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AHRQ Research Studies
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
1 to 25 of 39 Research Studies DisplayedWomack DM, Miech EJ, Fox NJ
Coincidence analysis: a novel approach to modeling nurses' workplace experience.
This study’s objective was to identify combinations of workplace conditions that uniquely differentiate high, medium, and low registered nurse (RN) ratings of appropriateness of patient assignment during daytime intensive care unit (ICU) work shifts. The RN members of the study team hypothesized a set of 55 workplace conditions having potential difference makers to define high, medium, and low perception of patient assignment appropriateness. An analysis of 64 cases (25 high, 24 medium, and 15 low) produced three models, one for each level of the outcome. The high appropriateness model was the simplest with two paths: 1) an absence of overtime and before-noon patient discharge or transfer; and 2) an absence of overtime and RN assignment to a single ICU patient.
AHRQ-funded; HS026370.
Citation: Womack DM, Miech EJ, Fox NJ .
Coincidence analysis: a novel approach to modeling nurses' workplace experience.
Appl Clin Inform 2022 Aug;13(4):794-802. doi: 10.1055/s-0042-1756368..
Keywords: Provider: Nurse, Workflow
Choi KR, Hughesdon K, Britton L
Interpersonal trauma in the lives of nurses and perceptions of nursing work.
This study’s purpose was to explore associations between trauma experiences among nurses and nursing perceptions of risk for involuntary job loss and standing in society. This observational study used 2001 data from the Nurses’ Health Study which surveyed 53,323 female nurses. The outcome looked at were nurses’ perceptions of their risk for involuntary job loss and their social standing in the US and within their own community. The majority of nurses surveyed reported high rates of emotional trauma, in childhood and adulthood with lower rates of physical and sexual trauma. Emotional trauma was associated with perception of higher risk for involuntary job loss, but also higher perception of societal standing.
AHRQ-funded; HS026407.
Citation: Choi KR, Hughesdon K, Britton L .
Interpersonal trauma in the lives of nurses and perceptions of nursing work.
West J Nurs Res 2022 Aug;44(8):734-42. doi: 10.1177/01939459211015894..
Keywords: Provider: Nurse, Domestic Violence
Merkow RP, Chung JW, Slota JM
Correlation of the US News and World Report-calculated nurse staffing index with actual hospital-reported nurse staffing.
This study’s objective was to understand how the Nurse Staffing Index (NSI) used in the US News and World Report “Best Hospitals” rankings correlates to actual nurse staffing levels. Nurse staffing data was obtained from publicly available data in the states of Illinois, California, and New Jersey. No other states had publicly accessible data. Hospital characteristics were obtained from the 2016 American Hospital Association (AHA) survey. The NSI was calculated using AHA data and is defined as the number of FTE RNs per adjusted patient day. Hospital characteristics were assessed using Hospital Compare data. Higher actual hospital-reported nurse staffing in Illinois and New Jersey was paradoxically associated with lower nurse staffing when measured by the NSI. California hospital-reported staffing intensity was weakly correctly with the NSI and RN nursing hours per patient day was not correlated with any of the 9 structural measures of hospital quality, while NSI was positively correlated with 3 of the 9 measures, particularly hospital volume status. None of the 11 outcome measures the authors assessed were associated with RN nursing hours per patient day or the NSI in either Illinois or California. All 12 patient experience measures were significantly and positively correlated with RN nursing hours in Illinois. However, none of the patient experience measures were significantly associated with the NSI in Illinois. The authors concluded that the NSI may not measure actual nurse staffing as intended.
AHRQ-funded; HS024516; HS026385.
Citation: Merkow RP, Chung JW, Slota JM .
Correlation of the US News and World Report-calculated nurse staffing index with actual hospital-reported nurse staffing.
J Nurs Care Qual 2022 Jul-Sep;37(3):195-98. doi: 10.1097/ncq.0000000000000619..
Keywords: Consumer Assessment of Healthcare Providers and Systems (CAHPS), Provider: Nurse, Workforce
Yu A, Jordan SR, Gilmartin H
"Our hands are tied until your doctor gets here": nursing perspectives on inter-hospital transfers.
The purpose of this study was to characterize the experiences of inpatient floor-level bedside nurses caring for inter-hospital transfer (IHT) patients and to identify care coordination challenges and solutions. Results from this study are mapped to AHRQ’s Care Coordination Measurement Framework domains of communication, assessing needs and goals, and negotiating accountability. Findings showed that three key themes characterized nurses' experiences with IHT related to these domains: challenges with information exchange and team communication during IHT, environmental and information preparation needed to anticipate transfers, and determining responsibility and care plans after the IHT patient has arrived at the accepting facility.
AHRQ-funded; HS023331.
Citation: Yu A, Jordan SR, Gilmartin H .
"Our hands are tied until your doctor gets here": nursing perspectives on inter-hospital transfers.
J Gen Intern Med 2022 May;37(7):1729-36. doi: 10.1007/s11606-021-07276-5..
Keywords: Transitions of Care, Hospitals, Provider: Nurse
Cimiotti JP, Becker ER, Li Y
Association of registered nurse staffing with mortality risk of Medicare beneficiaries hospitalized with sepsis.
The purpose of this cross-sectional study was to determine if registered nurse workload was related with mortality in Medicare beneficiaries admitted to an acute care hospital with sepsis. The researchers evaluated the records of Medicare beneficiaries ages 65 to 99 years with a primary diagnosis of sepsis that was present on admission to 1 of 1958 nonfederal, general acute care hospitals that had data on CMS SEP-1 scores and registered nurse workload. Researchers utilized 2018 data from the American Hospital Association Annual Survey, CMS Hospital Compare, and Medicare claims. The patient outcome of interest was mortality within 60 days of admission. The study found that 702,140 Medicare beneficiaries with a mean age of 78.2 years, 51% of whom were women, had a diagnosis of sepsis. In a multivariable regression model, each additional registered nurse hour per patient day (HPPD) was associated with a 3% decrease in the odds of 60-day mortality. The researchers concluded that hospitals which provide more registered nurse hours of care could possibly decrease the likelihood of mortality in Medicare beneficiaries with sepsis.
AHRQ-funded; HS026232.
Citation: Cimiotti JP, Becker ER, Li Y .
Association of registered nurse staffing with mortality risk of Medicare beneficiaries hospitalized with sepsis.
JAMA Health Forum 2022 May;3(5):e221173. doi: 10.1001/jamahealthforum.2022.1173..
Keywords: Sepsis, Mortality, Provider: Nurse, Nursing, Workforce
Jeffery AD
Data science for nurses.
This “Practice Matters” article discusses how nurses can apply data science methods to improve nurses’ insight into care delivery. Data science in nursing is defined and the data science process is described in five steps: capture, maintain, process, analyze, and communicate. A table is included which highlights several recently published studies that leveraged data science methods in nursing-relevant projects. The article ends with a call to action.
AHRQ-funded; HS026395.
Citation: Jeffery AD .
Data science for nurses.
Am Nurse 2022 May; 17(5)..
Keywords: Provider: Nurse, Electronic Health Records (EHRs), Health Information Technology (HIT)
Dierkes AM, Aiken LH, Sloane DM
Hospital nurse staffing and sepsis protocol compliance and outcomes among patients with sepsis in the USA: a multistate cross-sectional analysis.
The timely and effective administration of sepsis treatment may improve sepsis outcomes, and those improvements may provide evidence of the need for mandated reporting of adherence to sepsis care protocol. The purpose of the study was to better understand the association between patient-to-nurse staffing ratios, sepsis protocol compliance, and patient outcomes. The researchers conducted a cross-sectional study utilizing linked data from 537 hospitals from across California, Florida, Illinois, Pennsylvania, New Jersey, and New York (representing 252,699 Medicare inpatients with sepsis present on admission), nurse and hospital surveys, and Centers for Medicare and Medicaid Services Hospital Compare and the corresponding MedPAR patient claims. The study found that every additional patient per nurse was associated with greater odds of mortality, readmission, ICU admission, and greater risk of relative duration of stay. Every 10% increase in compliance of sepsis protocol was only associated with a shorter duration of stay. The study concluded that improvements in nurse staffing and the nurse-to-patient ratios had a greater impact on sepsis infection outcomes than compliance with protocols.
AHRQ-funded; HS026232.
Citation: Dierkes AM, Aiken LH, Sloane DM .
Hospital nurse staffing and sepsis protocol compliance and outcomes among patients with sepsis in the USA: a multistate cross-sectional analysis.
BMJ Open 2022 Mar 22;12(3):e056802. doi: 10.1136/bmjopen-2021-056802..
Keywords: Sepsis, Hospitals, Provider: Nurse, Workforce
Tzeng HM, Raji MA, Chou LN
Impact of state nurse practitioner regulations on potentially inappropriate medication prescribing between physicians and nurse practitioners: a national study in the United States.
The American Geriatrics Society regularly updates the Beers Criteria for Potentially Inappropriate Medication (PIM) to improve prescribing safety. This study assessed the impact of nurse practitioner (NP) practices on PIM prescribing across states in the United States and compared the change in PIM prescribing rates between 2016 and 2018. The investigators found that the PIM prescription rate was lower in states with full NP practice and lower among NPs than among physicians; these rates for both physicians and NPs decreased from 2016 to 2018.
AHRQ-funded; HS020642.
Citation: Tzeng HM, Raji MA, Chou LN .
Impact of state nurse practitioner regulations on potentially inappropriate medication prescribing between physicians and nurse practitioners: a national study in the United States.
J Nurs Care Qual 2022 Jan-Mar;37(1):6-13. doi: 10.1097/ncq.0000000000000595..
Keywords: Medication, Medication: Safety, Provider: Nurse, Adverse Drug Events (ADE), Adverse Events, Policy
Gaughan AA, Walker DM, Sova LN
Improving provisioning of an inpatient portal: perspectives from nursing staff.
This study’s aim was to identify and describe practices important for provisioning an inpatient portal from the perspectives of nursing staff and provide insight to enable hospitals to address challenges related to provisioning workflow for the inpatient portal accessible on a tablet. Qualitative interviews were conducted at 26 inpatient units in six hospitals within The Ohio State University Wexner Medical Center (OSUWMC) with 210 nursing staff members following the introduction of tablets providing access to an inpatient portal, MyChart Bedside (MCB). Provisioning rates were divided into tertiles to create three levels of provisioning performance. Higher-performing units showed three critical strategies that contributed to MCB tablet provisioning success: (1) establishing a feasible process for MCB provisioning; (2) having persistent unit-level MCB tablet champions; and (3) having unit managers actively promote MCB tablets.
AHRQ-funded; HS024767; HS024091; HS024379.
Citation: Gaughan AA, Walker DM, Sova LN .
Improving provisioning of an inpatient portal: perspectives from nursing staff.
Appl Clin Inform 2022 Mar;13(2):355-62. doi: 10.1055/s-0042-1743561..
Keywords: Electronic Health Records (EHRs), Health Information Technology (HIT), Provider: Nurse
Cohen B, Sanabria E, Liu J
Predicting healthcare-associated infections, length of stay, and mortality with the nursing intensity of care index.
The purpose of this study was to develop, validate, and utilize a simulation model to predict healthcare-associated infections (HAIs), length of stay (LOS), and patient mortality, as well as evaluate whether the variation in incidence of HAIs was dependent upon the adequacy of unit staffing levels. The researchers analyzed data from all patients discharged from four different types of New York City hospitals within a single healthcare network between 2012-2016 (N=562,435). The researchers developed a simulation model to estimate the daily probability rates of 5 different HAIs, length of stay, and mortality, and modeled staffing adequacy based on nursing care supply (as indicated by total nurse staffing) and nursing care demand (indicated using the Nursing Intensity of Care Index.) The study results indicated that the model predictions were within 95% confidence intervals of the actual outcomes. The authors reported that the incidence of HAI was the highest when total nurse staffing (supply) was lowest and nursing care intensity (demand) was highest.
AHRQ-funded; HS024915.
Citation: Cohen B, Sanabria E, Liu J .
Predicting healthcare-associated infections, length of stay, and mortality with the nursing intensity of care index.
Infect Control Hosp Epidemiol 2022 Mar;43(3):298-305. doi: 10.1017/ice.2021.114..
Keywords: Healthcare-Associated Infections (HAIs), Provider: Nurse, Inpatient Care, Mortality
Crist K, Lafferty M, Umberfield E
Which factors promote shared understanding between physicians and nurses in inpatient oncology care settings?: A qualitative exploration.
This qualitative secondary analysis was conducted to identify factors that contribute to shared understanding between physicians and nurses from video-recorded conversations that occurred between them during inpatient rounds on oncology units. Four factors emerged as contributors to shared understanding: engagement, clarification, confirmation, and resolution. These factors occurred in sequence with engagement occurring first and resolution occurring last, as the closure of a communication exchange. A greater awareness of body language and positioning at the start of a communication exchange may increase the effectiveness of nurse-physician communication.
AHRQ-funded; HS022305.
Citation: Crist K, Lafferty M, Umberfield E .
Which factors promote shared understanding between physicians and nurses in inpatient oncology care settings?: A qualitative exploration.
Cancer Nurs 2022 Mar-Apr;45(2):E338-E44. doi: 10.1097/ncc.0000000000000959..
Keywords: Communication, Provider: Physician, Provider: Nurse
Gray NA, Kamal AH, Hanson LC
Clinician perspectives guiding approach to comprehensiveness of palliative care assessment.
This paper discusses the results of a two-part web-based survey of palliative care clinicians from five academic groups in the United States. The objective was to describe clinicians’ assessment practices and factors influencing their approach to quality palliative care in contrast to the National Consensus Project guidelines for palliative care. Nineteen out of 25 invited clinicians completed the survey, including physicians, nurse practitioners, and physician assistants. The majority (62%) reported that their usual practice was to tailor the focus of the consultation, mainly due to time limitations and workload, followed by beliefs that comprehensive assessment was unnecessary, and absence of the full interdisciplinary team. Most participants cited reason for consult as factors influencing a tailored approach. Physical symptoms were the most commonly assessed factor (81%), with spiritual and cultural factors least commonly (24% and 19%, respectively) listed. Although most clinicians reported usually tailoring their consultations, mean importance scores for almost all assessment elements were high (mean of 7.1 on a 0-9 importance scale).
AHRQ-funded; HS022763.
Citation: Gray NA, Kamal AH, Hanson LC .
Clinician perspectives guiding approach to comprehensiveness of palliative care assessment.
J Palliat Med 2022 Feb;25(2):307-11. doi: 10.1089/jpm.2021.0391..
Keywords: Palliative Care, Provider: Nurse
Smith LB
The effect of nurse practitioner scope of practice laws on primary care delivery.
Nurse practitioners (NPs) are an increasingly integral part of the primary care workforce. NPs' authority to practice without physician oversight is regulated by state-level scope of practice (SOP) restrictions. To the extent that SOP restrictions prevent NPs from practicing to their full abilities and capacity, they could create inefficiencies and restrict access to health care. The purpose of this paper was to explore what occurs at primary care practices when states ease their scope of practice (SOP) laws. The researcher utilized a novel dataset of claims and electronic health records to quantify the effects of easing SOP laws in 3 areas: 1. Nurse Practitioners' autonomy in their everyday jobs; 2. Total workload and the allocation of patients between physicians and NPs; and 3. The delivery of low-value services at primary care practices. The study found no evidence that easing SOP laws impacts neither the volume or allocation of patients to NPs, nor the delivery of low-value services.
AHRQ-funded; HS026659.
Citation: Smith LB .
The effect of nurse practitioner scope of practice laws on primary care delivery.
Health Econ 2022 Jan; 31(1):21-41. doi: 10.1002/hec.4438..
Keywords: Primary Care, Healthcare Delivery, Policy, Provider: Clinician, Provider: Nurse
Goodwin JS, Agrawal P, Li S
Growth of physicians and nurse practitioners practicing full time in nursing homes.
This retrospective cohort study examined the growth of physicians and nurse practitioners (NPs) and physician assistants (PAs) who work full time in nursing homes, and to assess resident and nursing home characteristics associated with receiving care from full-time providers. Researchers looked at a 20% national sample of Medicare data on long-term care residents in 2008 and 2018 and the physicians, NPs, and PAs who submitted charges for services rendered in nursing homes. Full-time nursing home providers increased from 26% in 2008 to 44.6% in 2017. The largest increase from 2008 to 2017 was in NPs with 1986 total in 2008 increasing 44.6% in 2017. Residents with an NP primary care provider were 23 times more likely to have a full-time provider. Residents who received care from both a physician and an NP or PA increased from 33.5% in 2008 to 62.5% in 2018. There was large variation in the percentage of residents with full-time providers, with 5.72% of residents in the bottom quintile of facilities to 91.4% in the top quintile.
AHRQ-funded; HS020642.
Citation: Goodwin JS, Agrawal P, Li S .
Growth of physicians and nurse practitioners practicing full time in nursing homes.
J Am Med Dir Assoc 2021 Dec;22(12):2534-39.e6. doi: 10.1016/j.jamda.2021.06.019..
Keywords: Nursing Homes, Long-Term Care, Provider: Clinician, Provider: Physician, Provider: Nurse, Workforce
Winter SG, Bartel AP, de Cordova PB
The effect of data aggregation on estimations of nurse staffing and patient outcomes.
The objective of this study was to examine how estimates of the association between nurse staffing and patient length of stay (LOS) d with data aggregation over varying time periods and settings, and statistical controls for unobserved heterogeneity. The investigators concluded that estimating the association between nurse staffing and LOS was contingent on the time period of analysis and specific methodology.
AHRQ-funded; HS024339.
Citation: Winter SG, Bartel AP, de Cordova PB .
The effect of data aggregation on estimations of nurse staffing and patient outcomes.
Health Serv Res 2021 Dec;56(6):1262-70. doi: 10.1111/1475-6773.13866..
Keywords: Provider: Nurse
Dykes PC, KhasnabishE S, Adkison LE
Use of a perceived efficacy tool to evaluate the FallTIPS program.
The authors assessed nurses' opinions of the efficacy of using the FallTIPS (Tailoring Interventions for Patient Safety) fall prevention program. They found that the nurses who used FallTIPS perceived that efficiencies in patient care compensated for the time spent on FallTIPS. Nurses valued the program, and findings confirmed the importance of patient and family engagement with staff in the fall prevention process.
AHRQ-funded; HS025128.
Citation: Dykes PC, KhasnabishE S, Adkison LE .
Use of a perceived efficacy tool to evaluate the FallTIPS program.
J Am Geriatr Soc 2021 Dec;69(12):3595-601. doi: 10.1111/jgs.17436..
Keywords: Falls, Patient Safety, Prevention, Provider: Nurse, Adverse Events
Abraham CM, Zheng K, Norful AA
Use of multifunctional electronic health records and burnout among primary care nurse practitioners.
This study investigated whether there is an association with the use of multifunctional electronic health records (EHRs) with nurse practitioner (NP) burnout in primary care practices. The study used cross-sectional survey data secondary analysis collected from NPs in Pennsylvania and New Jersey. The NPs completed surveys measuring burnout, use of multifunctional EHRs, demographics, and characteristics of their practice. Of 396 NPs included, 25.3% reported burnout, but the use of multifunctional EHRs did not increase primary care NP burnout.
AHRQ-funded; HS027290.
Citation: Abraham CM, Zheng K, Norful AA .
Use of multifunctional electronic health records and burnout among primary care nurse practitioners.
J Am Assoc Nurse Pract 2021 Dec;33(12):1182-89. doi: 10.1097/jxx.0000000000000533..
Keywords: Electronic Health Records (EHRs), Health Information Technology (HIT), Burnout, Provider: Nurse, Primary Care
Germack HD, Kandrack R, Martsolf GR
Relationship between rural hospital closures and the supply of nurse practitioners and certified registered nurse anesthetists.
This study sought to examine the extent to which rural hospital closures are associated with changes in the NP (nurse practitioner) and CRNA (certified registered nurse anesthetist) workforce. The authors used the Area Health Resources Files (AHRF) data from 2010-2017 to estimate the relationship between rural hospital closures and changes in the supply of NPs and CRNAs. They found 151 hospital closures among 1,544 rural counties. After controlling for local market characteristics, they did not find a significant relationship between hospital closure and the supply of NPs and CRNAs.
AHRQ-funded; HS000032.
Citation: Germack HD, Kandrack R, Martsolf GR .
Relationship between rural hospital closures and the supply of nurse practitioners and certified registered nurse anesthetists.
Nurs Outlook 2021 Nov-Dec;69(6):945-52. doi: 10.1016/j.outlook.2021.05.005..
Keywords: Provider: Nurse, Workforce, Hospitals
Patel E, Kandrack R
Differences in the number of services provided by nurse practitioners and physicians during primary care visits.
Due to differential training, nurse practitioners (NPs) and physicians may provide different quantities of services to patients. The purpose of this study was to assess differences in the number of laboratory, imagining, and procedural services provided by primary care NPs and physicians. The investigators found that NPs provided fewer laboratory and imaging services than physicians during primary care visits.
AHRQ-funded; HS000032.
Citation: Patel E, Kandrack R .
Differences in the number of services provided by nurse practitioners and physicians during primary care visits.
Nurs Outlook 2021 Sep-Oct;69(5):886-91. doi: 10.1016/j.outlook.2021.04.003..
Keywords: Primary Care, Practice Patterns, Provider: Physician, Provider: Nurse
Manojlovich M, Harrod M, Hofer T
Factors influencing physician responsiveness to nurse-initiated communication: a qualitative study.
How quickly physicians respond to communications from bedside nurses is important for the delivery of safe inpatient care. Delays in physician responsiveness can impede care or contribute to patient harm. Understanding contributory factors to physician responsiveness can provide insights to promote timely physician response, possibly improving communication to ensure safe patient care. The purpose of this study was to describe the factors contributing to physician responsiveness to text or numeric pages, telephone calls and face-to-face messages delivered by nurses on adult general care units.
Citation: Manojlovich M, Harrod M, Hofer T .
Factors influencing physician responsiveness to nurse-initiated communication: a qualitative study.
BMJ Qual Saf 2021 Sep;30(9):747-54. doi: 10.1136/bmjqs-2020-011441..
Keywords: Provider: Physician, Provider: Nurse, Communication, Inpatient Care
Kutney-Lee A, Brooks Carthon M, Sloane DM
Electronic health record usability: associations with nurse and patient outcomes in hospitals.
Researchers examined associations between electronic health record (EHR) usability and nurse job and surgical patient outcomes. Data from the American Hospital Association, state patient discharges, and nurse surveys were linked in a cross-sectional analysis. The researchers found that employing EHR systems with suboptimal usability was associated with higher odds of adverse nurse job outcomes and surgical patient mortality and readmission.
AHRQ-funded; HS023805.
Citation: Kutney-Lee A, Brooks Carthon M, Sloane DM .
Electronic health record usability: associations with nurse and patient outcomes in hospitals.
Med Care 2021 Jul;59(7):625-31. doi: 10.1097/mlr.0000000000001536..
Keywords: Electronic Health Records (EHRs), Health Information Technology (HIT), Surgery, Outcomes, Nursing, Provider: Nurse
Lasater KB, Sloane DM, McHugh MD
Evaluation of hospital nurse-to-patient staffing ratios and sepsis bundles on patient outcomes.
Despite nurses' responsibilities in recognition and treatment of sepsis, little evidence documents whether patient-to-nurse staffing ratios are associated with clinical outcomes for patients with sepsis. Using linked data sources from 2017 including MEDPAR patient claims, Hospital Compare, American Hospital Association, and a large survey of nurses, the investigators estimated the effect of hospital patient-to-nurse staffing ratios and adherence to the Early Management Bundle for patients with Severe Sepsis/Septic Shock SEP-1 sepsis bundles on patients' odds of in-hospital and 60-day mortality, readmission, and length of stay.
AHRQ-funded; HS026232.
Citation: Lasater KB, Sloane DM, McHugh MD .
Evaluation of hospital nurse-to-patient staffing ratios and sepsis bundles on patient outcomes.
Am J Infect Control 2021 Jul;49(7):868-73. doi: 10.1016/j.ajic.2020.12.002..
Keywords: Sepsis, Nursing, Provider: Nurse, Inpatient Care, Hospitals
Chou LN, Kuo YF, Raji MA
Potentially inappropriate medication prescribing by nurse practitioners and physicians.
This study compared prescribing rates for potentially inappropriate medications (PIMs) by physicians and nurse practitioners (NPs). The authors used 100% Texas Medicare data to define physician and NP visits in 2016. Rates of visits with a PIM prescription from the same provider was measured by initial and refill visits. There were 24.1 per 1000 visits for PIM prescriptions, 9.0 per 1000 visits for an initial PM and 15.1 per 1000 visits for a refill PIM. Visits to an NP was less likely to result in an initial and refill PIM visit than a visit to a physician. There was a strong association of lower odds of a black enrollee receiving a PIM by an NP than white enrollees. There was also less likelihood of receiving a PIM refill from an NP in older patients and in those with more comorbidities.
AHRQ-funded; HS020642; HS020642.
Citation: Chou LN, Kuo YF, Raji MA .
Potentially inappropriate medication prescribing by nurse practitioners and physicians.
J Am Geriatr Soc 2021 Jul;69(7):1916-24. doi: 10.1111/jgs.17120..
Keywords: Medication: Safety, Medication, Provider: Physician, Provider: Nurse, Hospitalization, Practice Patterns, Ambulatory Care and Surgery
Abraham CM, Zheng K, Norful AA
Primary care nurse practitioner burnout and perceptions of quality of care.
Researchers investigated the relationship between primary care nurse practitioner (NP) burnout on perceptions of care quality and if the practice environment moderated the relationship between burnout and care quality. This was a secondary analysis of cross-sectional survey data from 396 NPs; the practice environment was measured using the Nurse Practitioner Primary Care Organizational Climate Questionnaire. The researchers found that burnout was related to lower perceptions of care quality but favorable environments were related to higher perceptions of quality.
AHRQ-funded; HS027290.
Citation: Abraham CM, Zheng K, Norful AA .
Primary care nurse practitioner burnout and perceptions of quality of care.
Nurs Forum 2021 Jul;56(3):550-59. doi: 10.1111/nuf.12579..
Keywords: Burnout, Provider: Nurse, Primary Care, Quality of Care
Adams V, Song J, Shang J
Infection prevention and control practices in the home environment: examining enablers and barriers to adherence among home health care nurses.
This study’s aim was to examine the impact of individual, home environment, and organization factors on Infection Prevention and Control (IPC) practices in home health care. A survey of 350 nurses across two large home care agencies was conducted to examine the relationship between IPC adherence and these factors. Multiple barriers to IPC practices in patients’ homes were reported including clutter (74.5%), and a dirty environment (70.3%). They also reported limited availability of some IPC supplies including personal protective equipment.
AHRQ-funded; HS024723.
Citation: Adams V, Song J, Shang J .
Infection prevention and control practices in the home environment: examining enablers and barriers to adherence among home health care nurses.
Am J Infect Control 2021 Jun;49(6):721-26. doi: 10.1016/j.ajic.2020.10.021..
Keywords: Home Healthcare, Community-Acquired Infections, Infectious Diseases, Prevention, Provider: Nurse, Provider