Joyce A. Verran

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The purpose of this study was to develop and test the Verran and Snyder-Halpern (VSH) Sleep Scale, an instrument to subjectively measure sleep characteristics. Four major sleep factors and their associated characteristics were proposed for the Sleep Scale. Subjects completed three randomly ordered sleep questionnaires on three consecutive weekday mornings(More)
The increased involvement of statisticians in the publication of biomedical research has resulted in increased communication between statisticians and biomedical journal editors. This paper considers ways to enhance positive interactions between statisticians and journal editors. Specific questions addressed are: What are the most serious statistical(More)
Criteria for the examination of data collected at the individual level and aggregated to the group are proposed. These four empirical criteria relate to content validity, representativeness, reliability, and validity of the aggregated scores as indicators of group phenomena. An example of the use of the criteria is provided using data from a large research(More)
Theory-driven investigations are necessary for generalization of findings and development of health care policy. Within the environments where nurses practice, however, there often is insufficient time to develop a theory base that supports practice changes or the investigation of their effects. Theories that support such investigations need to incorporate(More)
PURPOSE We used ORA, a dynamic network analysis tool, to identify patient care unit communication patterns associated with patient safety and quality outcomes. Although ORA had previously had limited use in healthcare, we felt it could effectively model communication on patient care units. METHODS Using a survey methodology, we collected communication(More)
PURPOSE To better understand the environmental constraints on nurse managers that impact their need for and use of decision support tools, we conducted a Cognitive Work Analysis (CWA). A complete CWA includes system analyses at five levels: work domain, decision-making procedures, decision-making strategies, social organization/collaboration, and worker(More)
The purpose of this article is to provide a brief review of guidelines for development of culturally appropriate measures of phenomena. The principles are illustrated by citing an example of their use in developing a survey instrument to be used with a rural Mexican American and Euro American population. Discussion focuses on practical issues of(More)
How do nurse managers make decisions about quality issues on their units? We asked 10 nurse managers in 3 Arizona hospitals to describe how they resolved a recent quality issue. The managers tended to use a linear, but cognitively expensive strategy, often jumping from problem to solution without a clear goal and selecting solutions biased toward remedial(More)
Improvement of hospital unit work environments is key to quality patient care, productivity, nurse retention, and job satisfaction. Accurate measurement of such environments is necessary prior to introduction and evaluation of improvement structures and strategies. Characteristics and attributes of work environments are group level phenomena. Accurate(More)