Multilevel Panel Study of Effects of Changes in Nursing on Health Equity and Patient Outcomes

护理变革对健康公平和患者结果影响的多层次小组研究

基本信息

  • 批准号:
    10770894
  • 负责人:
  • 金额:
    $ 22.75万
  • 依托单位:
  • 依托单位国家:
    美国
  • 项目类别:
  • 财政年份:
    2023
  • 资助国家:
    美国
  • 起止时间:
    2023-07-01 至 2026-01-31
  • 项目状态:
    未结题

项目摘要

Abstract Maternal morbidity and mortality (MMM) rates in the U.S. are marked by racial disparities, long- standing, and worsening. The hospital where a woman gives birth has been identified as a driver of these poor outcomes, and the racial disparities therein. What it is about hospitals that leads to this variation has not certain. Nurses provide most of the direct patient care for birthing women. In other patient populations, nursing capital, the hospital resources which support nurses' work (e.g., staffing and the work environment), is linked to morbidity and mortality and has a differential beneficial effect for Black patients' outcomes, compared to White. Unlike a hospital's structural characteristics, like its teaching status or patient acuity mix, nursing capital is modifiable and provides a potential intervention for improving patient outcomes and disparities therein. These findings provide the foundation for the proposed administrative supplement to NR014855 (“Multilevel Panel Study of Effects of Changes in Nursing on Health Equity and Patient Outcomes”). The purpose of this supplement is to determine whether there is an association between nursing capital and MMM, and whether there is a differentially benefit for women from racial/ethnic minorities. Aim 1: To determine the association between a hospital's nursing capital and the odds of MMM, especially for women from minoritized racial and ethnic groups. We hypothesize that better nursing capital will be associated with overall decreased MMM and that there will be a differential decrease in MMM for women from minoritized racial and ethnic groups. Aim 2: To identify high-performing hospitals, where women from minoritized racial and ethnic groups have the lowest rates of MMM, determine if there are hospitals that are high performing for particular groups of women from minoritized groups. and develop evidence-based profiles of hospitals. Aim 3: To determine the degree to which the nursing capital characteristics distinguish high from low-performing hospitals and whether these characteristics vary for different groups of women. To accomplish these aims, we propose a cross-sectional secondary analysis of the first wave of data from the parent study. Nurses serve as informants, via a survey, about their hospital's organizational resources, including nursing capital, quality, and safety. This data is combined with patient discharge abstracts and hospital data to allow us to examine the association of hospital organizational resources with MMM for women from racial/ethnic minority groups and to identify and describe high-performing hospitals. The overarching aim of this work is to not only understand the association of nursing capital with MMM, or describe high- performing hospitals, but to determine whether – as in other patient populations – nursing capital has the potential to be a target for intervention to have a transformative effect on maternal outcomes and equity.
摘要 美国的孕产妇发病率和死亡率(MMM)存在种族差异,长期以来, 站立,恶化。一名妇女分娩的医院已被确定为这些的驱动因素 结果不佳,以及种族差异。导致这种差异的是医院 不确定。护士为产妇提供大部分直接的病人护理。在其他患者中 人口,护理资本,支持护士工作的医院资源(例如,工作人员和任务 工作环境),与发病率和死亡率有关,对黑人有不同的有益影响。 与白色相比,患者的结局。不像医院的结构特点,像它的教学 状态或患者急性混合,护理资本是可修改的,并提供了潜在的干预, 改善患者结果和其中的差异。这些发现为 建议对NR 014855(“关于 护理对健康公平性和患者结局的影响”)。本附录的目的是确定 护理资本与MMM之间是否存在关联,以及是否存在差异 为少数种族/族裔妇女提供福利。目标1:确定a 医院的护理资本和MMM的可能性,特别是对少数民族和种族的妇女 组我们假设,更好的护理资本将与整体降低MMM, 少数种族和族裔群体妇女的MMM将有不同程度的下降。 目标2:确定高绩效医院,其中少数民族和族裔群体的妇女 有最低的MMM率,确定是否有医院,特别是高性能 少数群体中的妇女团体。并建立基于证据的医院档案。目标3: 确定护理资本特征区分高绩效和低绩效的程度 医院以及这些特征是否因不同妇女群体而异。为了实现这些目标, 我们建议对来自母研究的第一波数据进行横截面二次分析。护士 通过问卷调查,了解他们医院的组织资源,包括护理 资金、质量和安全。该数据与患者出院摘要和医院数据相结合, 允许我们研究医院组织资源与MMM的妇女协会, 种族/少数民族群体,并确定和描述高绩效的医院。总体 这项工作的目的是不仅要了解护理资本与MMM的关联,或描述高, 但是为了确定护理资本是否像其他病人群体一样, 有可能成为干预措施的目标,对孕产妇成果和公平产生变革性影响。

项目成果

期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)

数据更新时间:{{ journalArticles.updateTime }}

{{ item.title }}
{{ item.translation_title }}
  • DOI:
    {{ item.doi }}
  • 发表时间:
    {{ item.publish_year }}
  • 期刊:
  • 影响因子:
    {{ item.factor }}
  • 作者:
    {{ item.authors }}
  • 通讯作者:
    {{ item.author }}

数据更新时间:{{ journalArticles.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ monograph.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ sciAawards.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ conferencePapers.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ patent.updateTime }}

Matthew D. McHugh其他文献

Association of Racial and Ethnic Composition with Staff Levels in Nursing Homes: 2013-2019
种族和族裔构成与疗养院员工水平的关联:2013-2019 年
An Assessment of Patient, Caregiver, and Clinician Perspectives arge Phase of Care on the Post-disch
对出院后护理阶段患者、护理人员和临床医生观点的评估
  • DOI:
  • 发表时间:
    2021
  • 期刊:
  • 影响因子:
    0
  • 作者:
    Phillip M. Dowzicky;Frances K. Barg;Whitney Eriksen;Matthew D. McHugh;R. Kelz
  • 通讯作者:
    R. Kelz
Assessment of Patient, Caregiver, and Clinician Perspectives on the Post-Discharge Phase of Care
  • DOI:
    10.1016/j.jamcollsurg.2019.08.314
  • 发表时间:
    2019-10-01
  • 期刊:
  • 影响因子:
  • 作者:
    Phillip Dowzicky;Arnav Shah;Frances Barg;Whitney Eriksen;Matthew D. McHugh;Rachel Kelz
  • 通讯作者:
    Rachel Kelz
The Relationship of Nursing Home Medicaid Census to Nurses’ Assessments of Care Quality and Work Environment
  • DOI:
    10.1016/j.jamda.2020.01.092
  • 发表时间:
    2020-03-01
  • 期刊:
  • 影响因子:
  • 作者:
    Elizabeth M. White;Elizabeth M. White;Linda H. Aiken;Matthew D. McHugh
  • 通讯作者:
    Matthew D. McHugh
Association of emergency department nurse and physician work environment agreement on clinician job and patient outcomes
  • DOI:
    10.1186/s12913-025-12720-x
  • 发表时间:
    2025-05-16
  • 期刊:
  • 影响因子:
    3.000
  • 作者:
    K. Jane Muir;Anish K. Agarwal;Daniela Golinelli;Karen B. Lasater;James Ballinghoff;Colleen Mattioni;Matthew D. McHugh;Linda H. Aiken
  • 通讯作者:
    Linda H. Aiken

Matthew D. McHugh的其他文献

{{ item.title }}
{{ item.translation_title }}
  • DOI:
    {{ item.doi }}
  • 发表时间:
    {{ item.publish_year }}
  • 期刊:
  • 影响因子:
    {{ item.factor }}
  • 作者:
    {{ item.authors }}
  • 通讯作者:
    {{ item.author }}

{{ truncateString('Matthew D. McHugh', 18)}}的其他基金

The Impact of Nursing on Racial Disparities in Surgical Outcomes
护理对手术结果种族差异的影响
  • 批准号:
    9381237
  • 财政年份:
    2017
  • 资助金额:
    $ 22.75万
  • 项目类别:
Multilevel Panel Study of Effects of Changes in Nursing on Health Equity and Patient Outcomes
护理变革对健康公平和患者结果影响的多层次小组研究
  • 批准号:
    10599321
  • 财政年份:
    2014
  • 资助金额:
    $ 22.75万
  • 项目类别:
Hospital Care Environment, Neighborhood, and Racial Disparities in Elder Outcomes
医院护理环境、社区和老年人结果的种族差异
  • 批准号:
    8530143
  • 财政年份:
    2011
  • 资助金额:
    $ 22.75万
  • 项目类别:
A Panel Study of Hospital Nursing Resources and Racial Disparities in Elder Outcomes
医院护理资源与老年人结局种族差异的小组研究
  • 批准号:
    9235410
  • 财政年份:
    2011
  • 资助金额:
    $ 22.75万
  • 项目类别:
Hospital Care Environment, Neighborhood, and Racial Disparities in Elder Outcomes
医院护理环境、社区和老年人结果的种族差异
  • 批准号:
    8332259
  • 财政年份:
    2011
  • 资助金额:
    $ 22.75万
  • 项目类别:
A Panel Study of Hospital Nursing Resources and Racial Disparities in Elder Outcomes
医院护理资源与老年人结局种族差异的小组研究
  • 批准号:
    9755295
  • 财政年份:
    2011
  • 资助金额:
    $ 22.75万
  • 项目类别:
Hospital Care Environment, Neighborhood, and Racial Disparities in Elder Outcomes
医院护理环境、社区和老年人结果的种族差异
  • 批准号:
    8210289
  • 财政年份:
    2011
  • 资助金额:
    $ 22.75万
  • 项目类别:
A Panel Study of Hospital Nursing Resources and Racial Disparities in Elder Outcomes
医院护理资源与老年人结局种族差异的小组研究
  • 批准号:
    9562950
  • 财政年份:
    2011
  • 资助金额:
    $ 22.75万
  • 项目类别:
Nurse Staffing Policy, Hospital Occupancy, Market Structure, and Patient Outcomes
护士人员配置政策、医院入住率、市场结构和患者治疗结果
  • 批准号:
    7688529
  • 财政年份:
    2008
  • 资助金额:
    $ 22.75万
  • 项目类别:
Nurse Staffing Policy, Hospital Occupancy, Market Structure, and Patient Outcomes
护士人员配置政策、医院入住率、市场结构和患者治疗结果
  • 批准号:
    7893696
  • 财政年份:
    2008
  • 资助金额:
    $ 22.75万
  • 项目类别:

相似海外基金

Proton-secreting epithelial cells as key modulators of epididymal mucosal immunity - Administrative Supplement
质子分泌上皮细胞作为附睾粘膜免疫的关键调节剂 - 行政补充
  • 批准号:
    10833895
  • 财政年份:
    2023
  • 资助金额:
    $ 22.75万
  • 项目类别:
A Longitudinal Qualitative Study of Fentanyl-Stimulant Polysubstance Use Among People Experiencing Homelessness (Administrative supplement)
无家可归者使用芬太尼兴奋剂多物质的纵向定性研究(行政补充)
  • 批准号:
    10841820
  • 财政年份:
    2023
  • 资助金额:
    $ 22.75万
  • 项目类别:
StrokeNet Administrative Supplement for the Funding Extension
StrokeNet 资助延期行政补充文件
  • 批准号:
    10850135
  • 财政年份:
    2023
  • 资助金额:
    $ 22.75万
  • 项目类别:
2023 NINDS Landis Mentorship Award - Administrative Supplement to NS121106 Control of Axon Initial Segment in Epilepsy
2023 年 NINDS 兰迪斯指导奖 - NS121106 癫痫轴突初始段控制的行政补充
  • 批准号:
    10896844
  • 财政年份:
    2023
  • 资助金额:
    $ 22.75万
  • 项目类别:
Biomarkers of Disease in Alcoholic Hepatitis Administrative Supplement
酒精性肝炎行政补充剂中疾病的生物标志物
  • 批准号:
    10840220
  • 财政年份:
    2023
  • 资助金额:
    $ 22.75万
  • 项目类别:
Administrative Supplement: Life-Space and Activity Digital Markers for Detection of Cognitive Decline in Community-Dwelling Older Adults: The RAMS Study
行政补充:用于检测社区老年人认知衰退的生活空间和活动数字标记:RAMS 研究
  • 批准号:
    10844667
  • 财政年份:
    2023
  • 资助金额:
    $ 22.75万
  • 项目类别:
Administrative Supplement: Improving Inference of Genetic Architecture and Selection with African Genomes
行政补充:利用非洲基因组改进遗传结构的推断和选择
  • 批准号:
    10891050
  • 财政年份:
    2023
  • 资助金额:
    $ 22.75万
  • 项目类别:
Power-Up Study Administrative Supplement to Promote Diversity
促进多元化的 Power-Up 研究行政补充
  • 批准号:
    10711717
  • 财政年份:
    2023
  • 资助金额:
    $ 22.75万
  • 项目类别:
Administrative Supplement for Peer-Delivered and Technology-Assisted Integrated Illness Management and Recovery
同行交付和技术辅助的综合疾病管理和康复的行政补充
  • 批准号:
    10811292
  • 财政年份:
    2023
  • 资助金额:
    $ 22.75万
  • 项目类别:
Administrative Supplement: Genome Resources for Model Amphibians
行政补充:模型两栖动物基因组资源
  • 批准号:
    10806365
  • 财政年份:
    2023
  • 资助金额:
    $ 22.75万
  • 项目类别:
{{ showInfoDetail.title }}

作者:{{ showInfoDetail.author }}

知道了