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"Nurse Staffing"

Carrie Graham, Leslie Ross, Edward Bozell Bueno, Charlene Harrington
Little is known about the quality of nursing homes in managed care organizations (MCOs) networks. This study (1) described decision-making criteria for selecting nursing home networks and (2) compared selected quality indicators of network and nonnetwork nursing homes. The sample was 17 MCOs participating in a California demonstration that provided integrated long-term services and supports to dually eligible enrollees in 2017. The findings showed that the MCOs established a broad network of nursing homes, with only limited attention to using quality criteria...
January 2018: Inquiry: a Journal of Medical Care Organization, Provision and Financing
Anica C Law, Jennifer P Stevens, Samuel Hohmann, Allan J Walkey
OBJECTIVES: To assess whether Massachusetts legislation directed at ICU nurse staffing was associated with improvements in patient outcomes. DESIGN: Retrospective cohort study; difference-in-difference design to compare outcomes in Massachusetts with outcomes of other states (before and after the March 31, 2016, compliance deadline). SETTING: Administrative claims data collected from medical centers across the United States (Vizient). PATIENTS: Adults between 18 and 99 years old who were admitted to ICUs for greater than or equal to 1 day...
October 2018: Critical Care Medicine
Michael Rie
No abstract text is available yet for this article.
October 2018: Critical Care Medicine
Melita Peršolja
AIM: To examine the effect of nurse staffing patterns (nursing staff skill mix and patient classification system) on patient satisfaction with the nursing care received. BACKGROUND: Evidence about the relationship between the nursing staff structures and patient outcomes in post-transitional countries is limited. METHODS: The research was conducted in three units of one secondary-care regional hospital in Slovenia over 1 month. This cross-sectional study used three main data elements exploring nursing staff levels (nursing hours per patient day and skill mix), patient needs (using a classification system), and patients' satisfaction with nursing care; 484 patients participated...
August 31, 2018: Journal of Nursing Management
Chul-Gyu Kim, Ji-Soo Kim
AIM: This study aimed to explore the association between paediatric nursing-sensitive outcomes and nurse staffing levels. BACKGROUND: Although previous studies have reported an association between low nursing-sensitive outcomes and high nurse staffing levels in adult populations, there are few studies on paediatric nursing-sensitive outcomes. METHODS: This study used electronic Health insurance review and assessment data for all children under 18 years old admitted at 46 tertiary hospitals in Korea between 2013 and 2014...
August 22, 2018: Journal of Nursing Management
Iman Al Kouatly, Nada Nassar, Maya Nizam, Lina Kurdahi Badr
BACKGROUND: Conclusive evidence on the effect of nurse staffing ratios on nurse-sensitive outcomes (NSOs) has not yet been achieved worldwide. AIMS: To describe the relationship between nurse staffing and NSOs at a Magnet designated, university hospital a low-income country. METHODS: A 48-month prospective study assessed the relationship between nurse staffing and six patient outcomes or NSOs in medical-surgical units and critical care units (CCUs)...
August 20, 2018: Worldviews on Evidence-based Nursing
Michelle Hill, Jessica DeWitt
OBJECTIVE: To enhance nursing staff retention and ensure a consistently high standard of care, a study was conducted to determine an appropriate nurse staffing model for a neurocritical care unit. In addition to being critically ill, these patients often require extensive diagnostic testing to determine treatment. Nurses traveling with patients leave higher nurse-patient ratios remaining on the unit. METHODS: Prospective observation was used to assess relationships between neurologic assessment, documentation, and the amount of time spent traveling with patients...
October 2018: Journal of Neuroscience Nursing: Journal of the American Association of Neuroscience Nurses
Brett G Mitchell, Anne Gardner, Patricia W Stone, Lisa Hall, Monika Pogorzelska-Maziarz
BACKGROUND: Previous literature has linked the level and types of staffing of health facilities to the risk of acquiring a health care-associated infection (HAI). Investigating this relationship is challenging because of the lack of rigorous study designs and the use of varying definitions and measures of both staffing and HAIs. METHODS: The objective of this study was to understand and synthesize the most recent research on the relationship of hospital staffing and HAI risk...
June 13, 2018: Joint Commission Journal on Quality and Patient Safety
Marie-Astrid Vinckx, Inge Bossuyt, Bernadette Dierckx de Casterlé
BACKGROUND: The international nursing shortage has implications for the quality and safety of patient care. Various studies report that nurses do not have time to complete all necessary nursing care tasks, potentially resulting in nurse-perceived time pressure. Providing good care in the current nursing environment often poses a real ethical challenge for nurses. How nurses experience caring for cancer patients under time pressure and how they deal with the limited time available in achieving an ethical nursing practice remains unclear...
July 25, 2018: International Journal of Nursing Studies
Juh Hyun Shin
AIMS: To examine the relationship between nurse staffing and quality of care of nursing home residents, longitudinally. BACKGROUND: Mixed results abound on the relationship between nurse staffing and quality of care of residents in nursing homes. Cross-sectional designs may underpin bias because the relationship between staffing and quality emerges over time, with latent unobserved variables. To offset this limitation, I used a longitudinal design in this study...
July 24, 2018: Journal of Nursing Scholarship
JiSun Choi, Peggy Miller
PURPOSE: To examine nurse working conditions and outcomes (job satisfaction, intent to stay, and RN-rated quality of care) among registered nurses (RNs) with different perceptions of patient assignments. DESIGN AND METHODS: A descriptive study was conducted using data from 106,439 RNs in 751 acute care hospitals that participated in the National Database of Nursing Quality Indicators® (NDNQI® ) RN Survey. To compare the nurse working conditions and three outcomes by the two RN groups on perceptions of patient assignment, chi-square and t tests were performed with Stata version 14...
September 2018: Journal of Nursing Scholarship
Jane Greaves, Deborah Goodall, Andrea Berry, Suman Shrestha, Annette Richardson, Pauline Pearson
OBJECTIVES: To review current methods for informing nurse workforce decisions in critical care. Many clinical outcomes are worse if staffing is inadequate. Workforce planning is usually according to guidelines developed from the opinions of expert groups. Objective systems for planning and distributing staff have been developed but their value is unclear. DESIGN: A rapid review methodology was employed. REVIEW METHODS: The search included research studies, guidelines and surveys within and outside United Kingdom since 1995...
October 2018: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
Aled Jones, Helen Whyley, Joanna Doyle, Lesley Bevan
Nurses and the environment in which they work have an important role in patient safety and quality of care. Evidence demonstrates a link between lower nurse staffing levels and higher nurse workloads on hospital wards with adverse patient outcomes such as increased mortality, infections, falls and hospital stay, as well as adverse effects on staff well-being. Therefore, ensuring adequate numbers of nurses are on duty and available to care for patients safely has become a crucial task for nurses and hospital managers...
July 30, 2018: Nursing Standard
Christine Duffield, Michael Roche, Di Twigg, Anne Williams, Samantha Rowbotham, Sean Clarke
AIMS AND OBJECTIVES: To explore the impact of an initiative to add unregulated nursing support workers to wards in acute care hospitals. BACKGROUND: Adding nursing support workers to existing nurse staffing may be one solution to reduce nursing workloads and improve outcomes. However, the effects of this addition on nurse, patient and system outcomes are not well documented. In one state of Australia, a trial deployment of nursing support workers to wards across the public health system provided opportunity for the exploration of their impact in a natural, real-world, environment...
October 2018: Journal of Clinical Nursing
Arlene Swan-Mahony, Lois S Sadler, Jane Dixon
In outpatient settings, the role of nursing has shifted from episodic, reactive care to management of patients with higher acuity. In a pediatric outpatient clinic specializing in burn injuries, it became apparent that the lack of an acuity tool to measure patient complexity challenged efficient nurse staffing and patient satisfaction. In this quality improvement project, we developed a patient acuity tool to help determine nurse staffing, improve workload efficiencies, and improve the delivery of care.
July 2018: Journal of Nursing Administration
Charlene Harrington, Toby S Edelman
Large for-profit nursing home chains in the United States have generally reported low nurse staffing levels. This historical case study examined a class action litigation case regarding staffing levels, resident rights, and quality outcomes in 12 Arkansas nursing homes owned by a large for-profit chain. The questions were as follows: (1) How did the residents' care needs compare with actual nurse staffing levels? (2) How did the staffing levels compare with federal and state nurse staffing requirements and professional staffing standards? (3) Did the facilities comply with state and federal residents' rights and quality of care requirements? The findings showed staffing levels marginally above state minimum standards, staffing shortages that violated state standards, staffing levels not adjusted for resident acuity, and shortages that resulted in omitted care...
January 2018: Inquiry: a Journal of Medical Care Organization, Provision and Financing
Ashagre Molla Assaye, Richard Wiechula, Timothy J Schultz, Rebecca Rosamaria Feo
The objective of this review is to demonstrate the effect of nurse staffing on patient and nurse workforce outcomes in acute care settings in low and middle income countries.
July 17, 2018: JBI Database of Systematic Reviews and Implementation Reports
Jonathan Drennan, Christine Duffield, Anne Philomena Scott, Jane Ball, Noeleen M Brady, Aileen Murphy, Darren Dahly, Eileen Savage, Paul Corcoran, Josephine Hegarty, Peter Griffiths
AIM: The aim of this research is to measure the impact that planned changes to nurse staffing and skill-mix have on patient, nurse, and organizational outcomes. BACKGROUND: It has been highlighted that there are several design limitations in studies that explore the relationship between nurse staffing and patient, nurse and organizational outcomes; not least that the vast majority of research in this area emanates from studies that are predominantly observational in design...
July 17, 2018: Journal of Advanced Nursing
Chloe C Kimball, Christine I Nichols, Ryan M Nunley, Joshua G Vose, Jeffrey B Stambough
BACKGROUND: This study examined the correlation between publicly reported indicators of skilled nursing facility (SNF) quality and clinical outcomes after primary total knee arthroplasty (TKA) and total hip arthroplasty (THA). METHODS: This retrospective analysis used Medicare claims from the Centers for Medicare and Medicaid Services 100% Standard Analytic File (2014-2015) that were linked to SNF quality star ratings from the Centers for Medicare and Medicaid Services Nursing Home Compare database...
June 27, 2018: Journal of Arthroplasty
Yiyang Yuan, Christopher Louis, Howard Cabral, Jeffrey C Schneider, Colleen M Ryan, Lewis E Kazis
OBJECTIVES: The Centers for Medicare & Medicaid Services Nursing Home Compare (NHC) serves as the most comprehensive repository of Medicaid- and/or Medicare-certified nursing homes providing services to approximately 1.4 million US residents. A gap in the literature exists in understanding on the national level whether residents from socioeconomically disadvantaged counties experience disparities in the access to nursing homes with higher NHC star ratings. The study aimed to examine nursing home quality variations with regard to county-level socioeconomic, geographic, and metropolitan status, while adjusting for nursing home facility-level characteristics...
July 5, 2018: Journal of the American Medical Directors Association
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