{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T03:44:48Z","timestamp":1784173488228,"version":"3.55.0"},"reference-count":63,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2023,9,5]],"date-time":"2023-09-05T00:00:00Z","timestamp":1693872000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","award":["165838"],"award-info":[{"award-number":["165838"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Appl Gerontol"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:p>The association of organizational context with quality of care in nursing homes is not well understood at the clinical microsystem (care unit) level. This cross-sectional study examined the associations of unit-level context with 10 unit-level quality indicators derived from the Minimum Data Set 2.0. Study settings comprised 262 care units within 91 Canadian nursing homes. We assessed context using unit-aggregated care-aide-reported scores on the 10 scales of the Alberta Context Tool. Mixed-effects regression analysis showed that structural resources were negatively associated with antipsychotics use (B = \u2212.06; p = .001) and worsened late-loss activities of daily living (B = \u2212.03, p = .04). Organizational slack in time was negatively associated with worsened pain (B = \u2212.04, p = .01). Social capital was positively associated with delirium symptoms (B = .12, p = .02) and worsened depressive symptoms (B = .10, p = .01). The findings suggested that targeting interventions to modifiable contextual elements and unit-level quality improvement will be promising.<\/jats:p>","DOI":"10.1177\/07334648231200110","type":"journal-article","created":{"date-parts":[[2023,9,5]],"date-time":"2023-09-05T18:11:13Z","timestamp":1693937473000},"page":"13-25","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Organizational Context and Quality Indicators in Nursing Homes: A Microsystem Look"],"prefix":"10.1177","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2720-5359","authenticated-orcid":false,"given":"Yinfei","family":"Duan","sequence":"first","affiliation":[{"name":"Faculty of Nursing, University of Alberta, Edmonton, AB, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias","family":"Hoben","sequence":"additional","affiliation":[{"name":"Faculty of Nursing, University of Alberta, Edmonton, AB, 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