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Leveraging Big Data to Guide Better Nurse Staffing Strategies
07-27-20
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 staffing ratio, which creates a challenge for determining appropriate staffing levels. If increasing nurse...
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Nurse Practitioner Role and Practice Environment in Primary and in Nonprimary Care in California
07-23-20
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 was an increase in nurse practitioners in specialty care. This study explores some differences in...
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Nurse Staffing and Coronavirus Infections in California Nursing Homes
07-07-20
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 found that nursing homes with less than the recommended RN staffing levels, those with lower Medicare...
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Scope-of-Practice for Nurse Practitioners and Adherence to Medications for Chronic Illness in Primary Care
06-24-20
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 policy strategy on medication adherence. Specifically, we examined the effect on adherence of...
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How Collaborative Practice Agreements Impede the Provision of Vital Behavioral Health Services
06-19-20
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 allowing waivers to current SOP restrictions in order to maximize the workforce response to the COVID...
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Service Value Activities by Nurse Practitioners in Ambulatory Specialty Care
06-02-20
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 contribution of NPs in ambulatory specialty care through their activities outside of direct care and...
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Missed Nursing Care During Labor and Birth and Exclusive Breastfeeding During Hospitalization for Childbirth
05-28-20
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 nurses in three states were surveyed about missed nursing care and their maternity units' adherence...
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Forecasts of the Registered Nurse Workforce in California, 2019
05-27-20
This report presents supply and demand forecasts for the Registered Nurse (RN) workforce in California from 2019 through 2035. These new forecasts are based on data from the 2018 California Board of Registered Nursing (BRN) Survey of Registered Nurses, the 2017-2018 BRN Annual Schools Report, data...
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2018 Survey of Registered Nurses
05-01-20
The 2018 Survey of Registered Nurses provides information about the demographics, education, employment, and satisfaction of nurses with California RN licenses.
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Survey of Nurse Employers in California, Fall/Winter 2018-19
04-23-20
This report summarizes the findings from a survey of general acute care hospital employers of registered nurses (RNs) in California conducted in fall 2018 and winter 2019. This is the ninth annual survey of hospital RN employers; these surveys provide an opportunity to evaluate overall demand for...
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There Are Not Nearly Enough Nurses to Handle the Surge of Coronavirus Patients: Here’s How to Close the Gap Quickly
03-31-20
Recent analyses have raised concerns about whether the United States has enough hospital capacity for a surge of patients needing care for COVID-19 infections. But even if we can double or triple the number of intensive care unit (ICU) beds, we don’t have enough nurses to staff them. How can we...
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2018-2019 Annual School Report: Data Summary for Pre-Licensure Nursing Programs
03-11-20
The 2018-2019 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.
This survey...
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2018-2019 Annual School Report: Data Summary and Historical Trend Analysis
02-14-20
The 2018-2019 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.
This...
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Modernizing Scope-of-Practice Regulations — Time to Prioritize Patients
02-13-20
Ongoing payment reforms are pressing health systems to reorganize delivery of care to achieve greater value, improve access, integrate patient care among settings, advance population health, and address social determinants of health. Many organizations are experimenting with new ways of unleashing...
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Admission of First Generation to College Pre-Licensure Master's Entry and Graduate Nursing Students
02-06-20
A growing body of literature is examining the relationships between socio-demographic factors influencing recruitment and retention of students in higher education. The purpose of this study was to explore the characteristics of first generation to college (First-Gen) nursing applicants including...
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Long-Term Services and Supports: Policy Issues (Chapter 36)
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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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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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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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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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...
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CIN Toolkit: Three Strategies to Help Primary Care Teams Treat Substance Use Disorders
01-31-19
This document is a guide for primary care organizations and care teams working to integrate substance use disorder (SUD) treatment services. It provides proven strategies, best practices, and tools used by organizations within California to expand the capability of primary care teams in commercial...
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Primary Care Nurse Practitioners and Physicians in Low-Income and Rural Areas, 2010-2016
01-08-19
Nurse practitioners (NPs) constitute the largest and fastest growing group of nonphysician primary care clinicians. As the primary care physician (PCP) shortage persists, examination of trends in primary care NP supply, particularly in relation to populations most in need, will inform strategies to...
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Regional Forecasts of the Registered Nurse Workforce in California
12-11-18
Some regions of California face nursing shortages, according to new projections of supply and demand through 2035. The forecasts, which account for population growth, population aging, and anticipated changes in the numbers of new registered nurse (RN) graduates, are the first regional projections...
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Regional Forecasts of the Registered Nurse Workforce in California
12-11-18
Some regions of California face nursing shortages, according to new projections of supply and demand through 2035. The forecasts, which account for population growth, population aging, and anticipated changes in the numbers of new registered nurse (RN) graduates, are the first regional projections...
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Exploring Health Economics Course Competencies’ Value for Nurse Administrators
11-28-18
A survey of nursing administrators in the US was conducted to solicit opinions about health economics (HE) course competencies for baccalaureate nursing (BSN) programs. The survey was conducted to provide rationale for intensifying educational efforts to increase nurses’ awareness about the value...