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"Nurse Staffing"

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https://www.readbyqxmd.com/read/28640732/do-nurse-staffing-levels-affect-patient-mortality-in-acute-secondary-care
#1
Barry Hill
This systematic literature review explores and considers whether registered nurse staffing levels affect patient mortality in acute secondary care settings. A discussion makes particular reference to the philosophical foundations of contrasting research approaches used within the literature. At the time of writing, the author was a modern matron for surgery, managing the ear, nose and throat; head and neck; airway; and reconstructive plastic surgery services in a large acute teaching hospital in central London...
June 22, 2017: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/28560549/cost-analysis-of-prostate-artery-embolization-pae-and-transurethral-resection-of-the-prostate-turp-in-the-treatment-of-benign-prostatic-hyperplasia
#2
Sandeep Bagla, John Smirniotopoulos, Julie Orlando, Rachel Piechowiak
PURPOSE: Prostatic arterial embolization (PAE) has emerged as a minimally invasive alternative to TURP; however, there are limited cost comparisons reported. The purpose of this study was to compare in-hospital direct costs of elective PAE and TURP in a hospital setting. MATERIALS AND METHODS: Institutional Review Board-approved retrospective review was performed on patients undergoing PAE and TURP from January to December 2014. Inclusion criteria included male patients greater than 40 years of age who presented for ambulatory TURP or PAE with no history of prior surgical intervention for BPH...
May 30, 2017: Cardiovascular and Interventional Radiology
https://www.readbyqxmd.com/read/28554496/update-on-nursing-staffing-challenges-by-state-attorneys-general
#3
Susan A Turner
No abstract text is available yet for this article.
May 26, 2017: Geriatric Nursing
https://www.readbyqxmd.com/read/28554355/implementing-skin-to-skin-contact-for-cesarean-birth
#4
Margaret M Boyd
Early skin-to-skin (STS) contact in the OR facilitates the development of mothering behaviors, breastfeeding success, and newborn adaptation to extrauterine life. A team at my institution performed a quality improvement project to implement a standard of care for STS contact in the OR during and after cesarean birth. Thirty-seven of 50 mother-infant dyads experienced STS contact in the OR or in the postanesthesia care unit. Twenty-five mothers and newborns who experienced STS contact did so on the OR bed. The median time newborns spent engaged in STS contact with their mothers was 42 minutes and 30 seconds...
June 2017: AORN Journal
https://www.readbyqxmd.com/read/28546786/the-association-between-higher-nurse-staffing-standards-in-the-fee-schedules-and-the-geographic-distribution-of-hospital-nurses-a-cross-sectional-study-using-nationwide-administrative-data
#5
Noriko Morioka, Jun Tomio, Toshikazu Seto, Yasuki Kobayashi
BACKGROUND: In Japan, the revision of the fee schedules in 2006 introduced a new category of general care ward for more advanced care, with a higher staffing standard, a patient-to-nurse ratio of 7:1. Previous studies have suggested that these changes worsened inequalities in the geographic distribution of nurses, but there have been few quantitative studies evaluating this effect. This study aimed to investigate the association between the distribution of 7:1 beds and the geographic distribution of hospital nursing staffs...
2017: BMC Nursing
https://www.readbyqxmd.com/read/28516505/associations-between-nursing-home-performance-and-hospital-30-day-readmissions-for-acute-myocardial-infarction-heart-failure-and-pneumonia-at-the-healthcare-community-level-in-the-united-states
#6
Michelle M Pandolfi, Yun Wang, Ann Spenard, Florence Johnson, Alice Bonner, Shih-Yieh Ho, Timothy Elwell, Anila Bakullari, Deron Galusha, Erica Leifheit-Limson, Judith H Lichtman, Harlan M Krumholz
OBJECTIVES: To evaluate community-specific nursing home performance with community-specific hospital 30-day readmissions for Medicare patients discharged with acute myocardial infarction, heart failure or pneumonia. DESIGN: Cross-sectional study using 2009-2012 hospital risk-standardised 30-day readmission data for Medicare fee-for-service patients hospitalised for all three conditions and nursing home performance data from the Centers for Medicare & Medicaid Services Five-Star Quality Rating System...
May 17, 2017: International Journal of Older People Nursing
https://www.readbyqxmd.com/read/28505058/organizational-regional-and-community-factors-determining-protocol-compliance-for-patients-with-acute-myocardial-infarction
#7
Teresa W Tai, Sherry I Bame, Nitish Patidar
This study examined factors determining hospital compliance to Hospital Quality Alliance's protocol for patients with myocardial infarction. Using a spatially matched sample of 132 Magnet and 264 non-Magnet hospitals, multivariate regressions determined significant hospital characteristics associated with compliance per Hospital Quality Alliance protocol. Adherence to the Hospital Quality Alliance protocols varied widely by hospital characteristics. Registered nurse staffing/bed was a key factor determining patient care quality variation...
May 12, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28481826/the-impact-of-nurse-staffing-on-in-hospital-mortality-of-stroke-patients-in-korea
#8
Wankyo Chung, Min Sohn
BACKGROUND: Stroke is one of the leading causes of death in Korea, and a well-qualified, adequate nursing force achieves better patient outcomes. STUDY PURPOSES: This study examined the association between nurse staffing and in-hospital mortality among stroke patients in a nationally representative sample. METHODS: This cross-sectional retrospective study was conducted using 2009 National Health Insurance claims data of stroke patients admitted to variously sized Korean hospitals...
May 5, 2017: Journal of Cardiovascular Nursing
https://www.readbyqxmd.com/read/28473527/satisfaction-burnout-and-intention-to-stay-of-emergency-nurses-in-shanghai
#9
Hui Jiang, Lily Ma, Caiping Gao, Tengteng Li, Lihua Huang, Weiqin Huang
BACKGROUND: Stability of the nursing workforce is considered a key factor for high-quality healthcare. Satisfaction and burnout are reported to be closely related to staff turnover. This study investigates satisfaction and burnout of ED nurses in Shanghai and association of these factors with intention to stay on the job. METHODS: This is a cross-sectional descriptive survey study conducted between October and December 2015. Our own questionnaire and the Maslach Burnout Inventory were used to construct the survey...
May 4, 2017: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/28471925/improving-staffing-and-nurse-engagement-in-a-neuroscience-intermediate-unit
#10
Charles Nadolski, Pheraby Britt, Leah C Ramos
The neuroscience intermediate unit is a 23-bed unit that was initially staffed with a nurse-to-patient ratio of 1:4 to 1:5. In time, the unit's capacity to care for the exceeding number of progressively acute patients fell short of the desired goals in the staff affecting the nurse satisfaction. The clinical nurses desired a lower nurse-patient ratio. The purpose of this project was to justify a staffing increase through a return on investment and increased quality metrics. METHODS: This initiative used mixed methodology to determine the ideal staffing for a neuroscience intermediate unit...
June 2017: Journal of Neuroscience Nursing: Journal of the American Association of Neuroscience Nurses
https://www.readbyqxmd.com/read/28464325/optimizing-staffing-quality-and-cost-in-home-healthcare-nursing-theory-synthesis
#11
Claire Su-Yeon Park
AIMS: To propose a new theory pinpointing the optimal nurse staffing threshold delivering the maximum quality of care relative to attendant costs in home health care. BACKGROUND: Little knowledge exists on the theoretical foundation addressing the inter-relationship among quality of care, nurse staffing, and cost. DESIGN: Theory synthesis. DATA SOURCES: Cochrane Library, PubMed, CINAHL, EBSCOhost Web and Web of Science (25 February - 26 April 2013; 20 January - 22 March 2015)...
May 2, 2017: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/28452260/scotland-consults-on-workload-law
#12
(no author information available yet)
The Scottish Government has launched a consultation to introduce safe nurse staffing legislation.
April 28, 2017: Nursing Older People
https://www.readbyqxmd.com/read/28446104/scotland-to-enshrine-safe-staffing-in-law
#13
(no author information available yet)
The Scottish Government has announced it will consult on enshrining in law the use of planning tools to set nurse staffing numbers in the NHS.
April 27, 2017: Nursing Management (Harrow)
https://www.readbyqxmd.com/read/28395073/who-hires-social-workers-structural-and-contextual-determinants-of-social-service-staffing-in-nursing-homes
#14
Amy Restorick Roberts, John R Bowblis
Although nurse staffing has been extensively studied within nursing homes (NHs), social services has received less attention. The study describes how social service departments are organized in NHs and examines the structural characteristics of NHs and other macro-focused contextual factors that explain differences in social service staffing patterns using longitudinal national data (Certification and Survey Provider Enhanced Reports, 2009-2012). NHs have three patterns of staffing for social services, using qualified social workers (QSWs); paraprofessional social service staff; and interprofessional teams, consisting of both QSWs and paraprofessionals...
February 1, 2017: Health & Social Work
https://www.readbyqxmd.com/read/28389108/physical-and-occupational-therapy-from-the-acute-to-community-setting-following-stroke-predictors-of-use-continuity-of-care-and-timeliness-of-care
#15
Janet K Freburger, Dongmei Li, Anna Johnson, Erin Fraher
OBJECTIVE: To identify predictors of therapist use (any use, continuity of care, and timing of care) in the acute care hospital and community (home or outpatient) for patients discharged home following stroke. DESIGN: Retrospective cohort analysis of Medicare claims (2010-2013) linked to hospital-level and county-level data. SETTING: Acute care hospital and community. PARTICIPANTS: Patients who survived the first 30 days at home after being discharged from an acute care hospital following stroke (N=23,413)...
April 4, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28388827/relationships-between-nurse-staffing-and-patients-experiences-and-the-mediating-effects-of-missed-nursing-care
#16
Sung-Hyun Cho, Barbara A Mark, George Knafl, Hyoung Eun Chang, Hyo-Jeong Yoon
PURPOSE: The aims of this study were to examine the relationships between nurse staffing and patients' experiences, and to determine the mediating effects of patient-reported missed care on the relationship between nurse staffing and patients' experiences. DESIGN: The study included 362 nurses and 208 patients from 23 nursing units of six hospitals in South Korea. METHODS: Nurse staffing was measured by patient-to-nurse ratios and by nurse- and patient-perceived staffing adequacy...
May 2017: Journal of Nursing Scholarship
https://www.readbyqxmd.com/read/28380677/thinking-outside-the-box
#17
EDITORIAL
Claire Su-Yeon Park
Much evidence supports that having more nurses leads to better patient outcomes. However, why is nurse staffing still lacking in practice? Previous studies on the nursing workforce have, so far, focused on determining 'more nurses and better patient outcomes.' However, a controversial debate on the cost-effectiveness of hiring more nurses still continues (Aiken et al. 2011). When it comes to nursing workforce policy-materializing in practice, the inconclusiveness of nursing efficiency is considered to be one of the critical reasons for the failure to narrow the gap between the ideal and the real...
April 5, 2017: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/28376546/association-of-nursing-overtime-nurse-staffing-and-unit-occupancy-with-health-care-associated-infections-in-the-nicu
#18
Marc Beltempo, Régis Blais, Guy Lacroix, Michèle Cabot, Bruno Piedboeuf
Objective This study aims to assess the association of nursing overtime, nurse staffing, and unit occupancy with health care-associated infections (HCAIs) in the neonatal intensive care unit (NICU). Study Design A 2-year retrospective cohort study was conducted for 2,236 infants admitted in a Canadian tertiary care, 51-bed NICU. Daily administrative data were obtained from the database "Logibec" and combined to the patient outcomes database. Median values for the nursing overtime hours/total hours worked ratio, the available to recommended nurse staffing ratio, and the unit occupancy rate over 3-day periods before HCAI were compared with days that did not precede infections...
April 4, 2017: American Journal of Perinatology
https://www.readbyqxmd.com/read/28371619/the-maternity-care-nurse-workforce-in-rural-u-s-hospitals
#19
Carrie Henning-Smith, Jennifer Almanza, Katy B Kozhimannil
OBJECTIVE: To describe the maternity care nurse staffing in rural U.S. hospitals and identify key challenges and opportunities in maintaining an adequate nursing workforce. DESIGN: Cross-sectional survey study. SETTING: Maternity care units within rural hospitals in nine U.S. states. PARTICIPANTS: Maternity care unit managers. METHODS: We calculated descriptive statistics to characterize the rural maternity care nursing workforce by hospital birth volume and nursing staff model...
May 2017: Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN
https://www.readbyqxmd.com/read/28350222/nurse-staffing-levels-and-outcomes-mining-the-uk-national-data-sets-for-insight
#20
Alison Leary, Barbara Tomai, Adrian Swift, Andrew Woodward, Keith Hurst
Purpose Despite the generation of mass data by the nursing workforce, determining the impact of the contribution to patient safety remains challenging. Several cross-sectional studies have indicated a relationship between staffing and safety. The purpose of this paper is to uncover possible associations and explore if a deeper understanding of relationships between staffing and other factors such as safety could be revealed within routinely collected national data sets. Design/methodology/approach Two longitudinal routinely collected data sets consisting of 30 years of UK nurse staffing data and seven years of National Health Service (NHS) benchmark data such as survey results, safety and other indicators were used...
April 18, 2017: International Journal of Health Care Quality Assurance
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