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"Nurse Staffing"

Jenny Sim, Joanne Joyce-McCoach, Rob Gordon, Conrad Kobel
AIM: To describe the development, testing and implementation of a data registry of nursing-sensitive indicators for measuring the quality and safety of nursing practice. BACKGROUND: Recent research has established causal links between nurse staffing and patient outcomes. Unit level data is necessary for implementation of evidence-based strategies on nurse staffing and nursing care processes. DESIGN: Multi-site, cross-sectional design. METHODS: Retrospective data were collected from administrative data sets on nurse staffing, patient flow and adverse events in three hospitals in 2016...
February 7, 2019: Journal of Advanced Nursing
Dalia Sofer
Nurses, too, were split on the vote.
February 2019: American Journal of Nursing
Vincent Rome, Lauren Harris-Kojetin, Paula Carder
Research on licensed nurses in assisted living and residential care communities (RCCs) is sparse compared to that on licensed nurses in nursing homes. RCCs are state-regulated; thus, staffing requirements vary considerably. The current study analyzed variation in characteristics of licensed nurses by state-specific requirements for licensed nurses in RCCs. A significantly higher percentage of RCCs with one or more RNs (68.87%) and licensed practical nurses (LPNs) or licensed vocational nurses (LVNs) (56.85%) were found among states with licensed nurse requirements compared to states with no such requirements (37...
January 1, 2019: Research in Gerontological Nursing
Robert James Lucero, David S Lindberg, Elizabeth A Fehlberg, Ragnhildur I Bjarnadottir, Yin Li, Jeannie P Cimiotti, Marsha Crane, Mattia Prosperi
BACKGROUND AND PURPOSE: Electronic health record (EHR) data provides opportunities for new approaches to identify risk factors associated with iatrogenic conditions, such as hospital-acquired falls. There is a critical need to validate and translate prediction models that support fall prevention clinical decision-making in hospitals. The purpose of this study was to explore a combined data-driven and practice-based approach to identify risk factors associated with falls. PROCEDURES: We conducted an observational case-control study of EHR data from January 1, 2013 to October 31, 2013 from 14 medical-surgical units of a tertiary referral teaching hospital...
February 2019: International Journal of Medical Informatics
Amanda Hoerst, Adnan Bakar, Steven C Cassidy, Martha Clabby, Erica Del Grippo, Margaret Graupe, Ashraf S Harahsheh, Anthony M Hlavacek, Stephen A Hart, Alaina K Kipps, Nicolas L Madsen, Dora D O'Neil, Sonali S Patel, Courtney M Strohacker, Ronn E Tanel
BACKGROUND: The Pediatric Acute Care Cardiology Collaborative (PAC3 ) was established in 2014 to improve the quality, value, and experience of hospital-based cardiac acute care outside of the intensive care unit. An initial PAC3 project was a comprehensive survey to understand unit structure, practices, and resource utilization across the collaborative. This report aims to describe the previously unknown degree of practice variation across member institutions. METHODS: A 126-stem question survey was developed with a total of 412 possible response fields across nine domains including demographics, staffing, available resources and therapies, and standard care practices...
January 3, 2019: Congenital Heart Disease
Victoria Bowden, Cheryl Bradas, Molly McNett
AIM: To describe nurse-specific and patient risk factors present at the time of a patient fall on medical-surgical units within an academic public healthcare system. BACKGROUND: The incidence of falls can be devastating for hospitalized patients and their families. Few studies have investigated how patient and nurse specific factors can decrease the occurrence of falls in hosptials. METHOD: In this retrospective cohort study, data was gathered on all patients who experienced a fall during January 2012-December 2013...
December 19, 2018: Journal of Nursing Management
Linda H Aiken, Claire M Fagin
No abstract text is available yet for this article.
December 2018: International Nursing Review
Miia M Jansson, Hannu P Syrjälä, Tero I Ala-Kokko
BACKGROUND: Nurse understaffing and increased nursing workload have been associated with increased risk of adverse patient outcomes and even mortality. AIM: To determine whether nurse staffing and nursing workload are associated with ventilator-associated pneumonia and mortality. METHODS: This prospective, observational cohort study was conducted in a single tertiary-level teaching hospital in Finland during 2014-2015. The association between nurse staffing, nursing workload and prognosis was determined using daily nurse-to-patient ratios, Therapeutic Intervention Scoring System and Intensive Care Nursing Scoring System scores, and Intensive Care Nursing Scoring System indices...
December 7, 2018: Journal of Hospital Infection
Juh Hyun Shin, In-Soo Shin
Despite cumulative and integrative evidence of registered nurse (RN) staffing on nursing home residents' outcomes worldwide, few studies integrate the effects of residents' case mix, healthcare markets, and nurse staffing on psychotropic-medication use and weight loss in Korea. This article examined the relationship between nurse staffing and residents' quality-of-care outcomes, controlling for long-term healthcare market characteristics in Korea. Using a multilevel cross-sectional design, a disproportionate stratified random sampling was used...
December 7, 2018: Geriatric Nursing
Peter Griffiths, Antonello Maruotti, Alejandra Recio Saucedo, Oliver C Redfern, Jane E Ball, Jim Briggs, Chiara Dall'Ora, Paul E Schmidt, Gary B Smith
OBJECTIVE: To determine the association between daily levels of registered nurse (RN) and nursing assistant staffing and hospital mortality. DESIGN: This is a retrospective longitudinal observational study using routinely collected data. We used multilevel/hierarchical mixed-effects regression models to explore the association between patient outcomes and daily variation in RN and nursing assistant staffing, measured as hours per patient per day relative to ward mean...
December 4, 2018: BMJ Quality & Safety
Sylvia H Hsu, Peiyin Hung, Shi-Yi Wang
BACKGROUND: To enhance the quality of hospice care and to facilitate consumers' choices, the Centers for Medicare and Medicaid Services (CMS) began the Hospice Quality Reporting Program, in which CMS posted the quality measures of participating hospices on its reporting website, Hospice Compare. Little is known about the participation rate and the types of nonparticipating hospices. OBJECTIVE: To examine the factors associated with hospices' nonparticipation in Hospice Compare...
November 26, 2018: Medical Care
Qinyu Chen, Griffin Olsen, Fabio Bagante, Katiuscha Merath, Jay J Idrees, Ozgur Akgul, Jordan Cloyd, Mary Dillhoff, Susan White, Timothy M Pawlik
BACKGROUND: The effect of various hospital characteristics on failure to rescue (FTR) after liver surgery has not been well examined. We sought to examine the relationship between hospital characteristics and FTR after liver surgery. METHODS: The 2013-2015 Medicare-Provider Analysis and Review (MEDPAR) database was used to identify Medicare beneficiaries who underwent liver surgery. The effect of various hospital characteristics on FTR was compared among the highest mortality hospitals (HMH) and the lowest mortality hospitals (LMH)...
November 21, 2018: World Journal of Surgery
Sean Clarke
A new study questions the effect on patient outcomes but is narrow in scope.
December 2018: American Journal of Nursing
Soubhik Paul, Palanisamy Krishnamoorthy, M S Dinesh, Swaminathan Kailash, Nagaraju Bussa, Shiva Mariyanna
Nurse workforce optimization and scheduling in hospital units is a complex data science and operation research problem. Traditional manual estimation and preparation of nurse staffing and scheduling with the help of a subject matter expert might leads to over staffing or under staffing of different type of nurses such as core, float pool, overtime and agency, which impacts the patient care delivery and cost significantly. The situation becomes worse in case of emergency department as the patient head on bed occupancy is very dynamic in nature and many times the department might be overcrowded with no beds for the patients...
July 2018: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
Heather L Tubbs-Cooley, Constance A Mara, Adam C Carle, Barbara A Mark, Rita H Pickler
Importance: Quality improvement initiatives demonstrate the contribution of reliable nursing care to gains in clinical and safety outcomes in neonatal intensive care units (NICUs); when core care is missed, outcomes can worsen. Objective: To evaluate the association of NICU nurse workload with missed nursing care. Design, Setting, and Participants: A prospective design was used to evaluate associations between shift-level workload of individual nurses and missed care for assigned infants from March 1, 2013, through January 31, 2014, at a 52-bed level IV NICU in a Midwestern academic medical center...
November 12, 2018: JAMA Pediatrics
Jane Banaszak-Holl, Orna Intrator, Jiejin Li, Qing Zheng, David G Stevenson, David C Grabowski, Richard A Hirth
BACKGROUND: Standardization in production is common in multientity chain organizations. Although chains are prominent in the nursing home sector, standardization in care has not been studied. One way nursing home chains may standardize is by controlling the level and mix of staffing in member homes. OBJECTIVES: To examine the extent to which standardization occurred in staffing, its relative presence across different types of chains, and whether facilities became more standardized following acquisition by a chain...
December 2018: Medical Care
Douglas M Sloane, Herbert L Smith, Matthew D McHugh, Linda H Aiken
BACKGROUND: Evidence shows hospitals with better nursing resources have better outcomes but few studies have shown that outcomes change over time within hospitals as nursing resources change. OBJECTIVES: To determine whether changes in nursing resources over time within hospitals are related to changes in quality of care and patient safety. RESEARCH DESIGN: Multilevel logistic response models, using data from a panel of 737 hospitals in which cross-sections of nurse informants surveyed in 2006 and 2016, were used to simultaneously estimate longitudinal and cross-sectional associations between nursing resources, quality of care, and patient safety...
December 2018: Medical Care
Eileen T Lake, Douglas O Staiger, Emily Cramer, Linda A Hatfield, Jessica G Smith, Beatrice J Kalisch, Jeannette A Rogowski
The health outcomes of infants in neonatal intensive care units (NICUs) may be jeopardized when required nursing care is missed. This correlational study of missed care in a U.S. NICU sample adds national scope and an important explanatory variable, patient acuity. Using 2016 NICU registered nurse survey responses ( N = 5,861) from the National Database of Nursing Quality Indicators, we found that 36% of nurses missed one or more care activities on the past shift. Missed care prevalence varied widely across units...
October 26, 2018: Medical Care Research and Review: MCRR
Yunmi Kim, Jiyun Kim, Soon Ae Shin
BACKGROUND: Nurses play crucial roles in cardiopulmonary resuscitation after perioperative cardiac arrest (PCA), and the level of nurse staffing is thought to influence the survival rate for cardiac arrest. However, no previous study has investigated the survival rate after PCA in Korea. In addition, nurse staffing levels in Korea are relatively low and their legal standard is not widely followed. OBJECTIVES: This study investigated the relationships between nurse staffing level and survival after PCA in Korean hospitals using inpatient National Health Insurance (NHI) claim data...
January 2019: International Journal of Nursing Studies
(no author information available yet)
No abstract text is available yet for this article.
November 2018: American Journal of Nursing
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