• Publications
  • Influence
Implications of the California nurse staffing mandate for other states.
TLDR
When nurses' workloads were in line with California-mandated ratios in all three states, nurses' burnout and job dissatisfaction were lower, and nurses reported consistently better quality of care. Expand
Is There Monopsony in the Labor Market? Evidence from a Natural Experiment
Recent theoretical and empirical advances have renewed interest in monopsonistic models of the labor market. However, there is little direct empirical support for these models. We use an exogenousExpand
Impact of state nurse practitioner scope-of-practice regulation on health care delivery: Systematic review.
TLDR
Findings show promise that removing restrictions on NP SOP regulations could be a viable and effective strategy to increase primary care capacity, especially among rural and vulnerable populations. Expand
Nurse Staffing Effects on Patient Outcomes: Safety-Net and Non-Safety-Net Hospitals
TLDR
Higher nurse staffing protected patients from poor outcomes; however, hospital safety-net status introduced complexities in this relationship. Expand
The Nursing Shortage: Is It Really About Image?
TLDR
Polling college students in science and math courses in a seven‐county region of California's Central Valley suggests that these college students have generally gotten the message that nursing is a financially rewarding and desirable career, although they also perceive nursing to be less attractive on some important occupational characteristics such as job independence. Expand
How many nurses per patient? Measurements of nurse staffing in health services research.
TLDR
Comparing alternative measures of nurse staffing and assessing the relative strengths and limitations of each measure found the greatest differences in staffing measurement arise when unit-level data are compared with hospital-level aggregated data reported in large administrative databases. Expand
The DNP by 2015: A Study of the Institutional, Political, and Professional Issues that Facilitate or Impede Establishing a Post-Baccalaureate Doctor of Nursing Practice Program.
TLDR
The results of a mixed-method RAND study undertaken between October 2013 and April 2014 that sought to understand schools' program offerings to prepare APRNs to enter practice and the reasons for those offerings, as well as the barriers or facilitators to nursing schools' full adoption of the DNP are described. Expand
Scope-of-practice laws for nurse practitioners limit cost savings that can be achieved in retail clinics.
TLDR
It is found that visits to retail clinics were associated with lower costs per episode, compared to episodes of care that did not begin with a retail clinic visit, and the costs were even lower when NPs practiced independently. Expand
Measuring levels of technology in hospitals
Abstract Theoretical and empirical studies have considered the importance of technology in health care. In this wide-ranging literature, technology is defined in a variety of ways, and measured withExpand
How Have Mandated Nurse Staffing Ratios Affected Hospitals? Perspectives from California Hospital Leaders
TLDR
Qualitative data from interviews with healthcare leaders about the impact of nurse staffing ratios in California concluded that most hospitals found it difficult and expensive to find more RNs to hire to meet the ratios, and hospital leaders do not believe that ratios have had an impact on patient quality of care. Expand
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