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Leveraging Big Data to Guide Better Nurse Staffing Strategies
07-27-20
A large body of research has documented a relationship between higher nurse-to-patient staffing ratios and better patient outcomes. To date, most studies have not identified an ‘optimal’ nurse staffing ratio, which creates a challenge for determining appropriate staffing levels. If increasing nurse...
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A Qualitative Assessment of Barriers and Facilitators to Implementing Recommended Infant Nutrition Practices in Mumbai, India
07-27-20
Childhood malnutrition has been a longstanding crisis in Mumbai, India. Despite national IYCF (Infant Young Child Feeding) guidelines to promote best practices for infant/toddler feeding, nearly one-third of children under age five are stunted or underweight. To improve child nutrition,...
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Nurse Practitioner Role and Practice Environment in Primary and in Nonprimary Care in California
07-23-20
The nurse practitioner (NP) role has evolved substantially from its origins in primary care, with NPs increasingly being employed in the medical and surgical specialties. Between 2008 and 2016, there was an increase in nurse practitioners in specialty care. This study explores some differences in...
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Nurse Staffing and Coronavirus Infections in California Nursing Homes
07-07-20
In the US, nursing home residents and staff have been severely impacted by the COVID-19 pandemic. This study compares nursing homes in California with and without COVID-19 positive residents. They found that nursing homes with less than the recommended RN staffing levels, those with lower Medicare...
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Measurement of Nonbillable Service Value Activities by Nurse Practitioners, Physicians Assistants, and Clinical Nurse Specialists in Ambulatory Specialty Care
06-30-20
Revenue-generating health care activities, generally accepted as a measure of productivity, do not account for the full range of health care activities that enhance patient care. We analyzed the quantity, duration, and type of "service value activities" performed by nurse practitioners (NPs),...
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Scope-of-Practice for Nurse Practitioners and Adherence to Medications for Chronic Illness in Primary Care
06-24-20
Nonadherence to medications is costly and improving adherence is difficult, requiring multifactorial solutions, including policy solutions. The purpose of this study was to evaluate the effect of one policy strategy on medication adherence. Specifically, we examined the effect on adherence of...
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Financial Vulnerability and Worker Well-Being: A Comparison of Long-Term Services and Supports Workers With Other Health Workers
06-20-20
Over 1.5 million new jobs need to be filled by 2026 for medical assistants, nursing aides, and home care aides, many of which will work in the long-term services and supports (LTSS) sector. Using 16 years of data from the American Time Use Survey, we examined the financial vulnerability of high-...
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How Collaborative Practice Agreements Impede the Provision of Vital Behavioral Health Services
06-19-20
The COVID-19 pandemic has pushed issues relating to Scope of Practice (SOP) regulations and restrictions on Nurse Practitioner (NP) practice to the forefront. Many Governors issued Executive Orders allowing waivers to current SOP restrictions in order to maximize the workforce response to the COVID...
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Service Value Activities by Nurse Practitioners in Ambulatory Specialty Care
06-02-20
The increase in nurse practitioners (NPs) in ambulatory medical and surgical specialty settings has prompted inquiry into their role and contribution to patient care. We explored the role and contribution of NPs in ambulatory specialty care through their activities outside of direct care and...
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Missed Nursing Care During Labor and Birth and Exclusive Breastfeeding During Hospitalization for Childbirth
05-28-20
The purpose of this study was to determine associations between missed nursing care and nurse staffing during labor and birth, and exclusive breast milk feeding at hospital discharge. Labor and birth nurses in three states were surveyed about missed nursing care and their maternity units' adherence...
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Forecasts of the Registered Nurse Workforce in California, 2019
05-27-20
This report presents supply and demand forecasts for the Registered Nurse (RN) workforce in California from 2019 through 2035. These new forecasts are based on data from the 2018 California Board of Registered Nursing (BRN) Survey of Registered Nurses, the 2017-2018 BRN Annual Schools Report, data...
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Chapter 8: The Oral Health Workforce
05-01-20
The dental team is becoming increasingly interprofessional, working collaboratively with medical, social, and mental health professionals. This chapter defines the types of personnel involved in the provision of oral healthcare services, explores the evolution of individuals engaged in oral...
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Addressing the Opioid Epidemic Amidst the COVID-19 Pandemic
05-01-20
Three of every four pharmaceutical overdose deaths in 2010 involved opioids, according to the CDC. This sobering statistic focused attention on the rapid acceleration and devastating impact of the epidemic of opioid use disorder in the United States. Throughout the country, individuals and families...
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2018 Survey of Registered Nurses
05-01-20
The 2018 Survey of Registered Nurses provides information about the demographics, education, employment, and satisfaction of nurses with California RN licenses.
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Survey of Nurse Employers in California, Fall/Winter 2018-19
04-23-20
This report summarizes the findings from a survey of general acute care hospital employers of registered nurses (RNs) in California conducted in fall 2018 and winter 2019. This is the ninth annual survey of hospital RN employers; these surveys provide an opportunity to evaluate overall demand for...
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Ensuring and Sustaining a Pandemic Workforce
04-08-20
Current efforts to fight the COVID-19 pandemic aim to slow viral spread and increase testing, protect health care workers from infection, and obtain ventilators and other equipment to prepare for a surge of critically ill patients. But additional actions are needed to rapidly increase health...
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CIN Connections, Spring 2020: Foundations for Health
04-08-20
The California Improvement Network’s (CIN) latest report, CIN Connections: Foundations for Health, features tips for resilient leadership and building partnerships between health providers and community-based organizations from Access Community Health Network’s chief operating officer, Donna...
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There Are Not Nearly Enough Nurses to Handle the Surge of Coronavirus Patients: Here’s How to Close the Gap Quickly
03-31-20
Recent analyses have raised concerns about whether the United States has enough hospital capacity for a surge of patients needing care for COVID-19 infections. But even if we can double or triple the number of intensive care unit (ICU) beds, we don’t have enough nurses to staff them. How can we...
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Factors Associated with Physical Injury of Police Involvement During Incidents of Workplace Violence in Hospitals: Findings from the First Year of California’s New Standard
03-12-20
Violence against healthcare workers is a pervasive safety issue that impacts patient care and workforce stability. Workplace violence in healthcare settings is known to be a costly and often underreported problem. In California, hospitals are required to report incidents of violence towards workers...
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2018-2019 Annual School Report: Data Summary for Pre-Licensure Nursing Programs
03-11-20
The 2018-2019 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.
This survey...
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Sex Differences in Salaries of Department Chairs at Public Medical Schools
03-02-20
Women in academic medicine are paid less than their male peers. This salary difference is often attributed to differences in rank and promotion. The goal of this study was to investigate whether sex pay differences exist at the highest ranks of academic medicine: among clinical department chairs....
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California’s Psychiatry Workforce Challenges
03-02-20
In his 2020 State of the State address, California Governor Gavin Newsom called for the state’s counties to spend Mental Health Services Act funds more quickly to assist the 1 in 6 California adults who suffer from mental illness and the 1 in 13 California children who suffer from a serious...
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2018-2019 Annual School Report: Data Summary and Historical Trend Analysis
02-14-20
The 2018-2019 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.
This...
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Modernizing Scope-of-Practice Regulations — Time to Prioritize Patients
02-13-20
Ongoing payment reforms are pressing health systems to reorganize delivery of care to achieve greater value, improve access, integrate patient care among settings, advance population health, and address social determinants of health. Many organizations are experimenting with new ways of unleashing...
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Admission of First Generation to College Pre-Licensure Master's Entry and Graduate Nursing Students
02-06-20
A growing body of literature is examining the relationships between socio-demographic factors influencing recruitment and retention of students in higher education. The purpose of this study was to explore the characteristics of first generation to college (First-Gen) nursing applicants including...
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Supporting the Adult Protective Services Workforce
02-02-20
An estimated one in ten adults over the age of 60 suffers some form of elder abuse. A key component of addressing ongoing elder abuse and the likelihood that its prevalence will increase as a result of a rapidly growing older adult population is the network of local and state agencies that form the...
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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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Frequency of Violence Toward Health Care Workers in United States Inpatient Psychiatric Hospitals: A Systematic Review of Literature
01-01-20
The purpose of this systematic review is to determine the frequency of violent or aggressive behaviour towards healthcare workers in inpatient psychiatric settings in the United States. To achieve this aim, five databases were searched to find English-language quantitative studies reporting...
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Constructing Matched Groups in Dental Observational Health Disparity Studies for Causal Effects
01-01-20
Electronic health record (EHR) systems provide investigators with rich data from which to examine actual impacts of care delivery in real-world settings. However, confounding is a major concern when comparison groups are not randomized. This article introduced a step-by-step strategy to construct...