Evidence map›Paper›PMID 35464751›Full record

ArticleJournal of nursing regulation2022

Conditions of Nursing Practice in Hospitals and Nursing Homes Before COVID-19: Implications for Policy Action.

Rachel French, Linda H Aiken, Kathleen E Fitzpatrick Rosenbaum, Karen B Lasater

Open access · bronzeAbstract read
In one paragraph

Article in Journal of nursing regulation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
8.3field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 30 citations in OpenAlex.

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  10. The Development and Implementation of a Model to Facilitate Self-Awareness of Professionalism for Enrolled Nurses.Journal of holistic nursing : official journal of the American Holistic Nurses' Association · 2023
    Article
  11. The association of the emergency department work environment on patient care and nurse job outcomes.Journal of the American College of Emergency Physicians open · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 4 institutions in 1 country.

Rachel Frenchis Postdoctoral Research Fellow, Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing; Fellow, National Clinician Scholars Program, University of Pennsylvania, Philadelphia, PA.
Linda H Aikenis Professor of Nursing and Sociology and Founding Director of the Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing.
Kathleen E Fitzpatrick Rosenbaumis Predoctoral Research Fellow, Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing.
Karen B Lasateris Assistant Professor, Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing.
Center For Policy Research · USHealth Outcomes Solutions (United States) · USOutcomes Research Consortium · USUniversity of Pennsylvania · US

Funding

ADVANCED TRAINING IN NURSING OUTCOMES RESEARCHT32NR007104 · NINR · UNIVERSITY OF PENNSYLVANIA · PI JACQUELINE MARGO BROOKS CARTHON, EILEEN T LAKE · 1999 to 2026
$11.6M
NINR NIH HHS T32 NR007104
6 · The paper itself

Abstract

Background: The COVID-19 pandemic has stimulated interest in potential policy solutions to improve working conditions in hospitals and nursing homes. Policy action in the pandemic recovery period must be informed by pre-pandemic conditions. Purpose: To describe registered nurses' (RNs') working conditions, job outcomes, and measures of patient safety and care quality in hospitals and nursing homes just before the pandemic. Methods: Cross-sectional study using descriptive statistics to analyze survey data from RNs in New York and Illinois collected December 2019 through February 2020. Results: A total of 33,462 RNs were included in the final analysis. Before the pandemic, more than 40% of RNs reported high burnout, one in four were dissatisfied with their job, and one in five planned to leave their employer within 1 year. Among nursing home RNs, one in three planned to leave their employer. RNs reported poor working conditions characterized by not having enough staff (56%), administrators who did not listen/respond to RNs' concerns (42%), frequently missed nursing care (ranging from 8% to 34% depending on the nursing task in question), work that was interrupted or delayed by insufficient staff (88%), and performing non-nursing tasks (82%). Most RNs (68%) rated care quality at their workplace as less than excellent, and 41% gave their hospital an unfavorable patient safety rating. Conclusion: Hospitals and nursing homes were understaffed before the COVID-19 pandemic, and many RNs were dissatisfied with their employers' contribution to the widespread observed shortage of nursing care during the pandemic. Policy interventions to address understaffing include the implementation of safe nurse staffing standards and passage of the Nurse Licensure Compact to permit RNs to move expeditiously to locales with the greatest needs.

Indexed as

care qualityCOVID-19 pandemichospitalsNLCNurse Licensure CompactNurse staffingnurse staffing standardsnursing homespatient safety

Identifiers

PMID35464751
PMCPMC9013504
OpenAlexW4223905008

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.