A5080963750- Infant Development and Preterm Care
- Family and Patient Care in Intensive Care Units
- Emergency and Acute Care Studies
- Neonatal Respiratory Health Research
- Childhood Cancer Survivors' Quality of Life
- Patient Safety and Medication Errors
- Hospital Admissions and Outcomes
- Diabetes Management and Research
- Child and Adolescent Health
- Geriatric Care and Nursing Homes
- Palliative Care and End-of-Life Issues
- Family and Disability Support Research
- Pancreatic function and diabetes
- Diabetes and associated disorders
- Health Systems, Economic Evaluations, Quality of Life
- Nursing Roles and Practices
- Adolescent and Pediatric Healthcare
- Healthcare Policy and Management
- Ethics in medical practice
- COVID-19 and Mental Health
- Nursing Diagnosis and Documentation
- Mobile Health and mHealth Applications
- Ethics in Clinical Research
- Pediatric Pain Management Techniques
- Nursing education and management
The Ohio State University
2018-2024
Nationwide Children's Hospital
2020-2024
Cincinnati Children's Hospital Medical Center
2012-2023
University of Cincinnati
2021-2023
University of Cincinnati Medical Center
2017-2023
New York University
2023
Case Western Reserve University
2023
Rainbow Babies & Children's Hospital
2023
National Institute of Nursing Research
2020-2023
National Institutes of Health
2023
Quality improvement initiatives demonstrate the contribution of reliable nursing care to gains in clinical and safety outcomes neonatal intensive units (NICUs); when core is missed, can worsen.To evaluate association NICU nurse workload with missed care.A prospective design was used associations between shift-level individual nurses for assigned infants from March 1, 2013, through January 31, 2014, at a 52-bed level IV Midwestern academic medical center. A convenience sample registered who...
Abstract Aims The aims of this study are to describe: (1) the frequency nurse‐reported missed care in neonatal intensive units; and (2) nurses’ reports factors contributing on their last shift worked. Background Missed nursing care, or necessary that is not delivered, increasingly cited as a contributor adverse patient outcomes. Previous studies highlight adult settings; occurrence units unknown. Design A descriptive analysis self‐reports using data collected through cross‐sectional...
Background Hospital patient-to-nurse staffing ratios are associated with quality outcomes in adult patient populations but little is known about how these factors affect paediatric care. We examined the relationship between and all-cause readmission (within 14 days, 15–30 days) among children admitted for common medical surgical conditions. Methods conducted an observational cross-sectional study of readmissions 225 hospitals by linking nurse surveys, inpatient discharge data information...
Hospital discharge is stressful for children and families. Poor transitional care linked to unplanned health reuse. We evaluated the effects of a pediatric transition intervention, specifically single nurse home visit, on postdischarge outcomes in randomized controlled trial.We randomly assigned 1500 hospitalized hospital medicine, neurology services, or neurosurgery services receive either nurse-led visit no visit. excluded discharged with skilled nursing services. Primary included 30-day...
: media-1vid110.1542/5972296743001PEDS-VA_2018-0496Video Abstract BACKGROUND: Developing a research agenda that is focused on the priorities of key stakeholders may expedite implementation and dissemination. Our objective was to identify highest-priority patient-safety topics among pediatric clinicians, health care leaders, families.The Children's Hospitals Solutions for Patient Safety Network network >100 children's hospitals working together eliminate harm due care. Parents site leaders...
To examine the association of missed oral feeding opportunities among preterm infants with achievement full feedings and length hospitalization.A secondary analysis clinical trial data was conducted. Study included in (N = 89) were randomized to one four standardized progression approaches; detailed records on all maintained. The proportion reported as due factors unrelated infant's condition calculated for each infant.The per infant ranged from 0 0.12; 30 experienced or more opportunity....
Families often struggle after discharge of a child from the hospital. Postdischarge challenges can lead to increased use urgent health care services.
Abstract Introduction: Missed nursing care is required that delayed, incomplete, or left undone during a nurse's working shift. most often studied in adult populations; however, it may have significant consequences pediatric and neonatal settings. The purpose of this integrative review to describe missed Methods: SCOPUS PubMed were used the literature search. Multiple combinations keywords phrases “missed care,” “pediatric,” “neonatal,” “care undone,” “nursing rationing” for relatively new...
Objective: To examine the effect of neonatal intensive care unit environmental characteristics (perceived levels light and sound, time day) in open wards single-family rooms (SFRs) on oral feeding outcomes preterm infants. Design: Data were collected at each scheduled for 87 infants from first until discharge. included prescribed volume consumed, infant's level wakefulness before feeding, nurse's perception sound. Results: 5111 feedings ward 5802 SFR involving Light sound rated significantly...
Neurobehavioral disabilities occur in 5–15 % of preterm infants with an estimated 50–70 very low birth weight experiencing later dysfunction, including cognitive, behavioral, and social delays that often persist into adulthood. Factors implicated poor neurobehavioral developmental outcomes are hospitalization the neonatal intensive care unit (NICU) inconsistent caregiving patterns. Although much underlying brain damage occurs utero or shortly after birth, neuroprotective strategies can stop...
Abstract Aim We describe an innovative research protocol to test the role of missed nursing care as a mediator association between nurse workload and patient outcomes in neonatal intensive unit. Background Increases nurses' workloads are associated with adverse settings. Missed is frequently hypothesized explanation for outcomes. Few studies date have tested variable that mediates workload–outcomes relationship. Design use longitudinal, observational study design. Methods will recruit...
Background: A paucity of studies describes the prevalence family-centered care (FCC) practices and resources in US neonatal units. Purpose: To identify FCC to largest gaps resource provision. Methods: Neonatal nurses completed an online survey through national conferences (eg, NANN educational conference), organization Web sites research survey), social media NPA Facebook). Nurses provided demographics National Perinatal Association Self-Assessment on Comprehensive Family Support, a 61-item...
Background: Although pediatric nurses working in children's hospitals often provide care to dying children, little is known about their palliative beliefs and experiences as individuals or members of groups within the hospital. Objective: To describe nurses' ratings goals problems, clusters with similar views, degree collaboration an inpatient team across hospital units. Method: A cross-sectional survey at a freestanding 2005. Results: Nurses rated most important managing pain, maintaining...
Abstract Aims The aims of this study were: (1) to explore the family perspective on pediatric hospital‐to‐home transitions; (2) modify an existing nurse‐delivered transitional home visit better meet needs; (3) effectiveness modified for reducing healthcare re‐use and improving patient‐ family‐centered outcomes in a randomized controlled trial. Background transition from impatient hospitalization outpatient care is vulnerable time children their families; are at risk poor that may be...
In 2019, the national average turnover rate of registered nurses in United States was approximately 17.8%. Each percentage increase costs a hospital, on average, $270,800. Although burnout is known contributor to nurses' intention, few studies have examined relationship between nurse and turnover, there little data this neonatal intensive care environments. The purpose study examine among unit (NICU) nurses.A secondary analysis collected from an observational involving 136 52-bed NICU 2013...
Background. Collaborative nursing research across academic and practice settings is imperative to generate knowledge improve patient care. Models of academic/practice partnerships for are lacking. This paper reports data collected before during a one-day retreat nurse researchers administrators from local universities health care organizations designed establish regional partnership. Methods. Quantitative qualitative methods were used address the study aims: (1) assess involvement...
High recruitment and retention rates in randomized controlled trials are essential to ensure validity broad generalizability. We used quality improvement methods, including run charts intervention cycles, achieve sustain high during the Hospital-To-Home Outcomes trial. This study is examining effects of a single nurse-led home health care visit after discharge for an acute pediatric hospitalization. A total 1500 participants were enrolled 15-month period. For recruitment, we assessed...
To examine the critical role that an academic clinical partnership played in development and refinement of a family management intervention Neonatal Intensive Care Unit (NICU).Clinical-academic partnerships enable earlier infusion implementation science principles into evidence-based interventions, yet partners often report difficulty leveraging resources, personnel expertise to create beneficial outcomes for all.Longitudinal qualitative descriptive design.To develop refine intervention,...
Frontline nurses encounter operational failures (OFs), or breakdowns in system processes, that hinder care, erode quality, and threaten patient safety. Previous research has relied on external observers to identify OFs; have been passive participants the identification of impede their ability deliver safe effective care. To better understand frontline nurses' direct experiences with OFs hospitals, we conducted a multi-site study within national network describe rate categories detected by as...
Over the last 2 decades, researchers from diverse disciplines have explored relationship between hospital nursing characteristics, such as patient-to-nurse staffing ratios and work environments, patient outcomes, including mortality, length of stay, readmission. The overall body evidence supports a positive association more favorable characteristics better outcomes in pediatric other populations,1 yet hospitals health systems grapple with resource allocation, significant line-item operating...