Category Archives: Health Care Workers

Incidence of needlestick and other sharp object injuries in newly graduated nurses

Source: Ya Hui Yang, Shyh Jong Wu, Chao Ling Wang, Chun Yuh Yang, Saou Hsing Liou, Trong Neng Wu, AJIC: American Journal of Infection Control, Article in Press, published online 13 March 2013
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Nurses are particularly at high risk of needlestick and injuries by other sharp object (hereafter called needlestick injuries). Newly graduated nurses (hereafter called new nurses) now comprise >10% of a typical hospital’s nursing staff. Nursing students have a higher risk than registered nurses. As nursing students graduate and become new nurses, their needlestick injuries warrant close attention. However, there have been few studies looking into needlestick injuries in new nurses.

Personal Care Aide Training Requirements: Summary of State Findings

Source: Abby Marquand, Paraprofessional Healthcare Institute (PHI), March 2013

From the abstract:
Examines the rigor and uniformity of personal care aide training standards across all states and the District of Columbia. A summary of national findings is followed by brief descriptions of the training landscape in each state.
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Blog post

Mindfulness and Medical Review: A Grassroots Approach to Improving Work/Life Balance and Nursing Retention in a Level I Trauma Center Emergency Department

Source: Tim Cunningham, Jonathan Bartels, Courtney Grant, Michael Ralph, Journal of Emergency Nursing, March 2013
(subscription required)

From the abstract:
High nursing attrition at a level I trauma center, coupled with a profound national nursing shortage and confounded by an inaccessible and failing primary health system in the United States, have created a looming yet surmountable challenge to the nursing staff at the University of Virginia (UVA) emergency department. The challenge of retaining quality nurses in a stressful workplace is common in teaching institutions across the United States. Three staff nurses in the UVA emergency department who recognized a near critical shortage of emergency nurses at UVA have developed a unique intervention with a “grassroots” approach to face these challenges.

Nurse Staffing and NICU Infection Rates

Source: Jeannette A. Rogowski, Douglas Staiger, Thelma Patrick, Jeffrey Horbar, Michael Kenny, Eileen T. Lake, JAMA Pediatrics, Published online March 18, 2013
(subscription required)

From the abstract:
There are substantial shortfalls in nurse staffing in US neonatal intensive care units (NICUs) relative to national guidelines. These are associated with higher rates of nosocomial infections among infants with very low birth weights…. Hospitals understaffed 32% of their NICU infants and 92% of high-acuity infants relative to guidelines. To meet minimum staffing guidelines on average would require an additional 0.11 of a nurse per infant overall and 0.39 of a nurse per high-acuity infant…. Substantial NICU nurse understaffing relative to national guidelines is widespread. Understaffing is associated with an increased risk for VLBW nosocomial infection. Hospital administrators and NICU managers should assess their staffing decisions to devote needed nursing care to critically ill infants….

Generations in the Workplace

Source: Laura Putre, Trustee, Vol. 66 no. 2, February 2013
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Hospitals find creative ways to support staff from four generations…Each generation brings different expectations for their careers and their personal lives. Each has its own work habits, life goals and attitudes shaped largely by the social and historical eras in which they came of age. Understanding their differences is critical for hospitals to recruit and retain the best talent and to ensure that tensions that are bound to arise do not interfere with organizational operations….

The Role Of Nurse Practitioners

Source: Diane Rehm Show, WAMU, March 26, 2013

In 18 states, plus the District of Columbia, nurse practitioners are allowed to treat patients and prescribe medications without a doctor’s involvement. Lawmakers in a number of other states are pushing for similar changes to so-called “scope of practice” laws that determine what nurse practitioners can do for patients. Proponents argue expanding the roles of nurse practitioners can address what has become a major problem: a shortage of primary care doctors. But many physicians say a team-based approach that includes at least one medical doctor is better for patients. Please join us to discuss the role of nurse practitioners.

Nurse Retention in a Correctional Facility: A Study of the Relationship Between the Nurses’ Perceived Barriers and Benefits

Source: W. Sue Chafin, Wendy L. Biddle,Journal of Correctional Health Care, Published online before print February 26, 2013
(subscription required)

From the abstract:
Retention of nursing staff is more complex in a correctional facility. After a period of 3 years, only 20% of the staff remained employed at this study facility. Without retention of qualified correctional nurses, there are decreases in access to care, gaps in continuity of care, and less time for mentorship. Trained correctional nurses improve patient and staff safety, provide more education, and are more team-oriented. The purpose of this study was to identify barriers and benefits to nursing staff satisfaction with their job and the likelihood that they will continue to work in correctional settings. Practice and patient care will be favorably impacted if correctional nurses are provided with services such as new hire orientation, clinical ladder programs to recruit and retain nursing staff, and teambuilding.

Projections of the Long-Term Growth of the Registered Nurse Workforce: A Regional Analysis

Source: Peter I. Buerhaus, Ulrike Muench, David I. Auerbach, Douglas O. Staiger, Nursing Economics, Vol. 31 no. 1, January-February 2013

From the summary:
– Providing regional projections of the RN workforce will allow underlying differences in the age structure of the RN workforce to become more visible.
– By providing regional-level projections, it will also be possible to identify those regions whose RN workforce is expected to grow at a slower rate relative to other regions.
– States in the South and Midwest have a greater supply of younger-aged RNs available to replace fewer numbers of older-age RNs compared to other regions.
– In contrast, the Northeast and West have fewer younger RNs currently in their workforce yet a relatively larger number of older age RNs to replace.
– These differences in age structure may be partly due to differences in nursing school enrollment and expansion in nursing education capacity across regions.
– This information can help guide national and state health work-force planners, employers, educators, and others in developing policies and initiatives that may impact nursing supply in their states.

Through the Eyes of the Workforce: Creating Joy, Meaning, and Safer Health Care

Source: National Patient Safety Foundation, Lucian Leape Institute, 2013

From the abstract:
Workplace safety is inextricably linked to patient safety. Unless caregivers are given the protection, respect, and support they need, they are more likely to make errors, fail to follow safe practices, and not work well in teams.

This report looks at the current state of health care as a workplace, highlights vulnerabilities common in health care organizations, discusses the costs of inaction, and outlines what a healthy and safe workplace would look like. The report concludes with seven recommendations for actions that organizations need to pursue to effect real change.
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Executive Summary
Webcast Audio
Webcast Slides