National Healthcare Quality and Disparities Report
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AHRQ Research Studies Date
Topics
- Burnout (1)
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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 8 of 8 Research Studies DisplayedSterling MR, Silva AF, Leung PBK
"It's like they forget that the word 'health' is in 'home health aide'": Understanding the perspectives of home care workers who care for adults with heart failure.
Home care workers (HCWs) were interviewed about their role and perspectives in caring for community-dwelling adults with heart failure (HF) posthospitalization. Researchers conducted a total of 8 focus groups in partnership with the Home Care Industry Education Fund. A total of 46 English- and Spanish-speaking HCWs employed by 21 unique home care agencies participated. Generally they felt overworked and unappreciated but care about their clients and families and still love their job. The majority of HCWs have not received HF training, so do not feel supported when their clients’ symptoms worsened.
AHRQ-funded; HS024569.
Citation: Sterling MR, Silva AF, Leung PBK .
"It's like they forget that the word 'health' is in 'home health aide'": Understanding the perspectives of home care workers who care for adults with heart failure.
J Am Heart Assoc 2018 Dec 4;7(23):e010134. doi: 10.1161/jaha.118.010134..
Keywords: Cardiovascular Conditions, Heart Disease and Health, Home Healthcare, Provider: Health Personnel
Blanco N, Johnson JK, Sorkin JD
Transmission of resistant Gram-negative bacteria to healthcare personnel gowns and gloves during care of residents in community-based nursing facilities.
The purpose of this study was to estimate the risk of transmission of antibiotic-resistant Gram-negative bacteria (RGNB) to gowns and gloves worn by healthcare personnel when providing care to residents of community-based nursing facilities to identify the types of care and resident characteristics associated with transmission. The investigators found that RGNB transmission to either gloves or gowns occurred during 11% of the 584 interactions. Showering the resident, hygiene or toilet assistance, and wound dressing changes were associated with a high risk of transmission.
AHRQ-funded; HS019979.
Citation: Blanco N, Johnson JK, Sorkin JD .
Transmission of resistant Gram-negative bacteria to healthcare personnel gowns and gloves during care of residents in community-based nursing facilities.
Infect Control Hosp Epidemiol 2018 Dec;39(12):1425-30. doi: 10.1017/ice.2018.247.
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Keywords: Healthcare-Associated Infections (HAIs), Infectious Diseases, Nursing Homes, Prevention, Provider, Provider: Health Personnel
Blechter B, Jiang N, Cleland C
Correlates of burnout in small independent primary care practices in an urban setting.
Little is known about the prevalence and correlates of burnout among providers who work in small independent primary care practices (< 5 providers). The authors conducted a cross-sectional analysis by using data collected from 235 providers practicing in 174 small independent primary care practices in New York City. The burnout rate was relatively low among their sample of providers compared with previous surveys that focused primarily on larger practices.
AHRQ-funded; HS023922.
Citation: Blechter B, Jiang N, Cleland C .
Correlates of burnout in small independent primary care practices in an urban setting.
J Am Board Fam Med 2018 Jul-Aug;31(4):529-36. doi: 10.3122/jabfm.2018.04.170360..
Keywords: Burnout, Provider: Health Personnel, Primary Care
McCurdy RK, Encinosa WE
AHRQ Author: Encinosa, WE
Are medical offices ready for value-based reimbursement? Staff perceptions of a workplace climate for value and efficiency.
The goal of the study was to assess medical office staff member perceptions of a workplace climate for value. The study’s findings highlight the need for management strategies that emphasize staff training and engagement and the use of performance data and that stress value principles across all organizational activities, including workforce development, performance management, and recruitment.
AHRQ-authored; AHRQ-funded
Citation: McCurdy RK, Encinosa WE .
Are medical offices ready for value-based reimbursement? Staff perceptions of a workplace climate for value and efficiency.
Am J Accountable Care 2018 Jun;6(2):11-19..
Keywords: Payment, Provider: Health Personnel
White VanGompel E, Main EK, Tancredi D
Do provider birth attitudes influence cesarean delivery rate: a cross-sectional study.
The authors estimated the association between individual provider attitudes towards birth and their low-risk primary cesarean rate. Through surveys of California providers of intrapartum care in 2013, they found that provider attitudinal differences are associated with nulliparous, term, singleton, vertex cesarean rates. Those meeting the HP2020 goal hold attitudes more favorable towards vaginal birth, suggesting a modifiable target for quality improvement initiatives to decrease low risk primary cesareans.
AHRQ-funded; HS022236.
Citation: White VanGompel E, Main EK, Tancredi D .
Do provider birth attitudes influence cesarean delivery rate: a cross-sectional study.
BMC Pregnancy Childbirth 2018 May 29;18(1):184. doi: 10.1186/s12884-018-1756-7.
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Keywords: Provider: Health Personnel, Labor and Delivery, Pregnancy, Practice Patterns
Grout RW, Cheng ER, Carroll AE
A six-year repeated evaluation of computerized clinical decision support system user acceptability.
This study examined user acceptance patterns over six years of a continuous computerized clinical decision support system (CDSS) integration and updated a long-term, repeated follow-up of user acceptability of a CDSS. It found that favorable opinions of the CDSS were more likely in frequent users, physicians and advanced practitioners, and full-time workers.
AHRQ-funded; HS017939; HS018453; HS020640.
Citation: Grout RW, Cheng ER, Carroll AE .
A six-year repeated evaluation of computerized clinical decision support system user acceptability.
Int J Med Inform 2018 Apr;112:74-81. doi: 10.1016/j.ijmedinf.2018.01.011.
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Keywords: Clinical Decision Support (CDS), Health Information Technology (HIT), Provider: Health Personnel, Health Information Technology (HIT), Quality Improvement
Berridge C, Tyler DA, Miller SC
Staff empowerment practices and CNA retention: findings from a nationally representative nursing home culture change survey.
This article examines whether staff empowerment practices common to nursing home culture change are associated with certified nursing assistant (CNA) retention. It concluded that after adjustment for covariates, a greater staff empowerment practice score was positively associated with greater retention. Compared with the low empowerment category, nursing homes with scores in the medium category had a 44 percent greater likelihood of having higher CNA retention.
AHRQ-funded; HS000011.
Citation: Berridge C, Tyler DA, Miller SC .
Staff empowerment practices and CNA retention: findings from a nationally representative nursing home culture change survey.
J Appl Gerontol 2018 Apr;37(4):419-34. doi: 10.1177/0733464816665204.
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Keywords: Long-Term Care, Nursing Homes, Provider, Provider: Health Personnel, Workforce
Nowak-Wegrzyn A, Greenhawt M
The importance of food allergy to the practicing clinician.
This article introduces a theme issue on food allergy that brings an impressive lineup of state-of-the-art reviews, provocative commentaries, and innovative original research studies. It briefly summarizes the content of the various studies and commentaries included in the issue.
AHRQ-funded; HS024599.
Citation: Nowak-Wegrzyn A, Greenhawt M .
The importance of food allergy to the practicing clinician.
Ann Allergy Asthma Immunol 2018 Mar;120(3):227-28. doi: 10.1016/j.anai.2018.01.024.
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Keywords: Evidence-Based Practice, Provider: Health Personnel, Nutrition, Patient-Centered Healthcare, Patient-Centered Outcomes Research