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UrduA new study published in Medical Care today showed that substituting registered nurses (RN) with lower-wage staff (e.g. licensed practical nurses, unlicensed assistive personnel) in hospital care is linked with more deaths, readmissions, longer hospital stays, poorer patient satisfaction, and higher costs of care.
Tag: CHOPR
Nurses Cite Employer Failures as their Top Reason for Leaving
A new study from the University of Pennsylvania School of Nursing’s Center for Health Outcomes and Policy Research (CHOPR) – published in JAMA Network Open today – showed that, aside from retirements, poor working conditions are the leading reasons nurses leave healthcare employment.
Hospital Understaffing and Poor Work Conditions Associated with Physician and Nurse Burnout and Intent to Leave
A unique collaborative study on hospital clinician wellbeing by teams at 60 of the nation’s best hospitals, defined by Magnet Hospital Recognition, was published today in JAMA Health Forum. The study found that physicians and nurses, even at hospitals known to be good places to work, experienced adverse outcomes during the pandemic and want hospital management to make significant improvements in their work environments and in patient safety. The solutions to high hospital clinician burnout and turnover, they say, are not resilience training for clinicians to better cope with adverse working conditions but organizational improvements that provide safe workloads and better work-life balance.
Better Staffed Hospitals Before Pandemic Had Better Outcomes During It
According to a new study published in Nursing Outlook, the journal of the American Academy of Nursing, chronic hospital nurse understaffing and poor hospital work environments that predated the Covid-19 pandemic largely explain the disruptions in nursing care seen during the pandemic and continuing today.
Matthew D. McHugh, PhD, to Receive the 17th Claire M. Fagin Distinguished Researcher Award
The biennial award honors the best scholarly qualities that Dr. Fagin, the School’s third Dean, exemplified. It is given to a Penn Nursing faculty member, or a graduate from the School’s doctoral program, who has made a distinguished contribution to nursing scholarship.
Moving Past Conflation of Race and Genetics
Race is not genetic. Race is a social and political construct. However, the conflation of race and genetics is one way that racism persists in medicine and research.
Addressing Systemic Inequities Linked to Readmission Disparities for Minority Stroke Patients
Racial minorities are disproportionately affected by stroke, with Black patients experiencing worse post-stroke outcomes than White patients. Racial disparities in stroke outcomes have been linked to suboptimal control of risk factors such as hypertension, lack of access to health care, and decreased utilization of neurologic services. However, it was previously unknown if outcomes for Black ischemic stroke patients were affected by care settings with insufficient nursing resources.
COVID 19: Learning About Nurses’ Moral Distress During Crisis Care
During the pandemic, nurses continue to deliver a crisis standard of care, which requires allocating and using scarce medical resources. This care, in the context of COVID-19, an infectious and potentially fatal illness, requires nurses to balance their duty to care for patients while protecting themselves and their families. Crisis standards of care cause high moral distress for clinicians. The lack of preparedness of U.S. hospitals to initiate crisis care standards is likely amplifying such distress. Could better leadership communication mitigate this distress and consequential poorer mental health?
EHR Usability Issues Linked to Nurse Burnout and Patient Outcomes
A new study from the University of Pennsylvania School of Nursing’s Center for Health Outcomes and Policy Research (CHOPR) has investigated associations between EHR usability and nurse job outcomes (burnout, job dissatisfaction, and intention to leave) and surgical patient outcomes (inpatient mortality and 30-day readmission).
Nurse Work Environment Influences Stroke Outcomes
Stroke remains a leading cause of death worldwide and one of the most common reasons for disability. While a wide variety of factors influence stroke outcomes, data show that avoiding readmissions and long lengths of stay among ischemic stroke patients has benefits for patients and health care systems alike. Although reduced readmission rates among various medical patients have been associated with better nurse work environments, it is unknown how the work environment might influence readmissions and length of stay for ischemic stroke patients.
New York State’s Hospital Nurse Staffing Legislation Predicted to Save Lives and Money
According to a new study published in Medical Care, improving hospital nurse staffing as proposed in pending legislation in New York state would likely save lives. The cost of improving nurse staffing would be offset by savings achieved by reducing hospital readmissions and length of hospital stays.