A5017734058- Geriatric Care and Nursing Homes
- Healthcare Policy and Management
- Patient Satisfaction in Healthcare
- Nursing education and management
- Emergency and Acute Care Studies
- Global Health Workforce Issues
- Healthcare professionals’ stress and burnout
- Nursing Roles and Practices
- Healthcare Quality and Management
- Primary Care and Health Outcomes
- Hospital Admissions and Outcomes
- Cardiac, Anesthesia and Surgical Outcomes
- Patient Safety and Medication Errors
- Heart Failure Treatment and Management
- Workplace Health and Well-being
- Frailty in Older Adults
- Health Systems, Economic Evaluations, Quality of Life
- Health and Well-being Studies
- Family and Patient Care in Intensive Care Units
- Interprofessional Education and Collaboration
- Hip and Femur Fractures
- Sepsis Diagnosis and Treatment
- Global Health Care Issues
- Dementia and Cognitive Impairment Research
- Innovations in Medical Education
University of Pennsylvania
2016-2025
National Institutes of Health
2021
National Institute on Minority Health and Health Disparities
2021
National Institute of Nursing Research
2012-2021
Philadelphia University
2013-2021
University City Science Center
2021
California University of Pennsylvania
2021
Institute of Health Economics
2021
Vanderbilt Health
2017-2020
University of Michigan
2020
Job dissatisfaction among nurses contributes to costly labor disputes, turnover, and risk patients. Examining survey data from 95,499 nurses, we found much higher job burnout who were directly caring for patients in hospitals nursing homes than working other jobs or settings, such as the pharmaceutical industry. Strikingly, are particularly dissatisfied with their health benefits, which highlights need a benefits review make nurses’ more comparable those of white-collar employees. Patient...
To determine the association of hospital nursing skill mix with patient mortality, ratings their care and indicators quality care.Cross-sectional discharge data, characteristics nurse survey data were merged analysed using generalised estimating equations (GEE) logistic regression models.Adult acute hospitals in Belgium, England, Finland, Ireland, Spain Switzerland.Survey collected from 13 077 nurses 243 hospitals, 18 828 patients 182 same six countries. Discharge obtained for 275 519...
Patient satisfaction is receiving greater attention as a result of the rise in pay-for-performance (P4P) and public release data from Hospital Consumer Assessment Healthcare Providers Systems (HCAHPS) survey. This paper examines relationship between nursing patient across 430 hospitals. The nurse work environment was significantly related to all HCAHPS measures. Additionally, patient-to-nurse workloads were associated with patients' ratings recommendation hospital others, their receipt...
The important goals of Magnet® hospitals are to create supportive professional nursing care environments. A recently published paper found little difference in work environments between Magnet and non-Magnet hospitals. aim this study was determine whether environments, staffing, nurse outcomes differ secondary analysis data from a 4-state survey 26,276 nurses 567 acute evaluate differences conducted. had significantly better (t = −5.29, P < .001) more highly educated −2.27, .001). hospital...
Introduction Efforts to enact nurse staffing legislation often lack timely, local evidence about how specific policies could directly impact the public’s health. Despite numerous studies indicating better is associated with more favourable patient outcomes, only one US state (California) sets patient-to-nurse standards. To inform actively under consideration in two other states (New York, Illinois), we sought determine whether varies across hospitals and consequences for outcomes....
Although there is evidence that hospitals recognized for nursing excellence--Magnet hospitals--are successful in attracting and retaining nurses, it uncertain whether Magnet recognition associated with better patient outcomes than non-Magnets, if so why.To determine have lower risk-adjusted mortality failure-to-rescue compared non-Magnet hospitals, to the most likely explanations. METHOD AND STUDY DESIGN: Analysis of linked patient, nurse, hospital data on 56 508 hospitals. Logistic...
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 2015 RN4CAST‐US survey LTCfocus. SETTING A total 540 Medicare‐ Medicaid‐certified homes California, Florida, New Jersey, Pennsylvania. PARTICIPANTS 687 direct RNs. MEASUREMENTS Emotional Exhaustion subscale Maslach Burnout Inventory, care. RESULTS Across all RNs, 30% exhibited high levels 31% were...
Summary Continuous treatments (e.g. doses) arise often in practice, but many available causal effect estimators are limited by either requiring parametric models for the curve, or not allowing doubly robust covariate adjustment. We develop a novel kernel smoothing approach that requires only mild smoothness assumptions on curve and still allows misspecification of treatment density outcome regression. derive asymptotic properties give procedure data-driven bandwidth selection. The methods...
Importance Disruptions in the hospital clinical workforce threaten quality and safety of care retention health professionals. It is important to understand which interventions would be well received by clinicians address factors associated with turnover. Objectives To determine well-being turnover rates physicians nurses practice, identify actionable adverse clinician outcomes, patient safety, clinicians’ preferences for interventions. Design, Setting, Participants This was a cross-sectional...
Abstract As the primary providers of round‐the‐clock bedside care, nurses are well positioned to report on hospital quality care. Researchers have not examined how nurses' reports correspond with standard process or outcomes measures quality. We assess validity evaluating by aggregating responses a single item that asks them found 10% increment in proportion reporting excellent care was associated lower odds mortality and failure rescue; greater patient satisfaction; higher composite scores...
Provisions of the Affordable Care Act that increase hospitals' financial accountability for preventable readmissions have heightened interest in identifying system-level interventions to reduce readmissions.
Research has shown that hospitals with better nurse staffing and work environments have outcomes-less burnout, job dissatisfaction, intention to leave the job. Many studies, however, not accounted for wage effects, which may confound findings. By using a secondary analysis cross-sectional administrative data four-state survey of nurses, we investigated how wage, environment, were associated outcomes. Logistic regression models, without used estimate effects environment on intent leave. We...
Evidence shows hospitals with better nursing resources have outcomes but few studies shown that change over time within as change.
The Affordable Care Act's Hospital Readmissions Reduction Program (HRRP) penalizes hospitals based on excess readmission rates among Medicare beneficiaries. aim of the program is to reduce readmissions while aligning hospitals' financial incentives with payers' and patients' quality goals. Many evidence-based interventions that readmissions, such as discharge preparation, care coordination, patient education, are grounded in fundamentals basic nursing care. Yet inadequate staffing can hinder...
The literature suggests that hospitals with better nursing work environments provide quality of care. Less is known about value (cost vs quality).To test whether displayed than those worse and to determine patient risk groups associated the greatest value.A retrospective matched-cohort design, comparing outcomes cost patients at focal recognized nationally as having good nurse working nurse-to-bed ratios 1 or greater control group without such recognition less 1. This study included 25 752...
Background: Burnout remains a persistent issue affecting nurses across the US health system. Limited evidence exists about direct impact of nurse burnout on patient outcomes. This study explores relationship between and mortality, failure to rescue, length stay, while also considering effect good work environment. Methods: Cross sectional data from hospitals were used in conjunction with claims data. Multivariate logistic regression was burnout, outcomes, environment, Magnet status. Results:...
Abstract Research Purpose Autonomy is essential to professional nursing practice and a core component of good nurse work environments. The primary objective this study was examine the relationship between autonomy 30‐day mortality failure rescue (FTR) in hospitalized surgical population. Study Design This secondary analysis cross‐sectional data. It included data from three sources: patient discharge state administrative databases, survey nurses four states, American Hospital Association...
To examine the relationship between Magnet recognition, an indicator of nursing excellence, and patients' experience with their hospitalization reported in Hospital Consumer Assessment Healthcare Providers Systems (HCAHPS) survey.This secondary analysis includes cross-sectional data from 2010 HCAHPS survey, American Association, Nurses Credentialing Center.We conducted a retrospective observational study.Using common hospital identifiers, we created matched set 212 hospitals non-Magnet...
BackgroundUnrest in Chile over inequalities has underscored the need to improve public hospitals. Nursing been overlooked as a solution quality and access concerns, nurse staffing is poor by international standards. Using Chile's new diagnosis-related groups system surveys of nurses patients, we provide information policy makers on feasibility, net costs, estimated improved outcomes associated with increasing nursing resources hospitals.MethodsFor this multilevel cross-sectional study, used...
To evaluate variation in Illinois hospital nurse staffing ratios and to determine whether higher workloads are associated with mortality length of stay for patients, cost outcomes hospitals.Cross-sectional analysis multiple data sources including a 2020 survey nurses linked patient data.Setting: 87 acute care hospitals Illinois.210 493 Medicare 65 years older, who were hospitalised study hospital. 1391 registered employed direct on medical-surgical unit hospital.Primary 30-day stay. Deaths...
Objectives To determine the well-being of physicians and nurses in hospital practice Europe, to identify interventions that hold promise for reducing adverse clinician outcomes improving patient safety. Design Baseline cross-sectional survey 2187 6643 practicing 64 hospitals six European countries participating EU-funded Magnet4Europe intervention improve clinicians’ well-being. Setting Acute general with 150 or more beds countries: Belgium, England, Germany, Ireland, Sweden Norway....
Growing scrutiny of readmissions has placed hospitals at the center readmission prevention. Little is known, however, about hospital nursing—a critical organizational component service system—in relation to readmissions.To determine relationships between nursing factors—nurse work environment, nurse staffing, and education—and 30-day among Medicare patients undergoing general, orthopedic, vascular surgery.We linked patient discharge data, multistate survey American Hospital Association...