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https://www.readbyqxmd.com/read/28094649/guidance-on-safe-staffing-shies-away-from-set-ratio
#1
Chris Longhurst
The head of the Safe Staffing Alliance has said new draft guidance on nurse staffing on acute adult inpatient wards in England 'does not go far enough'.
January 4, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28057315/nurse-staffing-and-30-day-readmission-of-chronic-obstructive-pulmonary-disease-patients-a-10-year-retrospective-study-of-patient-hospitalization
#2
Seung Ju Kim, Eun-Cheol Park, Kyu-Tae Han, Sun Jung Kim, Tae Hyun Kim
PURPOSE: Chronic obstructive pulmonary disease (COPD) is a leading cause of morbidity in many countries, and it has high rate of hospital readmissions due to recurrent exacerbations of the disease. Many previous studies have suggested further examination of the factors that contribute to hospital readmissions of COPD patients. However, evidence on the effects of nurse staffing by registered nurses (RNs) on the readmission of COPD patients is lacking in Korea. The aim of our study was to evaluate the effects of nurse staffing on hospital readmissions of COPD patients...
December 2016: Asian Nursing Research
https://www.readbyqxmd.com/read/27986733/mining-routinely-collected-acute-data-to-reveal-non-linear-relationships-between-nurse-staffing-levels-and-outcomes
#3
Alison Leary, Rob Cook, Sarahjane Jones, Judith Smith, Malcolm Gough, Elaine Maxwell, Geoffrey Punshon, Mark Radford
OBJECTIVES: Nursing is a safety critical activity but not easily quantified. This makes the building of predictive staffing models a challenge. The aim of this study was to determine if relationships between registered and non-registered nurse staffing levels and clinical outcomes could be discovered through the mining of routinely collected clinical data. The secondary aim was to examine the feasibility and develop the use of 'big data' techniques commonly used in industry for this area of healthcare and examine future uses...
December 16, 2016: BMJ Open
https://www.readbyqxmd.com/read/27977565/emergency-department-weekend-presentation-and-mortality-in-patients-with-acute-myocardial-infarction
#4
Pamela B de Cordova, Mary L Johansen, Miguel E Martinez, Jeannie P Cimiotti
BACKGROUND: Patients admitted to acute care hospitals on weekends have poorer outcomes than those admitted on weekdays, and patients admitted to hospitals for acute myocardial infarction (AMI) on weekends have a higher mortality rate than those admitted during the week. Very few studies have examined weekend presentation for patients with AMI with respect to mortality in the emergency department (ED). OBJECTIVE: The purpose of this research was to determine if weekend and holiday presentation is associated with increased mortality in EDs among patients with AMI in New Jersey...
January 2017: Nursing Research
https://www.readbyqxmd.com/read/27966291/estimated-time-to-complete-direct-nursing-interventions-using-the-nursing-interventions-classification-nic-at-eight-hospitals-in-south-korea
#5
Eunjoo Lee, Hyejin Park
BACKGROUND: Without data on the average time for performing nursing interventions, it is not possible to identify the cost-effective nursing practices, nurse staffing levels, and skill mix that are associated with improved patient outcomes, nor can reimbursement rates be accurately determined. PURPOSE: The purpose of this study was to estimate the time needed to perform direct nursing interventions in Korea using the Nursing Interventions Classification (NIC) system, and then compare the findings with time estimates made by U...
December 14, 2016: International Journal of Nursing Knowledge
https://www.readbyqxmd.com/read/27933637/association-of-temporal-variations-in-staffing-with-hospital-acquired-pressure-injury-in-military-hospitals
#6
Patricia A Patrician, Mary S McCarthy, Pauline Swiger, Dheeraj Raju, Sara Breckenridge-Sproat, Xiaogang Su, Kelly H Randall, Lori A Loan
To more precisely evaluate the effects of nurse staffing on hospital-acquired pressure injury (HAPI) development, data on nursing care hours per patient day (NCHPPD), nursing skill mix, patient turnover (i.e., admissions, transfers, and discharges), and patient acuity were merged with patient information from pressure injury prevalence surveys that were collected annually for the Military Nursing Outcomes Database (MilNOD) project. The MilNOD included staffing and adverse events from 56 medical-surgical, stepdown, and critical care units in 13 military hospitals over a 4-year-period...
December 9, 2016: Research in Nursing & Health
https://www.readbyqxmd.com/read/27924674/work-load-and-management-in-the-delivery-room-changing-the-direction-of-healthcare-policy
#7
Gianfranco Sfregola, Antonio Simone Laganà, Roberta Granese, Pamela Sfregola, Angela Lopinto, Onofrio Triolo
Nurse staffing, increased workload and unstable nursing unit environments are linked to negative patient outcomes including falls and medication errors on medical/surgical units. Considering this evidence, the aim of our study was to overview midwives' workload and work setting. We created a questionnaire and performed an online survey. We obtained information about the type and level of hospital, workload, the use of standardised procedures, reporting of sentinel and 'near-miss' events. We reported a severe understaffing in midwives' work settings and important underuse of standard protocols according to the international guidelines, especially in the South of Italy...
December 7, 2016: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/27879502/labor-nurses-views-of-their-influence-on-cesarean-birth
#8
Kathleen Rice Simpson, Audrey Lyndon
BACKGROUND: As part of an ongoing study about nurse staffing during labor and birth sponsored by the Association of Women's Health, Obstetric, and Neonatal Nurses (AWHONN), the researchers considered outcomes that may be linked to aspects of labor nursing. The purpose of this study was to see if labor nurses felt they influenced whether a woman has a cesarean birth. These data were used to determine if cesarean birth should be included as an outcome measure in the multistate labor nurse staffing study...
November 22, 2016: MCN. the American Journal of Maternal Child Nursing
https://www.readbyqxmd.com/read/27873193/childcare-and-school-management-issues-in-food-allergy
#9
REVIEW
Angela Tsuang, Julie Wang
PURPOSE OF REVIEW: The goal of this review is to characterize food allergy management and anaphylaxis in schools and assess current policies and level of preparedness of schools to recognize and treat anaphylaxis. RECENT FINDINGS: An increasing number of school-aged children have food allergies, and studies show that a significant number of school children with no known history of allergies will experience their first anaphylactic reaction at school. Stock-unassigned epinephrine auto-injectors are recommended in schools but not mandatory in most states, and therefore, epinephrine is not always available...
November 2016: Current Allergy and Asthma Reports
https://www.readbyqxmd.com/read/27854423/why-causal-inference-matters-to-nurses-the-case-of-nurse-staffing-and-patient-outcomes
#10
Deena Kelly Costa, Olga Yakusheva
Since the early 1990s researchers have steadily built a broad evidence base for the association between nurse staffing and patient outcomes. However, the majority of the studies in the literature employ designs that are unable to robustly examine causal pathways to meaningful improvement in patient outcomes. A focus on causal inference is essential to moving the field of nursing research forward, and as part of the essential skill-set for all nurses as consumers of research. In this article, we aim to describe the importance of causal inference in nursing research and discuss study designs that are more likely to produce causal findings...
May 31, 2016: Online Journal of Issues in Nursing
https://www.readbyqxmd.com/read/27794712/district-nurses-deserve-better-support-to-ensure-safe-care
#11
(no author information available yet)
Campaigns for safe nurse staffing levels have focused invariably on our hospitals, where the absence of sufficient suitably qualified nursing staff is often easy to identify. However, the problem is just as prevalent in the community, where patients and other service users are suffering because district nurses and those in similar roles are overstretched.
September 7, 2016: Nursing Standard
https://www.readbyqxmd.com/read/27787880/reducing-hospital-readmission-disparities-of-older-black-and-white-adults-after-elective-joint-replacement-the-role-of-nurse-staffing
#12
Karen B Lasater, Matthew D McHugh
OBJECTIVES: To examine racial differences in readmissions of older adults undergoing elective total hip and knee replacement, to determine the relationship between nurse staffing and readmission, and to study whether the relationship between staffing and readmission differs for older black and white adults. DESIGN: Cross-sectional analysis of multiple linked secondary data sources. SETTING: Nonfederal acute care hospitals in California, Florida, New Jersey, and Pennsylvania (n = 483)...
December 2016: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/27787159/safe-staffing-levels-should-be-mandatory
#13
Susan Osborne
In August, the Welsh assembly said hospitals in Wales will be legally obliged to implement safe nurse staffing levels from April 2018.
October 26, 2016: Nursing Standard
https://www.readbyqxmd.com/read/27773335/nurse-staffing-and-hospital-characteristics-predictive-of-time-to-diagnostic-evaluation-for-patients-in-the-emergency-department
#14
Judith Shindul-Rothschild, Catherine Y Read, Kelly D Stamp, Jane Flanagan
: In the 2014 Emergency Department Benchmarking Alliance Summit, for the first time, participants recommended tracking nursing and advanced practice nurse hours. Performance data from the Centers for Medicare and Medicaid Services provides an opportunity to analyze factors associated with delays in emergency care. The purpose of this study was to investigate hospital characteristics associated with time to a diagnostic evaluation in 67 Massachusetts emergency departments from 2013 to 2014...
October 20, 2016: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/27757068/nurse-staffing-and-patient-outcomes-a-longitudinal-study-on-trend-and-seasonality
#15
Jianghua He, Vincent S Staggs, Sandra Bergquist-Beringer, Nancy Dunton
BACKGROUND: Time trends and seasonal patterns have been observed in nurse staffing and nursing-sensitive patient outcomes in recent years. It is unknown whether these changes were associated. METHODS: Quarterly unit-level nursing data in 2004-2012 were extracted from the National Database of Nursing Quality Indicators® (NDNQI®). Units were divided into groups based on patterns of missing data. All variables were aggregated across units within these groups and analyses were conducted at the group level...
2016: BMC Nursing
https://www.readbyqxmd.com/read/27599693/nurse-staffing-and-patient-outcomes-are-we-asking-the-right-research-question
#16
EDITORIAL
John M Welton
No abstract text is available yet for this article.
November 2016: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/27581894/welsh-assembly-to-introduce-legal-obligation-for-safe-staffing-levels-in-2018
#17
(no author information available yet)
Hospitals in Wales will be legally obliged to implement safe nurse staffing levels from April 2018, the Welsh Assembly has announced.
September 2016: Nursing Management (Harrow)
https://www.readbyqxmd.com/read/27573220/outcomes-related-to-effective-nurse-supervision-in-long-term-care-homes-an-integrative-review
#18
Katherine S McGilton, Charlene H Chu, Alexander C Shaw, Rosalind Wong, Jenny Ploeg
AIM: The aim of this integrative review was to describe the organisational, unregulated nurse, and resident outcomes associated with effective supervisory performance of regulated nurses (registered nurses or registered practical nurses) in long-term care homes. BACKGROUND: While there are data on the influence of regulated nurse staffing levels on resident outcomes, the influence of effective supervisory performance of regulated nurses on resident and organisational outcomes, nursing assistant outcomes have yet to be comprehensively explored...
August 29, 2016: Journal of Nursing Management
https://www.readbyqxmd.com/read/27566645/managers-use-of-nursing-workforce-planning-and-deployment-technologies-protocol-for-a-realist-synthesis-of-implementation-and-impact
#19
Christopher Burton, Jo Rycroft-Malone, Lynne Williams, Siân Davies, Anne McBride, Beth Hall, Anne-M Rowlands, Adrian Jones
INTRODUCTION: Nursing staffing levels in hospitals appear to be associated with improved patient outcomes. National guidance indicates that the triangulation of information from workforce planning and deployment technologies (WPTs; eg, the Safer Nursing Care Tool) and 'local knowledge' is important for managers to achieve appropriate staffing levels for better patient outcomes. Although WPTs provide managers with predictive information about future staffing requirements, ensuring patient safety and quality care also requires the consideration of information from other sources in real time...
2016: BMJ Open
https://www.readbyqxmd.com/read/27562663/the-effect-of-hospital-nurse-staffing-models-on-patient-and-staff-related-outcomes
#20
Lisa Whitehead, Helen Myers
No abstract text is available yet for this article.
August 2016: International Journal of Nursing Practice
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