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Author : Joanne Spetz
Publisher :
ISBN 13 :
Total Pages : 10 pages
Book Rating : 4.:/5 (316 download)
Download or read book Assessing the Impact of California's Nurse Staffing Ratios on Hospitals and Patient Care written by Joanne Spetz and published by . This book was released on 2009 with total page 10 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Suzanne Gordon
Publisher : Cornell University Press
ISBN 13 : 080146501X
Total Pages : 285 pages
Book Rating : 4.8/5 (14 download)
Download or read book Safety in Numbers written by Suzanne Gordon and published by Cornell University Press. This book was released on 2012-05-15 with total page 285 pages. Available in PDF, EPUB and Kindle. Book excerpt: Legally mandated nurse-to-patient ratios are one of the most controversial topics in health care today. Ratio advocates believe that minimum staffing levels are essential for quality care, better working conditions, and higher rates of RN recruitment and retention that would alleviate the current global nursing shortage. Opponents claim that ratios will unfairly burden hospital budgets, while reducing management flexibility in addressing patient needs. Safety in Numbers is the first book to examine the arguments for and against ratios. Utilizing survey data, interviews, and other original research, Suzanne Gordon, John Buchanan, and Tanya Bretherton weigh the cost, benefits, and effectiveness of ratios in California and the state of Victoria in Australia, the two places where RN staffing levels have been mandated the longest. They show how hospital cost cutting and layoffs in the 1990s created larger workloads and deteriorating conditions for both nurses and their patients—leading nursing organizations to embrace staffing level regulation. The authors provide an in-depth account of the difficult but ultimately successful campaigns waged by nurses and their allies to win mandated ratios. Safety in Numbers then reports on how nurses, hospital administrators, and health care policymakers handled ratio implementation. With at least fourteen states in the United States and several other countries now considering staffing level regulation, this balanced assessment of the impact of ratios on patient outcomes and RN job performance and satisfaction could not be timelier. The authors' history and analysis of the nurse-to-patient ratios debate will be welcomed as an invaluable guide for patient advocates, nurses, health care managers, public officials, and anyone else concerned about the quality of patient care in the United States and the world.
Author :
Publisher :
ISBN 13 :
Total Pages : 29 pages
Book Rating : 4.:/5 (641 download)
Download or read book The Effect of Hospital Nurse Staffing on Patient Health Outcomes written by and published by . This book was released on 2010 with total page 29 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hospitals are currently under pressure to control the cost of medical care, while at the same time improving patient health outcomes. These twin concerns are at play in an important and contentious decision facing hospitals--choosing appropriate nurse staffing levels. Intuitively, one would expect nurse staffing ratios to be positively associated with patient outcomes. If so, this should be a key consideration in determining nurse staffing levels. A number of recent studies have examined this issue, however, there is concern about whether a causal relationship has been established. In this paper we exploit an arguably exogenous shock to nurse staffing levels. We look at the impact of California Assembly Bill 394, which mandated minimum levels of patients per nurse in the hospital setting. When the law was passed, some hospitals already had acceptable staffing levels, while others had nurse staffing ratios that did not meet mandated standards. Thus changes in hospital-level staffing ratios from the pre- to post-mandate periods are driven in part by the legislation. We find persuasive evidence that AB394 did have the intended effect of decreasing patient/nurse ratios in hospitals that previously did not meet mandated standards. However, our analysis suggests that patient outcomes did not disproportionately improve in these same hospitals. That is, we find no evidence of a causal impact of the law on patient safety.
Author : Andrew C. Cook
Publisher :
ISBN 13 :
Total Pages : 29 pages
Book Rating : 4.:/5 (641 download)
Download or read book The effect of hospital nurse staffing on patient health outcomes : evidence from California's minimum staffing regulation written by Andrew C. Cook and published by . This book was released on 2010 with total page 29 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hospitals are currently under pressure to control the cost of medical care, while at the same time improving patient health outcomes. These twin concerns are at play in an important and contentious decision facing hospitals--choosing appropriate nurse staffing levels. Intuitively, one would expect nurse staffing ratios to be positively associated with patient outcomes. If so, this should be a key consideration in determining nurse staffing levels. A number of recent studies have examined this issue, however, there is concern about whether a causal relationship has been established. In this paper we exploit an arguably exogenous shock to nurse staffing levels. We look at the impact of California Assembly Bill 394, which mandated minimum levels of patients per nurse in the hospital setting. When the law was passed, some hospitals already had acceptable staffing levels, while others had nurse staffing ratios that did not meet mandated standards. Thus changes in hospital-level staffing ratios from the pre- to post-mandate periods are driven in part by the legislation. We find persuasive evidence that AB394 did have the intended effect of decreasing patient/nurse ratios in hospitals that previously did not meet mandated standards. However, our analysis suggests that patient outcomes did not disproportionately improve in these same hospitals. That is, we find no evidence of a causal impact of the law on patient safety.
Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309175704
Total Pages : 558 pages
Book Rating : 4.3/5 (91 download)
Download or read book Nursing Staff in Hospitals and Nursing Homes written by Institute of Medicine and published by National Academies Press. This book was released on 1996-03-27 with total page 558 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hospitals and nursing homes are responding to changes in the health care system by modifying staffing levels and the mix of nursing personnel. But do these changes endanger the quality of patient care? Do nursing staff suffer increased rates of injury, illness, or stress because of changing workplace demands? These questions are addressed in Nursing Staff in Hospitals and Nursing Homes, a thorough and authoritative look at today's health care system that also takes a long-term view of staffing needs for nursing as the nation moves into the next century. The committee draws fundamental conclusions about the evolving role of nurses in hospitals and nursing homes and presents recommendations about staffing decisions, nursing training, measurement of quality, reimbursement, and other areas. The volume also discusses work-related injuries, violence toward and abuse of nursing staffs, and stress among nursing personnelâ€"and examines whether these problems are related to staffing levels. Included is a readable overview of the underlying trends in health care that have given rise to urgent questions about nurse staffing: population changes, budget pressures, and the introduction of new technologies. Nursing Staff in Hospitals and Nursing Homes provides a straightforward examination of complex and sensitive issues surround the role and value of nursing on our health care system.
Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309187362
Total Pages : 485 pages
Book Rating : 4.3/5 (91 download)
Download or read book Keeping Patients Safe written by Institute of Medicine and published by National Academies Press. This book was released on 2004-03-27 with total page 485 pages. Available in PDF, EPUB and Kindle. Book excerpt: Building on the revolutionary Institute of Medicine reports To Err is Human and Crossing the Quality Chasm, Keeping Patients Safe lays out guidelines for improving patient safety by changing nurses' working conditions and demands. Licensed nurses and unlicensed nursing assistants are critical participants in our national effort to protect patients from health care errors. The nature of the activities nurses typically perform â€" monitoring patients, educating home caretakers, performing treatments, and rescuing patients who are in crisis â€" provides an indispensable resource in detecting and remedying error-producing defects in the U.S. health care system. During the past two decades, substantial changes have been made in the organization and delivery of health care â€" and consequently in the job description and work environment of nurses. As patients are increasingly cared for as outpatients, nurses in hospitals and nursing homes deal with greater severity of illness. Problems in management practices, employee deployment, work and workspace design, and the basic safety culture of health care organizations place patients at further risk. This newest edition in the groundbreaking Institute of Medicine Quality Chasm series discusses the key aspects of the work environment for nurses and reviews the potential improvements in working conditions that are likely to have an impact on patient safety.
Author : Ilbret Ilo Pourmanafy
Publisher :
ISBN 13 :
Total Pages : 25 pages
Book Rating : 4.:/5 (122 download)
Download or read book The Effect of Minimum Nurse Staffing Ratios on the Financial Performance of Acute Care Hospitals in California written by Ilbret Ilo Pourmanafy and published by . This book was released on 2018 with total page 25 pages. Available in PDF, EPUB and Kindle. Book excerpt: The California Nurses Association (ANA) sponsored the legislative Assembly Bill (AB) 394 to ensure safe staffing for patients in California. AB 394 was introduced by Assembly person, Khuel, and signed into law by Governor Davis in the fall of 1999. This law is the first law mandating nurse staffing ratios for acute-care hospitals. This paper determines whether the nurse- to-patient ratio law has impacted acute care hospitals financially due to in-hospital mortality and/or unplanned readmission to intensive care units. The California Department of Health Services estimated that the mandated nurse-to-patient ratios would cost California hospitals $956 million annually after implementation given adequate recruiting sources (CHA, 2004). Not many study’s have been published addressing the fiscal impact to hospitals of the mandated nurse-to-patient ratios that were implemented in 2004. Previous results have shown that there was not a complex financial burden on hospitals, as the quality care of acute care patients was impeccable. From the research conducted also showed that in hospital mortality and/or unplanned readmission to intensive care units decreased due to AB 394.
Author : Carolyn L. Wiener
Publisher : Transaction Publishers
ISBN 13 : 9780202369624
Total Pages : 276 pages
Book Rating : 4.3/5 (696 download)
Download or read book The Elusive Quest written by Carolyn L. Wiener and published by Transaction Publishers. This book was released on with total page 276 pages. Available in PDF, EPUB and Kindle. Book excerpt: Wiener (Research Sociologist, School of Nursing, U. of California) examines the large oversight apparatus that has been established to promote hospital accountability and the arena that has developed around it comprised of consultants, measurement experts, researchers, software developers, and numerous others.
Author :
Publisher : American Nurses Association
ISBN 13 :
Total Pages : 60 pages
Book Rating : 4.3/5 (91 download)
Download or read book Principles for Nurse Staffing written by and published by American Nurses Association. This book was released on 1999 with total page 60 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Stephanie Mello
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)
Download or read book Mandatory Staffing Ratios written by Stephanie Mello and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The objective of this proposal is the mandatory implementation of nurse-to-patient staffing ratios nationally. Implementation of mandatory staffing at a national level requires state and federal legislation to be passed. This legislation would mandate a change in staffing from the current suggested safe guidelines to a government mandate requiring hospitals to adhere to safe staffing ratios. Currently the state of California is the only state with legislatively mandated staffing ratios. According to research, past and present inadequate nurse-to-patient ratios have resulted in adverse patient outcomes, nurse job dissatisfaction, burnout and turnover, all of which impact health care facilities financially as well as carry costly physiological and psychosocial implications for patients and families affected by adverse outcomes. This proposal supports the state and federal implementation of mandatory staffing ratio models similar to that of California's legislation AB394. Due to the magnitude and regulatory aspect of this change, partnering with national and state nursing organizations such as the American Nurses Association and the Nevada Nurses Association will be crucial in getting legislation passed, disseminating evidence and evaluation of the implemented change. Through the use of quantitative and qualitative research the need for change has already been established. Going forward as future legislation is passed, the continued use of these types of studies will be used to gather and assess data regarding the successes, barriers and failures of implementing mandatory staffing ratios to ensure the continued safety and satisfaction of patients and nursing staff.
Author : Joanne Spetz
Publisher :
ISBN 13 : 9781929008537
Total Pages : 66 pages
Book Rating : 4.0/5 (85 download)
Download or read book Minimum Nurse Staffing Ratios in California Acute Care Hospitals written by Joanne Spetz and published by . This book was released on 2000-12 with total page 66 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Barbara Cherry
Publisher : Elsevier Health Sciences
ISBN 13 : 0323266223
Total Pages : 546 pages
Book Rating : 4.3/5 (232 download)
Download or read book Contemporary Nursing - E-Book written by Barbara Cherry and published by Elsevier Health Sciences. This book was released on 2013-08-07 with total page 546 pages. Available in PDF, EPUB and Kindle. Book excerpt: Contemporary Nursing, Issues, Trends, & Management, 6th Edition prepares you for the rapidly evolving world of health care with a comprehensive yet focused survey of nursing topics affecting practice, as well as the issues facing today’s nurse managers and tomorrow’s nurse leaders. Newly revised and updated, Barbara Cherry and Susan Jacob provide the most practical and balanced preparation for the issues, trends, and management topics you will encounter in practice. Content mapped to the AACN BSN Essentials emphasizes intraprofessional teams, cultural humility and sensitivity, cultural competence, and the CLAS standards. Vignettes at the beginning of each chapter put nursing history and practice into perspective, followed by Questions to Consider While Reading This Chapter that help you reflect on the Vignettes and prepare you for the material to follow. Case studies throughout the text challenge you to apply key concepts to real-world practice. Coverage of leadership and management in nursing prepares you to function effectively in management roles. Career management strategies include advice for making the transition from student to practitioner and tips on how to pass the NCLEX-RN ® examination. Key terms, learning outcomes, and chapter overviews help you study more efficiently and effectively. Helpful websites and online resources provide ways to further explore each chapter topic. Coverage of nursing education brings you up to date on a wide range of topics, from the emergence of interactive learning strategies and e-learning technology, to the effects of the nursing shortage and our aging nursing population. Updated information on paying for health care in America, the Patient Protection and Affordable Care Act, and statistics on health insurance coverage in the United States helps you understand the history and reasons behind healthcare financing reform, the costs of healthcare, and current types of managed care plans. A new section on health information technology familiarizes you with how Electronic Health Records (EHRs), point-of-care technologies, and consumer health information could potentially impact the future of health care. Updated chapter on health policy and politics explores the effect of governmental roles, structures, and actions on health care policy and how you can get involved in political advocacy at the local, state, and federal level to help shape the U.S. health care system. The latest emergency preparedness and response guidelines from the Federal Emergency Management Agency (FEMA), the Centers for Disease Control (CDC), and the World Health Organization (WHO) prepare you for responding to natural and man-made disasters.
Author : Shelly Carol Wells
Publisher :
ISBN 13 :
Total Pages : 206 pages
Book Rating : 4.:/5 (658 download)
Download or read book A Comparison of the Nursing Costs Associated with the Implementation of the Mandated Nurse-to-patient Ratios in California written by Shelly Carol Wells and published by . This book was released on 2009 with total page 206 pages. Available in PDF, EPUB and Kindle. Book excerpt: Nurse executives are challenged to provide adequate nurse staffing to prevent adverse patient outcomes, promote patient satisfaction and enhance nurses' job satisfaction. Historically, nurse staffing strategies have involved the use of patient classification systems, the use of time studies to predict staffing numbers and the best guesses of the nurse administrators. Collective bargaining units moved to include staffing ceilings or nurse-to-patient ratios to address staffing needs in hospitals. In 1999, the state of California signed AB394 into law requiring the implementation of mandated minimum nurse-to-patient ratios. The California Department of Health Services estimated that the mandated nurse-to-patient ratios would cost California hospitals $956 million annually after implementation given adequate recruiting sources (CHA, 2004). While this estimate was made prior to the known fiscal impact of the ratios, no study has been published addressing the actual costs differences to the hospitals of the mandated nurse-to-patient ratios that were implemented in 2004. As other states consider introducing legislation to implement the staffing ratios as California has done, the impact of these costs should be revealed. The aim of this study was to examine the impact on nursing costs expressed as a percentage of hospital operating costs from before the staffing ratios in California were implemented (2002) and after the staffing ratios were implemented (2006). Two hundred eighty-two hospitals were included in this study. Financial and productivity data were obtained from the Office of Statewide Health Planning and Development in California. Examination of the percentage of total hospital operating costs attributed to nursing costs shed light on the fiscal impact of the mandated nurse-to-patient ratios in California. Results demonstrated that there was significant difference in the percentage of total hospital operating costs attributed to Registered Nurse costs and to overall nursing costs. There was no significant difference in the percentage of total hospital operating costs attributed to the costs for the licensed vocational nurse. In addition, there were no significant differences noted in the level of unit support staff (aides/orderlies, technicians, clerical) after the implementation of the ratios.
Author : Adrianna Gallego
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)
Download or read book Effects of Decreasing Nurse Staffing Ratios written by Adrianna Gallego and published by . This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Research has shown the effects of lower nurse to patient ratios in the healthcare community. It is safer, better patient care is given, and the mental and emotional well being of the nurse is improved. Nurses have the ability to provide whole centered patient care with lower ratios. They are able to answer call lights within a timely manner, provided efficient and effective teaching to patients and their families. High patient to nurse ratios increase the incidence of patient sentinel events, like medication errors and falls. Nurses are required to be task oriented, not being able to truly focus on any one patient at time. High nurse to patient ratios, 6 patients to 1 nurse, leave nurses with feelings of failure, being incompetent, and high nurse turnover rates. Decreasing nurse to patient ratios would enhance a better workplace environment, encourage people to come to this hospital for the safe and personal care. Evidence based research has shown the effects of lowering patient to nurse ratios. In some states like California, staffing ratios have been mandated, and the results of patient sentinel events, nurse turnover, and unsatisfied patients have decreased dramatically. The proposed plan is to decrease the staffing ratios by running a trial 3 month period with the new staffing ratios of 4 patients to one nurse. Prior to this a survey will be given out to both the nurses and patients about how they feel the care they are giving, or receiving has been, how safe they feel, and how satisfied they are. Patients and nurses that are receiving, and giving care during the 3 month trial period, will be asked to complete the same survey. Data will be collected and presented to stakeholders, and administrators. Education about the goals and purpose of lower patient to nurse ratios will also be addressed.
Author : Barbara Cherry (Nurse)
Publisher : Elsevier Health Sciences
ISBN 13 : 0323101097
Total Pages : 546 pages
Book Rating : 4.3/5 (231 download)
Download or read book Contemporary Nursing,Issues, Trends, & Management,6 written by Barbara Cherry (Nurse) and published by Elsevier Health Sciences. This book was released on 2013-01-01 with total page 546 pages. Available in PDF, EPUB and Kindle. Book excerpt: Contemporary Nursing, Issues, Trends, & Management, 6th Edition prepares you for the rapidly evolving world of health care with a comprehensive yet focused survey of nursing topics affecting practice, as well as the issues facing today's nurse managers and tomorrow's nurse leaders. Newly revised and updated, Barbara Cherry and Susan Jacob provide the most practical and balanced preparation for the issues, trends, and management topics you will encounter in practice. Content mapped to the AACN BSN Essentials emphasizes intraprofessional teams, cultural humility and sensitivity, cultural competence, and the CLAS standards.Vignettes at the beginning of each chapter put nursing history and practice into perspective, followed byQuestions to Consider While Reading This Chapter that help you reflect on theVignettes and prepare you for the material to follow. Case studies throughout the text challenge you to apply key concepts to real-world practice.Coverage of leadership and management in nursing prepares you to function effectively in management roles.Career management strategies include advice for making the transition from student to practitioner and tips on how to pass the NCLEX-RN ® examination.Key terms, learning outcomes, and chapter overviews help you study more efficiently and effectively.Helpful websites and online resources provide ways to further explore each chapter topic. Coverage of nursing education brings you up to date on a wide range of topics, from the emergence of interactive learning strategies and e-learning technology, to the effects of the nursing shortage and our aging nursing population.Updated information on paying for health care in America, the Patient Protection and Affordable Care Act, and statistics on health insurance coverage in the United Stateshelps you understand the history and reasons behind healthcare financing reform, the costs of healthcare, and current types of managed care plans.A new section on health information technology familiarizes you with how Electronic Health Records (EHRs), point-of-care technologies, and consumer health information could potentially impact the future of health care.Updated chapter on health policy and politics explores the effect of governmental roles, structures, and actions on health care policy and how you can get involved in political advocacy at the local, state, and federal level to help shape the U.S. health care system.The latest emergency preparedness and response guidelines from the Federal Emergency Management Agency (FEMA), the Centers for Disease Control (CDC), and the World Health Organization (WHO) prepare you for responding to natural and man-made disasters.
Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 0309495474
Total Pages : 335 pages
Book Rating : 4.3/5 (94 download)
Download or read book Taking Action Against Clinician Burnout written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2020-01-02 with total page 335 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patient-centered, high-quality health care relies on the well-being, health, and safety of health care clinicians. However, alarmingly high rates of clinician burnout in the United States are detrimental to the quality of care being provided, harmful to individuals in the workforce, and costly. It is important to take a systemic approach to address burnout that focuses on the structure, organization, and culture of health care. Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being builds upon two groundbreaking reports from the past twenty years, To Err Is Human: Building a Safer Health System and Crossing the Quality Chasm: A New Health System for the 21st Century, which both called attention to the issues around patient safety and quality of care. This report explores the extent, consequences, and contributing factors of clinician burnout and provides a framework for a systems approach to clinician burnout and professional well-being, a research agenda to advance clinician well-being, and recommendations for the field.
Author : Diana J. Mason
Publisher : Elsevier Health Sciences
ISBN 13 : 0323244785
Total Pages : 829 pages
Book Rating : 4.3/5 (232 download)
Download or read book Policy and Politics in Nursing and Healthcare - Revised Reprint - E-Book written by Diana J. Mason and published by Elsevier Health Sciences. This book was released on 2013-10-01 with total page 829 pages. Available in PDF, EPUB and Kindle. Book excerpt: Featuring analysis of healthcare issues and first-person stories, Policy & Politics in Nursing and Health Care helps you develop skills in influencing policy in today’s changing health care environment. 145 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 textbook on the market. Discussions include the latest updates on conflict management, health economics, lobbying, the use of media, and working with communities for change. The revised reprint includes a new appendix with coverage of the new Affordable Care Act. With these insights and strategies, you’ll be prepared to play a leadership role in the four spheres in which nurses are politically active: the workplace, government, professional organizations, and the community. Up-to-date coverage on the Affordable Care Act in an Appendix new to the revised reprint. Comprehensive coverage of healthcare policies and politics provides a broader understanding of nursing leadership and political activism, as well as complex business and financial issues. Expert authors make up a virtual Nursing Who's Who in healthcare policy, sharing information and personal perspectives gained in the crafting of healthcare policy. Taking Action essays include personal accounts of how nurses have participated in politics and what they have accomplished. Winner of several American Journal of Nursing "Book of the Year" awards! A new Appendix on the Affordable Care Act, its implementation as of mid-2013, and the implications for nursing, is included in the revised reprint. 18 new chapters ensure that you have the most up-to-date information on policy and politics. The latest information and perspectives are provided by nursing leaders who influenced health care reform with the Patient Protection and Affordable Care Act of 2010.
