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"Nurse Staffing"

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https://www.readbyqxmd.com/read/30024436/the-impact-of-nurse-staffing-on-patient-and-nurse-workforce-outcomes-in-acute-care-settings-in-low-and-middle-income-countries-a-systematic-review-protocol
#1
Ashagre Molla Assaye, Richard Wiechula, Timothy J Schultz, Rebecca Rosamaria Feo
The objective of this review is to demonstrate the effect of nurse staffing on patient and nurse workforce outcomes in acute care settings in low and middle income countries.
July 17, 2018: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/30019346/a-protocol-to-measure-the-impact-of-intentional-changes-to-nurse-staffing-and-skill-mix-in-medical-and-surgical-wards
#2
Jonathan Drennan, Christine Duffield, Anne Philomena Scott, Jane Ball, Noeleen M Brady, Aileen Murphy, Darren Dahly, Eileen Savage, Paul Corcoran, Josephine Hegarty, Peter Griffiths
AIM: The aim of this research is to measure the impact planned changes to nurse staffing and skill-mix have on patient, nurse and organisational outcomes. BACKGROUND: It has been highlighted that there are several design limitations in studies that explore the relationship between nurse staffing and patient, nurse and organisational outcomes; not least that the vast majority of research in this area emanates from studies that are predominantly observational in design...
July 17, 2018: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/30001882/skilled-nursing-facility-star-rating-patient-outcomes-and-readmission-risk-after-total-joint-arthroplasty
#3
Chloe C Kimball, Christine I Nichols, Ryan M Nunley, Joshua G Vose, Jeffrey B Stambough
BACKGROUND: This study examined the correlation between publicly reported indicators of skilled nursing facility (SNF) quality and clinical outcomes after primary total knee arthroplasty (TKA) and total hip arthroplasty (THA). METHODS: This retrospective analysis used Medicare claims from the Centers for Medicare and Medicaid Services 100% Standard Analytic File (2014-2015) that were linked to SNF quality star ratings from the Centers for Medicare and Medicaid Services Nursing Home Compare database...
June 27, 2018: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29983361/socioeconomic-and-geographic-disparities-in-accessing-nursing-homes-with-high-star-ratings
#4
Yiyang Yuan, Christopher Louis, Howard Cabral, Jeffrey C Schneider, Colleen M Ryan, Lewis E Kazis
OBJECTIVES: The Centers for Medicare & Medicaid Services Nursing Home Compare (NHC) serves as the most comprehensive repository of Medicaid- and/or Medicare-certified nursing homes providing services to approximately 1.4 million US residents. A gap in the literature exists in understanding on the national level whether residents from socioeconomically disadvantaged counties experience disparities in the access to nursing homes with higher NHC star ratings. The study aimed to examine nursing home quality variations with regard to county-level socioeconomic, geographic, and metropolitan status, while adjusting for nursing home facility-level characteristics...
July 5, 2018: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29966828/hospital-nursing-organizational-factors-nursing-care-left-undone-and-nurse-burnout-as-predictors-of-patient-safety-a-structural-equation-modeling-analysis
#5
Xu Liu, Jing Zheng, Ke Liu, Judith Gedney Baggs, Jiali Liu, Yan Wu, Liming You
BACKGROUND: Promotion of patient safety is among the most important goals and challenges of healthcare systems worldwide in countries including China. Donabedian's Structure-Process-Outcome model implies that patient safety is affected by hospital nursing organizational factors and nursing care process. However, studies are imperative for a clear understanding about the mechanisms by which patient safety is affected to guide practice. OBJECTIVE: The objective of this study was to explore the impact of hospital nursing work environment, workload, nursing care left undone, and nurse burnout on patient safety...
May 20, 2018: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/29957624/ireland-proposes-promising-model-for-nurse-staffing
#6
Dalia Sofer
In pilot studies, the framework reduced adverse events and absenteeism.
July 2018: American Journal of Nursing
https://www.readbyqxmd.com/read/29954378/a-computational-application-for-multi-skill-nurse-staffing-in-hospital-units
#7
Ana Respicio, Margarida Moz, Margarida Vaz Pato, Rute Somensi, Cecília Dias Flores
BACKGROUND: Approaches to nurse staffing are commonly concerned with determining the minimum number of care hours according to the illness severity of patients. However, there is a gap in the literature considering multi-skill and multi-shift nurse staffing. This study addresses nurse staffing per skill category, at a strategical decision level, by considering the organization of work in shifts and coping with variability in demand. METHODS: We developed a method to determine the nursing staff levels in a hospital, given the required patient assistance...
June 28, 2018: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/29911331/an-observational-study-of-antipsychotic-medication-use-among-long-stay-nursing-home-residents-without-qualifying-diagnoses
#8
Lorraine J Phillips, Nancy M Birtley, Gregory F Petroski, Carol Siem, Marilyn Rantz
INTRODUCTION: Antipsychotic use in nursing homes varies widely across the United States; inadequate staffing, skill mix, and geropsychiatric training impede sustained improvement. AIM: This study identified risk factors of antipsychotic use in long-stay residents lacking qualifying or potentially qualifying diagnoses. METHOD: This secondary analysis used 2015 Minimum Data Set and cost report data from 458 Missouri nursing homes. The full sample (N=29,679) was split into two subsamples: residents with (N=15,114) and without (N=14,565) a dementia diagnosis...
June 17, 2018: Journal of Psychiatric and Mental Health Nursing
https://www.readbyqxmd.com/read/29894366/taking-nurse-staffing-research-to-the-unit-level
#9
Rebecca A Paulsen
No abstract text is available yet for this article.
July 2018: Nursing Management
https://www.readbyqxmd.com/read/29889724/association-of-nurse-engagement-and-nurse-staffing-on-patient-safety
#10
J Margo Brooks Carthon, Linda Hatfield, Colin Plover, Andrew Dierkes, Lawrence Davis, Taylor Hedgeland, Anne Marie Sanders, Frank Visco, Sara Holland, Jim Ballinghoff, Mary Del Guidice, Linda H Aiken
BACKGROUND: Nurse engagement is a modifiable element of the work environment and has shown promise as a potential safety intervention. PURPOSE: Our study examined the relationship between the level of engagement, staffing, and assessments of patient safety among nurses working in hospital settings. METHODS: A secondary analysis of linked cross-sectional data was conducted using survey data of 26 960 nurses across 599 hospitals in 4 states...
June 8, 2018: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/29862524/the-associations-of-occupational-hazards-and-injuries-with-work-environments-and-overtime-for-nurses-in-china
#11
Yan Wu, Jing Zheng, Ke Liu, Judith G Baggs, Jiali Liu, Xu Liu, Liming You
Occupational hazards (OHs) and occupational injuries (OIs) may contribute to nurses needing sick time and to a high financial burden for hospitals. There is little published literature about nurse-reported OHs/OIs and their relationships with work environments and working overtime in China. This study was designed to describe Chinese hospital registered nurses' OHs/OIs and to explore the associations between work environments, working overtime, and nurse-reported OHs/OIs. This cross-sectional study was conducted in Guangdong province in China in 2014...
June 4, 2018: Research in Nursing & Health
https://www.readbyqxmd.com/read/29851209/working-experiences-of-nurses-during-the-middle-east-respiratory-syndrome-outbreak
#12
Hee Sun Kang, Ye Dong Son, Sun-Mi Chae, Colleen Corte
AIMS: To explore working experiences of nurses during Middle East respiratory syndrome outbreak. BACKGROUND: Since the first case of Middle East respiratory syndrome was reported on May 20, 2015 in South Korea, 186 people, including health care workers, were infected, and 36 died. DESIGN: A qualitative descriptive study. METHODS: Seven focus groups and 3 individual in-depth interviews were conducted from August to December 2015...
May 30, 2018: International Journal of Nursing Practice
https://www.readbyqxmd.com/read/29778434/implementation-of-multimodal-infection-control-and-hand-hygiene-strategies-in-acute-care-hospitals-in-greece-a-cross-sectional-benchmarking-survey
#13
Evangelos I Kritsotakis, Eirini Astrinaki, Argyri Messaritaki, Achilleas Gikas
BACKGROUND: In this first attempt to suggest achievable standards for improvement in hospital infection prevention and control (IPC) in Greece, we assessed main IPC structure and process indicators emphasizing hand hygiene. METHODS: Acute-care hospitals across the country participated in a cross-sectional survey by completing the World Health Organization Hand Hygiene Self-assessment Framework (HHSAF) and by providing hospital-level IPC indicators. RESULTS: Seventeen hospitals completed the survey, comprising 14% of the country's public hospitals...
May 16, 2018: American Journal of Infection Control
https://www.readbyqxmd.com/read/29768733/assessment-of-nursing-workload-in-adult-psychiatric-inpatient-units-a-scoping-review
#14
REVIEW
Carla Sousa, Paulo Seabra
WHAT IS KNOWN ON THE SUBJECT?: There is a shortage of empirical research in the field of psychiatric and mental health nursing regarding how to calculate a safe staffing level in psychiatry inpatient units. Furthermore, the tools to assess nursing workload in this specialty are limited. No systematic reviews on measurement tools in adult psychiatric inpatient settings were found. WHAT DOES THIS PAPER ADD TO EXISTING KNOWLEDGE?: This study confirms the scarcity and heterogeneity of instruments with which to evaluate nursing workload in this specific context...
May 16, 2018: Journal of Psychiatric and Mental Health Nursing
https://www.readbyqxmd.com/read/29760847/decreased-nursing-staffing-adversely-affects-emergency-department-throughput-metrics
#15
Zachariah Ramsey, Joseph S Palter, John Hardwick, Jordan Moskoff, Errick L Christian, John Bailitz
Introduction: The effect of nurse staffing on emergency department (ED) efficiency remains a significant area of interest to administrators, physicians, and nurses. We believe that decreased nursing staffing adversely affects key ED throughput metrics. Methods: We conducted a retrospective observational review of our electronic medical record database from 1/1/2015 to 12/31/2015 at a high-volume, urban public hospital. We report nursing hours, door-to-discharge length of stay (LOS) and door-to-admit LOS, and percentage of patients who left without being seen (LWBS)...
May 2018: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29724276/continuity-index-measures-in-the-acute-care-hospital-setting-an-analytic-review-and-tests-using-electronic-health-record-data-and-computer-simulation
#16
Yingwei Yao, Hyochol Ahn, Janet Stifter, Diana J Wilkie, Gail Keenan
BACKGROUND AND PURPOSE: Multiple continuity indexes are available; however, their properties are insufficiently understood for examining the influence of nurse staffing patterns on patient outcomes. We conceptually and analytically examined continuity measures to reveal their properties and relationships with each other and identify potential limitations. METHODS: We examined behavior of continuity indexes as applied to clinical practice data that were collected with the HANDS (Hands-On Automated Nursing Data System) and data from computer simulation...
April 1, 2018: Journal of Nursing Measurement
https://www.readbyqxmd.com/read/29689048/mapping-nurses-activities-in-surgical-hospital-wards-a-time-study
#17
W F J M van den Oetelaar, H F van Stel, W van Rhenen, R K Stellato, W Grolman
BACKGROUND: Balancing the number of nursing staff in relation to the number of patients is important for hospitals to remain efficient and optimizing the use of resources. One way to do this is to work with a workload management method. Many workload management methods use a time study to determine how nurses spend their time and to relate this to patient characteristics in order to predict nurse workload. OBJECTIVE: In our study, we aim to determine how nurses spend their working day and we will attempt to explain differences between specialized surgical wards...
2018: PloS One
https://www.readbyqxmd.com/read/29685321/nurse-staffing-and-nurse-outcomes-a-systematic-review-and-meta-analysis
#18
Sujin Shin, Jin-Hwa Park, Sung-Heui Bae
BACKGROUND: A great number of studies have been conducted to examine the relationship between nurse staffing and patient outcomes. However, none of the reviews have rigorously assessed the evidence about the effect of nurse staffing on nurse outcomes through meta-analysis. PURPOSE: The purpose of this review was to systematically assess empirical studies on the relationship between nurse staffing and nurse outcomes through meta-analysis. METHODS: Published peer-reviewed articles published between January 2000 and November 2016 were identified in CINAHL, PubMed, PsycINFO, Cochrane Library, EBSCO, RISS, and DBpia databases...
May 2018: Nursing Outlook
https://www.readbyqxmd.com/read/29661270/systematic-review-of-the-evidence-related-to-mandated-nurse-staffing-ratios-in-acute-hospitals
#19
Richard Olley, Ian Edwards, Mark Avery, Helen Cooper
Objective The purpose of this systematic review was to evaluate and summarise available research on nurse staffing methods and relate these to outcomes under three overarching themes of: (1) management of clinical risk, quality and safety; (2) development of a new or innovative staffing methodology; and (3) equity of nursing workload. Methods The PRISMA method was used. Relevant articles were located by searching via the Griffith University Library electronic catalogue, including articles on PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL) and Medline...
April 17, 2018: Australian Health Review: a Publication of the Australian Hospital Association
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
#20
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
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