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Chapter 56: Nurse Staffing Ratios: Policy Options
01-28-20
Policy & Politics in Nursing and Health Care, 8th Edition continues to be the leading text on nursing action and activism. Approximately 150 expert contributors present a wide range of topics in policies and politics, providing a more complete background than can be found in any other policy...
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Frequency of Violence Toward Health Care Workers in United States Inpatient Psychiatric Hospitals: A Systematic Review of Literature
01-01-20
The purpose of this systematic review is to determine the frequency of violent or aggressive behaviour towards healthcare workers in inpatient psychiatric settings in the United States. To achieve this aim, five databases were searched to find English-language quantitative studies reporting...
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Constructing Matched Groups in Dental Observational Health Disparity Studies for Causal Effects
01-01-20
Electronic health record (EHR) systems provide investigators with rich data from which to examine actual impacts of care delivery in real-world settings. However, confounding is a major concern when comparison groups are not randomized. This article introduced a step-by-step strategy to construct...
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Left Behind in California: Comparing Community Paramedicine Policies Across States
11-14-19
Community paramedicine is a growing health care model in which emergency medical professionals such as paramedics and emergency medical technicians (EMTs) work beyond their traditional emergency care roles and provide nonemergency care. This model is based on local need and seeks to avoid...
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Developing and Testing Electronic Health Record-Derived Caries Indices
11-01-19
Caries indices, the basis of epidemiologic caries measures, are not easily obtained in clinical settings. This study’s objective was to design, test, and validate an automated program (Valid Electronic Health Record Dental Caries Indices Calculator Tool [VERDICT]) to calculate caries indices from...
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California’s Midwives: How Scope of Practice Laws Impact Care
10-16-19
California and the United States face shortages of qualified clinicians to provide prenatal, labor, and postpartum care, as well as women’s health services.There has been no growth in the number of obstetricians nationwide since 1980 despite increases in the number of women of childbearing age and...
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Supporting the Integration of Community Health Workers in Whole Person Care Pilots
10-11-19
Community health workers (CHWs) are vital contributors to high quality and equitable health services, particularly to vulnerable populations. CHWs provide a key link between community resources and the clinical team as well as advocate on behalf of communities regarding social determinants of...
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Leveraging the State Budget to Implement California Future Health Workforce Commission Recommendations
10-01-19
This report describes provisions of California’s state budget for fiscal year 2019-2020 that either directly fund the California Future Health Workforce Commission's recommendations or fund other initiatives that are consistent with these recommendations. The Commission’s recommendations, released...
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Evaluation of the San Francisco Support at Home Program: Year Two Report
09-24-19
The purpose of this report is to outline the findings from the second year of the San Francisco Support at Home (S@H) program. This report provides some background information on the program, but more information and context can be found in the preliminary report. Overall, the evaluation has two...
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Reducing Educational Debt Among Underrepresented Physicians and Dentists
08-27-19
The rising cost of higher education raises concerns about equitable access to professional education for underrepresented minorities (URMs). This is problematic since URMs play critical roles in the health care field. They often speak patients’ languages and/or relate to them on both cultural and...
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The Impact of Emerging Technologies on Long-Term Care and the Health Workforce
08-01-19
New technological advances could mitigate rising health workforce demand, but will not replace the direct care workforce, according to this report. The report includes a taxonomy of currently available and emerging technology categories based on the products sold by 115 companies, in addition to...
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Home And Community-Based Workforce For Patients With Serious Illness Requires Support To Meet Growing Needs
08-01-19
Home health and personal care aides are one of the largest groups of health care workers in the US, with nearly three million people providing direct care for people with serious illness living in the community. These home care workers face challenges in recruitment, training, retention, and...
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Envisioning an Ideal Health Workforce Data System for California
07-23-19
Seven million Californians, the majority of them Latino, African American, and Native American, live in areas experiencing shortfalls of primary care, dental care, or mental health care providers. Without accurate, robust and timely health workforce data, the state will be unable to adequately...
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CIN Connections, Summer 2019: Leadership for Continuous Change and Improvement
07-18-19
With rising costs, increasing burnout, and a rapidly changing environment, health care leaders may feel like they’re facing an uphill battle. This issue of CIN Connections features tips, advice, and actionable information for health care leaders to effectively lead change in their organizations....
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Practice Patterns of Postgraduate Dental Residency Completers From Select Long-Term HRSA-Funded Primary Dental Care Training Programs
07-15-19
The purpose of this study is to examine practice patterns of graduates of primary care dental postgraduate (PGD) training programs with a longstanding history of Health Resources and Services Administration (HRSA) funding. Primary care fields supported include Advanced Education in General...
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Geriatrician Roles and the Value of Geriatrics in an Evolving Healthcare System
07-08-19
There are insufficient numbers of practicing geriatricians to meet current demand for their services, and the shortage is projected to worsen in the coming decades as the number of older Americans rapidly increases. Understanding how to best leverage geriatricians as members of an overall care team...
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Home Health Aides and Personal Care Assistants: Scope of Practice Regulations and Their Impact on Care
06-27-19
By 2030, California’s senior population will double to 9 million, but the state faces an estimated shortage of 200,000 home health and home care aides. To exacerbate the problem, California’s home health and home care aides are underutilized because of some of the most restrictive scope of practice...
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Adaptation of the Missed Nursing Care (MISSCARE) Survey to the Maternity Care Setting
06-10-19
Missed nursing care is an important measure of nursing care quality that is sensitive to nurse staffing and is associated with patient outcomes in medical–surgical and pediatric inpatient settings. Missed nursing care during labor and birth has not been studied, yet childbirth represents the most...
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Expansion of Dental Care for Low‐Income Children Through a Mobile Services Program
05-29-19
Although access to dental care has improved over time, many children still face difficulty in obtaining services. One strategy to increase access is through mobile dental services, often in collaboration with schools, Head Start programs, and school‐based health centers. This study evaluates a...
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Introduction to the Special Issue on the Workforce for Seriously Ill Older Adults in the Community
05-10-19
In May 2018, 40 leaders and scholars from universities, delivery organizations, professional associations, advocacy groups, government agencies, and private insurance companies convened in Napa, California, for a Workforce Summit organized by the University of California, San Francisco, and...
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Introduction to Special Issue: The Workforce for Seriously Ill Older Adults in the Community
05-10-19
In May 2018, 40 leaders and scholars from universities, delivery organizations, professional associations, advocacy groups, government agencies, and private insurance companies convened in Napa, California, for a Workforce Summit organized by the University of California, San Francisco, and...
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Consensus-Based Recommendations for an Adequate Workforce to Care for People with Serious Illness
05-10-19
The lack of an adequately prepared workforce is a critical barrier to delivering high-quality community-based care for individuals living with serious illness. This article presents 16 consensus-based recommendations to improve the capacity of the workforce in this area within the next 5 years,...
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Adherence to the to Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN) Staffing Guidelines as Perceived by Labor Nurses
05-02-19
The objective of this study was to evaluate the degree to which registered nurses perceive their labor and delivery units to be adhering to Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN) staffing guidelines. In late 2016 and early 2017, labor nurses in selected hospitals in...
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Fundamental Concepts for Managing Risk and Understanding the Total Cost of Care
04-23-19
This resource is designed to serve as a primer for anyone interested in gaining a better understanding of health payment models in California and nationally. It focuses on concepts and terminology related to value-based payment models and to health care delivery models and systems.
The publication...
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CIN Connections, Spring 2019: Managing Financial Risk and Total Cost of Care
04-18-19
This issue of CIN Connections includes strategies to manage total cost of care. It features Mitch Katz, MD, head of the largest public health care system in the country, and other health care leaders across the state who share their experiences managing risk and total cost of care. Included in this...
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Nurse Practitioner and Physician Assistant Waivers to Prescribe Buprenorphine and State Scope of Practice Restrictions
04-10-19
There is a shortage of clinicians authorized to prescribe medications to treat opioid use disorder. Nurse practitioners (NPs) and physician assistants (PAs) were allowed to obtain waivers to prescribe buprenorphine beginning in 2016. They investigated the proportions of NPs and PAs with waivers in...
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Enhancing Psychiatric Mental Health Nurse Practitioner Practice: Impact of State Scope of Practice Regulations
04-10-19
Introduction
Shortages of behavioral health providers, particularly prescribing clinicians, are widespread nationally. Although rapidly increasing numbers of psychiatric mental health nurse practitioners (PMHNPs) could increase access to behavioral health services, state limitations on scope of...
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Demand for Registered Nurses in California: The California Chief Nursing Officer Survey, 2017
03-27-19
Background
This document summarizes the eighth annual survey of hospital registered nurse (RN) employers. The surveys collect data on demand for RNs, changes that have occurred over time, and information specific to the hiring of newly-graduated nurses.
Results
The vast majority of hospital chief...
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Comparing Forecasts of Registered Nurse Supply and Demand for California
03-27-19
Projections of future supply and demand for registered nurses (RNs) have been published by the California Board of Registered Nursing (BRN) since 2005. The forecasts are intended to guide educators, employers, and policymakers to take action to ensure that supply is adequate to meet future health...
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The Association of Nurse Practitioner Scope-of-Practice Laws With Emergency Department Use
03-12-19
Overuse and inappropriate use of emergency departments (EDs) remains an important issue within the US health care system, as an estimated 37% of ED visits involve nonurgent care that could be provided in other care settings such as physician offices and urgent care centers.
Inappropriate ED use has...