Purpose: Screening for social determinants of health (SDOH) during primary care office visits is recommended by pediatric and internal medicine professional guidelines. Less known about how SDOH screening service referral can be successfully integrated into clinical practice. Methods: Key informant interviews with 11 community center (CHC) clinicians staff members (medical assistants case managers) were analyzed to identify themes related integrating a process (augmented WE CARE model) their...

This study tests whether changes in licensed nurse staffing led to patient safety, using the natural experiment of 2004 California implementation minimum ratios. We calculated counts six safety outcomes from Patient Discharge Data 2000 through 2006, Agency for Healthcare Research and Quality Safety Indicators (PSI) software. For patients experiencing nonmortality-related PSIs, we measured mean lengths stay. estimated difference-in-difference equations PSIs Poisson models marginal impact on...

Area-level deprivation is associated with multiple adverse birth outcomes. Few studies have examined the mediating pathways through which area-level affects these The objective of this study was to investigate association between and preterm birth, examine effects maternal medical, behavioural, psychosocial factors. We conducted a retrospective cohort using national, commercial health insurance claims data from 2011, obtained Health Care Cost Institute. derived principal components methods...

The objective of this study was to determine the prevalence hospital RN residencies and associated factors.The 2010 Institute Medicine/Robert Wood Johnson Foundation report, Future Nursing: Leading Change, Advancing Health, recommends adoption nurse residency programs.Members American Organization Nurse Executives were surveyed, covariates identified.We found approximately 36.9% all hospitals in our offered a 2011. Associated included not-for-profit status, midsize, location South. Hospitals...

Evidence suggests that, despite routine engagement with the health system, pregnant women commonly seek emergency care. The objectives of this study were to examine association between maternal comorbidities and department (ED) use among a national sample commercially insured women.We conducted retrospective cohort using multipayer medical claims data maintained by Health Care Cost Institute for ages 18 44 years live singleton birth in 2011 (N = 157,786). common (e.g., hypertension,...

To determine whether foreign-educated nurses (FENs) perceived they were treated equitably in the U.S. workplace during last period of high international recruitment from 2003 to 2007.With experts predicting that isolated nursing shortages could return as soon 2015, it is important examine lessons learned order anticipate and address problems may be endemic such periods. In this baseline study, we asked FENs who recruited work United States between 2007 about their hourly wages; clinical...

Importance Psychiatric boarding occurs when patients needing intensive psychiatric services who are already under clinical supervision experience delays in their admission to facilities. Initial reports have suggested that the US had a crisis during COVID-19 pandemic; however, little is known about consequences of this for publicly insured youths. Objective To estimate pandemic-associated changes rates and discharge modalities people aged 4 20 years accessed emergency (PES) through mobile...

The objective of the study was to examine whether unionization is associated with job satisfaction among RNs in United States using nationally representative surveys RNs. Factors that predict for healthcare continue be great concern nurse administrators and managers because remains an important aspect retention. In addition, notion having unions has also gained prominence on national stage. relationship between RN union rarely been studied, but 2 studies, a paradox found; hospitals had...

More than 8% of employed RNs licensed since 2004 in the United States were educated overseas, yet little is known about conditions their recruitment or impact that experience on health care practice. This study assessed whether labor rights foreign-educated nurses at risk during latest period high international recruitment: 2003 to 2007. Using consensus-based standards contained Voluntary Code Ethical Conduct for Recruitment Foreign-Educated Health Professionals States, this found 50%...

Spetz J. & Herrera C. (2010) Journal of Nursing Management18, 564–572Changes in nurse satisfaction California, 2004 to 2008 Aim To examine whether there were improvements the hospital-employed registered nurses (RNs) mid-2000s. Background In recent years, many hospitals have made efforts improve workplace characteristics, order and retention. There has also been legislative activity regulate practices that are associated with turnover. Methods Data from surveys conducted by California Board...

Aims and objectives. We estimate the impact of unionisation on wage structure hospital‐employed registered nurses in USA. examine whether unions have an effect differences associated with race, gender, immigration status, education experience, as well there is less unexplained variation among unionised nurses. Background. In past decade, has been resurgence union activity health care industry USA, particularly hospitals. Numerous studies found that are higher wages. Unions may also affect...

Little is known about the trends in health care spending for 156 million Americans who are younger than age sixty-five and enrolled employer-sponsored insurance. Using a new source of insurance claims data, we estimated per capita spending, utilization, prices this population between 2007 2011. During period on grew at historically slow rates, but still faster national expenditures. Total an average annual rate 4.9 percent, with prescription growing 3.3 percent medical 5.3 percent....

The objective of this study was to assess the implementation recommendations Institute Medicine (IOM) report, Future Nursing: Leading Change, Advancing Health.In 2010, IOM made a series aimed at transforming role nurses in healthcare delivery.We conducted multiyear survey, 2011 and 2013, with nurse leaders who were members American Organization Nurse Executives, National Nursing Centers Consortium, or Visiting Nurses Association America.When comparing 2013 2011, we find progress instituting...

To estimate changes in Boston Emergency Services Team (BEST) psychiatric emergency services (PES) encounter volume (total and by care team) inpatient disposition during the first 8 months of COVID-19 pandemic.

The 2010 recommendation that the proportion of registered nurses with BSN (bachelor science in nursing) degrees nursing workforce should increase from current 40% to 80% by year 2020 has shifted focus on educational progression state legislatures-where changes entry-level requirements were debated for decades-to executive suites large healthcare providers. recommendation, contained report titled Future Nursing: Leading Change, Advancing Health, Robert Wood Johnson Foundation Initiative...

Abstract Objective: The WHO and UNICEF recommend home visits to improve health outcomes for mothers newborns. We evaluated the effect of by community volunteers during pregnancy postpartum on breast-feeding practices, women’s knowledge about benefits, beliefs myths breast-feeding, obstetric neonatal warning signs, preparation childbirth initial care newborns, diarrhoea respiratory diseases in children. Design: Community quasi-experimental design. estimated difference-in-difference models...

Abstract Although research suggests neighborhood‐level factors influence youth well‐being, few studies include when creating interventions to address these factors. We describe our three‐step process of collaborating with in low‐income communities develop an intervention focused on civic engagement as a means problems impacting their well‐being. In the first step, we analyzed qualitative interviews from project which shared perceptions about neighborhoods (e.g., interpersonal relations...