australia’s aged care system to inform policies for a sustainable future · 2025 · DOIThe lack of a comprehensive overview of the challenges facing Australia's aged care system. The need for a comprehensive analysis of the literature to inform policy development. The gap in understanding the impact of various funding mechanisms on the aged care system.
Comprehensive analysis of Australia’s aged care system to inform policies for a sustainable future · 2025 · DOIDespite these shortcomings, little is known about how individuals evaluate crisis management by governments compared to performance by service providers.
Managing the COVID ‐19 Crisis: Assessing the Responses of Politicians and Service Providers in Long‐Term Care · 2026 · DOIWhile numerous studies support the notion that management matters for performance, the varying nature of its impact across the public, nonprofit, and for-profit sectors remains underexplored in the literature.
Management Impact on Performance in Public, Nonprofit, and For-Profit Organizations: Evidence from U.S. Nursing Homes · 2026 · DOICare models vary widely in these settings, and evidence on provider satisfaction and workforce sustainability is fragmented.
General practice care models and satisfaction in Australian residential aged care homes: a national survey of GPs, practice nurses, and managers · 2026 · DOIFew studies have explored if rural health disparities are related to geographic mobility, specifically, how long an individual has lived in a particular area.
Future research is needed to assess potential benefits of the SOCAV program in other settings and populations.
SOCAV, a nurse-led program promoting self-direction in nursing homes: a longitudinal mixed-methods pilot study · 2026 · DOIConclusion These results indicate that the number of long-term care facility outliers identified can vary widely between methods.
Comparing methodological approaches for outlier detection: a cross-sectional study of older persons in 2,744 Australian long-term care facilities · 2026 · DOIFindings Residents reported a generally positive perception of identity but limited knowledge of, and participation in, their ICPs.
From life stories to person-centred care planning: residents’ and professionals’ perspectives in Portuguese care homes · 2026 · DOIFuture research may investigate long-term outcomes of abrupt disruption in specialist and other community care.
Family physician and specialist care for persons with dementia living in the community: through thick and thin · 2025 · DOICONCLUSIONS: Our results build on the existing body of hospital closure literature by highlighting the understudied role of hospitals in rural postacute and long-term care.
Little is known about the effects of facility closures on the local long-term care sector.
However, scoping reviews of the barriers and facilitators to implementing person-centred dementia care in long-term care facilities for Western countries and Asian countries are lacking.
Barriers and facilitators to implementing person-centred dementia care in long-term care facilities in Western and Asian countries: a scoping review · 2025 · DOIIn Germany, defined role profiles for registered nurses with Bachelor's degree in long-term care are lacking and only few of these nurses work in direct resident care.
A new role profile for nurses with expanded competencies promoting person-centered care in long-term care: a mixed-methods intervention development study · 2025 · DOIpersonal care) suggests that temporary PHE measures taken were insufficient to offset the demand for those services.
Changes in service use and unmet needs in home- and community- based services in the United States during the COVID-19 pandemic · 2025 · DOIHowever, there is limited information about how self-directed home care is experienced by older people with cognitive impairment and dementia, and how their thinking informs their care choices and quality of life.
Understanding how users of home-based aged care services with cognitive impairment rate their social care related quality of life · 2025 · DOIAlthough this transition is known to occur in three phases, no study has comprehensively examined the experiences of care triad members across all phases, and evidence-based interventions to support informal caregivers and older adults through this highly stressful process are lacking.
Experiences of members of the care triad on transitioning from home to a nursing home: a qualitative study · 2025 · DOI
Most-cited papers in Geriatric Care and Nursing Homes
- Dementia prevention, intervention, and care · The Lancet · 2017 · 5,107 citations
- The Care Transitions Intervention · Archives of Internal Medicine · 2006 · 1,552 citations
- Comprehensive Discharge Planning and Home Follow-up of Hospitalized Elders · JAMA · 1999 · 1,361 citations
- Falling Through the Cracks: Challenges and Opportunities for Improving Transitional Care for Persons with Continuous Complex Care Needs · Journal of the American Geriatrics Society · 2003 · 838 citations
- Prediction of institutionalization in the elderly. A systematic review · Age and Ageing · 2009 · 734 citations
- Improving the Quality of Transitional Care for Persons with Complex Care Needs · Journal of the American Geriatrics Society · 2003 · 726 citations
- Designing the National Resident Assessment Instrument for Nursing Homes · The Gerontologist · 1990 · 712 citations
- MODELS OF GERIATRICS PRACTICE; The Hospital Elder Life Program: A Model of Care to Prevent Cognitive and Functional Decline in Older Hospitalized Patients · Journal of the American Geriatrics Society · 2000 · 661 citations
- Person‐Centered Care: A Definition and Essential Elements · Journal of the American Geriatrics Society · 2015 · 632 citations
- Reliability Estimates for The Minimum Data Set for Nursing Home Resident Assessment and Care Screening (MDS) · The Gerontologist · 1995 · 583 citations
Most recent work
- Prevalence of Unmet Service Needs and Associated Person‐Reported Outcomes in Long‐Term Services and Supports in the United States · Journal of the American Geriatrics Society · 2026
- ‘Letting Sleeping Dogs Lie’ or Taking Action on Oral Care? A Qualitative Study With Informal Caregivers of Frail Home‐Dwelling Older Persons · Gerodontology · 2026
- Translating care in defensive times: We are not here to take over; we are here to take care · Agriculture and Human Values · 2026
- Days at Home After Serious Health Events Among Community‐Living Older Persons · Journal of the American Geriatrics Society · 2026
- Person-centered dementia care strategies and facilitators in low-resource long-term care: staff insights · The Gerontologist · 2026
- Challenges With Accessing Home Care Among Medicaid Beneficiaries · JAMA Network Open · 2026
- The role of housing in patient health: Practitioner insights and protocol review · Social Science & Medicine · 2026
- From motivation to persistence: How role identity sustains long-term elder care volunteering · Educational Gerontology · 2026
- Staff’s Perceptions and Experiences of Delivering Therapeutic Residential Care in Portugal: A Qualitative Study · Residential Treatment for Children & Youth · 2026
- Nursing Home Administrator Experiences Navigating the Changing Regulatory Environment During the COVID-19 Pandemic · Journal of Aging & Social Policy · 2026
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