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Falls Among Adult Patients Hospitalized in the United States: Prevalence and Trends
TLDR
In this large sample of hospitals, fall and injurious fall prevalence varied by nursing unit type in U.S. hospitals, with a small, but statistically significant, decrease in falls over the 27-month study.
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Nurse staffing and patient falls on acute care hospital units.
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The Relationship of Nursing Workforce Characteristics to Patient Outcomes
TLDR
This article reviews what is known from previous nursing outcomes research and identifies gaps in the current state of knowledge, and describes the contribution to research that can be made through the National Database of Nursing Quality Indicators TM (NDNQI®).
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The NDNQI-Adapted Index of Work Satisfaction
TLDR
The findings from the two studies indicate that the adapted Index of Work Satisfaction has a structure similar to the original instrument and is a reliable and valid measure of work satisfaction at the patient care unit level.
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Using the American Community Survey: Benefits and Challenges
Effect of Medicare's nonpayment for Hospital-Acquired Conditions: lessons for future policy.
TLDR
The Hospital-Acquired Conditions Initiative was associated with improvements in CLABSI and CAUTI trends, conditions for which there is strong evidence that better hospital processes yield better outcomes, but the HACs Initiative was not associated with improved in HAPU or injurious fall trends, which means there is less evidence that changing hospital processes leads to significantly better outcomes.
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Unit-level Time Trends in Inpatient Fall Rates of US Hospitals
TLDR
The fall rate in the United States hospitals decreased over time, but the large variation in the fall rate at both the hospital and the unit level indicates much room for improvement in the quality of nursing care related to fall prevention.
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Patient falls: Association with hospital Magnet status and nursing unit staffing.
TLDR
In multivariate models, the fall rate was 5% lower in Magnet than non-Magnet hospitals and an additional registered nurse hour per patient day was associated with a 3% lower fall rate in ICUs.
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Unit Type Differences in RN Workgroup Job Satisfaction
TLDR
Differences in RN workgroup job satisfaction were examined among 10 unit types—medical-surgical, step-down, critical care, pediatric, maternal-newborn, psychiatric, emergency department, rehabilitation, surgical services, and outpatient clinics and labs.
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Understanding Unassisted Falls: Effects of Nurse Staffing Level and Nursing Staff Characteristics
TLDR
The fall rate was negatively associated with registered nurse skill mix and average registered nurse tenure on the unit, and the relation between the fall rate and total nurse staffing was positive at lower staffing levels and negative for levels around and above the median.
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