Abstract:
:It is widely thought that low staffing levels are associated with higher risk of psychiatric inpatient violence. The purpose of this study was to determine whether odds of an injurious assault are higher in months in which unit staffing levels are higher or lower relative to unit average, using a design allowing each unit to serve as its own control. Using 2011-2013 National Database of Nursing Quality Indicators data from 480 adult and 90 geriatric units in 361 US hospitals, monthly assault odds were modeled as functions of unit staffing. Monthly RN and non-RN staffing (hours per patient day) were categorized as very low, low, average, high, or very high, based on deviation from the unit's average staffing across study months. Endpoints were binary indicators for one or more injurious assaults against staff during the month and for one or more injurious assaults against patients during the month. Despite large sample sizes, neither RN nor non-RN staffing was a statistically significant predictor of odds of assault, nor was there a consistent trend of odds of assault being higher at below- or above-average staffing levels. There was little evidence that monthly deviation in unit staffing is associated with the odds of an injurious assault on a unit. This suggests that staffing-assault rate associations in previous studies of monthly data are largely attributable to between-unit rather than within-unit staffing differences. Hospitals may need to look beyond below- or above-average nurse staffing as a cause of assaults. © 2016 Wiley Periodicals, Inc.
journal_name
Res Nurs Healthjournal_title
Research in nursing & healthauthors
Staggs VSdoi
10.1002/nur.21735subject
Has Abstractpub_date
2016-10-01 00:00:00pages
347-52issue
5eissn
0160-6891issn
1098-240Xjournal_volume
39pub_type
杂志文章abstract::Older adults with symptoms of acute myocardial infarction (AMI) have longer pre-treatment delay times than their younger counterparts. A 2-group, randomized controlled sample consisted of 115 adults, 65 years of age or older with a self-reported history of coronary artery disease. A pre-test was given to all participa...
journal_title:Research in nursing & health
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1002/nur.20245
更新日期:2007-10-01 00:00:00
abstract::Researchers have increasingly turned to mixed-method techniques to expand the scope and improve the analytic power of their studies. Yet there is still relatively little direction on and much confusion about how to combine qualitative and quantitative techniques. These techniques are neither paradigm- nor method-linke...
journal_title:Research in nursing & health
pub_type: 杂志文章,评审
doi:10.1002/1098-240x(200006)23:3<246::aid-nur9>3.0.co
更新日期:2000-06-01 00:00:00
abstract::Registered nurses (N = 323) working in a 500-bed tertiary care hospital in a large midwestern city were surveyed to determine what and how they initially learned about the medical devices they use, and the consequences of their use. The most frequently identified methods of initial learning were trial and error (taugh...
journal_title:Research in nursing & health
pub_type: 杂志文章
doi:10.1002/nur.4770180209
更新日期:1995-04-01 00:00:00
abstract::The twofold purpose of this study was to compare motor function in preschool children born with varying degrees of medical risk and to determine the independent contribution to motor function of three domains of ecological influence. One hundred and eighty-four 4-year-old children and their mothers participated. Three...
journal_title:Research in nursing & health
pub_type: 杂志文章
doi:10.1002/(sici)1098-240x(199904)22:2<155::aid-nur7>
更新日期:1999-04-01 00:00:00
abstract::The purpose of this study was to analyze and compare the recorded content of two experimental nursing interventions used in a hypertensive-education program. One intervention was characterized as deliberative or high indirect, the other as task-centered or low indirect. A total of 4,149 nurse-patient interaction units...
journal_title:Research in nursing & health
pub_type: 杂志文章
doi:10.1002/nur.4770060103
更新日期:1983-03-01 00:00:00
abstract::Anger expression modes were examined in a diverse sample of mid-life men and women (N = 139) participating in the third phase of a longitudinal study of health that began in 1982 at the World's Fair and a metropolitan general hospital in Tennessee. Contrary to previous studies, men and women did not differ in the like...
journal_title:Research in nursing & health
pub_type: 杂志文章
doi:10.1002/nur.4770120609
更新日期:1989-12-01 00:00:00
abstract::In this article, we illustrate a new method for random selection and random assignment that we developed in a pilot study for a randomized clinical trial. The randomization database is supported by a commonly available spreadsheet. Formulas were written for randomizing participants and for creating a "shadow" system t...
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pub_type: 杂志文章
doi:10.1002/nur.20341
更新日期:2009-10-01 00:00:00
abstract::Despite recognition as a significant stressor in childhood cancer, illness-related uncertainty from the perspective of children remains under-studied. We tested a conceptual model of uncertainty, derived from Mishel's uncertainty in illness theory, in 68 school-aged children and adolescents with cancer. As hypothesize...
journal_title:Research in nursing & health
pub_type: 杂志文章
doi:10.1002/nur.20374
更新日期:2010-06-01 00:00:00
abstract::The study purpose was to provide an in-depth description of experiences associated with loss and dying among AIDS family caregivers. Grounded theory provided the methodological framework for data collection and analysis. In-depth interviews were conducted with 53 family caregivers of persons with AIDS and included ind...
journal_title:Research in nursing & health
pub_type: 杂志文章
doi:10.1002/nur.4770160305
更新日期:1993-06-01 00:00:00
abstract::The purpose of this study was to describe and examine the lifestyle physical activity behaviors (household, leisure, occupational) of older rural women. Background characteristics included demographics, environment, social support, and health. Intrapersonal characteristics included motivation and self-efficacy. The ma...
journal_title:Research in nursing & health
pub_type: 杂志文章
doi:10.1002/nur.20282
更新日期:2008-10-01 00:00:00
abstract::Recent studies have identified common problems with patient safety in hospitals and medical institutions have responded, prioritizing service quality and performance, including patient safety. However, the factors influencing safety for hospital patients are still being examined and clarified. We aimed to investigate ...
journal_title:Research in nursing & health
pub_type: 杂志文章
doi:10.1002/nur.22067
更新日期:2020-09-01 00:00:00
abstract::Differences in distress within couples who have experienced the sudden death of a child were examined. Results from two independent samples (N = 50 couples and N = 60 couples) were compared. The SCL-90-R and the BSI were used to measure global psychological distress and distress in nine symptom dimensions. Paired t te...
journal_title:Research in nursing & health
pub_type: 杂志文章
doi:10.1002/(SICI)1098-240X(199612)19:6<461::AID-NUR2>
更新日期:1996-12-01 00:00:00
abstract::Interviews were conducted with 100 adults (27 men, 73 women) enrolled in a prepaid medical health plan to investigate their use of botanical remedies. They were asked which of 50 listed herbs they or members of their families had used for health purposes and with what effect; which of 60 listed health problems they ha...
journal_title:Research in nursing & health
pub_type: 杂志文章
doi:10.1002/nur.4770140505
更新日期:1991-10-01 00:00:00
abstract::Findings are reported from a prospective study of 20 persons on the experience of providing informal care to partners or family members with HIV syndrome. In-depth, focused interviews were completed. Data were initially coded using an inductive technique and thematically analyzed. The informal care providers were foun...
journal_title:Research in nursing & health
pub_type: 杂志文章
doi:10.1002/(sici)1098-240x(199806)21:3<251::aid-nur8>
更新日期:1998-06-01 00:00:00
abstract::Examination was made of the relationship of mothers' appraisal of the importance of and need for action around infant-related issues to maternal experience (parity and time since birth), use of help, and perceived problem-solving competence. Sixty-two mothers (38 primiparae and 24 multiparae) kept for 90 days post-bir...
journal_title:Research in nursing & health
pub_type: 杂志文章
doi:10.1002/nur.4770100409
更新日期:1987-08-01 00:00:00
abstract::Five subscales were derived from the Nursing Work Index (NWI) to measure the hospital nursing practice environment, using 1985-1986 nurse data from 16 magnet hospitals. The NWI comprises organizational characteristics of the original magnet hospitals. The psychometric properties of the subscales and a composite measur...
journal_title:Research in nursing & health
pub_type: 杂志文章
doi:10.1002/nur.10032
更新日期:2002-06-01 00:00:00
abstract::Cardiovascular disease (CVD) is the leading cause of mortality for adults in the US, regardless of ethnicity. A cross-sectional correlational design was used to describe and compare CVD risk and cardiac mortality in White Hispanic and non-Hispanic women and men. Data from 3,317 individuals (1,523 women and 1,794 men) ...
journal_title:Research in nursing & health
pub_type: 杂志文章
doi:10.1002/nur.21778
更新日期:2017-04-01 00:00:00
abstract::Little is known about the relationship between maternal behavior and the stability of premature infants' physiologic responses during feeding. In a secondary data analysis, we examined relationships between quality of maternal behavior and cardiorespiratory physiology during feeding in 61 premature and 53 term infants...
journal_title:Research in nursing & health
pub_type: 杂志文章
doi:10.1002/nur.21618
更新日期:2014-12-01 00:00:00
abstract::The purpose of this research was to evaluate the effectiveness of an individualized scheduled toileting (IST) program on incontinent, memory-impaired elders being cared for at home. Using a 2 x 2 mixed design analysis of variance (group by time), 118 patients were randomly assigned to experimental or control groups. C...
journal_title:Research in nursing & health
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1002/1098-240x(200102)24:1<1::aid-nur1001>3.0.c
更新日期:2001-02-01 00:00:00
abstract::There is an increasing awareness of the need to examine data distribution or assumptions prior to performing statistical analyses. If the data display evidence of violating assumption(s), the researcher can perform data transformation. This article focuses on explaining data transformations, discussing common transfor...
journal_title:Research in nursing & health
pub_type: 杂志文章
doi:10.1002/nur.4770170510
更新日期:1994-10-01 00:00:00
abstract::The purpose of this study was to examine hospital patients' perceptions of service quality in relation to four independent variables: (a) nurses' perceptions of human resource practices, (b) nurses' perceptions of autonomy in practice, (c) patient satisfaction with nursing care, and (d) patients' perceptions of organi...
journal_title:Research in nursing & health
pub_type: 杂志文章
doi:10.1002/(sici)1098-240x(199808)21:4<339::aid-nur6>
更新日期:1998-08-01 00:00:00
abstract::A proposed multiyear plan of funding mechanisms by the National Center for Nursing Research (NCNR) to increase the use of biological theory and measurements in nursing research has been developed for both research training and research programs. The objectives of the research training programs are (a) to develop a cad...
journal_title:Research in nursing & health
pub_type: 杂志文章
doi:10.1002/nur.4770160103
更新日期:1993-02-01 00:00:00
abstract::The purpose of this quasi-experimental pilot study was to compare the effect of patient-controlled (PCAE) and nurse administered (NCAE) antiemetic therapy for controlling chemotherapy-induced nausea and vomiting in patients receiving moderate emetogenic chemotherapy. Twenty subjects were randomly assigned to either th...
journal_title:Research in nursing & health
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1002/nur.4770140403
更新日期:1991-08-01 00:00:00
abstract::A meta-analysis was conducted to quantify the impact of exercise interventions on the functional status of older adults. Searches of Medline and CINAHL databases revealed 19 randomized controlled trials reporting 30 interventions (n = 2,201). Fixed- and random-effects models were used to estimate overall mean effect s...
journal_title:Research in nursing & health
pub_type: 杂志文章,meta分析
doi:10.1002/nur.20290
更新日期:2008-12-01 00:00:00
abstract::In spite of extensive research on cancer and the family, little is known about the process of taking on the caregiving role when a family member is diagnosed with cancer. Family caregiver role acquisition was investigated in a grounded theory study of 19 family caregivers and 20 persons with cancer, interviewed across...
journal_title:Research in nursing & health
pub_type: 杂志文章
doi:10.1002/(SICI)1098-240X(199608)19:4<261::AID-NUR1>
更新日期:1996-08-01 00:00:00
abstract::The purpose of the study was to investigate the separate and joint influences of sociodemographic, social situational (social support and interpersonal functioning), and symptom variables on the appropriateness of self-care responses to symptoms among elderly people. A cross-sectional face-to-face structured interview...
journal_title:Research in nursing & health
pub_type: 杂志文章
doi:10.1002/(sici)1098-240x(199908)22:4<329::aid-nur7>
更新日期:1999-08-01 00:00:00
abstract::The effect of military deployment and perceived availability and source of community support on women's acceptance of pregnancy were examined in each trimester of pregnancy at four military bases. The sample was 503 primigravida or multigravida women eligible for care in the military medical system. Military deploymen...
journal_title:Research in nursing & health
pub_type: 杂志文章
doi:10.1002/nur.20248
更新日期:2008-06-01 00:00:00
abstract::The aim of this analysis was to identify the association between incontinence-associated dermatitis (IAD), its most important etiologic factors (incontinence and moisture), and pressure ulcers (PUs). A systematic review and meta-analysis were performed. We searched Medline, Embase, CINAHL, Web of Science, and the Coch...
journal_title:Research in nursing & health
pub_type: 杂志文章,meta分析,评审
doi:10.1002/nur.21593
更新日期:2014-06-01 00:00:00
abstract::Individuals with heart failure (HF) typically live in the community and are cared for at home by family caregivers. These caregivers often lack supportive services and the time to access those services when available. Technology can play a role in conveniently bringing needed support to these caregivers. The purpose o...
journal_title:Research in nursing & health
pub_type: 杂志文章
doi:10.1002/nur.22100
更新日期:2020-12-20 00:00:00
abstract::A predictive model of well-being and self-care was tested with 284 women aged 60-88 living in rural communities in Taiwan. The variables studied were age, marital status, social class, social support, perceived health, self-care agency, self-care behavior, and perceived well-being. The model was tested by path analysi...
journal_title:Research in nursing & health
pub_type: 杂志文章
doi:10.1002/nur.1015
更新日期:2001-04-01 00:00:00