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Fig 1.

Program logic drawn for Schrijnemaekers et al (2002) and Meyer (2005).

Measured outcomes shown in bold.

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Table 1.

Oral Health.

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Table 2.

Hygiene and infection control.

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Table 3.

Nutrition.

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Table 4.

Nursing home acquired pneumonia (NHAP) prevention and management.

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Table 5.

Depression.

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Table 6.

Appropriate prescribing.

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Table 7.

Physical restraint use.

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Table 8.

Management of behavioral and psychological symptoms of dementia.

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Table 9.

Falls reduction and prevention.

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Table 10.

Quality improvement.

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Table 11.

Philosophy of care and aspects of culture of care.

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Table 12.

Other studies.

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Fig 2.

Flow chart indicating inclusion of articles in the study.

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Table 13.

Barriers and enablers to change.

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