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.

A Policy Analysis of Legally Required Supervision of Nurse Practitioners and Other Health Professionals

Sep. 5, 2018

Ashley Z. Ritter, Kathryn H. Bowles, Ann L. O'Sullivan, ...

Abstract [from journal]

The use of legally required supervision occurs across health professionals who provide similar services. Legally required supervision has the potential to disrupt the production of high-quality, cost-efficient, accessible health services across disciplines.

This paper examines the effects of nurse practitioner collaborative practice agreements and similar

...

How Home Health Nurses Plan Their Work Schedules: A Qualitative Descriptive Study

Jul. 9, 2018

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

ABSTRACT [FROM JOURNAL]

Aims and Objectives: To describe how home health nurses plan their daily work schedules and what challenges they face during the planning process.

Background: Home health nurses are viewed as independent providers and value the nature of their work because of the flexibility and autonomy they hold in developing their work schedules. However, there is limited empirical evidence about how home health nurses plan their work schedules, including the factors they consider during the process and the challenges they face...

Modernizing Medicare Funding for Nurse Education

Jun. 21, 2018

With policies rooted in the 1960s, it’s time to change how Medicare pays for nurse education. In a New England Journal of Medicine Perspective, LDI Senior Fellow Linda Aiken and colleagues present a compelling case for funding a new consortium model that trains nurse practitioners (NPs) in the community settings where they are a crucial source of primary care.

Nurse Generated EHR Data Supports Post-Acute Care Referral Decision Making: Development and Validation of a Two-step Algorithm

Jun. 20, 2018

Kathryn H. Bowles, Sarah J. Ratcliffe, Mary D. Naylor, ...

ABSTRACT [FROM JOURNAL]

Objective: Build and validate a clinical decision support (CDS) algorithm for discharge decisions regarding referral for post-acute care (PAC) and to what site of care. 

Materials and Methods: Case studies derived from EHR data were judged by 171 interdisciplinary experts and prediction models were generated. 

Results: A two-step algorithm emerged with area under the curve (AUC) in validation of 91.5% (yes/no refer) and AUC 89.7% (where to refer). 

Discussion: CDS for...

Lower Postsurgical Mortality for Individuals with Dementia with Better-Educated Hospital Workforce

Research Brief
Apr. 11, 2018

Surgical patients age 65 and over with Alzheimer’s disease and related dementias (ADRD) were more likely to die within 30 days of admission and to die after a complication than those without ADRD. Having better-educated nurses in the hospital improved the likelihood of good outcomes for all surgical patients, but had a much greater effect in individuals with ADRD. Specifically, a 10% increase in the proportion of nurses with a Bachelor of Science in Nursing (BSN) degree or higher was associated with 10% lower odds of death and 10% lower odds of dying after a complication for surgical patients with ADRD.

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