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"Nurse Staffing"

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
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
John M Welton
No abstract text is available yet for this article.
November 2016: International Journal of Nursing Studies
(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)
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
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
Lisa Whitehead, Helen Myers
No abstract text is available yet for this article.
August 2016: International Journal of Nursing Practice
Kathleen Rice Simpson, Audrey Lyndon
: : The purpose of this study was to examine the concept of delayed, unfinished, or missed nursing care when patient census and acuity exceed nurse staffing resources with nurses who care for women during labor and birth. Focus groups were held during which labor nurses were asked about aspects of nursing care that may be regularly delayed, unfinished, or completely missed during labor and birth, including possible reasons and potential consequences. Seventy-one labor nurses participated in 11 focus groups in 6 hospitals...
August 23, 2016: Journal of Perinatal & Neonatal Nursing
Vincent S Staggs, Danielle M Olds, Emily Cramer, Ronald I Shorr
BACKGROUND: Although it is plausible that nurse staffing is associated with use of physical restraints in hospitals, this has not been well established. This may be due to limitations in previous cross-sectional analyses lacking adequate control for unmeasured differences in patient-level variables among nursing units. OBJECTIVE: To conduct a longitudinal study, with units serving as their own control, examining whether nurse staffing relative to a unit's long-term average is associated with restraint use...
August 23, 2016: Journal of General Internal Medicine
Kathleen Rice Simpson
Research about the effects of nurse staffing in the perinatal setting has been limited. To guide practice and ensure optimal outcomes, data are greatly needed on the type and amount of nursing care needed by women and their fetuses during labor. The Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) is sponsoring a study about nursing care during labor and birth with a focus on potential relationships between missed care (delayed, unfinished, or completely missed nursing care that was expected as part of routine care for childbearing women and their fetuses/newborns during the labor and birth process and the 2-hour postpartum recovery period) and nurse staffing and selected patient outcomes...
August 2016: Nursing for Women's Health
Kaitlin M Best, David Wypij, Lisa A Asaro, Martha A Q Curley
OBJECTIVE: To generate a multidimensional predictive model of risk factors for iatrogenic withdrawal syndrome in critically ill children. DESIGN: Secondary analysis of prospective data from the Randomized Evaluation of Sedation Titration for Respiratory Failure clinical trial. SETTING: PICU. PATIENTS: Children who received greater than or equal to 5 days of sedation during mechanical ventilation for acute respiratory failure...
August 4, 2016: Critical Care Medicine
James Buchan
We have a natural experiment emerging, with different UK countries looking at different approaches to NHS nurse staffing. For example, in June, Scotland first minister Nicola Sturgeon announced that Scotland will enshrine the use of existing local nurse workforce planning tools in law. This was misrepresented in some media coverage as being about legislated staffing levels, but it actually legislates what was already common local practice: flexibility framed by tested workforce tools, underpinned by professional judgement...
August 10, 2016: Nursing Standard
(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.
August 10, 2016: Nursing Standard
Kojiro Morita, Hiroki Matsui, Kiyohide Fushimi, Hideo Yasunaga
OBJECTIVE: To determine if sufficient nurse staffing reduced in-hospital fractures in acute care hospitals. DATA SOURCES/STUDY SETTING: The Japanese Diagnosis Procedure Combination inpatient (DPC) database from July 2010 to March 2014 linked with the Surveys for Medical Institutions. STUDY DESIGN: We conducted a retrospective cohort study to examine the association of inpatient nurse-to-occupied bed ratio (NBR) with in-hospital fractures. Multivariable logistic regression with generalized estimating equations was performed, adjusting for patient characteristics and hospital characteristics...
July 24, 2016: Health Services Research
Ashley Hodgson, Dorothy Morgan, Ryan Peterson
Identifying anxiety and depression in hospital patients has important implications for the quality of care, including reducing hospital admissions, promoting patient-centered care, and improving long-term patient outcomes. Hospital admissions are important opportunities for uncovering mental illness; whether hospitals actually take advantage of these important opportunities may depend on staffing. Nurse staffing is central to achieving the goals outlined by patient-centered care initiatives. The results of this study suggest an effect of nursing ratios on the detection of secondary mental health conditions via a quasi-experiment surrounding California's minimum nursing ratio law...
May 2016: Nursing Economic$
Pierre-Géraud Claret, Xavier Bobbia, Sylvia Olive, Christophe Demattei, Justin Yan, Robert Cohendy, Paul Landais, Jean Emmanuel de la Coussaye
BACKGROUND: The aim of our study was to investigate the impact of a new organization of our emergency department (ED) on patients' mortality and management delays. METHODS: The ED segmentation consisted of the development of a new patient care geographical layout on a pre-existing site and changing the organization of patient flow. It took place on May 10, 2012. We did a before-after study in the ED of a university hospital, "before" (winter 2012) and "after" (summer 2012) reorganization by segmentation into sectors...
2016: BMC Health Services Research
Julia Lukewich, Dana S Edge, Elizabeth VanDenKerkhof, Tyler Williamson, Joan Tranmer
BACKGROUND: As the organization of primary care continues to evolve toward more interdisciplinary team structures, demonstrating effectiveness of care delivery is becoming important, particularly for nonphysician providers. Nurses are the most common nonphysician provider within primary care. The purpose of this study was to examine the relation between primary care delivery models that incorporate registered nurses and clinical outcomes of patients with type 2 diabetes. METHODS: Patient data from the Canadian Primary Care Sentinel Surveillance Network were matched with survey data from 15 Family Health Team practices in southeastern Ontario...
April 2016: CMAJ Open
Yunmi Kim, Seon-Ha Kim, Young Ko
In this study, we examined the effect of variations in nurse staffing levels on the length of stay and medical expenses of patients who underwent hip or knee surgeries. A cross-sectional study was conducted using the National Health Insurance database and hospital surveys from 2010. Patient length of stay and medical expenses by nurse staffing level and skill mix were compared after adjusting for hospital and patient characteristics. Nurse staffing was measured based on staffing grade, the bed-to-registered nurse/nurse aid ratio, the bed-to-nursing personnel ratio, and the RN proportion...
July 11, 2016: Nursing & Health Sciences
(no author information available yet)
No abstract text is available yet for this article.
May 2016: Nursing New Zealand, Kai Tiaki
Mami Yokoyama, Miho Suzuki, Yukari Takai, Ayumi Igarashi, Maiko Noguchi-Watanabe, Noriko Yamamoto-Mitani
AIMS AND OBJECTIVES: To explore the association between workplace bullying and workplace environment factors among nurses in Japan. BACKGROUND: Workplace bullying among nurses is increasing globally and occurs more frequently than among other professions. However, there is little information on the impact of workplace environment factors on nurse bullying in Japan. DESIGN: A cross-sectional survey using a self-administered questionnaire. METHODS: Participants were 1152 nurses recruited at seminars or training courses outside of their workplaces in Tokyo...
September 2016: Journal of Clinical Nursing
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