Better hospital nurse staffing, more educated nurses, and improved work environments have been shown to be associated with lower mortality. Little is known about whether under what conditions each type of investment works better improve outcomes.

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...

Clinician burnout is a major risk to the health of US. Nurses make up most care workforce, and estimating nursing associated factors vital for addressing causes burnout.To measure rates nurse examine with leaving or considering employment owing burnout.This secondary analysis used cross-sectional survey data collected from April 30 October 12, 2018, in National Sample Survey Registered All nurses who responded were included (N = 50 273). Data analyzed June 5 1, 2020.Age, sex, race ethnicity...

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...

Objectives. To determine whether nurse staffing in California hospitals, where state‐mandated minimum nurse‐to‐patient ratios are effect, differs from two states without legislation and those differences associated with patient outcomes. Data Sources. Primary survey data 22,336 hospital staff nurses California, Pennsylvania, New Jersey 2006 state discharge databases. Study Design. Nurse workloads compared across the three we examine how outcomes, including mortality failure‐to‐rescue,...

JONA: The Journal of Nursing Administration 42(10):p S10-S16, October 2012. | DOI: 10.1097/01.NNA.0000420390.87789.67

Research has documented an association between Magnet hospitals and better outcomes for nurses patients. However, little longitudinal evidence exists to support a causal link recognition outcomes.To compare changes over time in surgical patient outcomes, nurse-reported quality, nurse sample of that attained 1999 2007 with remained non-Magnet.Retrospective, 2-stage panel design using 4 secondary data sources.One hundred thirty-six Pennsylvania (11 emerging Magnets 125 non-Magnets).American...

Abstract Purpose: To determine if hospital proportion of staff nurses with specialty certification is associated risk‐adjusted inpatient 30‐day mortality and failure to rescue (deaths in surgical inpatients following a major complication). Design: Secondary analysis adult general, orthopedic, vascular discharged during 2005–2006 ( n = 1,283,241) from 652 nonfederal hospitals controlling for state, hospital, patient, nursing characteristics by linking outcomes, administrative, nurse survey...

Objective: Missed nursing care is an emerging problem negatively impacting patient outcomes. There are gaps in our knowledge of factors associated with missed care. The aim this study was to determine the relationship between practice environment and acute hospitals. Methods: This a secondary analysis cross sectional data from survey over 7,000 nurses 70 hospitals on workplace process Ordinary least squares multiple regression models were constructed examine while controlling for...

<h3>Objective</h3> To examine the association between registered nurse staffing and healthcare-associated bloodstream infections in infants neonatal intensive care unit (NICU). <h3>Design</h3> Prospective cohort study. <h3>Setting</h3> Two level III-IV NICUs New York, NY, from March 1, 2001, through January 31, 2003. <h3>Participants</h3> A total of 2675 admitted to for more than 48 hours all nurses who worked same during study period. <h3>Intervention</h3> Hours provided by nurses. <h3>Main...

The Institute of Medicine concluded in To Err Is Human 1999 that transformation nurse work environments was needed to reduce patient harm. We studied 535 hospitals four large states at two points time between 2005 and 2016 determine the extent which their improved, whether positive changes were associated with greater progress safety. Survey data from thousands nurses patients showed safety remains a serious concern. Only 21 percent study sizable improvements (of more than 10 percent)...

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,...

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.

To determine whether hand hygiene practices differ between levels of contact with neonates; to characterize the different types personnel; and compare in neonatal intensive care units (NICUs) using products.Research assistants observed staff during 38 sessions two NICUs. Patient touches were categorized as touching within neonates' environment but only outside Isolette (Level 1), not neonate directly 2) or 3). Hand for each touch into five groups: cleaned hands new gloves; uncleaned used...

Abstract Objectives: To determine the costs of interventions aimed at controlling 4-month outbreak and to attributable length stay (LOS) associated with infection colonization extended-spectrum beta-lactamase-producing Klebsiella pneumoniae . Design: A retrospective cost analysis was conducted from hospital perspective. micro-costing approach employed. The LOS four groups hospitalized patients were compared each other. National Perinatal Information Center criteria used stratify infants for...

<h3>Background</h3> The Centers for Disease Control and Prevention, Atlanta, Ga, recommend use of waterless alcohol hand products in lieu traditional handwashing patient care, but there are few data demonstrating the impact this recommendation on health care–associated infections. <h3>Objective</h3> To compare effect 2 hygiene regimens infection rates skin condition microbial counts nurses' hands neonatal intensive care units. <h3>Design, Setting, Participants</h3> Clinical trial using a...

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...

Objective: To identify factors that predispose older adults to urosepsis and urosepsis-related mortality. Method: A systematic search using PubMed CINAHL databases. Articles met inclusion criteria were assessed the Strengthening Reporting of OBservational studies in Epidemiology (STROBE) scored on a 4-point Likert-type scale. Results: total 180 articles identified, six criteria. The presence an internal urinary catheter was associated with development septic shock. Although number examined,...