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Relationship Between Nurse Staffing During Labor and Cesarean Birth Rates in US Hospitals
03-01-25
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...
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Policies and Initiatives Impacting Medi-Cal Dental Care: 2014 - 2023
01-09-25
Access to dental care for millions of Californians is tied to coverage by California’s Medicaid (Medi-Cal) Dental insurance program. While child dental coverage is federally mandated, adult dental coverage is optional. In 2009, adult dental coverage was mostly eliminated but was partially...
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California’s Nurse Practitioner Workforce: Understanding Demographics, Education, and Scope of Practice
09-27-24
Nurse practitioners — often referred to as NPs — are the largest group of nonphysician primary care providers and play a growing role in filling gaps in health care provision in both primary care and behavioral health across California. NPs are registered nurses who have completed additional...
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Health Insurance Matters: Insurance Coverage and Health Service Use Among Direct Care Workers in the US
08-30-24
Objectives: Direct care workers (DCWs) play a central role in supporting individuals' health and well-being across care settings, yet may face barriers to accessing health care themselves, particularly because of high rates of uninsurance.
Design: An observational study using pooled National...
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Policy at Healthforce: Learnings and Progress from Year One
06-14-24
Policy at Healthforce is a collective effort that prioritizes systems and policy changes to advance the diversity and skills of workers to produce better economic opportunity and, ultimately, better health for communities of color, statewide public health, and individual health equity.
Guided by...
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Nurse Practitioner Care, Scope of Practice, and End-of-Life Outcomes for Nursing Home Residents with Dementia
05-10-24
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...
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Authorization Status of Dental Therapists by State, 2024
04-30-24
Dental therapists (DTs) are primary dental care practitioners that have been deployed in many countries around the world. There is increasingly strong evidence supporting the safety and effectiveness of DTs, including their ability to promote community-based services and enhance oral health equity...
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State Scope of Practice Restrictions and Nurse Practitioner Practice in Nursing Homes: 2012-2019
02-12-24
Abstract: Increased engagement of nurse practitioners (NPs) has been recommended as a way to address care delivery challenges in settings that struggle to attract physicians, such as primary care and rural areas. Nursing homes also face such physician shortages. We evaluated the role of state scope...
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Perspectives on APRN Prescribing of Medications for Opioid Use Disorder: Key Barriers Remain
11-16-23
Deaths from drug overdoses are rising dramatically in the United States. Treatment for opioid use disorders may include behavioral treatments as well as medications for opioid use disorders (MOUD). Buprenorphine can be prescribed by physicians, nurse practitioners (NPs), other advanced practice...
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Flavored Tobacco and Nicotine Use Among California Adolescents: Preferences by Use Experience and Survey Format Effects
10-01-23
This study assessed flavored tobacco use among adolescent e-cigarette, cigarette, cigar, hookah, and smokeless tobacco users; specific e-cigarette flavor preferences; risk profiles of youth that use various flavors; and the impact of survey question wording on prevalence. Cross-sectional data from...
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COVID-19 Impact on Dental Service Delivery, Financing, Regulation, and Education Systems: An Environmental Scan
07-17-23
The COVID-19 pandemic had a profound impact on all aspects of the oral health care system. The temporary suspension of oral health services impacted patients seeking preventive and restorative dental services with enduring consequences. Dental providers faced threats to job security as well as to...
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Eliminate the Buprenorphine DEA X Waiver: Justification Using a Policy Analysis Approach
01-09-23
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...
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Policy Considerations for Routine Screening for Adverse Childhood Events (ACEs)
07-01-22
In October of 2021, California mandated commercial insurance coverage of screening for adverse childhood experiences (ACEs) in addition to ACEs screening already covered for the Medi-Cal enrollees. California is the first state to expand ACEs screening coverage, but it is possible other states may...
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Beyond State Scope of Practice Laws for Advanced Practitioners: Additional Supervision Requirements for Buprenorphine Prescribing
07-01-22
Buprenorphine is a life-saving medication for people with opioid use disorder (OUD). U.S. federal law allows advanced practice clinicians (APCs), such as nurse practitioners (NPs) and physician assistants (PAs), to obtain a federal waiver to prescribe buprenorphine in office-based practices....
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Climate Change, Public Health, Health Policy, and Nurses' Training
06-01-22
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...
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Changes in U.S. Clinician Waivers to Prescribe Buprenorphine Management for Opioid Use Disorder During the COVID-19 Pandemic and After Relaxation of Training Requirements
05-12-22
The COVID-19 pandemic worsened the opioid overdose crisis. Buprenorphine management for opioid use disorder (OUD) reduces overdose risk and can be offered in office-based settings or via telehealth. Federal regulations require that clinicians complete training and obtain a waiver from the Drug...
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Chapter 24: Containing Healthcare Costs
02-03-22
The only policy text written specifically for APRN students, this preeminent resource delivers a sweeping examination of policy impact on the full implementation of the APRN role across all environments, including its effectiveness on specific patient populations. The expanded third edition—...
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Investing in a 21st Century Health Workforce: A Call for Accountability
09-15-21
The nation requires a workforce adequately sized and educated in the specialty areas needed to address the health needs of all people that practices in the places, settings, and specialties where they are needed most; that works efficiently and effectively; and practices in systems that protects...
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Barriers and Facilitators of Advanced Practice Registered Nurse Participation in Medication Treatment for Opioid Use Disorder
07-01-21
The misuse of opioids is a health crisis in the United States. Medication treatment for opioid use disorder reduces negative health outcomes, but there are widespread shortages of appropriately trained and credentialed providers. Advanced practice registered nurses (APRNs) have recently become...
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COVID-19 and the Health Workforce
10-31-20
The health workforce has been greatly affected by COVID-19. In this commentary, we describe the articles included in this health workforce research supplement and how the issues raised by the authors relate to the COVID-19 pandemic and rapidly changing health care environment.
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Scope-of-Practice Regulation and Nurse Practitioners as Usual Source of Care Providers
10-01-20
Several trends suggest that the nurse practitioner (NP) workforce has untapped potential to expand healthcare capacity to increase access to care. The aim of this study was to examine NPs as usual source of care providers and investigate their relationship with state scope-of-practice regulations.
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Effect of State Regulatory Environments on Advanced Psychiatric Nursing Practice
10-01-20
Although there has been significant progress across states to remove or diminish barriers to the exercise of full scope of practice by advanced practice registered nurses (APRN), state regulations continue to unnecessarily restrict APRN practice in most of the United States. This article integrates...
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These Key Telehealth Policy Changes Would Improve Buprenorphine Access While Advancing Health Equity
09-11-20
Suspected opioid overdose deaths are surging during the COVID-19 pandemic, increasing by more than 40% in May and continuing to rise. The short-term emergency authorizations for audio-only buprenorphine treatment during COVID-19 have helped us reach people previously unable to access treatment, and...
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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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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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California’s Nurse Practitioners: How Scope of Practice Laws Impact Care
09-07-18
Nurse practitioners (NPs) are registered nurses who have completed additional education to prepare them to deliver a broad range of services including the diagnosis and treatment of acute and chronic illnesses. They are one of four categories of advanced practice registered nurses, with the others...
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Peer Providers Uniquely Positioned to Support Long-Term Recovery of People with Mental Health and Substance Use Disorders
05-17-18
According to the National Alliance on Mental Illness, one in five adults experience mental illness in a given year; yet our health care system does not have enough behavioral health workers to meet service demands. Psychiatrists, psychologists, advanced practice nurses, therapists and other...
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California Peer Providers in Transitions of Care
03-16-18
This study explored care models and policies that enhance the utilization of peer providers in California and to identify and describe best practices in peer support roles and practices for individuals with mental health or substance use disorders in California. This research focused on services...
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Improving collection and use of interprofessional health workforce data: Progress and peril
03-25-16
In 2011, the Institute of Medicine released a report calling for the creation of infrastructure to collect and analyze inter professional health workforce data to ensure that the US has an adequate workforce to meet future health care needs. But, very little progress has been made in the five years...