Journal ArticleNurs Outlook · May 2, 2025
Healthcare systems are increasingly integrating artificial intelligence and machine learning (AI/ML) tools into patient care, potentially influencing clinical decisions for millions. However, concerns are growing about these tools reinforcing systemic ineq ...
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Journal ArticleBMC geriatrics · March 2025
BackgroundThe purpose of this study was two-fold: (1) describe the relationship between patient or caregiver reported preparedness for care transitions, and acute care use in 30 days after discharge from a skilled nursing facility (SNF); and (2) e ...
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Journal ArticleJ Nurs Scholarsh · January 2025
BACKGROUND: The concept of health equity by design encompasses a multifaceted approach that integrates actions aimed at eliminating biased, unjust, and correctable differences among groups of people as a fundamental element in the design of algorithms. As ...
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Journal ArticleNursing outlook · January 2025
The underrepresentation of Black men in nursing continues to pose a significant challenge to diversity and equity in healthcare leadership. While systemic barriers, such as implicit bias, limited access to advanced education, and lack of mentorship, have b ...
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Journal ArticleNursing outlook · January 2025
Despite nursing being the largest segment in all of the healthcare workforce, with over five million practicing registered nurses in the United States, Black males remain significantly underrepresented, comprising merely about 0.67% to 1% of the nursing wo ...
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Journal ArticleNursing Forum · January 1, 2025
Caregiving appraisal refers to how caregivers evaluate their caregiving situation. However, this concept, first introduced by Lawton et al. in 1989, has been inconsistently defined (e.g., often inaccurately interchanged with caregiving burden) over the pas ...
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Journal ArticleAm J Kidney Dis · December 2024
There has been a steady rise in the use of clinical decision support (CDS) tools to guide nephrology as well as general clinical care. Through guidance set by federal agencies and concerns raised by clinical investigators, there has been an equal rise in u ...
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Journal ArticleHealth services research · December 2024
ObjectiveTo examine skilled nursing facility (SNF) staffing shortages across job roles during the COVID-19 pandemic. We aimed to capture the perspectives of leaders on the breadth of staffing shortages and their implications on staff that stayed t ...
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Journal ArticleNursing outlook · November 2024
BackgroundThe National Academies of Sciences, Engineering, and Medicine's Ending Unequal Treatment report emphasizes immediate actions to eliminate health inequities (i.e., solutions-oriented health inequity research), versus incrementally advanci ...
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Journal ArticleJournal of the American Medical Directors Association · August 2024
ObjectivesThe sustained stress and trauma experienced by frontline nursing home (NH) staff throughout the COVID-19 pandemic has been described in health care literature and popular press. Yet, limited attention has been given to attempts to suppor ...
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Journal ArticleCreative nursing · May 2024
The integration of artificial intelligence (AI) into health care offers the potential to enhance patient care, improve diagnostic precision, and broaden access to health-care services. Nurses, positioned at the forefront of patient care, play a pivotal rol ...
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Journal ArticleJournal of the American Geriatrics Society · April 2024
BackgroundFrailty is multifactorial; however, psychosocial stressors contributing to frailty are poorly understood. This study aimed to examine whether gender, race/ ethnicity, and education are associated with differential exposure to psychosocia ...
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Journal ArticleThe Journal of the Association of Nurses in AIDS Care : JANAC · March 2024
AbstractBlack/African American women continue to be disproportionately affected by HIV, facing multiple intersecting challenges that influence how they age and effectively manage their health. Supportive social relationships have been shown to hel ...
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Journal ArticleThe Journal of cardiovascular nursing · March 2024
BackgroundCoronary artery disease (CAD) is the leading cause of cardiovascular morbidity, mortality, and healthcare costs in the United States. There are few reports on how public health and payment reforms might have influenced inpatient hospital ...
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Journal ArticleJ Am Med Inform Assoc · February 16, 2024
OBJECTIVE: The complexity and rapid pace of development of algorithmic technologies pose challenges for their regulation and oversight in healthcare settings. We sought to improve our institution's approach to evaluation and governance of algorithmic techn ...
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Journal ArticleArchives of gerontology and geriatrics · February 2024
Frailty is a geriatric syndrome linked to adverse outcomes. Co-occurring cardiometabolic factors increase frailty risk; however, their distinct combinations (typologies) associated with frailty are unclear. We aimed to identify subgroups of older adults wi ...
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Journal ArticleArchives of gerontology and geriatrics · October 2023
ObjectiveFrailty is a leading predictor of adverse outcomes in older adults. Although disparities in frailty are well-documented, it is unclear whether psychosocial stressors explain these disparities. This study aimed to examine the potential med ...
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Journal ArticleHealth Aff (Millwood) · October 2023
In August 2022 the Department of Health and Human Services (HHS) issued a notice of proposed rulemaking prohibiting covered entities, which include health care providers and health plans, from discriminating against individuals when using clinical algorith ...
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Journal ArticleJournal of the American Medical Informatics Association : JAMIA · September 2023
Sexual and gender minority (SGM) older adults experience greater health disparities compared to non-SGM older adults. The SGM older adult population is growing rapidly. To address this disparity and gain a better understanding of their unique challenges in ...
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Journal ArticleJournal of Nursing Regulation · July 1, 2023
Background: Recruiting foreign-educated nurses (FENs) is a strategy to reduce staffing shortages of registered nurses (RNs) practicing in long-term care (LTC) in the United States. However, little is known about how FENs compare to U.S.-educated nurses (US ...
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Journal ArticlePM R · March 2023
INTRODUCTION: Traumatic brain injury (TBI) among older adults is increasing and can affect cognition. To effectively meet the rehabilitation needs of older adults, a clearer picture is needed of patient-, clinical-, and facility-level characteristics that ...
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Journal ArticleJAMA · January 24, 2023
IMPORTANCE: Stroke is the fifth-highest cause of death in the US and a leading cause of serious long-term disability with particularly high risk in Black individuals. Quality risk prediction algorithms, free of bias, are key for comprehensive prevention st ...
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Journal ArticleAm J Phys Med Rehabil · December 1, 2022
OBJECTIVE: The aim of the study was to determine the association of sex and race/ethnicity with acute hospital readmissions ("within-stay readmissions") during inpatient rehabilitation facility care versus patients discharged home without a within-stay rea ...
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Journal ArticlePain Manag Nurs · April 2022
BACKGROUND: The purpose of this study was to describe the pre- and postsurgical opioid prescription rates and average morphine milligram equivalents (MME) per day in patients undergoing total shoulder replacement (TSR) procedures. METHODS: Patients undergo ...
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Journal ArticleInnovation in aging · January 2022
Background and objectivesEnhanced management and prevention of frailty depend on our understanding of the association between potentially modifiable risk factors and frailty. However, the associations between potentially modifiable cardiometabolic ...
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Journal ArticleBrain Inj · November 10, 2021
OBJECTIVE: : To determine age- and sex-specific predictors of discharge destination among patients with traumatic brain injury (TBI) receiving inpatient rehabilitation facility (IRF) care. DESIGN: : Secondary analysis of Uniform Data System for Medical Reh ...
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Journal ArticleOrthop Nurs · November 2021
The United States is facing an opioid epidemic that has only worsened with the COVID-19 pandemic. There is little evidence regarding patterns of opioid use among patients with total hip replacement (THR). Although the Centers for Disease Control and Preven ...
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Journal ArticleNurs Sci Q · October 2021
The authors describe a family's adaptive challenges and adaptive work during a family member's treatment for Chronic Hepatitis C. We audiorecorded index and final clinical visits and interviewed participants (patients and providers) following the visits. W ...
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Journal ArticleJournal of National Black Nurses' Association : JNBNA · July 2021
Roughly 88 million adults have prediabetes and over 84% are unaware that they even have prediabetes. African-Americans have an increased risk of being diagnosed with prediabetes. Faith-based organizations have a history of serving as a primary source of so ...
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Journal ArticleBrain Inj · May 12, 2021
OBJECTIVE: : To determine the association of race and ethnicity with discharge destination among patients with traumatic brain injury (TBI) receiving inpatient rehabilitation facility (IRF) care. DESIGN: Secondary analysis using Uniform Data System for Med ...
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Journal ArticleJ Am Med Dir Assoc · February 2021
OBJECTIVES: To evaluate a machine learning model designed to predict mortality for Medicare beneficiaries aged >65 years treated for hip fracture in Inpatient Rehabilitation Facilities (IRFs). DESIGN: Retrospective design/cohort analysis of Centers for Med ...
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Journal ArticleNursing forum · November 2020
An organizational culture that values diversity and inclusion is essential for the achievement of high-quality nursing education, yet little literature exists to guide schools of nursing (SON) in accomplishing this goal. All SONs, regardless of size, need ...
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Journal ArticleQual Life Res · March 2020
PURPOSE: Patient priorities for quality of life change with age. We conducted a qualitative study to identify quality of life themes of importance to older adults receiving dialysis and the extent to which these are represented in existing quality of life ...
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Journal ArticleTrials · February 14, 2020
BACKGROUND: Informal caregivers report substantial burden and depressive symptoms which predict higher rates of patient institutionalization. While caregiver education interventions may reduce caregiver distress and decrease the use of long-term institutio ...
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Journal ArticleTeaching and learning in nursing : official journal of the National Organization for Assciate Degree Nursing · July 2019
Each day, nurses care for patients from diverse cultures and backgrounds, including those who self-identify as lesbian, gay, bisexual, transgender, or queer. To facilitate productive health partnerships, nurses need to be aware of a patient's sexual orient ...
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Journal ArticleOrthopedic nursing · March 2019
Effective pain management for orthopaedic major joint replacement is key to achieving earlier recovery, better functioning, and high rates of patient satisfaction. In an effort to decrease opioid dependency, practitioners are turning to multimodal pain man ...
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Journal ArticleHealth Care Manag (Frederick) · 2019
The purpose of this article is to describe changes in hospital readmissions and costs for US hospital patients who underwent total knee replacement (TKR) in 2009 and 2014. Data came from the Healthcare Cost and Utilization Project net-Nationwide Readmissio ...
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Journal ArticleSage Open · 2019
Chronic Hepatitis C (CHC) is the most common blood-borne infection in the U. S. Patients with CHC undergoing treatment face many challenges including adherence to medications and management of symptoms; health care practitioners are well positioned to faci ...
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Journal ArticleHealth Serv Res · August 2018
OBJECTIVE: To determine the sociodemographic and clinical characteristics as well as health services use associated with successful community discharge. DATA SOURCE: Inpatient Rehabilitation Facility-Patient Assessment Instrument and Medicare Provider Anal ...
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Journal ArticleHome healthcare now · July 2018
Assuring home care staff competencies through simulation has the potential to improve care transitions and clinical outcomes. Recreating a home environment can be used for orientation of home care staff and to meet other learning needs. Lessons learned fro ...
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Journal ArticleArch Phys Med Rehabil · June 2018
OBJECTIVE: To document changes in 30-day hospital readmission rates and causes for returning to the hospital for care in THR patients. DESIGN: Retrospective cross-sectional descriptive design. SETTING: Community-based acute care hospitals. PARTICIPANTS: To ...
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Journal ArticleHealth Care Manag (Frederick) · 2018
We sought to understand strategies reported by members of the nursing home management team used to prevent falls in short-stay nursing home patients. Using Donabedian's model of structure, process, and outcomes, we interviewed 16 managers from 4 nursing ho ...
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Journal ArticleWestern journal of nursing research · November 2017
Researchers need to evaluate the strengths and weaknesses of data sets to choose a secondary data set to use for a health care study. This research method review informs the reader of the major issues necessary for investigators to consider while incorpora ...
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Journal ArticleJAMA Intern Med · November 1, 2017
IMPORTANCE: New approaches are needed to enhance implementation of complex interventions for geriatric syndromes such as falls. OBJECTIVE: To test whether a complexity science-based staff training intervention (CONNECT) promoting high-quality staff interac ...
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Journal ArticleThe Journal of nursing education · April 2017
BackgroundNational and global initiatives to address the social determinants of health (SDH) are on the rise. On a parallel trajectory, increased cultural awareness is emerging as an integral strategy to improve the understanding of these social c ...
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Journal ArticleJournal of the National Medical Association · December 2016
IntroductionCompared with other racial/ethnic groups, African Americans have higher rates of chronic conditions and suffer a disproportionate burden of disability. We aimed to examine the effects of social support on physical functioning among old ...
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Journal ArticlePain management nursing : official journal of the American Society of Pain Management Nurses · October 2016
Older African Americans consistently report diminished capacities to perform activities of daily living (ADL) compared with other racial groups. The extent to which bodily pain is related to declining abilities to perform ADL/ADL disability in African Amer ...
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Journal ArticleHome Healthc Now · September 2016
Veterans residing in underserved rural areas face many barriers to accessing high-quality rehabilitation services. This article describes the benefits and challenges of using technology for delivery of rehabilitation services to rural Veterans using TeleHO ...
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Journal ArticleImplement Sci · July 16, 2016
BACKGROUND: Little is known about the sustainability of behavioral change interventions in long-term care (LTC). Following a cluster randomized trial of an intervention to improve staff communication (CONNECT), we conducted focus groups of direct care staf ...
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Journal ArticleArch Phys Med Rehabil · May 2016
OBJECTIVE: To examine contextual (facility and community) and individual factors associated with self-care and mobility outcomes among Medicare hip fracture patients receiving inpatient rehabilitation. DESIGN: Retrospective cohort study of 3 linked data fi ...
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Journal ArticleRehabilitation nursing : the official journal of the Association of Rehabilitation Nurses · March 2016
PurposeTo describe trends in the length of stay (LOS), costs, mortality, and discharge destination among a national sample of total hip replacement (THR) patients between 1997 and 2012.DesignLongitudinal retrospective designMethods
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Journal ArticleJournal of the National Medical Association · February 2016
BackgroundRace differences in chronic conditions and disability are well established; however, little is known about the association between specific chronic conditions and disability in African Americans. This is important because African America ...
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Journal ArticleJournal of applied gerontology : the official journal of the Southern Gerontological Society · January 2016
Effects of patient characteristics on rehabilitation outcomes (functional status at discharge, discharged home) were assessed in a retrospective study of Medicare beneficiaries admitted to Medicare-certified inpatient rehabilitation facilities (IRFs) follo ...
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Journal ArticleArchives of physical medicine and rehabilitation · May 2015
ObjectiveTo examine the influence of facility and aggregate patient characteristics of inpatient rehabilitation facilities (IRFs) on performance-based rehabilitation outcomes in a national sample of IRFs treating Medicare beneficiaries with hip fr ...
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Journal ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · September 2011
OBJECTIVE: The purpose of this study was to explore cancer support and financial issues related to cancer care experienced by African-American men with prostate cancer and to understand whom they relied on for resource issues during diagnosis and treatment ...
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Journal ArticleJournal of the American Medical Informatics Association : JAMIA · August 2010
OBJECTIVE: To identify factors in the nursing work domain that contribute to the problem of inpatient falls, aside from patient risk, using cognitive work analysis. METHODS: A mix of qualitative and quantitative methods were used to identify work constrain ...
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ConferenceAMIA ... Annual Symposium proceedings. AMIA Symposium · November 2008
Patient falls in hospitals result in negative outcomes such as prolonged lengths of stay, various injuries, and even death. Nurses are responsible for identifying patients at risk for falls and implementing preventative measures. The focus of this research ...
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