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"Nurse Staffing"

Soubhik Paul, Palanisamy Krishnamoorthy, M S Dinesh, Swaminathan Kailash, Nagaraju Bussa, Shiva Mariyanna
Nurse workforce optimization and scheduling in hospital units is a complex data science and operation research problem. Traditional manual estimation and preparation of nurse staffing and scheduling with the help of a subject matter expert might leads to over staffing or under staffing of different type of nurses such as core, float pool, overtime and agency, which impacts the patient care delivery and cost significantly. The situation becomes worse in case of emergency department as the patient head on bed occupancy is very dynamic in nature and many times the department might be overcrowded with no beds for the patients...
July 2018: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
Heather L Tubbs-Cooley, Constance A Mara, Adam C Carle, Barbara A Mark, Rita H Pickler
Importance: Quality improvement initiatives demonstrate the contribution of reliable nursing care to gains in clinical and safety outcomes in neonatal intensive care units (NICUs); when core care is missed, outcomes can worsen. Objective: To evaluate the association of NICU nurse workload with missed nursing care. Design, Setting, and Participants: A prospective design was used to evaluate associations between shift-level workload of individual nurses and missed care for assigned infants from March 1, 2013, through January 31, 2014, at a 52-bed level IV NICU in a Midwestern academic medical center...
November 12, 2018: JAMA Pediatrics
Jane Banaszak-Holl, Orna Intrator, Jiejin Li, Qing Zheng, David G Stevenson, David C Grabowski, Richard A Hirth
BACKGROUND: Standardization in production is common in multientity chain organizations. Although chains are prominent in the nursing home sector, standardization in care has not been studied. One way nursing home chains may standardize is by controlling the level and mix of staffing in member homes. OBJECTIVES: To examine the extent to which standardization occurred in staffing, its relative presence across different types of chains, and whether facilities became more standardized following acquisition by a chain...
December 2018: Medical Care
Douglas M Sloane, Herbert L Smith, Matthew D McHugh, Linda H Aiken
BACKGROUND: Evidence shows hospitals with better nursing resources have better outcomes but few studies have shown that outcomes change over time within hospitals as nursing resources change. OBJECTIVES: To determine whether changes in nursing resources over time within hospitals are related to changes in quality of care and patient safety. RESEARCH DESIGN: Multilevel logistic response models, using data from a panel of 737 hospitals in which cross-sections of nurse informants surveyed in 2006 and 2016, were used to simultaneously estimate longitudinal and cross-sectional associations between nursing resources, quality of care, and patient safety...
December 2018: Medical Care
Eileen T Lake, Douglas O Staiger, Emily Cramer, Linda A Hatfield, Jessica G Smith, Beatrice J Kalisch, Jeannette A Rogowski
The health outcomes of infants in neonatal intensive care units (NICUs) may be jeopardized when required nursing care is missed. This correlational study of missed care in a U.S. NICU sample adds national scope and an important explanatory variable, patient acuity. Using 2016 NICU registered nurse survey responses ( N = 5,861) from the National Database of Nursing Quality Indicators, we found that 36% of nurses missed one or more care activities on the past shift. Missed care prevalence varied widely across units...
October 26, 2018: Medical Care Research and Review: MCRR
Yunmi Kim, Jiyun Kim, Soon Ae Shin
BACKGROUND: Nurses play crucial roles in cardiopulmonary resuscitation after perioperative cardiac arrest (PCA), and the level of nurse staffing is thought to influence the survival rate for cardiac arrest. However, no previous study has investigated the survival rate after PCA in Korea. In addition, nurse staffing levels in Korea are relatively low and their legal standard is not widely followed. OBJECTIVES: This study investigated the relationships between nurse staffing level and survival after PCA in Korean hospitals using inpatient National Health Insurance (NHI) claim data...
October 1, 2018: International Journal of Nursing Studies
(no author information available yet)
No abstract text is available yet for this article.
November 2018: American Journal of Nursing
Jae-Hyun Kim
After the implementation of a policy differentiating inpatient nursing fees, no study is found in the nursing literature for intensive care unit (ICU) patients admitted with cardiovascular (CV) disease exclusively in Korea. This study investigates the relationship between ICU nurse staffing and 30-day mortality using large representative claim database.National Health Insurance Service-Senior (NHIS-Senior) claim database from 2002 to 2013, which was released by the Korean National Health Insurance Service (KNHIS), was used in this study...
October 2018: Medicine (Baltimore)
Anna Song Beeber, Sheryl Zimmerman, C Madeline Mitchell, David Reed
OBJECTIVES: To examine the health services provided in residential care and assisted living (RC/AL), the staff providing these services, and the degree to which the services relate to state-level nurse delegation policies and other correlates of service provision. DESIGN: This cross-sectional study descriptively examined the relationships among RC/AL characteristics, services, staffing, and nurse delegation regulations/policies. SETTING: RC/AL settings (N=245) in 8 U...
November 2018: Journal of the American Geriatrics Society
Ari Min, Hye Chong Hong
The aim of this study was to examine the effect of nurse staffing on both rehospitalizations and emergency department emergency department visits among short-stay nursing home residents in the United States. Data for 11,132 US nursing homes were drawn from the 2016 Nursing Home Compare. We found that the Five-Star Quality Rating System's staffing rating is a significant predictor for the rates of rehospitalization and emergency department visit among short-stay nursing home residents. The results also showed the importance of registered nurse staffing in nursing home caring for short-stay residents...
October 3, 2018: Geriatric Nursing
Jenn Gonya, Tondi Harrison, Keith Feldman, Melanie Stein, Nitesh Chawla
AIMS: This pilot study explored how maternal stress experienced in the neonatal intensive care unit (NICU) is affected by the individual nursing structure and the network that provides care to extremely preterm infants. BACKGROUND: Mothers experience high stress when their extremely preterm infants are hospitalized in the NICU. This often translates into maladaptive parenting behaviours that negatively affect the long-term cognitive, social, and emotional development of the infant...
September 20, 2018: Journal of Nursing Management
F Dexter, R H Epstein
No abstract text is available yet for this article.
October 2018: British Journal of Anaesthesia
Malin Knutsen Glette, Tone Kringeland, Olav Røise, Siri Wiig
BACKGROUND: Hospital readmissions is an increasingly serious international problem, associated with higher risks of adverse events, especially in elderly patients. There can be many causes and influential factors leading to hospital readmissions, but they are often closely related, making hospital readmissions an overall complex area. In addition, a comprehensive coordination reform was introduced into the Norwegian healthcare system in 2012. The reform changed the premises for readmissions with economic incentives enhancing early transfer from secondary to primary care, making research on readmissions in the municipalities more urgent than ever...
September 19, 2018: BMC Health Services Research
Kathleen Carey, Shibei Zhao, A Lynn Snow, Christine W Hartmann
Ensuring quality of care in nursing homes is a public health priority, yet how nursing home quality relates to cost is not well understood. This paper addresses this relationship for 132 VA community living centers (nursing homes), for fiscal years 2014 and 2015. We estimated cost models using the VA Decision Support System which tracks total direct costs and nursing direct costs for individual resident segments of care. We summed residents' total costs and nursing costs to the community living center level for each year...
2018: PloS One
Nicholas Woolfe Loftus, Duncan Smith
Deteriorating patients often present with suboptimal vital signs. If these are not recognised by healthcare staff, the patient's condition can deteriorate further, potentially leading to serious complications and even death. Despite efforts to improve ward nurses' recognition of, and responses to, deteriorating patients, this aspect of care has been found to be suboptimal. AIM: To identify factors that influence ward nurses' responses to deteriorating patients. METHOD: A literature review was undertaken, based on the research question 'What factors influence the trigger component of ward-based registered nurses' afferent response to deteriorating patients?' Several electronic databases were searched electronically to identify relevant articles, alongside hand-searching...
September 18, 2018: Nursing Standard
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...
October 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
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