A5079992766- Geriatric Care and Nursing Homes
- Nursing education and management
- Healthcare Policy and Management
- Healthcare professionals’ stress and burnout
- Emergency and Acute Care Studies
- Patient Satisfaction in Healthcare
- Nursing Roles and Practices
- Global Health Workforce Issues
- Healthcare Quality and Management
- Hospital Admissions and Outcomes
- Innovations in Medical Education
- Health Systems, Economic Evaluations, Quality of Life
- COVID-19 and Mental Health
- Heart Failure Treatment and Management
- Patient Safety and Medication Errors
- COVID-19 and healthcare impacts
- Climate Change and Health Impacts
- Hip and Femur Fractures
- Cardiac, Anesthesia and Surgical Outcomes
- Interpreting and Communication in Healthcare
- Advanced Statistical Modeling Techniques
- Non-Invasive Vital Sign Monitoring
- Simulation-Based Education in Healthcare
- Workplace Health and Well-being
- Family and Patient Care in Intensive Care Units
University of Pennsylvania
2016-2025
Philadelphia University
2025
AcademyHealth
2016-2024
California University of Pennsylvania
2021-2022
Institute of Health Economics
2021
Robert Wood Johnson Foundation
2020
National Institute of Nursing Research
2020
National Institute on Aging
2020
Knoxville College
2018
University of Tennessee at Knoxville
2018
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....
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...
The increase in new registered nurses is expected to outpace retirements, yet health care systems continue struggle with recruiting and retaining nurses.
Threats to quality and patient safety may exist when necessary nursing care is omitted. Empirical research needed determine how missed associated with outcomes.The aim of this study was examine the relationship between hospital readmissions.Cross-sectional examination, using three linked data sources-(1) nurse survey, (2) discharge from states (California, New Jersey Pennsylvania) (3) administrative data- 2005 2006. We explored incidence 30-day readmission for 160 930 patients heart failure...
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...
BackgroundThe shortage of nursing care in US hospitals has become a national concern.PurposeThe purpose this manuscript was to determine whether hospital shortages are primarily due the pandemic and thus likely subside or nurse understaffing poor working conditions that predated it.MethodsThis study used repeated cross-sectional design before during 151,335 registered nurses New York Illinois, subset 40,674 staff employed 357 hospitals.FindingsNo evidence found large numbers left health...
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....
To examine the effect of nurse staffing and work environment on 10- 30-day unplanned readmissions for US Medicare patients following elective total hip knee replacement.A cross-sectional analysis secondary data.Acute care hospitals in California, Florida, New Jersey Pennsylvania, during 2006.Medicare (n = 112 017) admitted to an acute hospital or replacement.The adjusted odds ratio (OR) experiencing readmission within 10 30 days discharge replacement.Our sample included 017 495 hospitals....
Despite nurses' responsibilities in recognition and treatment of sepsis, little evidence documents whether patient-to-nurse staffing ratios are associated with clinical outcomes for patients sepsis.Using linked data sources from 2017 including MEDPAR patient claims, Hospital Compare, American Association, a large survey nurses, we estimate the effect hospital adherence to Early Management Bundle Severe Sepsis/Septic Shock SEP-1 sepsis bundles on patients' odds in-hospital 60-day mortality,...
The Safe Staffing for Quality Care Act under consideration in the New York (NY) state assembly would require hospitals to staff enough nurses safely care patients. impact of regulated minimum patient-to-nurse staffing ratios acute NY is unknown.To examine variation and its association with adverse outcomes (ie, mortality avoidable costs).Cross-sectional data on nurse 116 general are linked Medicare claims data.A total 417,861 medical surgical patients.Patient-to-nurse primary predictor...
Abstract The Practice Environment Scale of the Nursing Work Index (PES‐NWI) has been utilized for two decades globally to measure nurse work environments. Its 31 items in five domains present a substantial respondent burden, threatening survey response rates. purpose this study was derive and validate short form: PES‐5. We conducted cross‐sectional, secondary analysis data from nurses 760 hospitals six U.S. states 2016 or 2019. One representative item per subscale selected by highest...
Background: Hospitals are resurrecting the outdated “team nursing” model of staffing that substitutes lower-wage staff for registered nurses (RNs). Objectives: To evaluate whether reducing proportion RNs to total nursing in hospitals is best interest patients, hospitals, and payers. Research Design: Cross-sectional, retrospective. Subjects: In all, 6,559,704 Medicare patients 2676 general acute-care US 2019. Measures: Patient outcomes: in-hospital 30-day mortality, readmission, length stay,...
Objective: To determine which hospital nursing resources (staffing, skill mix, nurse education, and work environment) are most predictive of Hospital Consumer Assessment Healthcare Providers System (HCAHPS) performance. Background: HCAHPS surveying is designed to quantify patient experience, a measure patient-centered care. Hospitals financially incentivized through the Centers for Medicare Medicaid Services achieve high ratings, but little known about what modifiable factors associated with...
This study uses data from two cross-sections in time (2006, 2016) to determine whether changes over hospital employment of bachelor's science nursing (BSN) nurses is associated with patient outcomes. Data sources include nurse survey data, American Hospital Association Annual Survey and administrative claims state agencies California, Florida, New Jersey, Pennsylvania. The sample included general surgical patients aged 18-99 years admitted one the 519 hospitals. Multilevel logistic...
Importance Half of emergency nurses report high burnout and intend to leave their job in the next year. Whether would recommend workplace other clinicians may be an important indicator a hospital’s ability recruit clinicians. Objective To examine why do not hospital as good place work. Design, Setting, Participants This qualitative study used directed content analysis open-text responses (n = 142) from RN4CAST-NY/IL survey registered licensed New York Illinois between April 13 June 22, 2021....
The study evaluates the association between job outcomes and work environments in outpatient hemodialysis peritoneal dialysis units using a cross-sectional design. It analyzes survey responses from 320 nephrology nurses New York Illinois 2021, focusing on environment quality, burnout, dissatisfaction, intent to leave, willingness recommend their employer. Practice Environment Scale of Nursing Work Index (PES-5), which measures was used. Logistic regression revealed that 64.4% poor experience...
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...
Hospital nurses report that improving patient-to-nurse staffing ratios is a priority intervention to improve their well-being. In 2004, California became the first state implement hospital-wide policy mandating safe ratios. This cross-sectional study determined whether in hospitals exposed (“California advantage”) experienced lower nurse burnout compared those not exposed, and part of differences can be attributed better hospital staffing. Nurse job outcomes (burnout [primary],...
Abstract Background Few researchers have examined the organizational features of high-performing and low-performing hospitals for COVID-19 mortality during pandemic, how differences in hospital performance contributed to disparities among socially vulnerable patients hospitalized with COVID-19. Objectives Our objectives were to: (a) identify high- on inpatient describe their distinguishing characteristics, including nursing resources, (b) assess whether admitted differed by social...
Minimal progress has been made in narrowing disparities between patients with and without limited English proficiency (LEP). Using 2016 data from RN4CAST-US, New Jersey Discharge Data Collection System, AHA Annual Hospital Survey, multivariable logistic regression models were employed to examine whether what extent the hospital nurse work environment, defined as conditions that nurses in, is associated decreased 7-day readmissions LEP. Existing literature established associations...
Importance Despite emphasis on the establishment of inclusive hospital policies, impact these policies employees and organizations remains unknown. Objective To evaluate association between for lesbian, gay, bisexual, transgender, queer or questioning, other sexual gender minority (LGBTQ+) nurse job outcomes as well nurse-reported quality care. Design, Setting, Participants This cross-sectional study analyzed 4 survey datasets from 2021: RN4CAST-NY/IL, including registered nurses New York...