A5085639188- Nursing education and management
- Geriatric Care and Nursing Homes
- Nursing Roles and Practices
- Healthcare Policy and Management
- Healthcare professionals’ stress and burnout
- Patient Safety and Medication Errors
- Workplace Health and Well-being
- Emergency and Acute Care Studies
- Primary Care and Health Outcomes
- Global Health Workforce Issues
- Hospital Admissions and Outcomes
- Nursing Education, Practice, and Leadership
- Interprofessional Education and Collaboration
- Family and Patient Care in Intensive Care Units
- Cardiac Health and Mental Health
- Healthcare Quality and Management
- Occupational Health and Safety Research
- Health Sciences Research and Education
- Nursing Diagnosis and Documentation
- Cardiac, Anesthesia and Surgical Outcomes
- Medical Malpractice and Liability Issues
- Disaster Response and Management
- Health Systems, Economic Evaluations, Quality of Life
- Infection Control in Healthcare
- Evaluation and Performance Assessment
Springer Nature (Germany)
2023-2025
Tallaght University Hospital
2025
New York College of Health Professions
2025
New York University
2020-2023
University College Dublin
2023
McGill University
2000-2019
Chestnut Hill College
2019
Boston College
2014-2018
Clarke University
2018
Weatherford College
2017
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...
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...
Abstract We explored the relationship between nurse burnout and ratings of quality care in 53,846 nurses from six countries. In this secondary analysis, we used data International Hospital Outcomes Study; were collected 1998 to 2005. The Maslach Burnout Inventory a single‐item reflecting nurse‐rated multiple logistic regression modeling investigate association care. Across countries, higher levels associated with lower independent nurses' practice environments. These findings suggest that...
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...
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,...
In Brief When a facility has high mortality rates resulting from preventable complications, direct links can be found to low nurse-to-patient ratio.
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...
Objectives. This study determined the effects of nurse staffing and nursing organization on likelihood needlestick injuries in hospital nurses. Methods. We analyzed retrospective data from 732 prospective 960 nurses exposures near misses over different 1-month periods 1990 1991. Staffing levels survey about working climate risk factors for were collected 40 units 20 hospitals. Results. Nurses with low poor organizational climates generally twice as likely well-staffed better-organized to...
Background: Financial constraints and other forces affecting health care in many countries have led to nurses implicitly limiting their some instances. In the absence of an accepted definition theoretical framework implicit rationing nursing care, a Basel Extent Rationing Nursing Care (BERNCA) instrument were developed. This was used Swiss part International Hospital Outcome Study, which studied. Objective: To examine validity reliability newly developed BERNCA instrument. Methods:...
The past decade has witnessed pronounced changes in the organization of United States hospitals, many direct result restructuring and re-engineering initiatives intended to decrease costs increase productivity. Little is known about how these have affected clinical care patient outcomes. Using data from a variety sources, authors describe that hospitals undertook during this period, discuss nurse staffing changed relative case mix patients receiving care, examine nursing practice...
To investigate impacts of practice environment factors and burnout at the nursing unit level on job outcomes nurse-assessed quality care in acute hospital nurses.Prior research has consistently demonstrated correlations between nurse environments nurses' satisfaction health work, but somewhat less evidence connects with patient outcomes. The relationship also been more extensively documented using hospital-wide measures as opposed to level.Survey.Data from a sample 546 staff nurses 42 units...
rochefort c.m. & clarke s.p. (2010) Nurses’ work environments, care rationing, job outcomes, and quality of on neonatal units. Journal Advanced Nursing 66 (10), 2213–2224. Abstract Aim. This paper is a report study the relationship between environment characteristics intensive unit nurses’ perceptions care. Background. International evidence suggests that attention to environments might improve nurse recruitment retention, However, comparatively little has been given care, specialty...
Mice lacking leukocyte type 12/15-lipoxygenase (12/15-LO) show reduced atherosclerosis in several models. 12/15-LO is expressed a variety of cells, including vascular adipocytes, macrophages, and cardiomyocytes. The purpose this study was to determine which cellular source important for atherosclerosis.Bone marrow from 12/15-LO-/-/apoE-/- mice transplanted into apoE-/- vice versa. Deficiency bone cells protected fed Western diet the same extent as complete absence 12/15-LO, although plasma...
Abstract Title. Hospital nurse practice environment, burnout, job outcomes and quality of care: test a structural equation model. Aim. The aim the study was to investigate relationships between nurse‐assessed care. Background. A growing line work confirms that, in countries with distinctly different healthcare systems, nurses report similar shortcomings their environments care hospitals. Neither specific environment factors most involved dissatisfaction, burnout other negative outcomes,...
Abstract Aim To study the relationships between nurse practice environment, workload, burnout, job outcomes and nurse‐reported quality of care in psychiatric hospital staff. Background Nurses' environments general hospitals have been extensively investigated. Potential variations across settings, for instance hospitals, much less studied. Design A cross‐sectional design with a survey. Method structural equation model previously tested acute was evaluated using survey data from sample 357...