A5039661948- Geriatric Care and Nursing Homes
- Nursing education and management
- Healthcare professionals’ stress and burnout
- Patient Satisfaction in Healthcare
- Healthcare Policy and Management
- Global Health Workforce Issues
- Emergency and Acute Care Studies
- Hospital Admissions and Outcomes
- Nursing Roles and Practices
- Healthcare Quality and Management
- Patient Safety and Medication Errors
- Workplace Health and Well-being
- Cardiac, Anesthesia and Surgical Outcomes
- Disaster Response and Management
- Sepsis Diagnosis and Treatment
- Primary Care and Health Outcomes
- Frailty in Older Adults
- Cardiac Arrest and Resuscitation
- Crime Patterns and Interventions
- Infection Control in Healthcare
- Family and Patient Care in Intensive Care Units
- Health Systems, Economic Evaluations, Quality of Life
- Religion, Spirituality, and Psychology
- Health and Well-being Studies
- Religion and Society Interactions
University of Pennsylvania
2015-2024
California University of Pennsylvania
2021
University of Michigan
2020
AcademyHealth
2016
United States Government Accountability Office
2007-2015
Pennsylvania State University
2009
University of Maryland, Baltimore
2009
Tokyo Women's Medical University
2008
University of Arizona
2008
Catholic University of America
1983-2002
ContextThe worsening hospital nurse shortage and recent California legislation mandating minimum patient-to-nurse ratios demand an understanding of how staffing levels affect patient outcomes retention in practice.ObjectiveTo determine the association between ratio mortality, failure-to-rescue (deaths following complications) among surgical patients, factors related to retention.Design, Setting, ParticipantsCross-sectional analyses linked data from 10 184 staff nurses surveyed, 232 342...
<b>Objective</b> To determine whether hospitals with a good organisation of care (such as improved nurse staffing and work environments) can affect patient workforce stability in European countries. <b>Design</b> Cross sectional surveys patients nurses. <b>Setting</b> Nurses were surveyed general acute (488 12 countries; 617 the United States); 210 430 US hospitals. <b>Participants</b> 33 659 nurses 11 318 Europe; 27 509 more than 120 000 US. <b>Main outcome measures</b> Nurse outcomes...
The current nursing shortage, high hospital nurse job dissatisfaction, and reports of uneven quality care are not uniquely American phenomena. This paper presents from 43,000 nurses more than 700 hospitals in the United States, Canada, England, Scotland, Germany 1998–1999. Nurses countries with distinctly different health systems report similar shortcomings their work environments care. While competence relation between physicians appear satisfactory, core problems design workforce...
Amid a national nurse shortage, there is growing concern that high levels of burnout could adversely affect patient outcomes.This study examines the effect work environment on burnout, and effects patients' satisfaction with their nursing care. RESEARCH DESIGN/SUBJECTS: We conducted cross-sectional surveys nurses (N=820) patients (N=621) from 40 units in 20 urban hospitals across United States.Nurse included measures nurses' practice environments derived revised Nursing Work Index (NWI-R)...
Objective: The objective of this study was to analyze the net effects nurse practice environments on and patient outcomes after accounting for staffing education. Background: Staffing education have well-documented associations with outcomes, but evidence effect care has been more limited. Methods: Data from 10,184 nurses 232,342 surgical patients in 168 Pennsylvania hospitals were analyzed. Care measured using environment scales Nursing Work Index. Outcomes included job satisfaction,...
The objective of this study was to analyze the net effects nurse practice environments on and patient outcomes after accounting for staffing education.Staffing education have well-documented associations with outcomes, but evidence effect care has been more limited.Data from 10,184 nurses 232,342 surgical patients in 168 Pennsylvania hospitals were analyzed. Care measured using environment scales Nursing Work Index. Outcomes included job satisfaction, burnout, intent leave, reports quality...
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...
To determine the association of hospital nursing skill mix with patient mortality, ratings their care and indicators quality care.Cross-sectional discharge data, characteristics nurse survey data were merged analysed using generalised estimating equations (GEE) logistic regression models.Adult acute hospitals in Belgium, England, Finland, Ireland, Spain Switzerland.Survey collected from 13 077 nurses 243 hospitals, 18 828 patients 182 same six countries. Discharge obtained for 275 519...
Variation in post-operative mortality rates has been associated with differences registered nurse staffing levels. When levels are lower there is also a higher incidence of necessary but missed nursing care. Missed care may be significant predictor patient following surgery. Examine if mediates the observed association between and mortality. Data from RN4CAST study (2009–2011) combined routinely collected data on 422,730 surgical patients 300 general acute hospitals 9 countries, survey...
Purpose.To determine the effect of hospital work environments on outcomes across multiple countries.Design.Primary survey data using a common instrument were collected from separate cross sections 98 116 bedside care nurses practising in 1406 hospitals 9 countries between 1999 and 2009.Main Outcome Measures.Nurse burnout job dissatisfaction, patient readiness for discharge quality care.Results.High nurse was found all except Germany, ranged roughly third to about 60% South Korea Japan.Job...
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...
Extended work shifts of twelve hours or longer are common and even popular with hospital staff nurses, but little is known about how such extended affect the care that patients receive well-being nurses. Survey data from nurses in four states showed more than 80 percent were satisfied scheduling practices at their hospital. However, as proportion working thirteen increased, patients’ dissatisfaction increased. Furthermore, ten up to two a half times likely shorter experience burnout job...
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,...
Log-linear methods provide a powerful framework and the statistical apparatus for rigorously analyzing categorical data. These were introduced developed by Leo Goodman others in early 1970s. In late 1970s 1980s, Goodman, Alan Agresti, Clifford Clogg, Otis Dudley Duncan, showed how these models could help us to estimate associations between discrete variables, including ordered unordered polytomies. The last decade has witnessed set of diverse extensions techniques. This paper reviews basic...
To explore the association between implicit rationing of nursing care and selected patient outcomes in Swiss hospitals, adjusting for major organizational variables, including quality nurse practice environment level staffing. Rationing was measured using newly developed Basel Extent Nursing Care (BERNCA) instrument. Additional data were collected an adapted version International Hospital Outcomes Study questionnaire. Multi-hospital cross-sectional surveys patients nurses. Eight acute...
JONA: The Journal of Nursing Administration 42(10):p S10-S16, October 2012. | DOI: 10.1097/01.NNA.0000420390.87789.67
To inform healthcare workforce policy decisions by showing how patient perceptions of hospital care are associated with confidence in nurses and doctors, nurse staffing levels work environments.