Heather Brom
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View article: Nurse resilience, burnout, pandemic stress, and post-traumatic stress: A secondary analysis of a longitudinal cohort
Nurse resilience, burnout, pandemic stress, and post-traumatic stress: A secondary analysis of a longitudinal cohort Open
Background It is estimated that approximately one-fifth of nurses in the United States will leave the profession by 2027 due to stress and burnout caused by the COVID-19 pandemic. It is unknown how burnout, resilience, and post-traumatic s…
View article: Are minimum nurse-to-patient staffing ratios needed in hospitals? An observational study in British Columbia, Canada
Are minimum nurse-to-patient staffing ratios needed in hospitals? An observational study in British Columbia, Canada Open
Objective To evaluate staffing conditions, patient outcomes, quality of care, patient safety and nurse job outcomes in British Columbia (BC), Canada hospitals. Design Cross-sectional study of 58 hospitals in BC with surveys of nurses and i…
View article: Advanced Practice Registered Nurse Burnout in Magnet Hospitals
Advanced Practice Registered Nurse Burnout in Magnet Hospitals Open
OBJECTIVE To determine modifiable organizational factors associated with advanced practice RN (APRN) burnout in Magnet ® -designated hospitals to guide organizational interventions to improve APRN well-being and retention. METHODS Cross-se…
View article: Pre-Implementation Strategies to Support Adaptation of Thrive: A Care Transitions Model for Economically Disadvantaged Patients with Serious Mental Illness
Pre-Implementation Strategies to Support Adaptation of Thrive: A Care Transitions Model for Economically Disadvantaged Patients with Serious Mental Illness Open
Background: Economically disadvantaged patients diagnosed with serious mental illness (SMI) experience post-hospitalizations disparities due to fragmented care transitions. Purpose: To describe the pre-implementation strategies used to ada…
View article: Transitional Care Support for Medicaid-Insured Patients With Serious Mental Illness: Protocol for a Type I Hybrid Effectiveness-Implementation Stepped-Wedge Cluster Randomized Controlled Trial
Transitional Care Support for Medicaid-Insured Patients With Serious Mental Illness: Protocol for a Type I Hybrid Effectiveness-Implementation Stepped-Wedge Cluster Randomized Controlled Trial Open
Background People diagnosed with a co-occurring serious mental illness (SMI; ie, major depressive disorder, bipolar disorder, or schizophrenia) but hospitalized for a nonpsychiatric condition experience higher rates of readmissions and oth…
View article: Improvements in Transitional Care Among Medicaid-Insured Patients With Serious Mental Illness
Improvements in Transitional Care Among Medicaid-Insured Patients With Serious Mental Illness Open
Background: The Thrive program is an evidenced-based care model for Medicaid-insured adults in the hospital-to-home transition. A substantial portion of Thrive participants live with serious mental illness (SMI), yet Thrive’s efficacy has …
View article: Transitional Care Support for Medicaid-Insured Patients With Serious Mental Illness: Protocol for a Type I Hybrid Effectiveness-Implementation Stepped-Wedge Cluster Randomized Controlled Trial (Preprint)
Transitional Care Support for Medicaid-Insured Patients With Serious Mental Illness: Protocol for a Type I Hybrid Effectiveness-Implementation Stepped-Wedge Cluster Randomized Controlled Trial (Preprint) Open
BACKGROUND People diagnosed with a co-occurring serious mental illness (SMI; ie, major depressive disorder, bipolar disorder, or schizophrenia) but hospitalized for a nonpsychiatric condition experience higher rates of readmissions and ot…
View article: Equity-Centered Postdischarge Support for Medicaid-Insured People: Protocol for a Type 1 Hybrid Effectiveness-Implementation Stepped Wedge Cluster Randomized Controlled Trial
Equity-Centered Postdischarge Support for Medicaid-Insured People: Protocol for a Type 1 Hybrid Effectiveness-Implementation Stepped Wedge Cluster Randomized Controlled Trial Open
Background Disparities in posthospitalization outcomes for people with chronic medical conditions and insured by Medicaid are well documented, yet interventions that mitigate them are lacking. Prevailing transitional care interventions nar…
View article: Better Nurse Practitioner Primary Care Practice Environments Reduce Hospitalization Disparities Among Dually-Enrolled Patients
Better Nurse Practitioner Primary Care Practice Environments Reduce Hospitalization Disparities Among Dually-Enrolled Patients Open
Background: Over 12 million Americans are dually enrolled in Medicare and Medicaid. These individuals experience over twice as many hospitalizations for chronic diseases such as coronary artery disease and diabetes compared with Medicare-o…
View article: Equity Centered Post Discharge Support for Medicaid Insured: A Type 1 Hybrid Effectiveness Implementation Stepped-Wedge Cluster Randomized Trial Study Protocol For The ‘THRIVE’ Clinical Pathway
Equity Centered Post Discharge Support for Medicaid Insured: A Type 1 Hybrid Effectiveness Implementation Stepped-Wedge Cluster Randomized Trial Study Protocol For The ‘THRIVE’ Clinical Pathway Open
Background Disparities in posthospitalization outcomes for people with chronic medical conditions and insured by Medicaid are well documented, yet interventions that mitigate them are lacking. Prevailing transitional care interventions nar…
View article: A thematic analysis of shared experiences of essential health and support personnel in the COVID-19 pandemic
A thematic analysis of shared experiences of essential health and support personnel in the COVID-19 pandemic Open
Aims and objectives Studies have shown that the COVID-19 pandemic has taken a toll on individuals who interact with patients with SARS-CoV-2 but focused largely on clinicians in acute care settings. This qualitative descriptive study aimed…
View article: BETTER NP PRACTICE ENVIRONMENTS REDUCE HOSPITALIZATION DISPARITIES AMONG DUALLY ENROLLED PATIENTS
BETTER NP PRACTICE ENVIRONMENTS REDUCE HOSPITALIZATION DISPARITIES AMONG DUALLY ENROLLED PATIENTS Open
Adults dually-enrolled in Medicare and Medicaid experience twice as many hospitalizations and higher rates of ambulatory care-sensitive conditions (ACSCs) – such as coronary artery disease [CAD] and diabetes, compared to Medicare-only pati…
View article: Transitional care innovation for Medicaid-insured individuals: early findings
Transitional care innovation for Medicaid-insured individuals: early findings Open
Background Chronically ill adults insured by Medicaid experience health inequities following hospitalisation. Local problem Postacute outcomes, including rates of 30-day readmissions and postacute emergency department (ED), were higher amo…
View article: Vulnerability, loss, and coping experiences of health care workers and first responders during the covid-19 pandemic: a qualitative study
Vulnerability, loss, and coping experiences of health care workers and first responders during the covid-19 pandemic: a qualitative study Open
The findings indicate the need for effective measures to assist health care workers and first responders to minimize the negative consequences of persistent and severe stress and vulnerability as they care for individuals with COVID-19 and…
View article: Care Quality, Patient Safety, and Nurse Outcomes at Hospitals Serving Economically Disadvantaged Patients: A Case for Investment in Nursing
Care Quality, Patient Safety, and Nurse Outcomes at Hospitals Serving Economically Disadvantaged Patients: A Case for Investment in Nursing Open
We sought to evaluate if better work environments or staffing were associated with improvements in care quality, patient safety, and nurse outcomes across hospitals caring for different proportions of patients who are economically disadvan…
View article: Policy Evaluation Of The Affordable Care Act Graduate Nurse Education Demonstration
Policy Evaluation Of The Affordable Care Act Graduate Nurse Education Demonstration Open
The US is experiencing a shortage of primary care providers, which could be reduced by the addition of nurse practitioners. However, the ability to increase the supply of nurse practitioners is limited by a shortage of clinical preceptors.…
View article: The COVID-19 Study of Healthcare and Support Personnel (CHAMPS): Protocol for a Longitudinal Observational Study
The COVID-19 Study of Healthcare and Support Personnel (CHAMPS): Protocol for a Longitudinal Observational Study Open
Background Early in the development of the COVID-19 pandemic, it was evident that health care workers, first responders, and other essential workers would face significant stress and workplace demands related to equipment shortages and rap…
View article: Racial Disparities in Stroke Readmissions Reduced in Hospitals With Better Nurse Staffing
Racial Disparities in Stroke Readmissions Reduced in Hospitals With Better Nurse Staffing Open
Background Racial minorities are disproportionately affected by stroke, with Black patients experiencing worse poststroke outcomes than White patients. A modifiable aspect of acute stroke care delivery not yet examined is whether dispariti…
View article: Value of Nurse Practitioner Inpatient Hospital Staffing
Value of Nurse Practitioner Inpatient Hospital Staffing Open
Background: Evidence indicates hospitals with better registered nurse (RN) staffing have better patient outcomes. Whether involving more nurse practitioners (NPs) in inpatient care produces better outcomes is largely unknown. Objective: Th…
View article: Access to post‐acute care services reduces emergency department utilisation among individuals insured by Medicaid: An observational study
Access to post‐acute care services reduces emergency department utilisation among individuals insured by Medicaid: An observational study Open
Aims and objectives We examined whether access to post‐acute care services differed between individuals insured by Medicaid and commercial insurers and whether those differences explained emergency department utilisation 30 days post‐hospi…
View article: The COVID-19 Study of Healthcare and Support Personnel (CHAMPS): Protocol for a Longitudinal Observational Study (Preprint)
The COVID-19 Study of Healthcare and Support Personnel (CHAMPS): Protocol for a Longitudinal Observational Study (Preprint) Open
BACKGROUND Early in the development of the COVID-19 pandemic, it was evident that health care workers, first responders, and other essential workers would face significant stress and workplace demands related to equipment shortages and ra…