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.

Chronic Hospital Nurse Understaffing Meets COVID-19

Research Brief
Aug. 18, 2020

A study of hospitals in New York and Illinois at the start of the COVID-19 pandemic found that most did not meet benchmark patient-to-nurse staffing ratios for medical-surgical or intensive care units. New York City hospitals had especially low staffing ratios. Understaffed hospitals were associated with less job satisfaction among nurses, unfavorable grades for patient safety and quality of care, and hesitance by nurses and patients to recommend their hospitals. 

Harnessing Implementation Science To Optimize Harm Prevention In Critically Ill Children: A Pilot Study Of Bedside Nurse CLABSI Bundle Performance In The Pediatric Intensive Care Unit

Aug. 17, 2020

Charlotte Z. Woods-Hill, Kelly Papili, Eileen Nelson, Kathryn Lipinski, Judy SheaRinad BeidasMeghan Lane-Fall

Abstract [from journal]

Objectives: Central-line associated bloodstream infection (CLABSI) is associated with increased mortality, morbidity, and cost in hospitalized children. An evidence-based bundle of care can decrease CLABSI, but bundle compliance is imperfect. We explored factors impacting bundle performance in the pediatric intensive care unit (PICU) by bedside nurses.

Methods: Single-center cross sectional electronic survey of PICU bedside nurses in an academic tertiary care center; using the COM-B (


A Pilot Study Of An Intervention To Increase Family Member Involvement In Nursing Home Care Plan Meetings

George Demiris, Penn Nursing School
Aug. 13, 2020

Debra Parker Oliver, Abigail J. Rolbiecki, Karla Washington, Robin L. Kruse, Lori Popejoy, Jamie B. Smith, George Demiris

Abstract [from journal]

Background and objectives: Many family members struggle to negotiate their aging relative's care with nursing home staff, potentially leading to depression and other negative outcomes for residents' families. This pilot study tested an intervention designed to empower residents' family members to attend and participate in nursing home care plan meetings.

Research design and methods: We conducted a small, randomized, controlled trial of the Families Involved in Nursing home Decision-making (


Pervasive Risk Avoidance: Nursing Staff Perceptions Of Risk In Person-Centered Care Delivery

Liza L. Behrens, PhD, RN
Aug. 6, 2020

Liza L. Behrens, Marie Boltz, Ann Kolanowski, Mark Sciegaj, Caroline Madrigal, Katherine Abbott, Kimberly Van Haitsma

Abstract [from journal]

Background and objectives: Nursing home (NH) staff perceptions of risks to residents' health and safety is a major barrier to honoring resident preferences, the cornerstone of person-centered care delivery. This study explored direct-care nursing staff perceptions of risk (possibilities for harm or loss) associated with honoring residents' preferences for everyday living and care activities.

Research design and methods: Qualitative, descriptive design using sequential focus group methodology


Ethics And Informatics In The Age Of COVID-19: Challenges And Recommendations For Public Health Organization And Public Policy

Ross Koppel, PhD
Jul. 28, 2020

Vignesh Subbian, Anthony Solomonides, Melissa Clarkson, Vasiliki Nataly Rahimzadeh, Carolyn Petersen, Richard Schreiber, Paul R. DeMuro, Prerna Dua, Kenneth W. Goodman, Bonnie Kaplan, Ross Koppel, Christoph U. Lehmann, Eric Pan, Yalini Senathirajah

Abstract [from journal]

The COVID-19 pandemic response in the United States has exposed significant gaps in information systems and processes to enable timely clinical and public health decision-making. Specifically, the use of informatics to mitigate the spread of SARS-CoV-2, support COVID-19 care delivery, and accelerate knowledge discovery bring to the forefront issues of privacy, surveillance, limits of state powers, and interoperability between public health and clinical information systems. Using a consensus building process, we critically analyze


Association Of Clinical Nursing Work Environment With Quality And Safety In Maternity Care In The United States

Jun. 8, 2020

Rebecca R. S. Clark, Eileen T. Lake

Abstract [from journal]

Purpose: Maternal outcomes in the United States are the poorest of any highincome country. Efforts to improve the quality and safety of maternity care are frequently reported by individual hospitals, limiting generalizability. The purpose of this study is to describe maternity care quality and safety in hospitals in four states.

Study design and methods: This cross-sectional study is a secondary analysis of the Panel Study of Effects of Changes in Nursing on Patient Outcomes data. Registered


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


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


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


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