Nursing

The supply, distribution, certifications, and scope of practice of the 2.8 million RNs (including advanced practice RNs) and 690,000 licensed practical nurses currently in practice.

Characteristics and Practice Patterns of Advanced Practice Registered Nurses Caring for Older Adults: A Survey of Gerontological Advanced Practice Nurses Association Members

Sep. 25, 2019

Carolyn Clevenger, Yin Li, Katherine Evans, Pamela Cacchione

Abstract [from journal] 

Background: Advanced practice registered nurses (APRNs) play a pivotal role in meeting the increasing needs of elder care given the aging population. A good understanding of the characteristics of gerontological APRNs is important for future workforce planning.

Purpose: To understand the demographic, employment, and practice characteristics of APRNs who provide elder care.

Methods: A 34-item survey was distributed to 2,500 current members of the Gerontological Advanced Practice Nurses...

If You Could Change One Thing to Improve the Quality of Emergency Care for Deliberate Self-Harm Patients, What Would It Be? A National Survey of Nursing Leadership

Sep. 5, 2019

Sara Wiesel Cullen, Amaya Diana, Mark Olfson, Steven C. Marcus

Abstract [from journal]

Introduction: Emergency departments increasingly treat patients for deliberate self-harm. This study sought to understand emergency department nursing leadership perspectives on how to improve the quality of emergency care for these patients.

Methods: ED nursing managers and directors from a national sample of 476 hospitals responded to an open-ended question asking for the 1 thing they would change to improve the quality of care for self-harm patients who present in their emergency departments. We identified

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Nursing Home Work Environment, Care Quality, Registered Nurse Burnout and Job Dissatisfaction

Sep. 3, 2019

Elizabeth M. White, Linda H. Aiken, Douglas M. Sloane, Matthew D. McHugh

Abstract [from journal]

The objective of this cross-sectional study was to examine the relationships between work environment, care quality, registered nurse (RN) burnout, and job dissatisfaction in nursing homes. We linked 2015 RN4CAST-US nurse survey data with LTCfocus and Nursing Home Compare. The sample included 245 Medicare and Medicaid-certified nursing homes in four states, and 674 of their RN employees. Nursing homes with good vs. poor work environments, had 1.8% fewer residents with pressure ulcers (p = .02) and 16 fewer hospitalizations

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Registered Nurse Burnout, Job Dissatisfaction, and Missed Care in Nursing Homes

Jul. 23, 2019

Elizabeth M. White, Linda H. Aiken, Matthew D. McHugh

Abstract [from journal]

Objectives: To examine the relationship between registered nurse (RN) burnout, job dissatisfaction, and missed care in nursing homes.

Design: Cross-sectional secondary analysis of linked data from the 2015 RN4CAST-US nurse survey and LTCfocus.

Setting: A total of 540 Medicare- and Medicaid-certified nursing homes in California, Florida, New Jersey, and Pennsylvania.

Participants: A total of 687 direct care RNs.

Measurements: Emotional Exhaustion...

A Methodology For Studying Organizational Performance: A Multistate Survey of Front-line Providers

Jul. 3, 2019

Karen Lasater, Olga Jarrín, Linda Aiken, Matthew McHugh, Douglas Sloane, Herbert Smith 

Abstract [from journal]

Background: Rigorous measurement of organizational performance requires large, unbiased samples to allow inferences to the population. Studies of organizations, including hospitals, often rely on voluntary surveys subject to nonresponse bias. For example, hospital administrators with concerns about performance are more likely to opt-out of surveys about organizational quality and safety, which is problematic for generating inferences.

Objective: The objective of this study was to describe a novel approach to...

In Hospitals With More Nurses Who Have Baccalaureate Degrees, Better Outcomes For Patients After Cardiac Arrest

Jul. 1, 2019

Jordan M. Harrison, Linda H. Aiken, Douglas M. Sloane, J. Margo Brooks Carthon, Raina M. Merchant, Robert A. Berg, Matthew D. McHugh

Abstract [from journal]

In 2010, prompted by compelling evidence that demonstrated better patient outcomes in hospitals with higher percentages of nurses with a bachelor of science in nursing (BSN), the Institute of Medicine recommended that 80 percent of the nurse workforce be qualified at that level or higher by 2020. Using data from the American Heart Association's Get With the Guidelines-Resuscitation registry (for 2013-18), RN4CAST-US hospital nurse surveys (2015-16), and the American Hospital Association (2015), we found that each 10-percentage-point increase in the

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Evaluating Nurse Understanding and Participation in the Informed Consent Process

Connie M. Ulrich, PhD, RN, FAAN
Jun. 1, 2019

Sydney A Axson, Nicholas A Giordano, Robin M Hermann, Connie M Ulrich
 

Abstract [from journal]

Background: Informed consent is fundamental to the autonomous decision-making of patients, yet much is still unknown about the process in the clinical setting. In an evolving healthcare landscape, nurses must be prepared to address patient understanding and participate in the informed consent process to better fulfill their well-established role as patient advocates.

Research objective: This study examines hospital-based nurses' experiences and understandings of the informed consent process.

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Impact of a Hospital Evidence‐Based Practice Center (EPC) on Nursing Policy and Practice

Apr. 30, 2019

Julia G. Lavenberg, Pamela Z. Cacchione, Kishore L. Jayakumar, Brian F. Leas, Matthew D. Mitchell, Nikhil K. Mull, Craig A....

ABSTRACT [FROM JOURNAL]

Background: In 2006, our healthcare system created a hospital Evidence‐based Practice Center (EPC) to support the local delivery of high‐quality, safe and high value patient care. Since then, the importance of healthcare staff work life has also been highlighted, and together these four elements form the Quadruple Aim framework. Synergistic to this Aim, the Magnet® program promotes and recognizes organizational nursing excellence.

Objective: To examine

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Effects of Public Reporting Legislation of Nurse Staffing: A Trend Analysis

Apr. 3, 2019

Pamela B. de Cordova, Jeannette Rogowski, Kathryn A. Riman...

ABSTRACT [FROM JOURNAL]

Public reporting is a tactic that hospitals and other health care facilities use to provide data such as outcomes to clinicians, patients, and payers. Although inadequate registered nurse (RN) staffing has been linked to poor patient outcomes, only eight states in the United States publicly report staffing ratios—five mandated by legislation and the other three electively. We examine nurse staffing trends after the New Jersey (NJ) legislature and governor enacted P.L.1971, c.136 (C.26:2 H-13) on January 24, 2005, mandating that all health care facilities...

A Meta-Analysis of the Associations Between the Nurse Work Environment in Hospitals and 4 Sets of Outcomes

Eileen Lake, PhD, RN
Apr. 3, 2019

Eileen Lake, Jordan Sanders, Rui Duan, Kathryn Riman, Kathryn Schoenauer, Yong Chen

ABSTRACT [FROM JOURNAL]

Background: The nurse work environment is theorized to influence the quality of nursing care, nurse job outcomes, and patient outcomes.

Objective: The aim of this meta-analysis was to evaluate quantitatively the association of the work environment with job and health outcomes.

Research Design: Relevant studies published through September 2018 were identified. Inclusion criteria were use of a nationally endorsed work environment measure and reporting of odds ratios (ORs) and 95% confidence...

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