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From the Perspective of CEOs: What Motivates Hospitals to Embrace Cultural Competence?
09-19-10
The quality domains of patient-centered and equitable care are increasingly relevant to today's healthcare leaders as hospitals care for patients with increasingly diverse cultural and linguistic needs. Hospital leaders face substantial tensions in defining their organization's strategic priorities...
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Changes in Nurse Satisfaction in California, 2004 to 2008
07-11-10
AIM: To examine whether there were improvements in the satisfaction of hospital-employed registered nurses (RNs) in the mid-2000s.
BACKGROUND: In recent years, many hospitals have made efforts to improve workplace characteristics, in order to improve nurse satisfaction and retention. There has...
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Nurses Who Do Not Nurse: Factors That Predict Non-Nursing Work in the U.S. Registered Nursing Labor Market
07-10-10
Registered nurses (RNs) who work outside of nursing have seldom been examined. This aim of this study was to compare the 122,178 (4%) of RNs who are employed outside of nursing to those who work in nursing jobs in terms of sociodemographic, market, and political variables to determine if these...
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Nurses Who Do Not Nurse: Factors that Predict Non-Nursing Work in the U.S. Registered Nursing Labor Market
07-01-10
Registered nurses (RNs) who work outside of nursing have seldom been examined. This aim of this study was to compare the 122,178 (4%) of RNs who are employed outside of nursing to those who work in nursing jobs in terms of sociodemographic, market, and political variables to determine if these...
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Directory of Nursing Schools and Programs
06-10-10
Web directory of US nursing schools and programs (7,700+ programs, from 2,300+ schools).
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Physician Assistant and Nurse Practitioner Staffing Patterns in California's Licensed Community Clinics: 2005 - 2008
06-01-10
Physician assistants (PAs) and nurse practitioners (NPs) play a critical role in the delivery of primary care in California’s licensed community clinics. Between 2005 and 2008, however, clinics increasingly relied on PAs and NPs as care providers. The use of PAs increased more than the use of NPs....
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Medical Assistants in Community Clinics: Perspectives on Innovation in Role Development
06-01-10
There has been growing interest in expansion of the role of medical assistants (MAs) in community clinics, where their utilization has increased in recent years. Ten clinics identified as using MAs in an expanded capacity were studied for this brief. Innovative roles typically involved the...
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Improving Oral Health Care Systems through Workforce Innovations
06-01-10
The objective of this paper is to describe the purpose, rationale and key elements of the special issue, Improving Oral Healthcare Delivery Systems through Workforce Innovations. The purpose of the special issue is to further develop ideas presented at the 2009 Institute of Medicine (IOM) workshop...
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A Review of California Office of Statewide Health Planning and Development, Health Workforce Pilot Projects Program 1973-2007
05-13-10
California’s Health Workforce Pilot Projects (HWPP) program was established in 1972 and is administered by the Office of Statewide Health Planning and Development. The HWPP program offers an opportunity to safely demonstrate and evaluate new approaches to care delivery before changing laws and...
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Payment Regulations for Advanced Practice Nurses: Implications for Primary Care
05-01-10
The shortage of primary care providers (PCPs) in the United States may be worsened with health reform if more individuals receive health insurance coverage. Previous research suggests that Advanced Practice Registered Nurses (APRNs) can provide as high quality care and achieve the same health...
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Implications of the California Nurse Staffing Mandate for Other States
05-01-10
Objectives To determine whether nurse staffing in California hospitals, where state-mandated minimum nurse-to-patient ratios are in effect, differs from two states without legislation and whether those differences are associated with nurse and patient outcomes.
Data Sources Primary survey data from...
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2008-2009 Annual School Report: Data Summary and Historical Trend Analysis
03-24-10
Each year, the California Board of Registered Nursing (BRN) requires all pre-licensure registered nursing programs in California to complete a survey detailing statistics of their programs, students and faculty. The survey collects data from August 1 through July 31 of the following year....
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Recent Findings about California’s RN Workforce
02-10-10
The 2008 Survey of Registered Nurses gathered data on the licensed nursing workforce in California, including race/ethnicity, education, hours worked, and job satisfaction. This presentation shares findings from this survey as well as the 2009 Forecasts of the Registered Nursing Workforce in...
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The Increasing Role of Medical Assistants in Small Primary Care Physician Practice: Key Issues and Policy Implications
02-01-10
The purpose of this project was to understand the role of medical assistants in solo and small primary care physician practices. The study team described the background, training, and certification of medical assistants, assessed the gaps in their training, and discussed the impact these gaps may...
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Staffing Patterns in California’s Licensed Community Clinics: Registered Nurses, Licensed Vocational Nurses, and Medical Assistants
02-01-10
This issue brief describes utilization of Registered Nurses (RN), Licensed Vocational Nurses (LVN), and medical assistants (MA) over the period 2005-2008. We found that the proportion of clinic sites reporting utilization of RNs and LVNs generally did not change during this period, while use of...
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Advancing Effective Communication, Culturally Competence, Patient and Family-Centered Care: National Commission to Create a Roadmap and Guidance for Hospitals
01-01-10
The Joint Commission developed Advancing Effective Communication, Cultural Competence, and Patient- and Family-Centered Care: A Roadmap for Hospitals to inspire hospitals to integrate concepts from the fields of communication, cultural competence, and patient- and family-centered care into their...
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Achieving Quality in Health Care Through Language Access Services: Lessons from a California Public Hospital
01-01-10
Provision of language services is central to the delivery of equitable, safe, high-quality health care for patients with limited English proficiency. However, there are many barriers to ensuring access to such services. We analyzed the experience of a model language service program at a public...
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Improving Access to Health Care in California: Testing New Roles for Providers
12-01-09
This issue brief examines the State of California’s Health Workforce Pilot Projects Program, which promotes demonstrations to test new practice models for improved care delivery by: 1) granting temporary legal waivers for providers to perform additional duties; 2) creating new provider categories;...
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Comparative Snapshot of Four Allied Health Occupations in California: Community Health Workers, Medical Assistants, Certified Nurse Assistants and Home Health Aides
11-17-09
Community health workers (CHWs), medical assistants (MAs), certified nurse assistants (CNAs), and home health aides (HHAs) are among California’s most highly demanded and largest allied health groups. This issue brief summarizes the estimated numbers, average wages, employment settings, duties, and...
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Enhancing Faculty Mentoring of Medical Students
11-03-09
Background: Mentors are important in the personal and professional development of medical students. Little is known about how the structure of a mentoring program impacts on student‐faculty relationships.
Description: To evaluate and compare 2 structurally different mentoring programs at Stanford...
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Addressing Children's Oral Health in the New Millennium: Trends in the Dental Workforce
11-01-09
Oral Health in America: A Report of the Surgeon General (SGROH) and National Call to Action to Promote Oral Health outlined the need to increase the diversity, capacity, and flexibility of the dental workforce to reduce oral health disparities. This paper provides an update on dental workforce...
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How Have Mandated Nurse Staffing Ratios Impacted Hospitals? Perspectives from California Hospital Leaders
10-01-09
In 2004, California became the first state to implement minimum-nurse-staffing ratios in acute care hospitals. We examined the wages of registered nurses (RNs) before and after the legislation was enacted. Using four data sets — the National Sample Survey of Registered Nurses, the Current...
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Evaluating Success: Strategies and Challenges for Understanding IT Implementations in a Rural Hospital
10-01-09
In 2004, a small rural hospital in California received a grant for the implementation of an integrated IT system. As part of the grant, the hospital worked with a university team to evaluate the implementation. The evaluation plan emphasized quantitative analysis of medication errors, patient...
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Forecasts of the Registered Nurse Workforce in California, 2009
09-29-09
This report presents supply and demand forecasts for the Registered Nurse (RN) workforce in California from 2009 through 2030. These forecasts are based on data from the 2008 California Board of Registered Nursing (BRN) Survey of Registered Nurses, the US Bureau of Health Professions (BHPr) 2004...
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IT Implementation in a Rural Hospital: A Cautionary Tale
09-01-09
An increasing number of hospitals are implementing electronic medical records and other information technology (IT), and national policy is focused on fostering expansion of these systems. In September 2004, a 100-bed acute care hospital in a rural community was awarded a grant to implement and...
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Can a Four-Dimensional Model of Occupational Commitment Help to Explain Intent to Leave the Emergency Medical Service Occupation?
09-01-09
Using a sample of 854 emergency medical service (EMS) respondents, this study supported a four-dimension model of occupational commitment, comprised of affective, normative, accumulated costs, and limited alternatives. When personal and job-related variables were controlled, general job...
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Evaluation of the Centralized Clinical Placement System (CCPS) and the Centralized Faculty Resource Center (CFRC)
08-01-09
Nursing schools have reported a lack of clinical placement sites and insufficient numbers of qualified nursing faculty as two of the prominent barriers to expansion of their nursing programs. The Centralized Clinical Placement System (CCPS) and the Centralized Faculty Resource Center (CFRC) are two...
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Do Wages Matter? A Backward Bend in the 2004 California RN Labor Supply
08-01-09
Using data from the 2004 California Board of Registered Nursing Survey, a two-stage least-square equation was estimated to examine the effect of wages on hours worked by female registered nurses. Wages were found to have a nonlinear effect on hours worked, with a backward bending supply curve....
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California Board of Registered Nursing 2008 Survey of Registered Nurses
07-06-09
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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The Utilization of Medical Assistants in California’s Licensed Community Clinics
07-01-09
Medical Assistants (MAs) play a key role as clinical support staff in California’s licensed community clinics. This issue brief examines patterns in community clinic utilization of MAs over the period 2005-2007. Key themes presented include overall community clinic growth (clinic sites &...