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.

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


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,


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


School Nurse Reported Supply and Administration of Naloxone in Schools

Feb. 24, 2020

Catherine C. McDonald, Jennifer Pinto‐Martin, Peggy Compton, Madeleine Parikh, Zachary F. Meisel 

Abstract [from journal]

Objective: To describe school nurse reported naloxone supply and administration in Pennsylvania, as well as nurse and school-level characteristics associated with naloxone availability.

Methods: Cross-sectional, online survey with school nurses in Pennsylvania. Data were collected (3/14/18-6/5/18) on school nurse demographic and professional characteristics, school characteristics, naloxone supply and administration, and when not available, reasons for not having a naloxone supply.



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


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


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)


Variables Associated with Missed Nursing Care in Alabama: A Cross‐Sectional Analysis

Colleen Anusiewicz
Feb. 18, 2020

Caitlin Marley Campbell, Aoyjai Prapanjaroensin, Colleen V. Anusiewicz, Marianne Baernholdt, Terry Jones, Patricia A. Patrician

Abstract [from journal]

Aim: To discover the extent of and factors associated with missed nursing care in Alabama.

Background: Missed nursing care is a well‐documented phenomenon. However, it has not been studied in U.S. southern states that consistently rank poorly in health outcomes, such as Alabama.



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


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...