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The relationship between quality and staffing in long-term care: A systematic review of the literature 2008-2020.

Int J Nurs Stud

October 2021

Institute of Health Policy, Management and Evaluation, University of Toronto, 155 College Ave Toronto, Ontario, Canada. Electronic address:

Background: Higher staffing levels in long-term care have been associated with better outcomes for residents in several landmark studies. However previous systematic reviews found mixed results, calling into question the effectiveness of higher levels of staff. With persistent concerns about quality, rising resident acuity, and a growing demographic of seniors requiring more services, understanding the relationship between quality and long-term care staffing is a growing concern.

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