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"Nurse Staffing"

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https://www.readbyqxmd.com/read/28719479/a-simulation-based-quality-improvement-initiative-improves-pediatric-readiness-in-community-hospitals
#1
Travis Whitfill, Marcie Gawel, Marc Auerbach
BACKGROUND: The National Pediatric Readiness Project Pediatric Readiness Survey (PRS) measured pediatric readiness in 4149 US emergency departments (EDs) and noted an average score of 69 on a 100-point scale. This readiness score consists of 6 domains: coordination of pediatric patient care (19/100), physician/nurse staffing and training (10/100), quality improvement activities (7/100), patient safety initiatives (14/100), policies and procedures (17/100), and availability of pediatric equipment (33/100)...
July 17, 2017: Pediatric Emergency Care
https://www.readbyqxmd.com/read/28718658/the-effect-of-nurse-to-patient-ratios-on-nurse-sensitive-patient-outcomes-in-acute-specialist-units-a-systematic-review-and-meta-analysis
#2
Andrea Driscoll, Maria J Grant, Diane Carroll, Sally Dalton, Christi Deaton, Ian Jones, Daniela Lehwaldt, Gabrielle McKee, Theresa Munyombwe, Felicity Astin
BACKGROUND: Nurses are pivotal in the provision of high quality care in acute hospitals. However, the optimal dosing of the number of nurses caring for patients remains elusive. In light of this, an updated review of the evidence on the effect of nurse staffing levels on patient outcomes is required. AIM: To undertake a systematic review and meta-analysis examining the association between nurse staffing levels and nurse-sensitive patient outcomes in acute specialist units...
July 1, 2017: European Journal of Cardiovascular Nursing
https://www.readbyqxmd.com/read/28714447/feasibility-of-automating-patient-acuity-measurement-using-a-machine-learning-algorithm
#3
Caitlin W Brennan, Frank Meng, Mark M Meterko, Leonard W D'Avolio
BACKGROUND AND PURPOSE: One method of determining nurse staffing is to match patient demand for nursing care (patient acuity) with available nursing staff. This pilot study explored the feasibility of automating acuity measurement using a machine learning algorithm. METHODS: Natural language processing combined with a machine learning algorithm was used to predict acuity levels based on electronic health record data. RESULTS: The algorithm was able to predict acuity relatively well...
December 1, 2016: Journal of Nursing Measurement
https://www.readbyqxmd.com/read/28700123/nonlinear-analysis-to-detect-if-excellent-nursing-work-environments-have-highest-well-being
#4
Giuseppe Casalicchio, Emmanuel Lesaffre, Helmut Küchenhoff, Luk Bruyneel
PURPOSE: To detect potentially nonlinear associations between nurses' work environment and nurse staffing on the one hand and nurse burnout on the other hand. DESIGN: A cross-sectional multicountry study for which data collection using a survey of 33,731 registered nurses in 12 European countries took place during 2009 to 2010. METHODS: A semiparametric latent variable model that describes both linear and potentially nonlinear associations between burnout (Maslach Burnout Inventory: emotional exhaustion, depersonalization, personal accomplishment) and work environment (Practice Environment Scale of the Nursing Work Index: managerial support for nursing, doctor-nurse collegial relations, promotion of care quality) and staffing (patient-to-nurse ratio)...
July 12, 2017: Journal of Nursing Scholarship
https://www.readbyqxmd.com/read/28695666/patient-acuity-and-nurse-staffing-challenges-in-norwegian-neonatal-intensive-care-units
#5
Mari O Ohnstad, Marianne T Solberg
AIM: To describe fluctuations in patient numbers, patient acuity and the need for nurses in neonatal intensive care units based on population data. BACKGROUND: Neonatal intensive care units are difficult to staff appropriately due to fluctuations in patient volume and acuity. Staffing guidelines have been developed and applied in some countries to offer the neonatal population safe patient care. METHOD: National data were used to describe patient load and acuity for two consecutive years...
July 11, 2017: Journal of Nursing Management
https://www.readbyqxmd.com/read/28692434/assessing-intensity-of-nursing-care-needs-using-electronically-available-data
#6
Elaine L Larson, Bevin Cohen, Jianfang Liu, Philip Zachariah, David Yao, Jingjing Shang
Although previous research has confirmed that nurse staffing affects patient outcomes, some potentially important factors have not been accounted for in tools to assess relationships between staffing and outcomes. The aim of this project was to develop and test a Nursing Intensity of Care Index using electronically available data from 152 072 patient discharges from three hospitals. Initially, 1765 procedure codes were reviewed; 69 were confirmed as directly increasing nursing workload by at least 15 minutes per shift...
July 7, 2017: Computers, Informatics, Nursing: CIN
https://www.readbyqxmd.com/read/28645397/emergency-department-nurse-staffing
#7
EDITORIAL
(no author information available yet)
No abstract text is available yet for this article.
July 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28640732/do-nurse-staffing-levels-affect-patient-mortality-in-acute-secondary-care
#8
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
#9
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
#10
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
#11
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
#12
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
#13
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
#14
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
#15
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
#16
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...
July 2017: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/28471925/improving-staffing-and-nurse-engagement-in-a-neuroscience-intermediate-unit
#17
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
#18
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
#19
(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
#20
(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)
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