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What Do Health Care Unions Do? A Response to Manthous
05-01-14
In response to Manthous, we discuss the role of unions in health care. The ethical quandary that Manthous perceives in health care worker unions is overstated because patient and worker interests are frequently aligned. The search for a "selfless" union overlooks the importance of adequate...
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California Board of Registered Nursing 2012-2013 Annual School Report: Data Summary for Pre-Licensure Nursing Programs
02-18-14
Development of the 2012-2013 Board of Registered Nursing (BRN) School Survey was the work of the Board's Education Issues Workgroup, which consists of nursing education stakeholders from across California. A list of workgroup members is included in the Appendices. The University of California, San...
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Scope-of-Practice Laws for Nurse Practitioners Limit Cost Savings that can be Achieved in Retail Clinics
11-01-13
Retail clinics have the potential to reduce health spending by offering convenient, low-cost access to basic health care services. Retail clinics are often staffed by nurse practitioners (NPs), whose services are regulated by state scope-of-practice regulations. By limiting NPs’ work scope,...
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Baccalaureate Education in Nursing and Patient Outcomes
11-01-13
OBJECTIVES: The aim of this study was to examine the effects of registered nurse (RN) education by determining whether nurse-sensitive patient outcomes were better in hospitals with a higher proportion of RNs with baccalaureate degrees.
BACKGROUND: The Future of Nursing report recommends increasing...
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The Diversity of California’s Registered Nursing Workforce – 2013 Update
10-09-13
Multiple data sources were analyzed to provide detailed information about the diversity of California’s registered nurse workforce and to develop projections of future diversity.
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California Board of Registered Nursing 2012 Survey of Registered Nurses
10-06-13
The biennial California Survey of Registered Nurses provides information about the demographics, education, and employment of registered nurses in the state.
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Is a Baccalaureate in Nursing Worth It? The Return to Education, 2000-2008
09-15-13
Objective
A registered nurse (RN) license can be obtained by completing a baccalaureate degree (BSN), an associate degree (AD), or a diploma program. The aim of this article is to examine the return to baccalaureate education from the perspective of the nurse.
Data Sources
National Sample Survey...
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Creating a Dashboard to Track Progress Toward IOM Recommendations for the Future of Nursing
08-10-13
This article explains the process used to identify and develop a set of data used to track national progress toward the recommendations of the Institute of Medicine Committee for the Future of Nursing. The data are presented in a dashboard format to visually summarize information and quickly...
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Using Minimum Nurse Staffing Regulations to Measure the Relationship Between Nursing and Hospital Quality of Care
08-01-13
This study tests whether changes in licensed nurse staffing led to changes in patient safety, using the natural experiment of 2004 California implementation of minimum staffing ratios. We calculated counts of six patient safety outcomes from California Patient Discharge Data from 2000 through 2006...
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Patient-Centered Medical Home Model: Do School-Based Health Centers Fit the Model?
08-01-13
School-based health centers (SBHCs) are an important component of health care reform. The SBHC model of care offers accessible, continuous, comprehensive, family-centered, coordinated, and compassionate care to infants, children, and adolescents. These same elements comprise the patient-centered...
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Demand for Temporary Agency Nurses and Nursing Shortages
08-01-13
There is an ongoing debate about the reasons for the growth of temporary employment of registered nurses (RNs). Some argue that efficiency incentives to increase flexibility and reduce labor costs are the principal cause, while others point to shortages of RNs as the stronger determinant. Using...
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Forecasts of the Registered Nurse Workforce in California, 2013
07-24-13
This report presents supply and demand forecasts for the Registered Nurse (RN) workforce in California from 2013 through 2030. These new forecasts are based on data from the 2012 California Board of Registered Nursing (BRN) Survey of Registered Nurses, the U.S. Bureau of Health Professions (BHPr)...
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How Can We Obtain Data on the Demand for Nurses?
07-08-13
Sources related to demand for nurses data are more difficult to find, and also more difficult to interpret relative to supply. When people talk about the "demand" for nurses, they can have multiple concepts in mind. Even if the concept is well-defined, the data may not clearly align with the...
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Internationally Educated Nurses in the United States: Their Origins and Roles
06-28-13
Despite the importance of the internationally educated nurse (IEN) workforce, there has been little research on the employment settings of IENs and other aspects of their employment. We analyzed data from the 2008 National Sample Survey of Registered Nurses to characterize IENs in the United States...
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California Board of Registered Nursing 2011-2012 Annual School Report: Data Summary and Historical Trend Analysis
02-12-13
Development of the 2011-2012 Board of Registered Nursing (BRN) School Survey was the work of the Board's Education Issues Workgroup, which consists of nursing education stakeholders from across California. A list of workgroup members is included in the Appendices. The University of California, San...
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The Research and Policy Importance of Nursing Sample Surveys and Minimum Data Sets
02-01-13
This article reviews the information gathered by the National Sample Survey of Registered Nurses (NSSRN) and other sources of data on the registered nurse (RN) workforce. It examines how the data have been used to create knowledge about the RN workforce and highlights the relative strengths and...
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Projections of the Long-Term Growth of the Registered Nurse Workforce: a Regional Analysis
01-01-13
Providing regional projections of the RN workforce will allow underlying differences in the age structure of the RN workforce to become more visible. By providing regional-level projections, it will also be possible to identify those regions whose RN workforce is expected to grow at a slower rate...
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Are Staffing Changes in California’s Hospitals Sensitive to Individual Hospital Characteristics?
11-11-12
Although differences in nurse staffing have been associated with individual hospital characteristics in the literature, there have been no studies on how these factors may influence nurse staffing changes made after the mandated nurse-to-patient ratios in acute care hospitals in California.
The aim...
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The Impact of the Affordable Care Act on New Jobs
10-19-12
This report explores entry-level and low-skill job opportunities that will expand due to ACA implementation. The analyses draw from estimates of future health worker demand published by the U.S. Bureau of Labor Statistics (BLS) and a unique analysis of the effect of the ACA on job growth developed...
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Round Two, Jobs Idea #9 New Jobs from the Affordable Care Act
10-19-12
Implementation of the Affordable Care Act will stimulate demand for workers in health care services, an industry in which job growth is already strong. Preparing future entry-level employees to join the field, however, calls for establishing sectoral training strategies that align workers’ skills...
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Use of Electronic Health Records by Nurse Practitioners and Nurse Midwives
10-06-12
To encourage the use of EHRs, the federal government created an incentive program for providers who demonstrate meaningful use of EHR technology. In 2011, faculty at the University of California, San Francisco, working on behalf of the California Medicaid Research Institute, developed and conducted...
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California's Minimum Nurse Staffing Legislation: Results from a Natural Experiment
09-21-12
Objective To determine whether, following implementation of California’s minimum nurse staffing legislation, changes in acuity-adjusted nurse staffing and quality of care in California hospitals outpaced similar changes in hospitals in comparison states without such regulations.
Data Sources/Study...
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Predictors of Students' Success in Community College Nursing Programs
09-11-12
Many conceptual models have been applied in the investigation of college retention of nursing students. We tested a model that specifies four general constructs as predictors of student success in nursing education-dispositional factors, career value factors, situational factors, and institutional...
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The Nursing Workforce: a Comparison of Three National Surveys
09-01-12
The termination of the National Sample Survey of Registered Nurses (NSSRN) represents a loss of a key source of information on the nursing workforce that has been available for more than 30 years. At the same time, this loss presents new opportunities to address some of the biases associated with...
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Nursing Testimony Before Congress, 1993-2011
08-01-12
This article describes nurses' testimony before congressional committees between 1993 and 2011. We address three questions: (a) How have trends in nurses' testimony changed over time? (b) What do data reveal about nursing's engagement with health policy issues on the congressional agenda? (c) How...
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Survey of Nurse Employers in California, Spring 2012
07-23-12
This report summarizes the findings of a survey conducted in spring 2012 of Chief Nursing Officers at general acute care hospitals in California, to evaluate the overall demand for RNs in the state. The survey reveals variation in the demand for RNs across California, the lack of positions...
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The Labour Market for Human Resources for Health in Low- and Middle-Income Countries
07-11-12
All low- and middle-income countries (LMIC) have health worker labour markets. Some of these countries’ markets function better than others and all can be improved. What does it mean when experts say there is a “shortage” of health workers? Is there more than one definition of a shortage and if so...
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Editorial: Oral Health
07-05-12
The Institute of Medicine has called for nurses to play a greater role in oral health. Nurses often provide care for the vulnerable populations that are least likely to receive necessary, health-sustaining dental care. The link between mouth care, oral health and systemic health is well documented...
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Patient Turnover as a Moderator of the Relationship between Nurse Staffing and Patient Outcomes
06-01-12
High patient turnover (patient throughput generated by admissions, discharges, and transfers) contributes to increased demands and resources for care. We examined how the relationship between registered nurse (RN) staffing and failure-to-rescue (FTR) varied with patient turnover levels by analyzing...
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The Diversity of California’s Registered Nursing Workforce
05-07-12
The ability of California Registered Nurses (RNs) to provide culturally competent care to Californians is associated with the language skills and diversity of the RN workforce. Moreover, diversity in the RN profession reflects progress in providing opportunities for young people to obtain...