A5082552275- Nursing Roles and Practices
- Primary Care and Health Outcomes
- Healthcare professionals’ stress and burnout
- Global Health Workforce Issues
- Geriatric Care and Nursing Homes
- Healthcare Policy and Management
- Mental Health Treatment and Access
- COVID-19 and Mental Health
- Interprofessional Education and Collaboration
- Adolescent and Pediatric Healthcare
- Chronic Disease Management Strategies
- Emergency and Acute Care Studies
- Family Caregiving in Mental Illness
- Cardiac, Anesthesia and Surgical Outcomes
- Health Systems, Economic Evaluations, Quality of Life
- Cardiac Arrest and Resuscitation
- Health, psychology, and well-being
- Patient Safety and Medication Errors
- Acute Ischemic Stroke Management
- Health Policy Implementation Science
- Nursing education and management
- Patient Satisfaction in Healthcare
- Climate Change and Health Impacts
- Hospital Admissions and Outcomes
- Posttraumatic Stress Disorder Research
University of Pennsylvania
2018-2025
Philadelphia University
2025
Villanova University
2021-2023
Kelly Services (United States)
2020
GTx (United States)
2018
The Ohio State University
2006-2017
The Ohio State University Comprehensive Cancer Center – Arthur G. James Cancer Hospital and Richard J. Solove Research Institute
2015
University of Kentucky
2006
Burnout among nurses is associated with lower patient satisfaction, yet few system-level solutions have been identified to improve outcomes.
This study examines trends in advanced practice clinician employment across different physician practices the United States.
Evidence indicates hospitals with better registered nurse (RN) staffing have patient outcomes. Whether involving more practitioners (NPs) in inpatient care produces outcomes is largely unknown.
INTRODUCTION. The ongoing COVID-19 pandemic substantially affects health care workers from multiple disciplines, including nurses, physicians, therapists, and first responders. aims of this study were to 1) explore describe the experiences responders working with individuals infection, 2) identify support strategies that helpful during their experience.METHODS. A qualitative descriptive was conducted via online video interviews 29 who agreed be contacted for an interview. Thematic analysis...
Given the emphasis on promoting inclusive policies, we investigated relationship between US hospitals' inclusion efforts for lesbian, gay, bisexual, transgender, queer or questioning, and other sexual gender-diverse (LGBTQ+) populations patient satisfaction from 2016 to 2023. This retrospective longitudinal observational study analysed 6 years of data 2023 Healthcare Equality Index (HEI), which measures LGBTQ+ efforts, Hospital Consumer Assessment Providers Systems, satisfaction. Generalised...
OBJECTIVE To determine modifiable organizational factors associated with advanced practice RN (APRN) burnout in Magnet ® -designated hospitals to guide interventions improve APRN well-being and retention. METHODS Cross-sectional study of work environments 50 US the 21 855 their clinicians (APRNs, physician assistants, physicians [MDs], RNs). RESULTS Overall, 37% APRNs experienced high compared 34% MDs ( P < 0.05) 49% RNs 0.001); additionally, 32% intended leave jobs. was significantly...
In this study we describe nurse–physician teamwork, estimate its association with surgical patient outcomes (30-day mortality and failure-to-rescue), determine whether these relationships depend upon other modifiable hospital nursing characteristics (nurse staffing education levels) known to be associated outcomes. This cross-sectional analysis included linked data from 29,391 nurses representing 665 acute care hospitals 1,321,904 adult patients who underwent a general surgical, vascular, or...
Studies have shown that the COVID-19 pandemic has taken a toll on individuals who interact with patients SARS-CoV-2 but focused largely clinicians in acute care settings. This qualitative descriptive study aimed to understand experiences and well-being of essential workers across settings during pandemic.Multiple studies cared for included interviews from revealed high levels stress. However, other not been most those studies, yet they may also experience stress.Individuals participated an...
There is a growing demand for nurse practitioners (NPs) within academic medical centers (AMCs) because of physician shortages and increased need access to care. In order retain these NPs, it important assess their role perception satisfaction. The purpose this study was evaluate concepts relationships stress intent stay.A 90-item descriptive survey, including new scale the Misener Nurse Practitioner Job Satisfaction Scale, administered all NPs at Midwestern AMC.The response rate 62.4% (n =...
Electronic health record-derived data and novel analytics, such as machine learning, offer promising approaches to identify high-risk patients inform nursing practice.The aim was at risk for readmissions by applying a machine-learning technique, Classification Regression Tree, electronic record from our 300-bed hospital.We conducted retrospective analysis of 2165 clinical encounters August October 2017 using system's store. Tree employed determine patient profiles predicting 30-day...
Abstract Aims and objectives To explore the experiences of nurses caring for socially at‐risk patients gain an understanding challenges face when providing care. Background Nurses play a pivotal role in hospitalised with social risk factors preparing them discharge. Few studies have explored whether acute care are adequately supported their practice environments to address unique needs as they transition back into community settings. Design A qualitative descriptive study working large urban...
The Thrive program is an evidenced-based care model for Medicaid-insured adults in the hospital-to-home transition. A substantial portion of participants live with serious mental illness (SMI), yet Thrive's efficacy has not been tested among these patients.
• Background Cardiac dysfunction can prevent successful discontinuation of mechanical ventilation. Critically ill patients may have undetected cardiac disease, and be produced or exacerbated by underlying pathophysiology. Objective To describe compare hemodynamic function rhythm during baseline ventilation with a trial continuous positive airway pressure in medical intensive care patients. Methods A convenience sample 43 (53% men; mean age 51.1 years) who required were recruited for this...
The Graduate Nurse Education (GNE) Demonstration seeks to increase the number of advanced practice registered nurses (APRNs) in clinical practice. With overall APRN programs and, particularly, enrollment nurse practitioner (NP) programs, there is growing competition among students secure quality precepting experiences.This study describes NPs' and physicians' experiences with within Greater Philadelphia GNE Consortium.This was a cross-sectional descriptive survey 1,021 NP physician...
Background: Racial disparities in survival among patients who had an in-hospital cardiac arrest (IHCA) have been linked to hospital-level factors. Objectives: To determine whether nurse staffing is associated with after IHCA. Research Design: Cross-sectional data from (1) the American Heart Association’s Get With Guidelines-Resuscitation database; (2) University of Pennsylvania Multi-State Nursing Care and Patient Safety Survey; (3) The Hospital Association annual survey. Risk-adjusted...
Chronically ill adults insured by Medicaid experience health inequities following hospitalisation.Postacute outcomes, including rates of 30-day readmissions and postacute emergency department (ED), were higher among Medicaid-insured individuals compared with commercially social needs inconsistently addressed.An interdisciplinary team introduced a clinical pathway called 'THRIVE' to provide wrap-around services for Medicaid.Enrolment into the THRIVE occurred during hospitalisation...
ABSTRACT Background and purpose: Since development of the nurse practitioner (NP) role, NPs have been advocating for policy allowing them to practice full extent their training. The aim this research was determine whether passage Affordable Care Act (ACA) had an impact on expansion NPs' scope practice. Methods: This a retrospective descriptive study legislation from 1994 2016 using regulatory theory. Data sources included annual reports NP state-level legislative media coverage. Conclusions:...