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"Nurse Staffing"

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https://www.readbyqxmd.com/read/29628674/the-intensive-care-unit-perspective-of-becoming-a-level-i-trauma-center-challenges-of-strategy-leadership-and-operations-management
#1
Richard H Savel, Wess Cohen, Dena Borgia, Ronald J Simon
The primary purpose of this narrative is to elucidate the numerous significant changes that occur at the intensive care unit (ICU) level as a medical center pursues becoming a Level I trauma center. Specifically, we will focus on the following important areas: (1) leadership and strategy issues behind the decision to move forward with becoming a trauma center; (2) preparation needed to take a highly functioning surgical ICU and align it for the inevitable changes that happen as trauma go-live occurs; (3) intensivist staffing changes; (4) roles for and training of advanced practice practitioners; (5) graduate medical education issues; (6) optimizing interactions with closely related services; (7) nursing, staffing, and training issues; (8) bed allocation issues; and (9) reconciling the advantages of a "unified adult critical care service" with the realities of the central relationship between trauma and surgical critical care...
January 2018: Journal of Emergencies, Trauma, and Shock
https://www.readbyqxmd.com/read/29613879/the-relationship-between-nursing-workload-quality-of-care-and-nursing-payment-in-intensive-care-units
#2
Li-Yin Chang, Hsiu-Hui Yu, Yann-Fen C Chao
BACKGROUND: Nursing workload is highly associated with patient safety. It has been argued that the imbalance between nursing payment and nursing workload in Taiwan National Health Insurance (NHI)-covered intensive care units (ICUs) has resulted in the inadequate allocation of nursing manpower. However, limited empirical data are currently available to support this argument. PURPOSE: The aim of this study was to investigate the correlation between nursing workload, quality of care, and NHI-covered nursing payments in ICU settings...
April 3, 2018: Journal of Nursing Research: JNR
https://www.readbyqxmd.com/read/29596105/attention-health-care-leaders-literature-review-deems-baccalaureate-nurses-improve-patient-outcomes
#3
Deborah O'Brien, Mary Knowlton, Ramona Whichello
AIM: This review of studies conducted since the 2011 publication of the Institute of Medicine (IOM) report "The Future of Nursing: Leading Change, Advancing Health" evaluates the current state of evidence showing an association between an increased ratio of BSN-prepared nursing staff and improved patient outcomes. BACKGROUND: The IOM established a nationwide goal to increase the number of BSN nurses to 80 percent by 2020 to meet the challenges seen in today's health care environment...
March 28, 2018: Nursing Education Perspectives
https://www.readbyqxmd.com/read/29580602/pacu-nurse-staffing-and-patient-outcomes-the-evidence-is-still-missing
#4
EDITORIAL
Panagiotis Kiekkas, Diamanto Aretha
No abstract text is available yet for this article.
April 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/29569340/seventy-years-of-rn-effectiveness-a-database-development-project-to-inform-best-practice
#5
Zainab Lulat, Julie Blain-McLeod, Doris Grinspun, Tasha Penney, Anastasia Harripaul-Yhap, Michelle Rey
BACKGROUND: The appropriate nursing staff mix is imperative to the provision of quality care. Nurse staffing levels and staff mix vary from country to country, as well as between care settings. Understanding how staffing skill mix impacts patient, organizational, and financial outcomes is critical in order to allow policymakers and clinicians to make evidence-informed staffing decisions. AIMS: This paper reports on the methodology for creation of an electronic database of studies exploring the effectiveness of Registered Nurses (RNs) on clinical and patient outcomes, organizational and nurse outcomes, and financial outcomes...
March 23, 2018: Worldviews on Evidence-based Nursing
https://www.readbyqxmd.com/read/29517813/the-association-between-nurse-staffing-and-omissions-in-nursing-care-a-systematic-review
#6
REVIEW
Peter Griffiths, Alejandra Recio-Saucedo, Chiara Dall'Ora, Jim Briggs, Antonello Maruotti, Paul Meredith, Gary B Smith, Jane Ball
AIMS: To identify nursing care most frequently missed in acute adult inpatient wards and determine evidence for the association of missed care with nurse staffing. BACKGROUND: Research has established associations between nurse staffing levels and adverse patient outcomes including in-hospital mortality. However, the causal nature of this relationship is uncertain and omissions of nursing care (referred as missed care, care left undone or rationed care) have been proposed as a factor which may provide a more direct indicator of nurse staffing adequacy...
March 8, 2018: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/29495090/scoping-review-hospital-nursing-factors-associated-with-30-day-readmission-rates-of-patients-with-heart-failure
#7
Jin Jun, Kenneth M Faulkner
AIM: The aim of this paper is to review the current literature on hospital nursing factors associated with 30-day readmission rates of patients with HF. BACKGROUND: Heart failure is a common, yet debilitating chronic illness with high mortality and morbidity. One in five patients with heart failure will experience unplanned readmission to a hospital within 30 days. Given the significance of heart failure to individuals, families, and healthcare system, the Center for Medicare and Medicaid Services has made reducing 30-day readmission rates a priority...
March 1, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29478850/the-impact-of-emergency-department-rn-staffing-on-ed-patient-experience
#8
Deana Nelson, Larry R Hearld, David Wein
INTRODUCTION: Patient experience ratings are important to health care organizations from both a clinical and financial perspective. Studies examining the relationship between patient experience and nurse staffing are prevalent in the inpatient setting, but not as much is known about how staffing affects these ratings in the emergency department. METHODS: Using responses from 3,120 adult patients who visited the emergency department of a large academic medical center in the southeastern United States between March 1, 2015, and November 30, 2015, this study examined the relationships between ED RN staffing and patient experience ratings...
February 22, 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/29455061/relationship-between-nurse-staffing-level-and-adult-nursing-sensitive-outcomes-in-tertiary-hospitals-of-korea-retrospective-observational-study
#9
Chul-Gyu Kim, Kyun-Seop Bae
BACKGROUND: Nurse staffing level is an important factor on nursing sensitive outcome. The relationships of nurse staffing level with nursing sensitive outcomes such as mortality, upper gastrointestinal bleeding and pressure ulcer have been explored in the United States, Canada, Australia, and New Zealand. Lower level of hospital nurse staffing seems associated with more adverse outcomes, especially mortality. However, there is insufficient evidence of the nurse staffing level-outcome relationship in other indicators...
January 2, 2018: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/29431046/intermediate-care-units-a-survey-of-organization-practices-across-the-united-states
#10
Blair Wendlandt, Thomas Bice, Shannon Carson, Lydia Chang
PURPOSE: Intermediate care units (IMCUs) represent an alternative care setting with nurse staffing levels between those of the general ward and the intensive care unit (ICU). Despite rising prevalence, little is known about IMCU practices across US hospitals. The purpose of this study is to characterize utilization patterns and assess for variation. MATERIALS AND METHODS: A 14-item survey was distributed to a random nationwide sample of pulmonary and critical care physicians between January and April 2017...
January 1, 2018: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/29402682/association-between-patient-classification-systems-and-nurse-staffing-costs-in-intensive-care-units-an-exploratory-study
#11
Siv K Stafseth, Tor Inge Tønnessen, Lisbeth Fagerström
OBJECTIVES: Nurse staffing costs represent approximately 60% of total intensive care unit costs. In order to analyse resource allocation in intensive care, we examined the association between nurse staffing costs and two patient classification systems: the nursing activities score (NAS) and nine equivalents of nursing manpower use score (NEMS). RESEARCH METHODOLOGY/DESIGN: A retrospective descriptive correlational analysis of nurse staffing costs and data of 6390 patients extracted from a data warehouse...
April 2018: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/29380909/the-function-of-patient-centered-care-in-mitigating-the-effect-of-nursing-shortage-on-the-outcomes-of-care
#12
Mu'taman Jarrar, Hamzah Abdul Rahman, Mohd Sobri Minai, Mahdi S AbuMadini, Mercy Larbi
BACKGROUND: The shortage of nursing staff is a national and international issue. Inadequate number of hospital nurse staff leads to poor health care services. Yet the effects of patient-centeredness between the relationships of nursing shortage on the quality of care (QC) and patient safety (PS) have not been explored. The aim of this study was to examine the mediating effects of patient-centeredness on the relationship of nursing shortage on the QC and PS in the Medical and Surgical Wards, in Malaysian private hospitals...
January 30, 2018: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/29373436/factors-associated-with-pediatric-hospital-acquired-pressure-injuries
#13
Ivy Razmus
PURPOSE: The purpose of this study was to identify associations among pediatric patient characteristics (age and gender), hospital characteristics, inpatient unit characteristics (unit type, pressure injury prevention practices, and nurse staffing measures), and hospital-acquired pressure injuries (HAPIs) in a group of pediatric patients and in those determined to be at risk for pressure injury. DESIGN: A descriptive, correlational analysis of data from a large dataset...
January 25, 2018: Journal of Wound, Ostomy, and Continence Nursing
https://www.readbyqxmd.com/read/29370446/influence-of-nurse-staffing-levels-on-resident-weight-loss-within-german-nursing-homes
#14
Jaroslava Zimmermann, Holger Pfaff
In Germany, there is no empirical evidence regarding the relationship between nurse staffing levels and care outcomes in nursing homes. The current study explored differences in nurse staffing levels between facilities with and without resident weight loss. The analyses were conducted at the facility level (N = 166) and involved weight loss assessment of 8,665 residents. Separate models for residents with and without cognitive impairment were computed. The regression analyses showed that nursing facilities where no weight loss occurred among residents without cognitive impairment had a lower number of residents per RN and additional care staff...
January 1, 2018: Research in Gerontological Nursing
https://www.readbyqxmd.com/read/29350770/the-effects-of-work-factors-on-nurses-job-satisfaction-quality-of-care-and-turnover-intentions-in-oncology
#15
Nicolas Gillet, Evelyne Fouquereau, Hélène Coillot, Baptiste Cougot, Leïla Moret, Sophie Dupont, Franck Bonnetain, Philippe Colombat
AIMS: We examined the effects of perceived supervisor support, value congruence and hospital nurse staffing on nurses' job satisfaction through the satisfaction of the three psychological needs for autonomy, competence and relatedness. Then, we examined the links between job satisfaction and quality of care as well as turnover intentions from the workplace. BACKGROUND: There is growing interest in the relationships between work factors and nurses' job satisfaction...
May 2018: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/29346186/fall-rates-in-urban-and-rural-nursing-units-does-location-matter
#16
Marianne Baernholdt, Ivora D Hinton, Guofen Yan, Wenjun Xin, Emily Cramer, Nancy Dunton
Patient falls remain a leading adverse event in hospitals. In a study of 65 rural hospitals with 222 nursing units and 560 urban hospitals with 4274 nursing units, we found that geographic region, unit type, and nurse staffing, education, experience, and outcomes were associated with fall rates. Implications include specific attention to fall prevention in rehabilitation units, creating better work environments that promote nurse retention, and provide RN-BSN educational opportunities.
January 16, 2018: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/29331220/-impact-of-chronic-illness-on-hospital-nursing-workloads
#17
S Vallés, E Valdavida, C Menéndez, C Natal
OBJECTIVES: To evaluate the short-term impact of chronic illness in hospital units and to establish a method that allows nursing workloads to be adapted according to the care needs of patients. METHODS: A descriptive study of the evolution of workloads of nursing staff associated with the care needs of patients between 1 July 2014 and 30 June 2016, in a county hospital. The care needs of the patients were assessed daily using an adaptation of the Montesinos scheme...
January 10, 2018: Revista de Calidad Asistencial: Organo de la Sociedad Española de Calidad Asistencial
https://www.readbyqxmd.com/read/29326413/-impact-of-increased-supply-of-newly-licensed-nurses-on-hospital-nurse-staffing-and-policy-implications
#18
Yunmi Kim, Sunju You, Jinhyun Kim
PURPOSE: This study aimed to analyze the impact of increasing the supply of newly licensed nurses on improving the hospital nurse staffing grades for the period of 2009~2014. METHODS: Using public administrative data, we analyzed the effect of newly licensed nurses on staffing in 1,594 hospitals using Generalized Estimating Equation (GEE) ordered logistic regression, and of supply variation on improving staffing grades in 1,042 hospitals using GEE logistic regression...
December 2017: Journal of Korean Academy of Nursing
https://www.readbyqxmd.com/read/29326193/patient-satisfaction-with-hospital-care-and-nurses-in-england-an-observational-study
#19
Linda H Aiken, Douglas M Sloane, Jane Ball, Luk Bruyneel, Anne Marie Rafferty, Peter Griffiths
OBJECTIVES: 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 and hospital work environments. DESIGN: Cross-sectional surveys of 66 348 hospital patients and 2963 inpatient nurses. SETTING: Patients surveyed were discharged in 2010 from 161 National Health Service (NHS) trusts in England. Inpatient nurses were surveyed in 2010 in a sample of 46 hospitals in 31 of the same 161 trusts...
January 11, 2018: BMJ Open
https://www.readbyqxmd.com/read/29318685/longitudinal-associations-of-nursing-staff-turnover-with-patient-outcomes-in-long-term-care-hospitals-in-korea
#20
Yoonseo Kim, Kihye Han
AIMS: To describe the characteristics of long-term care hospitals in 2010-2013 and to examine the longitudinal associations of nursing staff turnover with patient outcomes. BACKGROUND: The number of long-term care hospitals has exploded in Korea since the national long-term care insurance was launched in 2008. The care quality deviation across long-term care hospitals is large. METHODS: This was a longitudinal secondary data analysis using the Health Insurance Review and Assessment Service's data...
January 10, 2018: Journal of Nursing Management
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