[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-427262-105":59,"doc-detail-427262-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","nursing-home-admission-decisions-during-the-covid-19-pandemic-a-resource-dependence-perspective-no-s2-abstract","NURSING HOME ADMISSION DECISIONS DURING THE COVID-19 PANDEMIC: A RESOURCE DEPENDENCE PERSPECTIVE - No. S2 - Abstract","","The COVID-19 pandemic required hospitals to discharge stabilized patients who still needed ongoing care, yet many nursing homes refused admissions for COVID-19 patients. Using qualitative methods and Resource Dependence Theory, researchers analyzed environmental and relational factors shaping nursing home admission strategies. The study drew on 156 semi-structured interviews with administrators from 40 nursing homes across eight U.S. healthcare markets, conducted from July 2020 to December 2021. Key findings address reduced regulatory concentration, shortages in staffing and physical capacity, competing stakeholder pressures, and new admission strategies such as early halting and referral coordination collaborations, informing future pandemic policy.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":40,"@type":76,"position":81},"https://docshare.wps.com/document/research-report/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/nursing-home-admission-decisions-during-the-covid-19-pandemic-a-resource-dependence-perspective-no-s2-abstract/427262/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/nursing-home-admission-decisions-during-the-covid-19-pandemic-a-resource-dependence-perspective-no-s2-abstract/427262.png","ImageObject",300,407,{"name":92,"@type":93},"Emma Wilson","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-20","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":34},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"Why did hospitals need nursing homes during the COVID-19 pandemic?","Question",{"text":112,"@type":113},"Hospitals had to efficiently discharge stabilized patients who still required care, making nursing homes a potential setting. However, most nursing homes did not admit COVID-19 patients during the pandemic.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How was the study conducted?",{"text":117,"@type":113},"The study used qualitative methods, including 156 in-depth semi-structured interviews with administrators from 40 nursing homes across eight U.S. healthcare markets. The team created and refined a coding scheme and applied it to interview transcripts.",{"name":119,"@type":110,"acceptedAnswer":120},"What factors shaped nursing home admission strategies for COVID-19 patients?",{"text":121,"@type":113},"Findings highlight decreased concentration in regulatory authority and shortages in critical resources such as staffing and physical capacity. Nursing homes also faced competing pressures from hospitals, regulators, patients’ families, and the broader community, leading to strategy changes like early admission halting and collaborations to coordinate referrals and discharges.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},427262,1790792694,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":39,"category_name":40,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":34,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":81},3848291630094,"https://eur-avatar.wpscdn.com/davatar_085a072bc5b1113ac321206ff7593b45","Innovation in Aging, 2025, Vol. 9, No. S2 677  \nAbstract citation ID: igaf122.2309  \nNURSING HOME ADMISSION DECISIONS DURING  \nTHE COVID-19 PANDEMIC: A RESOURCE  \nDEPENDENCE PERSPECTIVE  \nZihan Chen1, Talia Benheim1, Courtney Hawes1, Joan Brazier1, Amy Meehan1, and Emily Gadbois2, 1. Brown University, Providence, Rhode Island, United States, 2. Brown University School of Public Health, Providence, Rhode Island, United States  \nDuring the COVID-19 pandemic, hospitals needed to efficiently discharge stabilized patients who still required care. Although nursing homes were potential care settings, most facilities did not admit COVID-19 patients during the pandemic. This study used qualitative methods to examine environmental factors that shaped nursing home admission strategies for COVID-19 patients. We conducted 156 in-depth, semi-structured qualitative interviews with administrators from 40 nursing homes [in eight U.S. health](in eight U.S. health)care markets. Each participant participated in four interviews between July 2020 and December 2021.The research team created and iteratively refined a coding scheme and applied that scheme to the transcripts of audio recordings. Using Resource Dependence Theory, we identified key themes related to nursing home environments, relationships with external stakeholders, and responses to market uncertainties. First, the pandemic led to decreased concentration in regulatory authority, and to shortages in critical resources, such as staffing and physical capacity. Second, nursing homes navigated competing pressures from key actors, including hospitals, regulators, patients’ families, and the broader community. Some urged facilities to admit COVID-19 patients, while others strongly opposed it. Third, to manage market uncertainties and conflicting demands, many nursing homes implemented new admission strategies, such as halting admissions early in the pandemic, or forming collaborations with other nursing facilities to coordinate patient referrals and discharges. Our findings highlight policies to improve care for vulnerable populations in future pandemics, such as disseminating consistent regulations and supporting communication channels among providers.","cbCaibQT7jxFUoDM","https://ap.wps.com/l/cbCaibQT7jxFUoDM","pdf",47635,"English","# Study context and research goal\n## Methods: interviews and coding approach\n## Key themes: resources, stakeholders, and strategies\n## Implications for future pandemic policy","[{\"question\":\"Why did hospitals need nursing homes during the COVID-19 pandemic?\",\"answer\":\"Hospitals had to efficiently discharge stabilized patients who still required care, making nursing homes a potential setting. However, most nursing homes did not admit COVID-19 patients during the pandemic.\"},{\"question\":\"How was the study conducted?\",\"answer\":\"The study used qualitative methods, including 156 in-depth semi-structured interviews with administrators from 40 nursing homes across eight U.S. healthcare markets. The team created and refined a coding scheme and applied it to interview transcripts.\"},{\"question\":\"What factors shaped nursing home admission strategies for COVID-19 patients?\",\"answer\":\"Findings highlight decreased concentration in regulatory authority and shortages in critical resources such as staffing and physical capacity. Nursing homes also faced competing pressures from hospitals, regulators, patients’ families, and the broader community, leading to strategy changes like early admission halting and collaborations to coordinate referrals and discharges.\"}]","NURSING HOME ADMISSION DECISIONS DURING THE COVID-19 PANDEMIC: A RESOURCE DEPENDENCE PERSPECTIVE - No. S2 - Abstract | PDF",1790643349]