Nurse staffing in critical access hospitals: structural factors linked to quality care.

Abstract:

:Evidence links the amount of registered nurse care to improved patient outcomes in large hospitals, but little is known about registered nurse staffing in small critical access hospitals, which comprise 30% of all US hospitals. Our study findings show that the unique work environment of critical access hospitals means registered nurses are often overextended, reassigned from inpatient care, and/or interrupted creating potential safety and quality risks. Further research is needed to understand what critical access hospitals consider "safe" levels of nurse staffing and what processes are implemented to mitigate these risks.

journal_name

J Nurs Care Qual

authors

Cramer ME,Jones KJ,Hertzog M

doi

10.1097/NCQ.0b013e318210d30a

subject

Has Abstract

pub_date

2011-10-01 00:00:00

pages

335-43

issue

4

eissn

1057-3631

issn

1550-5065

pii

00001786-201110000-00007

journal_volume

26

pub_type

杂志文章
  • Study of implementation of a guideline for brief alcohol intervention in primary care.

    abstract::Application of research findings to clinical care has been advocated to improve quality of care and patient outcomes. This article discusses a method to evaluate the translation of research findings in support of evidence-based care. An exemplar of a brief intervention in primary care for high-risk drinkers is used. ...

    journal_title:Journal of nursing care quality

    pub_type: 杂志文章

    doi:10.1097/NCQ.0b013e3181ace2bc

    authors: Hyman Z,Crosby F

    更新日期:2010-01-01 00:00:00

  • Assessment of the Quality of Nursing Care From Perspectives of Nurses Who Experienced Hospitalization as Patients.

    abstract::Nurses as patients or caregivers evaluated their care differently than nonnurses. A qualitative design with content analysis was used to provide an assessment of the quality of nursing care by examining nurses' perceptions as recipients of care. The 231 participants were registered nurses recruited from 8 hospitals in...

    journal_title:Journal of nursing care quality

    pub_type: 杂志文章

    doi:10.1097/NCQ.0000000000000259

    authors: Elayan RM,Ahmad MM

    更新日期:2017-10-01 00:00:00

  • Scared to go to work: a home care performance improvement initiative.

    abstract::The incident report read. "His arm was tightly locked around my neck. His free arm was touching me while he said terrible, obscene things he intended to do. My heart was pounding. My mind was racing, unable to think rationally. I needed to focus on an escape plan. I was too terrified to think. I just aimlessly struggl...

    journal_title:Journal of nursing care quality

    pub_type: 杂志文章

    doi:10.1097/00001786-200210000-00009

    authors: Sylvester BJ,Reisener L

    更新日期:2002-10-01 00:00:00

  • Using conformational positioning to reduce hospital-acquired pressure ulcers.

    abstract::Prevention of pressure ulcers is an ongoing concern. This article reports on the evaluation and usage of a new positioning device that adapts to the contours of the body and led to a decrease in the incidence of nosocomial pressure ulcers in a cardiothoracic intensive care unit. ...

    journal_title:Journal of nursing care quality

    pub_type: 杂志文章

    doi:10.1097/NCQ.0b013e3182a79ca9

    authors: Brennan MR,Laconti D,Gilchrist R

    更新日期:2014-04-01 00:00:00

  • Implementing and Evaluating the Impact of a Nurse-Led Oral Care Initiative.

    abstract:BACKGROUND:Nursing interventions in oral hygiene have been shown to be important for health promotion and illness prevention. This medical center advanced a registered nurse (RN)-led oral health initiative to introduce and standardize oral care practices. PROBLEM:To examine the impact of the oral health initiative, we...

    journal_title:Journal of nursing care quality

    pub_type: 杂志文章

    doi:10.1097/NCQ.0000000000000426

    authors: Castillo DH,Smith DJ,Rosenfeld P

    更新日期:2020-04-01 00:00:00

  • Evaluation of a telephone call service for ambulatory surgery patients in Taiwan.

    abstract::The purpose of this study was to evaluate the outcomes of a telephone call service (TCS) for ambulatory surgery patients. Three outcomes were evaluated: patient satisfaction, patients' perceptions of the value of a TCS intervention, and nurses' perceptions of difficulties in implementing it. The results indicated that...

    journal_title:Journal of nursing care quality

    pub_type: 杂志文章

    doi:10.1097/01.NCQ.0000277788.37180.a0

    authors: Chen CH,Ma HJ,Yen M,Li SF,Liu LC

    更新日期:2007-07-01 00:00:00

  • The "dance" continues ... evaluating differences in call bell use between patients in private rooms and patients in double rooms using ethnography.

    abstract::Staff response to patient call bells is a communication issue that influences patient assessment of care quality and satisfaction. An ethnographic, grounded theory approach was used to examine nurses and nursing support staff perspectives about call bell use on single- versus double-patient-room units. We used the dan...

    journal_title:Journal of nursing care quality

    pub_type: 杂志文章,多中心研究

    doi:10.1097/NCQ.0b013e3181dde039

    authors: Deitrick LM,Bokovoy J,Panik A

    更新日期:2010-10-01 00:00:00

  • Creating an evidence-based practice environment: one hospital's journey.

    abstract::There is increasing effort in promoting evidence-based practice (EBP) that supports the best possible care to patients and families. This article describes essential concepts for developing an environment of EBP and its implementation at a large pediatric hospital. Essential components for creating an EBP environment ...

    journal_title:Journal of nursing care quality

    pub_type: 杂志文章

    doi:10.1097/01.NCQ.0000277778.43018.96

    authors: Hockenberry M,Walden M,Brown T,Barrera P

    更新日期:2007-07-01 00:00:00

  • Including the provider in the assessment of quality care: development and testing of the Nurses' Assessment of Quality Scale - acute care version.

    abstract::This study was designed to develop a psychometrically sound measure of nurses' evaluation of patient care delivered. The Nurses' Assessment of Quality Scale-Acute Care Version (NAQS-ACV), derived from the qualitative interviews of acute care nurses, was initially 138 items formatted as a Likert-type scale and administ...

    journal_title:Journal of nursing care quality

    pub_type: 杂志文章

    doi:10.1097/01.NCQ.0000290414.42640.c0

    authors: Lynn MR,McMillen BJ,Sidani S

    更新日期:2007-10-01 00:00:00

  • Medication self-administration: an outcome-oriented, consumer-driven program.

    abstract::The ability to understand medication and consistently follow a prescribed medical regimen varies among the general population. The Department of Nursing at Mohawk Valley Psychiatric Center developed a medication self-administration program to help consumers gain knowledge and/or improve their ability to participate in...

    journal_title:Journal of nursing care quality

    pub_type: 杂志文章

    doi:10.1097/00001786-199702000-00005

    authors: Visalli H,Johnstone L,Lazzaro CA,Kasky S

    更新日期:1997-02-01 00:00:00

  • Falls prevention at Mayo Clinic Rochester: a path to quality care.

    abstract::Falls prevention is a complex problem. Following in the footsteps of an earlier fall prevention team, the Safe Landings Fall Prevention Team used many strategies for implementing a fall prevention/reduction program. The tactics we used to prevent falls combined with the adoption of a fall assessment risk model are sha...

    journal_title:Journal of nursing care quality

    pub_type: 杂志文章

    doi:10.1097/01.NCQ.0000263103.13934.9b

    authors: Sulla SJ,McMyler E

    更新日期:2007-04-01 00:00:00

  • Impact of unlicensed assistive personnel on patient satisfaction: an integrative review of the literature.

    abstract::A literature review was conducted of 16 research articles examining the relationship between implementation of a model of care utilizing unlicensed assistive personnel (UAP) and patient satisfaction. In nine of the articles, the implementation of the UAP model was found to increase patient satisfaction. In seven artic...

    journal_title:Journal of nursing care quality

    pub_type: 杂志文章,评审

    doi:10.1097/00001786-199812000-00002

    authors: Siehoff AM

    更新日期:1998-12-01 00:00:00

  • Implementing Prone Positioning for COVID-19 Patients Outside the Intensive Care Unit.

    abstract:BACKGROUND:Proning intubated intensive care unit patients for the management of acute respiratory distress syndrome is an accepted standard of practice. We examined the nursing climate in 4 units and its impact on implementing a novel self-proning protocol to treat COVID-19 patients outside the intensive care unit. LO...

    journal_title:Journal of nursing care quality

    pub_type: 杂志文章

    doi:10.1097/NCQ.0000000000000537

    authors: Francisco MA,Pierce NL,Ely E,Cerasale MT,Anderson D,Pavkovich D,Puello F,Tummala S,Tyker A,DʼSouza FR

    更新日期:2020-11-23 00:00:00

  • Self-administered medication packet for patients experiencing a vaginal birth.

    abstract::A patient satisfaction survey at Missouri Baptist Medical Center revealed that patients experiencing a vaginal delivery needed to wait for their medications and did not consistently receive adequate information about medications. Furthermore, a chart review noted that physicians ordered a wide variety of medications f...

    journal_title:Journal of nursing care quality

    pub_type: 杂志文章

    doi:10.1097/00001786-199904000-00006

    authors: Beger D,Messenger F,Roth S

    更新日期:1999-04-01 00:00:00

  • Monitoring sedation in patients receiving opioids for pain management.

    abstract::Excessive sedation precedes opioid-induced respiratory depression. An evidence-based practice project standardized systematic sedation monitoring by nurses using an opioid sedation scale and respiratory assessment when opioids are administered for pain management. Nurses were educated and documentation updated. Nurses...

    journal_title:Journal of nursing care quality

    pub_type: 杂志文章

    doi:10.1097/NCQ.0000000000000059

    authors: Smith A,Farrington M,Matthews G

    更新日期:2014-10-01 00:00:00

  • Interdisciplinary quality improvement from the perspective of a clinical pathway team.

    abstract::Clinical pathway teams are one type of interdisciplinary team formed to improve the quality of care provided to select patient populations. As they aim to improve quality, these teams look at improving the efficiency and effectiveness of the care provided, as well as overall performance. Some clinical pathways and tea...

    journal_title:Journal of nursing care quality

    pub_type: 杂志文章

    doi:10.1097/00001786-199802000-00006

    authors: Ibarra VL,Mueller T,Rossi N,Schillig K,Swearingen J

    更新日期:1998-02-01 00:00:00

  • Improving nursing shift-to-shift report.

    abstract::In 2002, the Winnipeg Regional Health Authority commissioned an external review for improvements to patient care. From this review arose the Achieving Benchmarks through Collaboration Project, which was composed of 32 projects and a number of subprojects. One such subproject dealt with the reconfiguration of the nursi...

    journal_title:Journal of nursing care quality

    pub_type: 杂志文章

    doi:10.1097/00001786-200701000-00015

    authors: Benson E,Rippin-Sisler C,Jabusch K,Keast S

    更新日期:2007-01-01 00:00:00

  • Building nursing intellectual capital for safe use of information technology: a systematic review.

    abstract::Information technology is integral to health care delivery. Nurse leaders recognize the need to build intellectual capital (knowledge, skills, and experience) in use and oversight of electronic health records despite financial constraints on indirect care time. A systematic literature review was conducted to answer th...

    journal_title:Journal of nursing care quality

    pub_type: 杂志文章,评审

    doi:10.1097/NCQ.0b013e3181e15c88

    authors: Poe SS

    更新日期:2011-01-01 00:00:00

  • A Mixed-Methods Study on Patient Safety Insights of New Graduate Registered Nurses.

    abstract:BACKGROUND:New graduate nurses transition with limited experience, and with anxiety and stress. They present an increased risk of contributing to preventable errors or adverse events. PURPOSE:The purpose was to develop an understanding of new graduate registered nurses' (RNs) patient safety knowledge and actions withi...

    journal_title:Journal of nursing care quality

    pub_type: 杂志文章

    doi:10.1097/NCQ.0000000000000443

    authors: Murray M,Sundin D,Cope V

    更新日期:2020-07-01 00:00:00

  • What nurses want: diffusion of an innovation.

    abstract::We investigated the usability of personal digital assistants (PDAs) to improve research utilization and timely access to electronic practice information to assist in clinical decisions. Nurses used a decision support tool on a PDA to collect point-of-care outcomes data. Follow-up interviews documented usability. Nurse...

    journal_title:Journal of nursing care quality

    pub_type: 杂志文章

    doi:10.1097/01.NCQ.0000313763.87019.0a

    authors: Di Pietro T,Coburn G,Dharamshi N,Doran D,Mylopoulos J,Kushniruk A,Nagle L,Sidani S,Tourangeau A,Laurie-Shaw B,Lefebre N,Reid-Haughian C,Carryer J,McArthur G

    更新日期:2008-04-01 00:00:00

  • Effect of an audit and feedback intervention on hospitalized oncology patients' perception of nurse practitioner care.

    abstract::Although patient satisfaction has been used traditionally as a measure of excellence, research has suggested that the perception of being well cared for is likely a more promising indicator of quality than satisfaction alone. Expectations, physical environment, communication, participation and involvement, technical c...

    journal_title:Journal of nursing care quality

    pub_type: 杂志文章

    doi:10.1097/NCQ.0b013e3181b7050d

    authors: Dulko D,Mooney K

    更新日期:2010-01-01 00:00:00

  • Nonlinear dynamics: chaos and catastrophe theory.

    abstract::Nonlinear relationships are attracting much attention in nursing. Nonlinear dynamics are used abstractly as theory and also may be applied in a concrete sense to explain data. There is often confusion and misunderstanding about aspects of nonlinear dynamics. This article explores two of the more well known areas of no...

    journal_title:Journal of nursing care quality

    pub_type: 杂志文章

    doi:10.1097/00001786-200010000-00008

    authors: Lanza ML

    更新日期:2000-10-01 00:00:00

  • A Roadmap for Practice-Based Evidence: Validation of the Hester Davis Fall Risk Scale.

    abstract:BACKGROUND:To ensure successful integration and implementation of evidence into practice, validation of measures and interventions should be performed in the population and setting in which they will be used. PURPOSE:This article provides a method for evaluating the predictive performance of a risk tool using the Hest...

    journal_title:Journal of nursing care quality

    pub_type: 杂志文章

    doi:10.1097/NCQ.0000000000000503

    authors: Kaiser J,Wills N,Reilly T,Pratt J,Tumbleson V,Niemeyer M,Mindling G

    更新日期:2020-07-10 00:00:00

  • The relationship between staffing and quality in long-term care facilities: exploring the views of nurse aides.

    abstract::Research on staffing and quality of care in long-term care facilities confirms that adequate staffing levels are important to ensuring quality but few studies have examined how the two are linked. The research reported in this article used participant observation and indepth interviewing to explore how nurse aides (NA...

    journal_title:Journal of nursing care quality

    pub_type: 杂志文章,多中心研究

    doi:10.1097/00001786-200007000-00009

    authors: Bowers BJ,Esmond S,Jacobson N

    更新日期:2000-07-01 00:00:00

  • Driving Innovation in Health Care: Clinical Nurse Leader Role.

    abstract:BACKGROUND:The clinical nurse leader (CNL) role was developed as a strategy for redesigning care delivery to address quality and safety gaps in health care. However, innovation competencies have never been assessed in this group. PURPOSE:The purpose of this study was to determine whether CNLs have different perception...

    journal_title:Journal of nursing care quality

    pub_type: 杂志文章

    doi:10.1097/NCQ.0000000000000394

    authors: Noles K,Barber R,James D,Wingo N

    更新日期:2019-10-01 00:00:00

  • Improving patient outcomes in a dialysis unit: an integrated approach to CQI.

    abstract::Continuous quality improvement (CQI), staff education, and patient education are essential, interrelated components of nursing practice that share the common goal of improved patient outcomes. The nurses of the Nashville Veterans' Administration Medical Center dialysis unit effectively combined these activities to imp...

    journal_title:Journal of nursing care quality

    pub_type: 杂志文章

    doi:10.1097/00001786-199410000-00007

    authors: Heard K

    更新日期:1994-10-01 00:00:00

  • Physical restraint use in acute care settings.

    abstract::Increasing reliance on physical restraint devices within hospital settings can be attributed to many reasons, perhaps including litigation. Restraint use represents a quality improvement issue; therefore, a review of all studies involving restraints in acute care settings was conducted. Results of a descriptive study ...

    journal_title:Journal of nursing care quality

    pub_type: 杂志文章,评审

    doi:10.1097/00001786-199504000-00011

    authors: Janelli LM

    更新日期:1995-04-01 00:00:00

  • An interdisciplinary approach to the provision of patient support resources across the oncology care continuum: description of a performance improvement project.

    abstract::Cancer survival has improved, and more attention is now being focused on quality of life. Quality-of-life issues include the physical, psychological, social, spiritual, and financial aspects of caring. Because patient support services can play an important role in helping patients cope with their disease, they are cri...

    journal_title:Journal of nursing care quality

    pub_type: 杂志文章

    doi:10.1097/00001786-200301000-00009

    authors: Cartwright-Alcarese F,Sung MW,Brenner B,Zambodla A,Geduld A,Desjardins L

    更新日期:2003-01-01 00:00:00

  • A survey of multicultural awareness among hospital and clinic staff.

    abstract::Building a knowledgebase regarding multicultural beliefs and practices will help health care providers meet the challenge of caring for persons of diverse cultures. It is evident that developing greater multicultural awareness will also help health care workers improve patient care. For this reason, an Interdisciplina...

    journal_title:Journal of nursing care quality

    pub_type: 杂志文章

    doi:10.1097/00001786-199708000-00008

    authors: Peterson R,Whitman H,Smith J

    更新日期:1997-08-01 00:00:00

  • Wheelchair-related falls: current evidence and directions for improved quality care.

    abstract::While much of the research on falls has focused on the ambulatory elderly, little is known about wheelchair-related falls that occur in persons with disabilities. A thorough understanding of wheelchair-related falls would include the demographics, the mechanism and nature of the fall event, and the nature of any resul...

    journal_title:Journal of nursing care quality

    pub_type: 杂志文章,评审

    doi:10.1097/00001786-200504000-00006

    authors: Gavin-Dreschnack D,Nelson A,Fitzgerald S,Harrow J,Sanchez-Anguiano A,Ahmed S,Powell-Cope G

    更新日期:2005-04-01 00:00:00