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"Nurse Staffing"

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https://www.readbyqxmd.com/read/28989320/nonparametric-methods-for-doubly-robust-estimation-of-continuous-treatment-effects
#1
Edward H Kennedy, Zongming Ma, Matthew D McHugh, Dylan S Small
Continuous treatments (e.g., doses) arise often in practice, but many available causal effect estimators are limited by either requiring parametric models for the effect curve, or by not allowing doubly robust covariate adjustment. We develop a novel kernel smoothing approach that requires only mild smoothness assumptions on the effect curve, and still allows for misspecification of either the treatment density or outcome regression. We derive asymptotic properties and give a procedure for data-driven bandwidth selection...
September 2017: Journal of the Royal Statistical Society. Series B, Statistical Methodology
https://www.readbyqxmd.com/read/28960392/rn4cast-it-ped-nurse-staffing-and-children-s-safety
#2
EDITORIAL
Loredana Sasso, Annamaria Bagnasco, Paolo Petralia, Silvia Scelsi, Milko Zanini, Gianluca Catania, Giuseppe Aleo, Nicoletta Dasso, Silvia Rossi, Roger Watson, Walter Sermeus, Giancarlo Icardi, Linda H Aiken
Some authors argue that it is not longer ethically correct to expose hospitalized patients to death risks associated with understaffing (Nickitas, 2014). Also the Care Quality Commission (CQC, an independent regulator of all health and social care services in England) has included staffing levels as one of the auditing quality standards when inspecting hospitals and health centres. The Royal College of Nursing, in its document Mandatory Nurse Staffing Levels (RCN, 2012), clearly defined which nurse staffing levels should be adopted by policy makers to ensure the provision of safe care...
September 27, 2017: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/28957870/development-validation-and-implementation-of-a-clinic-nurse-staffing-guideline
#3
Debra Jean Deeken, Douglas Wakefield, Cora Kite, Jeanette Linebaugh, Blair Mitchell, Deidre Parkinson, Madhukar Misra
Ensuring that the level of nurse staffing used to care for patients is appropriate to the setting and service intensity is essential for high-quality and cost-effective care. This article describes the development, validation, and implementation of the clinic technical skills permission list developed specifically to guide nurse staffing decisions in physician clinics of an academic medical center. Results and lessons learned in using this staffing guideline are presented.
October 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/28957863/measuring-patient-acuity-implications-for-nurse-staffing-and-assignment
#4
John M Welton
No abstract text is available yet for this article.
October 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/28933776/association-of-nursing-overtime-nurse-staffing-and-unit-occupancy-with-medical-incidents-and-outcomes-of-very-preterm-infants
#5
M Beltempo, G Lacroix, M Cabot, R Blais, B Piedboeuf
OBJECTIVE: To examine the association of nursing overtime, nursing provision and unit occupancy rate with medical incident rates in the neonatal intensive care unit (NICU) and the risk of mortality or major morbidity among very preterm infants. STUDY DESIGN: Single center retrospective cohort study of infants born within 23 to 29 weeks of gestational age or birth weight <1000 g admitted at a 56 bed, level III NICU. Nursing overtime ratios (nursing overtime hours/total nursing hours), nursing provision ratios (nursing hours/recommended nursing hours based on patient dependency categories) and unit occupancy rates were pooled for all shifts during NICU hospitalization of each infant...
September 21, 2017: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/28905367/nursing-care-disparities-in-neonatal-intensive-care-units
#6
Eileen T Lake, Douglas Staiger, Erika Miles Edwards, Jessica G Smith, Jeannette A Rogowski
OBJECTIVES: To describe the variation across neonatal intensive care units (NICUs) in missed nursing care in disproportionately black and non-black-serving hospitals. To analyze the nursing factors associated with missing nursing care. DATA SOURCES/STUDY SETTING: Survey of random samples of licensed nurses in four large U.S. states. STUDY DESIGN: This was a retrospective, secondary analysis of 1,037 staff nurses in 134 NICUs classified into three groups based on their percent of infants of black race...
September 14, 2017: Health Services Research
https://www.readbyqxmd.com/read/28875807/2020-is-too-late-to-solve-nurse-staffing-crisis
#7
Susan Osborne
The year 2020 appears to be a magical one for the Department of Health (DH). In early August it announced plans to fund an extra 10,000 training places for nurses, midwives and allied health professionals by 2020.
September 6, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28875777/nursingstandard-com
#8
(no author information available yet)
1 Missed patient care due to nursing staff shortages increases hospital death rates, a major international study reveals. Lead researcher Jane Ball said the findings provide the 'missing link' in understanding mortality rates - when nurse staffing is low, necessary care is leſt undone. Read more: rcni.com/mortality-rates.
September 6, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28859254/what-impact-does-nursing-care-left-undone-have-on-patient-outcomes-review-of-the-literature
#9
Alejandra Recio-Saucedo, Chiara Dall'Ora, Antonello Maruotti, Jane Ball, Jim Briggs, Paul Meredith, Oliver C Redfern, Caroline Kovacs, David Prytherch, Gary B Smith, Peter Griffiths
AIMS AND OBJECTIVES: Systematic review of the impact of missed nursing care on outcomes in adults, on acute hospital wards and in nursing homes. BACKGROUND: A considerable body of evidence support the hypothesis that lower levels of registered nurses on duty increases the likelihood of patients dying on hospital wards, and the risk of many aspects of care being either delayed or left undone (missed). However, the direct consequence of missed care remains unclear...
August 31, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28859009/the-case-for-bringing-the-licensed-practical-nurse-back-to-the-hospital
#10
Catherine H Garner, Suzanne M Boese
The expansion of the aging population, residential care facilities, and projected registered nurse shortages pose significant challenges to nurse staffing ratios. The licensed practical/vocational nursing role is now being reexamined, as acute care and long-term care facilities look at staffing models and patient safety. There is now a demand for an increase in the numbers of practical nurse education programs, which have been overlooked as a pipeline for professional nursing. Recruiting and educating practical nurses open a pathway for greater diversity in the nursing profession as well as improving patient health outcomes...
October 2017: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/28858955/variability-in-acuity-in-acute-care
#11
Amy L Garcia
OBJECTIVE: This study was designed to describe variable acuity among 1 population of acute care patients. BACKGROUND: Acuity, defined as the individual patient need for nursing care, can inform level of care, nurse staffing, and the nurse-to-patient assignment. Nurse-generated data in the electronic health record can be mined and analyzed for decision support. METHODS: This study used a descriptive, retrospective analysis of repeated measures of acuity generated from 28 739 nursing assessments of 405 consecutive subjects treated for heart failure (HF) in a 455-bed southern hospital...
October 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/28844649/post-operative-mortality-missed-care-and-nurse-staffing-in-nine-countries-a-cross-sectional-study
#12
Jane E Ball, Luk Bruyneel, Linda H Aiken, Walter Sermeus, Douglas M Sloane, Anne Marie Rafferty, Rikard Lindqvist, Carol Tishelman, Peter Griffiths
BACKGROUND: Variation in post-operative mortality rates has been associated with differences in registered nurse staffing levels. When nurse staffing levels are lower there is also a higher incidence of necessary but missed nursing care. Missed nursing care may be a significant predictor of patient mortality following surgery. AIM: Examine if missed nursing care mediates the observed association between nurse staffing levels and mortality. METHOD: Data from the RN4CAST study (2009-2011) combined routinely collected data on 422,730 surgical patients from 300 general acute hospitals in 9 countries, with survey data from 26,516 registered nurses, to examine associations between nurses' staffing, missed care and 30-day in-patient mortality...
August 24, 2017: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/28843634/beyond-the-pain-scale-provider-communication-and-staffing-predictive-of-patients-satisfaction-with-pain-control
#13
Judith Shindul-Rothschild, Jane Flanagan, Kelly D Stamp, Catherine Y Read
This paper examined hospital characteristics, staffing, and nursing care factors associated with patient perception of poor pain control by conducting a secondary analysis of the Hospital Consumer Assessment of Health Care Providers Systems (HCAHPS) survey in California, Massachusetts, and New York hospitals. Analysis of variance was used to analyze the relationship between nurse, hospitalist, physician, and resident staffing and patients' perception of pain control. Twenty-one factors correlated with patients' reports of pain control were included in the stepwise linear regression analysis...
August 23, 2017: Pain Management Nursing: Official Journal of the American Society of Pain Management Nurses
https://www.readbyqxmd.com/read/28826873/clinical-nonlicensed-personnel-in-u-s-hospitals-job-trends-from-2010-to-2015
#14
Patricia Pittman, Suhui Li, Xinxin Han, Time Lowe
BACKGROUND: Despite the large numbers in health care industry, little is known about the clinical nonlicensed personnel (CNLP) in U.S. hospitals and how their staffing has changed over time. PURPOSE: The purpose of this analysis is to better understand the conformation and recent trends in CNLP staffing in U.S. hospitals from 2010 to 2015. METHODS: Using Premier's OperationsAdvisor database, we examined trends in staffing of 25 CNLP jobs and graduate nurses (GNs) in U...
July 21, 2017: Nursing Outlook
https://www.readbyqxmd.com/read/28816814/safe-nurse-staffing-is-more-than-numbers-and-ratios
#15
Kathleen Rice Simpson
No abstract text is available yet for this article.
September 2017: MCN. the American Journal of Maternal Child Nursing
https://www.readbyqxmd.com/read/28812473/implementation-of-a-pathway-for-the-treatment-of-fever-and-neutropenia-in-pediatric-patients-with-cancer
#16
Joy Vanderway, Catherine Vincent, Susan M Walsh, Jennifer Obrecht
Fever and neutropenia is an oncologic emergency. Time-to-antibiotics (TTA) refers to the amount of time from initial provider evaluation for fever and neutropenia to intravenous antibiotic administration. Research supports that rapid time-to-antibiotics (RTTA) is associated with improved patient outcomes. This quality improvement project evaluated the success of implementing an RTTA pathway in pediatric oncology patients with fever and neutropenia. The setting was an advanced practice nurse-managed pediatric ambulatory infusion center where patients with fever and neutropenia were often evaluated and treated...
September 2017: Journal of Pediatric Oncology Nursing: Official Journal of the Association of Pediatric Oncology Nurses
https://www.readbyqxmd.com/read/28811039/twenty-years-of-staffing-practice-environment-and-outcomes-research-in-military-nursing
#17
Patricia A Patrician, Lori A Loan, Mary S McCarthy, Pauline Swiger, Sara Breckenridge-Sproat, Laura Ruse Brosch, Bonnie Mowinski Jennings
BACKGROUND: Two decades ago, findings from an Institute of Medicine (IOM) report sparked the urgent need for evidence supporting relationships between nurse staffing and patient outcomes. PURPOSE: This article provides an overview of nurse staffing, practice environment, and patient outcomes research, with an emphasis on findings from military studies. Lessons learned also are enumerated. METHOD: This study is a review of the entire Military Nursing Outcomes Database (MilNOD) program of research...
July 10, 2017: Nursing Outlook
https://www.readbyqxmd.com/read/28809035/nurse-staffing-patterns-and-patient-experience-of-care-an-empirical-analysis-of-u-s-hospitals
#18
Eva-Maria Oppel, Gary J Young
OBJECTIVE: To examine the relationship between nurse staffing patterns and patients' experience of care in hospitals with a particular focus on staffing flexibility. DATA SOURCES/STUDY SETTING: The study sample comprised U.S. general hospitals between 2010 and 2012. Nurse staffing data came from the American Hospital Association Annual Survey, and patient experience data came from the Medicare Hospital Consumer Assessment of Healthcare Providers and Systems. STUDY DESIGN: An observational research design was used entailing a pooled, cross-sectional data set...
August 14, 2017: Health Services Research
https://www.readbyqxmd.com/read/28800581/implementation-of-electronic-health-records-in-us-nursing-homes
#19
Ragnhildur I Bjarnadottir, Carolyn T A Herzig, Jasmine L Travers, Nicholas G Castle, Patricia W Stone
While electronic health records have emerged as promising tools to help improve quality of care, nursing homes have lagged behind in implementation. This study assessed electronic health records implementation, associated facility characteristics, and potential impact on quality indicators in nursing homes. Using national Centers for Medicare & Medicaid Services and survey data for nursing homes, a cross-sectional analysis was conducted to identify variations between nursing homes that had and had not implemented electronic health records...
August 2017: Computers, Informatics, Nursing: CIN
https://www.readbyqxmd.com/read/28754070/the-milieu-manager-a-nursing-staffing-strategy-to-reduce-observer-use-in-the-acute-psychiatric-inpatient-setting
#20
Patrick Triplett, Sandra Dearholt, Mary Cooper, John Herzke, Erin Johnson, Joyce Parks, Patricia Sullivan, Karin F Taylor, Judith Rohde
BACKGROUND: Rising acuity levels in inpatient settings have led to growing reliance on observers and increased the cost of care. OBJECTIVES: Minimizing use of observers, maintaining quality and safety of care, and improving bed access, without increasing cost. DESIGN: Nursing staff on two inpatient psychiatric units at an academic medical center pilot-tested the use of a "milieu manager" to address rising patient acuity and growing reliance on observers...
July 1, 2017: Journal of the American Psychiatric Nurses Association
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