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2020-2021 Annual School Report: Data Summary for Pre-Licensure Nursing Programs
02-25-22
The 2020-21 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. The...
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Geriatric Medicine: Restraints and Immobility (Chapter 118)
02-22-22
Pathy’s Principles and Practice of Geriatric Medicine, Sixth Edition delivers a comprehensive overview of the subject, offering up-to-date, evidence-based, information about the many, and varied, problems suffered by ageing patients. In this latest edition, the authors take a refreshed approach to...
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A Missed Opportunity? How Health Care Organizations Engage Primary Care Clinicians in Formal Social Care Efforts
02-21-22
Health care organizations increasingly recognize the impact of social needs on health outcomes. As organizations develop and scale efforts to address social needs, little is known about the optimal role for clinicians in providing social care. In this study, the authors aimed to understand how...
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A Longitudinal Cohort Study of Opioid Prescriptions Associated with Nonsurgical Dental Visits Among Oregon and New York State Medicaid Beneficiaries, 2014-2016
02-10-22
Studies estimate that approximately one-third of all opioid prescriptions (Rxs) from dentists are associated with nonsurgical dental procedures, which suggests unwarranted opioid use. The authors conducted a retrospective longitudinal cohort study of adult Medicaid beneficiaries using...
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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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Utilization of Community Paramedics to Respond to the COVID-19 Pandemic
02-01-22
Objective
Some health systems and emergency medical services agencies in the United States are leveraging the versatility and experience of community paramedics to meet needs for COVID-19 testing, care, and vaccination. This report describes models of community paramedic practice that communities...
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The Changing Role of Post-baccalaureate Programs in Dental Education
02-01-22
Pre-dental post-baccalaureate programs can help address oral health disparities by improving the diversity of the dental workforce pipeline. While long-term outcomes have had a positive impact on underserved areas and communities, dentists of underrepresented minority or socioeconomically...
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Psychometric Properties of the Perinatal Missed Care Survey and Missed Care During Labor and Birth
02-01-22
Kalisch and colleagues developed one of the reliable and valid measures of missed nursing care, the MISSCARE survey, which has been used extensively in medical surgical care and has been adapted to pediatric and neonatal intensive care. Our team previously adapted the MISSCARE Survey for the labor...
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Characteristics of Multiple Job Holders in Long-term Care
02-01-22
Issue
Health care workers in long-term care (LTC) settings face concerns related to financial security resulting from low wages, inconsistent hours, and a lack of benefits. These factors contribute to higher rates of LTC workers holding multiple jobs. The COVID-19 pandemic has added a new set of...
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Lack of Racial and Ethnic Diversity Among Addiction Physicians
01-31-22
Compared to white individuals, Black, Indigenous, and Latinx individuals have decreased access to addiction care, lower rates of addiction treatment, and higher rates of incarceration, non-fatal overdose, and death. Racial/ethnic concordance between patients and clinicians has been associated with...
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CIN Connections, Winter 2022 — Centering Equity in Health Care Improvement
01-11-22
The California Improvement Network (CIN) is a community of health care professionals committed to identifying and spreading ideas for better primary care delivery. This issue of CIN Connections offers ways to implement quality improvement efforts that intentionally advance health equity in primary...
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Spanish-Speaking Mexican-American Parents’ Experiences While Navigating the Dental Care System for Their Children
01-01-22
The purpose of this study is to describe Mexican-American parents' experiences navigating the dental care system for their children. The study used qualitative interviews to collect data.
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Lower Wages of Nurses in Long-Term Care: Does Racial and Ethnic Diversity Explain the Difference?
12-17-21
Registered nurses (RNs) are a key component of the long-term care (LTC) workforce and prior research demonstrates their importance to ensuring patient safety in LTC settings. RNs who work in LTC settings earn less than those who work in hospitals and also are more likely to be from racial and...
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It’s Not Just the Right Thing...It’s a Survival Tactic: Disentangling Leaders’ Motivations and Worries on Social Care
12-14-21
Health care organizations face growing pressure to improve their patients’ social conditions, such as housing, food, and economic insecurity. Little is known about the motivations and concerns of health care organizations when implementing activities aimed at improving patients’ social conditions....
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Impact of a Well-being Promotion (WelPro) Training Program on APPE Conference Leaders
12-10-21
The objective of this pilot study is to evaluate the attitudes and self-efficacy of Advanced Pharmacy Practice Experience (APPE) Conference Leaders (CLs) after completing the Well-being Promotion (WelPro) training program developed at the University of California, San Francisco (UCSF) School of...
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Innovation Landscape — Solving Shortages: How Technology Can Help Meet California’s Immediate Health Workforce Needs
11-23-21
The health care safety-net system, a patchwork of programs and providers that serve Californians with low incomes, faces unique challenges in recruiting and maintaining its clinical staff due to workforce shortages and inequitable distribution of health care providers across California.
To address...
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Resource Brokering: Efforts to Assist Patients With Housing, Transportation, and Economic Needs in Primary Care Settings
11-01-21
Clinicians and policy makers are exploring the role of primary care in improving patients’ social conditions, yet little research examines strategies used in clinical settings to assist patients with social needs. This study used interviews focused on how organizations develop and implement case...
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The Association of Race, Ethnicity, and Wages Among Registered Nurses in Long Term Care
10-01-21
This study seeks to measure wage differences between registered nurses (RNs) working in long-term care (LTC) (eg, nursing homes, home health) and non-LTC settings (eg, hospitals, ambulatory care) and whether differences are associated with the characteristics of the RN workforce between and within...
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Managing the Tension Between Caring and Charting: Labor and Delivery Nurses' Experiences of the Electronic Health Record
10-01-21
Over a decade following the nationwide push to implement electronic health records (EHRs), the focus has shifted to addressing the cognitive burden associated with their use. Labor and delivery nurses may encounter unique challenges when using EHRs because they also interact with an electronic...
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Dental Therapists in the United States: Health Equity, Advancing
10-01-21
Dental therapists (DTs) are primary care dental providers, used globally, and were introduced in the United States (US) in 2005. DTs have now been adopted in 13 states and several Tribal nations. This study aimed to qualitatively examine the drivers and outcomes of the US dental therapy movement...
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Dental Public Health Post-Graduate Trainees in the US: Experiences, Challenges, and Opportunities—A Qualitative Study
09-25-21
The goal of this study was to explore challenges and opportunities that dental public health (DPH) residents and recent graduates experienced during and after their residency training programs in the US. In this qualitative study, to recruit participants, study invitations were distributed to 93...
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It's a Human Connection: Paid Caregiving in Rural America
09-17-21
Personal Care Aides (PCAs) are vital to the well-being of people with disabilities yet there are shortages of these workers in many parts of the country. PCAs are employed to support people with disabilities by providing assistance with basic daily needs (such as meal preparation, bathing, dressing...
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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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Optimal Staffing Models to Care for Frail Older Adults in Primary Care And Geriatrics Practices in the U.S.
09-01-21
Different staffing configurations in primary and geriatric care practices could have implications for how best to deliver services that are essential for a growing population of older adults. Using data from a 2018 survey of physicians (MDs) and nurse practitioners (NPs) working in primary and...
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Development of the California Oral Health Literacy Toolkit
09-01-21
Although many factors contribute to the high prevalence of oral health problems and widening disparities in the U.S., limited oral health literacy has emerged as a major contributor. Oral health literacy (OHL) refers to people’s abilities to access, understand and use oral health information to...
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Advancing Health Worker Well-Being: Trends and Opportunities
09-01-21
Health systems are uniquely positioned to advance health equity in communities by ensuring that workers are well, resilient, and equipped to deliver high-quality care. The COVID-19 pandemic has shown how work environments in health systems affects the well-being of workers, whose capacity to...
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Assessing the Job Satisfaction of Registered Nurses Using Sentiment Analysis and Clustering Analysis
08-12-21
Job satisfaction is a critical component of the professional work environment and is often ascertained through surveys that include structured or open-ended questions. Differences between the job satisfaction clusters were mostly driven by satisfaction with workload, adequacy of the clerical...
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The Impact of the COVID-19 Pandemic on California’s Registered Nurse Workforce: Preliminary Data
08-01-21
During the COVID-19 pandemic, numerous concerns about the nursing workforce have been reported. This study used data from two surveys conducted in California to assess the current and future supply and demand of RNs and to learn how the coronavirus pandemic is affecting this essential workforce.
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The CMS State Innovation Model Initiative and Improved Health Information Technology and Care Management Capabilities of Physician Practices
08-01-21
The Centers for Medicare and Medicaid Services’ (CMS) State Innovation Models (SIMs) initiative funded 17 states to implement health care payment and delivery system reforms to improve health system performance. This study aimed to evaluate SIMs role in improved health information technology (HIT)...
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Patient Perspectives on the Quality of Professional Interpretation: Results from LASI Study
08-01-21
The use of professional interpretation is associated with improvements in overall healthcare of patients with limited English proficiency. For these patients, it is important to understand whether quality of professional interpretation in-person is preserved using remote interpretation modalities (...