Ruth A. Anderson

Journal article Health care management review · April 2009 Featured Publication BackgroundBecause health care organizations (HCOs) are complex adaptive systems (CASs), phenomena of interest often are dynamic and unfold in unpredictable ways, and unfolding events are often unique. Researchers of HCOs may recognize that the sub ... Full text Cite

Use of a handheld computer observational tool to improve communication for care planning and psychosocial well-being.

Journal article Journal for nurses in staff development : JNSD : official journal of the National Nursing Staff Development Organization · January 2009 Featured Publication Staff development nurses in long-term care are challenged to implement training programs that foster quality unlicensed assistive personnel (UAP) care and improve the transfer of their observations to licensed nursing staff for care planning. This study de ... Full text Cite

Certified nursing assistants' explanatory models of nursing home resident depression.

Journal article West J Nurs Res · October 2008 Featured Publication In this study, the authors describe certified nursing assistants' (CNA) Explanatory Models (EMs) of depression and aspects of their EMs that may contribute to the underdetection of depression in nursing homes. Interviews with 18 CNAs working in two nursing ... Full text Link to item Cite

Elizabeth C. Clipp, PhD, RN, FAAN.

Journal article Journal of gerontological nursing · March 2008 Featured Publication Full text Cite

Barriers to and facilitators of clinical practice guideline use in nursing homes.

Journal article J Am Geriatr Soc · September 2007 Featured Publication OBJECTIVES: To identify barriers to and facilitators of the diffusion of clinical practice guidelines (CPGs) and clinical protocols in nursing homes (NHs). DESIGN: Qualitative analysis. SETTING: Four randomly selected community nursing homes. PARTICIPANTS: ... Full text Link to item Cite

Job satisfaction of nursing home administrators and turnover.

Journal article Medical care research and review : MCRR · April 2007 Featured Publication We know little about factors associated with job satisfaction and dissatisfaction for nursing home workers. In this investigation, the authors use data from a large sample of nursing home administrators (NHAs) to examine: (1) their levels of job satisfacti ... Full text Cite

Job satisfaction of nurse aides in nursing homes: intent to leave and turnover.

Journal article The Gerontologist · April 2007 Featured Publication PurposeThe relationship between job satisfaction of nurse aides and intent to leave and actual turnover after 1 year is examined.Design and methodsData came from a random sample of 72 nursing homes from 5 states (Colorado, Florida, Michig ... Full text Cite

Exit interview-consultation for research validation and dissemination.

Journal article West J Nurs Res · December 2006 Featured Publication Dissemination of research findings to practice and maintenance of rigor and validity in qualitative research are continuing challenges for nurse researchers. Using three nursing home case studies as examples, this article describes how exit interview-consu ... Full text Link to item Cite

MDS coordinator relationships and nursing home care processes.

Journal article West J Nurs Res · April 2006 Featured Publication This study describes how Minimum Data Set (MDS) coordinators' relationship patterns influence nursing home care processes. MDS coordinators interact with nursing home staff to coordinate resident assessment and care planning, but little is known about how ... Full text Link to item Cite

Patterns of medical and nursing staff communication in nursing homes: implications and insights from complexity science.

Journal article Qual Health Res · February 2006 Featured Publication Complexity science teaches that relationships among health care providers are key to our understanding of how quality care emerges. The authors sought to compare the effects of differing patterns of medicine-nursing communication on the quality of informat ... Full text Link to item Cite

Connection, regulation, and care plan innovation: a case study of four nursing homes.

Journal article Health Care Manage Rev · 2006 Featured Publication We describe how connections among nursing home staff impact the care planning process using a complexity science framework. We completed six-month case studies of four nursing homes. Field observations (n = 274), shadowing encounters (n = 69), and in-depth ... Full text Link to item Cite

Nurse assistant mental models, sensemaking, care actions, and consequences for nursing home residents.

Journal article Qual Health Res · October 2005 Featured Publication In a nursing home case study using observation and interview data, the authors described two mental models that guided certified nurse assistants (CNAs) in resident care. The Golden Rule guided CNAs to respond to residents as they would want someone to do ... Full text Link to item Cite

Case study research: the view from complexity science.

Journal article Qualitative health research · May 2005 Featured Publication Many wonder why there has been so little change in care quality despite substantial quality improvement efforts. Questioning why current approaches are not making true changes draws attention to the organization as a source of answers. The authors bring to ... Full text Cite

The power of relationship for high-quality long-term care.

Journal article J Nurs Care Qual · 2005 Featured Publication Full text Link to item Cite

Complexity science and the dynamics of climate and communication: reducing nursing home turnover.

Journal article The Gerontologist · June 2004 Featured Publication PurposeTurnover in nursing homes is a widespread problem adversely affecting care quality. Using complexity theory, we tested the effect of administrative climate, communication patterns, and the interaction between the two on turnover, controllin ... Full text Cite

Administrative characteristics of comprehensive prenatal case management programs.

Journal article Public health nursing (Boston, Mass.) · September 2003 Featured Publication The purpose of this study was to examine comprehensive prenatal case management programs in terms of organizational, program, and process characteristics. Data from 66 program surveys of government agencies were used. Organizational capacity was measured a ... Full text Cite

Effect of hospital conversion on organizational decision making and service coordination.

Journal article Health care management review · April 2003 Featured Publication This study looks into the "black box" of hospital ownership conversion in a "natural experiment." We posed two competing theories about how conversion might influence management practices. Results support complexity theory and not threat-rigidity theory. A ... Full text Cite

Nursing homes as complex adaptive systems: relationship between management practice and resident outcomes.

Journal article Nursing research · January 2003 Featured Publication BackgroundDespite numerous clinical and regulatory efforts, problems of poor quality of care in nursing homes continue, suggesting a need for effective management practices.ObjectiveTo test complexity hypotheses about the relationship bet ... Full text Cite

Intensity of case managers' participation in organizational decision making.

Journal article Research in nursing & health · October 2001 Featured Publication Prior research has indicated that registered nurse (RN) participation in decision making (PDM) is related to better outcomes in nursing homes and hospitals. Little is known, however, about the roles of community-based case managers (CMs), most of whom are ... Full text Cite

Managing health care organizations: where professionalism meets complexity science.

Journal article Health care management review · January 2000 Featured Publication This article examines the intersection of professionalism and complexity science as a source of new insights for improving the health care industry from both a clinical and business point of view. Viewing health care organizations as professional complex a ... Full text Cite

Case mix adjustment in nursing systems research: the case of resident outcomes in nursing homes.

Journal article Research in nursing & health · August 1999 Featured Publication Case mix indicates, for a resident population, the degree of risk for developing favorable or unfavorable outcomes. In a study of 164 nursing homes, we explored two methods for combining resident assessment data into a case mix index (CMI). We compared a f ... Full text Cite

Avoidable costs of comprehensive case management.

Journal article Health care management review · January 1999 Featured Publication Comprehensive case management has become an industry standard and its pervasiveness raises questions about the ubiquitous need for this service. Analyzed from the perspective of transaction cost analysis and access, we argue that in some cases comprehensiv ... Full text Cite

RN participation in organizational decision making and improvements in resident outcomes.

Journal article Health care management review · January 1999 Featured Publication In the study on which this article is based, nursing homes with the most improvements in resident outcomes had greater registered nurse (RN) participation in decision making than did homes with the least improvements. The results suggest that nursing homes ... Full text Cite

Resource allocation and resident outcomes in nursing homes: comparisons between the best and worst.

Journal article Research in nursing & health · August 1998 Featured Publication The purpose of this study was to identify patterns of resource allocation that relate to resident outcomes in nursing homes. Data on structure, staffing levels, salaries, cost, case mix, and resident outcomes were obtained from state-level, administrative ... Full text Cite

Intensity of registered nurse participation in nursing home decision making.

Journal article The Gerontologist · February 1998 Featured Publication In this study of data obtained from nursing home administrators and directors of nursing, we found that intensity of registered nurses' (RNs') participation in nursing home decision making varied with decision content and decision level. The primary decisi ... Full text Cite

Interventions in response to chemically dependent nurses: effect of context and interpretation.

Journal article Research in nursing & health · April 1996 Featured Publication Despite state laws and professional norms, administrators intervene in different ways in response to chemically dependent nurses. The purpose of this study was to examine how context and interpretation affect these interventions. Nurse administrators from ... Full text Cite

Take charge: managing six transformations in health care delivery.

Journal article Nursing economic$ · March 1996 Featured Publication Changes occurring in the health care industry are substantive and constitute a paradigm shift. Nurse managers can participate in shaping the health care organization of the future by understanding six critical areas of transformation and their driving forc ... Cite

Issues regarding aggregation of data in nursing systems research.

Journal article Journal of nursing measurement · January 1994 Featured Publication The unit of analysis at which variables are conceptualized and measured is an important consideration when conducting patient outcomes research. Outcomes research ranges from study of individual responses to nursing intervention to investigation of group l ... Full text Cite

Theory-based approach to computer skill development in nursing administration.

Journal article Computers in nursing · July 1992 Featured Publication The authors describe a theory-based approach to computer skill development in nursing administration that is a strategy for preparing nurse administrators to meet the challenge for effective decision making in the rapidly changing health care environment. ... Cite

The implication of environmental turbulence for nursing-unit design in effective nursing homes.

Journal article Nursing economic$ · March 1992 Featured Publication In this study of 14 effective nursing homes, patterns of participation were found to be different from those proposed by traditional organizational theories; environmental turbulence was positively correlated with participation in decision making by RNs an ... Cite

Nursing administration education.

Journal article Annual review of nursing research · January 1992 Featured Publication Full text Cite

The thinking hospital.

Journal article Health progress (Saint Louis, Mo.) · September 1991 Featured Publication Cite

Hospitals as interpretation systems.

Journal article Health services research · February 1991 Featured Publication In this study of 162 hospitals, it was found that the chief executive officer's (CEO's) interpretation of strategic issues is related to the existing hospital strategy and the hospital's information processing structure. Strategy was related to interpretat ... Cite

Riding out the storm of environmental turbulence.

Journal article Health progress (Saint Louis, Mo.) · June 1990 Featured Publication Cite

Demystifying the boardroom. Tips for timid trustees.

Journal article Health progress (Saint Louis, Mo.) · November 1989 Featured Publication The complexity of a modern hospital can mystify and intimidate trustees; they may have difficulty understanding how the hospital works and thus may feel unable to contribute to its success. Stripping away some of the mystery may enable them to more effecti ... Cite

Dual degree. Future preparation for nurse executives?

Journal article The Journal of nursing administration · June 1989 Featured Publication What is the best educational preparation for top-level nurse executives? Which educational degrees will improve marketability? These questions were asked of nurse executives and their chief executive officers in a national market survey. The authors discus ... Cite

A theory development role for nurse administrators.

Journal article The Journal of nursing administration · May 1989 Featured Publication Nurse administrators can formulate useful theories while solving the complex problems of practice. An awareness of the mental perspective that frames one's thoughts about experiences can aid in theory development. Examples are developed to illustrate how d ... Cite

Collaborative learning method: enhancing excellence in nursing administration doctoral programs.

Journal article Nursing administration quarterly · January 1988 Featured Publication Full text Cite

Products and product-line management in nursing.

Journal article Nursing administration quarterly · January 1985 Featured Publication Full text Cite