Research Publications

Despite California’s population becoming increasingly diverse, the current health workforce has yet to reflect these demographic shifts; however, Nurse Practitioners (NPs) play a critical role in addressing gaps in primary care access across the state. In 2023, California implemented new…

Highlights: The U.S. cesarean birth rate was 32.4% in 2023 and continues to increase each year. Avoiding morbidity and mortality risk associated with cesarean birth is critical. RN staffing during labor and birth is linked to cesarean rates. RN staffing aligned with national standards…

Midwives are licensed clinicians who play a key role in the maternity care workforce. In California, licensed midwives (LMs) and nurse-midwives (NMs) provide comprehensive, person-centered care focused on pregnancy, childbirth, and the postpartum period. To better understand the midwife workforce…

Is nurse practitioner (NP) care associated with end-of-life outcomes for nursing home residents with Alzheimer disease and related dementias (ADRD), and do these associations differ between states with full versus restrictive NP scope of practice regulations? The results of this cohort study…

Nurse turnover can compromise the quality and continuity of home health care. Scope of practice laws, which determine the tasks nurses are allowed to perform and delegate, are an important element of autonomy and vary across states. In this study, researchers used human resource records from a…

Patients with language barriers suffer significant health disparities, including adverse events and poor health outcomes. While remote language services can help improve language access, these modalities remain persistently underused. The objective of this study was to understand clinician…

This study aimed to explore the association of nurses’ perceptions of patient safety climate with missed nursing care in labor and delivery (L&D) units. We recruited nurse respondents via email distribution of an electronic survey between February 2018 and July 2019. Hospitals with L&D…

Drug overdoses have reached a historic milestone of over 100,000 deaths in a single year, 75,673 related to opioids. The acceleration in opioid-related deaths coupled with stark health inequities demands a close examination of opioid use disorder (OUD) treatment barriers and swift consideration of…

Designing interprofessional primary care teams composed of physicians and nurse practitioners (NPs) is a national priority. We assessed how profession and gender affect teamwork and job satisfaction among primary care physicians and NPs by using survey data from 186 physicians and 398 NPs…

A healthcare workforce representative of the race/ethnicity composition of the population it serves is central to addressing systemic health inequities. The aim of this study was to assess workforce trends of underrepresented minority (URM) nurses using the National Sample Survey of Registered…

There are few educational programs in the United States that have a primary focus on preparing nurses to engage in all levels of public health, health policy, and climate change. The United Nations sustainability development goals (SDG) and the Future of Nursing 2020-2030: Charting a Path to…

The 2020-21 Board of Registered Nursing (BRN) School Survey was based on prior BRN surveys and modified based on recommendations from the Nursing Education & Workforce Advisory Committee (NEWAC), which consists of nursing education and industry stakeholders from across California. The…

Kalisch and colleagues developed one of the reliable and valid measures of missed nursing care, the MISSCARE survey, which has been used extensively in medical surgical care and has been adapted to pediatric and neonatal intensive care. Our team previously adapted the MISSCARE Survey for…

Registered nurses (RNs) are a key component of the long-term care (LTC) workforce and prior research demonstrates their importance to ensuring patient safety in LTC settings. RNs who work in LTC settings earn less than those who work in hospitals and also are more likely to be from racial and…

This study seeks to measure wage differences between registered nurses (RNs) working in long-term care (LTC) (eg, nursing homes, home health) and non-LTC settings (eg, hospitals, ambulatory care) and whether differences are associated with the characteristics of the RN workforce between and within…

Over a decade following the nationwide push to implement electronic health records (EHRs), the focus has shifted to addressing the cognitive burden associated with their use. Labor and delivery nurses may encounter unique challenges when using EHRs because they also interact with an electronic…

Job satisfaction is a critical component of the professional work environment and is often ascertained through surveys that include structured or open-ended questions. Differences between the job satisfaction clusters were mostly driven by satisfaction with workload, adequacy of the clerical…

During the COVID-19 pandemic, numerous concerns about the nursing workforce have been reported. This study used data from two surveys conducted in California to assess the current and future supply and demand of RNs and to learn how the coronavirus pandemic is affecting this essential workforce.

The 2019-2020 Board of Registered Nursing (BRN) School Survey was designed to provide comparable data to prior surveys and was updated based on recommendations from the Board'sNursing Education and Workforce Advisory Committee. The School Survey is primarily intended to collect data on pre-…

The 2019-20 Board of Registered Nursing (BRN) School Survey was based on prior BRN surveys and modified based on recommendations from the Nursing Education & Workforce Advisory Committee (NEWAC), which consists of nursing education and industry stakeholders from across California. The…

The 2019-2020 Board of Registered Nursing (BRN) School Survey was designed to provide comparable data to prior surveys and was updated based on recommendations from the Board's Nursing Education and Workforce Advisory Committee. The School Survey is primarily intended to collect data on pre-…

There are indeed many pressing questions and issues facing the discipline of Nursing including significant numbers of faculty retirements, concerns about the rigor of nursing PhD programs, declines in PhD enrollments, and the persistent lack of diversity across many domains among nursing faculty.…

This article examines the relationship between federal regulations, state scope-of-practice regulations on nurse practitioners (NPs), and buprenorphine prescribing patterns using pharmacy claims data from Optum’s deidentified Clinformatics Data Mart between January 2015 and September 2018. The…

Nursing is the single largest health profession in the state. These quick reference guides look at supply, demographics, education, distribution, and pay for registered nurses (RNs) and licensed vocational nurses (LVNs), using the most recent data available. Key findings include: Non-White RNs…

The coronavirus disease 2019 (COVID-19) disrupted the education and clinical training of nursing students. Clinical sites shut out students over low equipment supplies, physical distancing requirements, and redeployment of staff. The purpose of this paper is to highlight a progressive solution to…

Between February 2020 when the COVID-19 pandemic began and August 2020, the nation has watched over 5.2 million individuals become infected and over 167,000 deaths. Unfortunately, many of the infections and deaths have been nursing home residents and staff. To date, the Centers for Medicare…

Country-level data suggest large differences in the supply of health professionals among European countries. However, little is know about the regional supply of health professionals taking a cross-country comparative perspective. The aim of the study was to analyse the regional distribution of…

The objective of this study was to explore how home care workers and the agencies that employ them interact with their state’s nurse practice act in the provision of care. Using a qualitative case study approach, they selected four states with varying levels of restrictiveness in their nurse…

The delivery of medical care services in US nursing homes (NH) is dependent on a workforce comprised of physicians, nurse practitioners (NP), and physician assistants (PA). Each of these disciplines operate under a unique regulatory framework while adhering to common standards of care. NH provider…

Patient safety is a global concern, yet little is known about how and whether perceptions of patient safety culture (PSC) vary by nurses' countries of origin and preparation. This is particularly important in American nursing homes (NHs), which are increasingly hiring non-US born and prepared…