Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.

Mortality Rates From COVID-19 Are Lower In Unionized Nursing Homes

Dean, A., Venkataramani, A. S., Kimmel, S. D.7

Release Date:

Evaluation Report, Peer Review Study

Organizational Change/ Development
Healthcare Access and Quality
Social and Community Context
Tools Included
Outside U.S.

Mitigation and Prevention

The article evaluates the connection between health care workers’ unions and Covid-19 mortality rates in nursing homes. Using regression analysis, the presence of a union were associated with lower Covid-19 mortality rates (30% lower) and infection rates (42% lower) among nursing home residents. Nursing homes with unions saw increased access to N95 respirators and eye shields as well. These results ultimately show that health care worker unionization may better ensure access to appropriate PPE and infection control policies that will protect nursing home residents.

Resource Details

Outcomes of Interest

Improve Organizational Infrastructure

Priority Population(s)

Adults Aged 65 and Older, People Living in Congregate Housing

Setting(s) of Implementation

Long-term Care Facility

Geographic Area of Implementation

Implementation Period