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.

Innovative Care Models Across Settings: Providing Nursing Care to Older Adults

Feb. 4, 2020

Pamela Z. Cacchione

Abstract [from journal]

The aging demographic shift occurring world-wide is creating an opportunity for innovative care models to address the burgeoning care needs of the expanding population of older adults. Nursing and advanced practice nursing as well as interprofessional models past and present hold insights into how to meet the needs of older adults across the continuum of care. A review of past and present models of care is provided. These models across settings emphasize maximizing the role of nurses and advanced practice nurses. The models reviewed include: On LOK


Improved Work Environments and Staffing Lead to Less Missed Nursing Care: A Panel Study

Eileen Lake, PhD, RN
Feb. 3, 2020

Eileen T. Lake, Kathryn A. Riman, Douglas M. Sloane

Abstract [from journal]

Aim: To document how changes in the hospital work environment and nurse staffing over time are associated with changes in missed nursing care.

Background: Missed nursing care is considered an indicator of poorer care quality and has been associated with worse patient care experiences and health outcomes. Several systematic reviews of cross-sectional studies report that nurses in hospitals with supportive work environments and higher staffing miss less care. Causal evidence demonstrating these relationships is


The Role of Social, Economic, and Physical Environmental Factors in Care Planning for Home Health Care Recipients

Dec. 13, 2019

Elliane Irani, Karen B. Hirschman, Pamela Z. Cacchione, Kathryn H. Bowles

Abstract [from journal]

Social, economic, and environmental factors contribute to patients' recovery following hospitalization. However, little is known about how home health nurses make decisions based on their assessment of these factors. The purpose of the current study was to explore the nonclinical factors that home health nurses evaluate and describe how these factors influence care planning decisions. Semi-structured interviews conducted with 20 visiting nurses from three home health agencies were analyzed using conventional content analysis. Three nonclinical factor themes...

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


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


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