Browse Publications

Leveraging Big Data to Guide Better Nurse Staffing Strategies

A large body of research has documented a relationship between higher nurse-to-patient staffing ratios and better patient outcomes. To date, most studies have not identified an ‘optimal’ nurse...

Author(s): Joanne Spetz
Date: July 27, 2020

A Qualitative Assessment of Barriers and Facilitators to Implementing Recommended Infant Nutrition Practices in Mumbai, India

Childhood malnutrition has been a longstanding crisis in Mumbai, India. Despite national IYCF (Infant Young Child Feeding) guidelines to promote best practices for infant/toddler feeding, nearly one-...

Author(s): Priyanka Athavale, Kristin Hoeft, Rupal Dalal, Ameya Bondre, Piyasree Mukherjee and Karen Sokal-Gutierrez
Date: July 27, 2020

Nurse Practitioner Role and Practice Environment in Primary and in Nonprimary Care in California

The nurse practitioner (NP) role has evolved substantially from its origins in primary care, with NPs increasingly being employed in the medical and surgical specialties. Between 2008 and 2016, there...

Author(s): Shira Winters, Susan A. Chapman, Garrett K. Chan, Karen Duderstadt, and Joanne Spetz
Date: July 23, 2020

Nurse Staffing and Coronavirus Infections in California Nursing Homes

In the US, nursing home residents and staff have been severely impacted by the COVID-19 pandemic. This study compares nursing homes in California with and without COVID-19 positive residents. They...

Author(s): Charlene Harrington, Leslie Ross, Susan Chapman, Elizabeth Halifax, Bruce Spurlock, and Debra Bakerjian
Date: July 7, 2020

Measurement of Nonbillable Service Value Activities by Nurse Practitioners, Physicians Assistants, and Clinical Nurse Specialists in Ambulatory Specialty Care

Revenue-generating health care activities, generally accepted as a measure of productivity, do not account for the full range of health care activities that enhance patient care. We analyzed the...

Author(s): Shira Winter, Garrett Chan, Clair Kuriakose, Karen Duderstadt, Joanne Spetz, Debbie Hsieh, Charlene Platon, and Susan Chapman
Date: June 30, 2020

Scope-of-Practice for Nurse Practitioners and Adherence to Medications for Chronic Illness in Primary Care

Nonadherence to medications is costly and improving adherence is difficult, requiring multifactorial solutions, including policy solutions. The purpose of this study was to evaluate the effect of one...

Author(s): Ulrike Muench, Christopher Whaley, Janet Coffman, and Joanne Spetz
Date: June 24, 2020

Financial Vulnerability and Worker Well-Being: A Comparison of Long-Term Services and Supports Workers With Other Health Workers

Over 1.5 million new jobs need to be filled by 2026 for medical assistants, nursing aides, and home care aides, many of which will work in the long-term services and supports (LTSS) sector. Using 16...

Author(s): Ulrike Muench, Matthew Jura, Joanne Spetz, Rachel Mathison, and Charlene Herrington
Date: June 20, 2020

How Collaborative Practice Agreements Impede the Provision of Vital Behavioral Health Services

The COVID-19 pandemic has pushed issues relating to Scope of Practice (SOP) regulations and restrictions on Nurse Practitioner (NP) practice to the forefront. Many Governors issued Executive Orders...

Author(s): Brendan Martin, Bethany J. Phoenix, and Susan A. Chapman
Date: June 19, 2020

Service Value Activities by Nurse Practitioners in Ambulatory Specialty Care

The increase in nurse practitioners (NPs) in ambulatory medical and surgical specialty settings has prompted inquiry into their role and contribution to patient care. We explored the role and...

Author(s): Shira G. Winter, Karen Duderstadt, Garrett K. Chan, Joanne Spetz, Linda M. Stephan, Erin Marsuda, and Susan Chapman
Date: June 2, 2020

Missed Nursing Care During Labor and Birth and Exclusive Breastfeeding During Hospitalization for Childbirth

The purpose of this study was to determine associations between missed nursing care and nurse staffing during labor and birth, and exclusive breast milk feeding at hospital discharge. Labor and birth...

Author(s): Kathleen Rice Simpson, Audrey Lyndon, Joanne Spetz, Caryl L. Gay, and Gay L. Landstrom.
Date: May 28, 2020