- 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…
- This concept paper explores the feasibility of creating opportunities for IHSS workers to play enhanced roles in providing care to their clients and to earn higher wages for fulfilling these roles. Currently there are no training requirements for personal care aides in California, and very few…
- 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…
- The Clinic Leadership Institute (CLI) Emerging Leaders program helps participants become stronger leaders in community health centers throughout California. But how exactly do the learnings from a structured leadership program translate to the unpredictability and complexity of the day-to-day work…
- 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…
- 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…
- 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…
- Widely recognized problems with the U.S. health care system, including rapidly increasing costs and disparities in access and outcomes also exist in oral health. If oral health systems are to meet the "Triple Aim" of improving the experience of care, improving the health of populations, and…
- Report on findings from a 2011 survey of a sample of California physicians regarding the availability of electronic health records in their practices.
- California’s community clinics require strong, committed leaders who can navigate their organizations through an increasingly complex healthcare system and meet the needs of their diverse patient populations. Clinics are facing considerable pressure to adapt to changes brought on by the passage of…
- 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…
- The San Francisco Quality Culture Series (SFQCS) was as a year-long collaborative learning program for clinic leadership teams aimed at building their improvement capacity and skills as leaders of dynamic primary care practices. Twenty-one clinic teams completed the program, which ran from January…
- Objective: To evaluate the effects of different methods of remuneration on the professional behaviour of primary care dentists and associated patient outcomes. Full Publication
- 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…
- More than 8% of employed RNs licensed since 2004 in the United States were educated overseas, yet little is known about the conditions of their recruitment or the impact of that experience on health care practice. This study assessed whether the labor rights of foreign-educated nurses were at risk…
- This report summarizes the findings of a survey conducted in fall 2011 of general acute care hospital employers of registered nurses (RNs) in California. This survey is the second of three annual surveys, with the last survey scheduled for fall 2012. Together, these surveys provide an opportunity…
- OBJECTIVES: To identify the factors and strategies that were associated with successful implementation of hospital-based information technology (IT) systems in US Department of Veterans Affairs (VA) hospitals, and how these might apply to other hospitals. STUDY DESIGN: Qualitative…
- This Brief reviews the main sources of data stakeholders at the national and state level can use to measure education levels among RNs. Each data source is described, with attention to the population of nurses or nursing graduates it represents. Nuances and shortcomings of the data are discussed to…
- This monograph assesses how the Affordable Care Act will influence the demand for health care workers, as well as the nature of care they provide. Full Publication
- Much of the public discussion about health care reform has focused on whether various components of the Affordable Care Act (ACA) are constitutional, and whether the act can be repealed. But an arguably more important question is whether our health care work force is large enough to handle the…
- This paper combines resources from the organization studies and sociology literatures to advance understanding of institutional change processes in health care that emerge from the professionalization projects of occupations. Conceptually, we introduce a model that combines the 'archetype' approach…
- OBJECTIVE: This study compared patient outcomes and staffing in Magnet® and non-Magnet hospitals. BACKGROUND: The pursuit of Magnet designation is a highly regarded program for improving staff and patient outcomes. Research has confirmed that Magnet hospitals provide positive work…
- This survey of nurse practitioners and nurse midwives in California provided information about education, employment, demographics, and the practice of these important advanced practice nurses.
- This survey of clinical nurse specialists in California provided information about education, employment, demographics, and the practice of these important advanced practice nurses.
- New workforce models in dentistry are being explored as potential solutions to improving the dental care delivery system for underserved populations. In 1998, California officially recognized a new dental health profession: the Registered Dental Hygienist in Alternative Practice (RDHAP).…
- This report presents supply and demand forecasts for the Registered Nurse (RN) workforce in California from 2011 through 2030. These new forecasts are based on data from the 2010 California Board of Registered Nursing (BRN) Survey of Registered Nurses, the US Bureau of Health Professions (BHPr)…
- This comprehensive report, sponsored by the California Wellness Foundation, explores the current and future capacity of California’s health care workforce to meet the expected increase in demand resulting from expanded insurance coverage under the Patient Protection and Affordable Care Act (ACA).…
- As reported earlier, nurse practitioners (NPs) and physician assistants (PAs) play a critical role in the delivery of primary care in California, providing the majority of primary care services in over 20% of the state’s community clinics. This follow-up, qualitative research explores how and why…
- Institute of Medicine Report to the US Department of Health and Human Services about the state of oral health in America.
- Efforts to expand access to nursing care and remedy the global nursing shortages are hampered when nurses are unemployed or underemployed. This monograph seeks to fill the gap in understanding on this issue, including nurses who are currently inactive but who might return to nursing work given…