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.

Telephone Triage In Pediatric Head Injury: Follow-up Patterns And Subsequent Diagnosis Of Concussion

May. 22, 2020

Catherine C McDonald, Melissa R Pfeiffer, Roni L Robinson, Kristy B Arbogast, Christina L Master

Abstract [from journal]

Head injuries in childhood can result in concussion. Families of a child with a head injury often seek medical advice through telephone triage call systems. It is important to understand if patients follow telephone triage recommendations and what proportion of triage calls result in subsequent concussion diagnosis. We used a one-year retrospective cohort of triage calls screened with the Barton Schmitt Pediatric Head Injury Telephone Triage Protocol. The objectives were to estimate the proportion who followed up with urgent recommendations...

Burnout, Job Dissatisfaction and Missed Care among Maternity Nurses

Eileen Lake, PhD, RN
Apr. 26, 2020

Rebecca R.S. Clark, Eileen Lake
 

Abstract [from journal]

Aim: This study examined the prevalence of job dissatisfaction and burnout among maternity nurses and the association of job dissatisfaction and burnout with missed care.

Background: Nurse burnout and job dissatisfaction affect the quality and safety of care and are amenable to intervention. Little is known about job dissatisfaction and burnout among maternity nurses or how these factors are associated with missed care in maternity units.

Methods: This was a cross-sectional secondary

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The Influence of Peer Beliefs on Nurses' Use of New Health Information Technology: A Social Network Analysis

Ingrid Nembhard, PhD
Apr. 22, 2020

Christina T. Yuan, Ingrid M. Nembhard, Gerald C. Kane

Abstract [from journal]

Implementation of health information technology fails at an alarming rate because intended users often choose not to use it. Implementation theory and frameworks suggest that social networks may influence individuals' use, but empirical study remains limited. Furthermore, neither theory nor research has identified whose beliefs within the network matter most for implementation. We examine the relationship between an individual's system use and the beliefs of his or her peers. We assess the relationship for two peer groups: the entire group of peers

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The Nursing Practice Environment and Nurse Job Outcomes: A Path Analysis of Survey Data

Eileen Lake, PhD, RN
Apr. 16, 2020

Zainab Ambani, Ann Kutney‐Lee, Eileen T. Lake
 

Abstract [from journal]

Aims and Objectives:  To assess the nursing practice environments and nurse job-related outcomes in two types of hospitals in Saudi Arabia.

Background: The nursing shortage is a challenging problem in Saudi hospitals. Studies have shown that poor practice environments and high patient-to-nurse ratios are associated with poor nurse job outcomes (i.e. job dissatisfaction, burnout and intention to leave) and that can lead to nurse turnover and compound the nursing shortage. However, little research has been

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Nurse Staffing, the Clinical Work Environment, and Burn Patient Mortality

Linda Aiken honored by Irish Surgeons
Apr. 13, 2020

Amanda P. BettencourtMatthew D. McHugh, Douglas M. Sloane, Linda H. Aiken

Abstract [from journal]

The complexity of modern burn care requires an integrated team of specialty providers working together to achieve the best possible outcome for each burn survivor. Nurses are central to many aspects of a burn survivor's care, including physiologic monitoring, fluid resuscitation, pain management, infection prevention, complex wound care, and rehabilitation. Research suggests that in general, hospital nursing resources, defined as nurse staffing and the quality of the work environment, relate to patient mortality. Still, the relationship between those

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Valuing Hospital Investments in Nursing: Multistate Matched-Cohort Study of Surgical Patients

Mar. 27, 2020

Karen B. Lasater, Matthew McHugh, Paul R. Rosenbaum, Linda H. Aiken, Herbert Smith, Joseph G. Reiter, Bijan A. Niknam, Alexander S. Hill, Lauren L. Hochman, Siddharth Jain, Jeffrey H. Silber

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Abstract [from journal]

Background: There are known clinical benefits associated with investments in nursing. Less is known about their value.

Aims: To compare surgical patient outcomes and costs in hospitals with better versus worse nursing resources and to determine if value differs across these hospitals for patients with different mortality risks.

Methods: Retrospective matched-cohort design of patient outcomes at hospitals with better versus worse nursing resources,

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Parent Satisfaction With Care and Treatment Relates to Missed Nursing Care in Neonatal Intensive Care Units

Jeannette Rogowski, PhD
Mar. 18, 2020

Eileen T. Lake, Jessica G. Smith, Douglas O. Staiger, Linda A. Hatfield, Emily Cramer, Beatrice J. Kalisch, Jeannette A. Rogowski

Abstract [from journal]

Background: The satisfaction of parents of infants in neonatal intensive care is important to parent-infant bonding and parents' ability to care for their baby, including after discharge. Given the principal caregiver role of nurses in this setting, parent satisfaction is influenced by high quality nursing care. Nursing care that is required but missed, such as counseling and support, might influence parent satisfaction. How missed nursing care relates to parent satisfaction is unknown. Objective: To describe the satisfaction of parents of infants in

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System-Level Improvements in Work Environments Lead to Lower Nurse Burnout and Higher Patient Satisfaction

Linda Aiken honored by Irish Surgeons
Feb. 24, 2020

Margo Brooks Carthon, Linda Hatfield, Heather Brom, Mary Houton, Erin Kelly-Hellyer, Amelia Schlak, Linda H. Aiken

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Abstract [from journal]

Background: Burnout among nurses is associated with lower patient satisfaction, yet few system-level solutions have been identified to improve outcomes.

Purpose: The purpose of this study was to examine the relationship between nurse burnout and patient satisfaction and determine whether work environments are associated with these outcomes.

Methods: This study was a cross-sectional analysis of 463 hospitals in 4 states. Burnout was defined using the

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A Quasi-Experiment Assessing the Six-Months Effects of a Nurse Care Coordination Program on Patient Care Experiences and Clinician Teamwork in Community Health Centers

Ingrid Nembhard, PhD
Feb. 24, 2020

Ingrid M. Nembhard, Eugenia Buta, Yuna S. H. Lee, Daren Anderson, Ianita Zlateva, Paul D. Cleary

Abstract [from journal]

Background: Recognition that coordination among healthcare providers is associated with better quality of care and lower costs has increased interest in interventions designed to improve care coordination. One intervention is to add care coordination to nurses' role in a formal way. Little is known about effects of this approach, which tends to be pursued by small organizations and those in lower-resource settings. We assessed effects of this approach on care experiences of high-risk patients (those most in need of care coordination)

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Roles of Registered Nurses in Pediatric Preventive Care Delivery: A Pilot Study on Between-Office Variation and Within-Office Role Overlap

Feb. 7, 2020

Diane Rubin, Eliza White, Andrea Bailer, Emily F. Gregory

Abstract [from journal]

Purpose: Registered nurses (RN) participate in delivery of routine pediatric preventive care. This pilot study characterized variation in RN roles and overlap with other team roles.

Methods: We conducted a pilot cross-sectional survey of RNs from an urban/suburban pediatric primary care network. RNs described tasks during preventive visits and other staff completing similar tasks. Health system data characterized office staffing, volume, and patient population. We assessed whether role overlap and time on key

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