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CHOPR Newsletter                                                              October 2020
TOP STORIES
Dr. Linda H. Aiken is a founding member of new nonpartisan coalition to educate the public about their rights to access nursing care.
NursesEverywhere is comprised of nationally and internationally recognized health care leaders and innovators committed to improving health outcomes. 
The members' first project was to listen to the public and obtain their views about nurses and access to nursing care, with a specific focus on their care during the COVID-19 emergency. Thus, NursesEverywhere commissioned The Harris Poll to help understand the views of the public. The online survey was fielded in July and queried over 2000 adults in the U.S. Read the exciting results here.
Update on Magnet4Europe
Despite the COVID-19 pandemic and Brexit, Magnet4Europe is launching with 73 European hospitals in 6 European countries. Some of America’s best hospitals are twinned 1:1 with European hospitals to introduce Magnet® principles to improve hospital work environments. The expected outcomes are improved clinician mental health, wellbeing and patient safety. In Europe, the intervention is evaluated in a randomized trial with a lagged control group. U.S. Magnet hospitals are participating in one of the largest studies ever on the association of work environments with clinician wellbeing and patient outcomes. Drs. Linda Aiken and Matthew McHugh lead the initiative at CHOPR with help from Drs. Herb Smith and Doug SloaneMary Del Guidice, post-doc, Dr. Colleen Anusiewicz, and pre-doc, Josh Porat-Dahlerbruch. Our European partners include many CHOPR Senior Fellows including Drs. Walter Sermeus, Luk Bruyneel, Anne Marie Rafferty, Claudia Maier, Peter Griffiths, Martin McKee, and Reinhard Busse. 
American Academy of Nursing Names Linda Aiken a Living Legend
The Academy's highest honor is bestowed upon a person who has made significant contributions to nursing and health care over the course of their career. Dr. Aiken has been a tireless advocate whose pioneering work has transformed nursing by demonstrating the value of baccalaureate education, the impact of safe nurse staffing, and the need for positive clinical working environments. More

CHOPR Joins Nurse Leaders to Call for Nursing Support Amid COVID-19

Researchers outlined a multisectoral approach to investments to innovate existing health services, expand nursing scopes of practice, and forge supportive regulations and legislation for nurses. The International Journal of Nursing Studies editorial also addressed ways to optimize nursing contributions to best meet global public health needs and increase the potential to contain and manage the pandemic. More
Wide Variation Across Hospitals in Nurse Staffing Is Threat to Public’s Health
According to a new CHOPR study in BMJ Quality & Safety, many hospitals in New York and Illinois were understaffed before the first surge of critically ill coronavirus patients. In “Chronic Hospital Nurse Understaffing Meets COVID-19,” Dr. Karen Lasater and her team examined staffing ratios that varied from 3 to 10 patients for each nurse on general adult medical and surgical units. More

CHOPR Media Notes

Dr. Linda Aiken was interviewed for The Pulse. on NPR. The story on nurses included a conversation on the impact of the pandemic, the changing roles of nurses, and nurse staffing and patient ratios (more). -- Dr. Karen Lasater's study showing that many hospitals in New York and Illinois were understaffed before the first surge of critically ill COVID-19 patients received extensive media coverage, most notably from Fox 32 Chicago, Business Insider, & the New York Daily News -- A second study led by Lasater garnered international media attention in Nursing Times, the largest nursing news site outside the U.S. in "Good nursing hospitals deliver better outcomes at ‘no extra cost".
NEWS FROM SENIOR FELLOWS
Dean Emeritus Claire M. Fagin and
Penn Nursing Dean Antonia M. Villarruel, 
co-authors of The Hill op-ed,

"As nursing goes, so goes public health"
Penn Deans tell readers nurses are the backbone and lifeblood of healthcare.
The authors recognize the renewed and growing appreciation for nurses, especially for those serving on the frontlines of the pandemic. However, the Deans acknowledge the temporary lifting of regulations and policy barriers to allow nurses and other health care workers to practice to the full extent of their training needs to be made permanent.
Professor James Buchan has published a series of new papers and reports.
Dr. Buchan serves as Editor-in-Chief of the World Health Organization's (WHO), Human Resources for Health and curated a series of papers to mark "The Year of the Nurse and the Midwife." The journal aims to improve policy, planning and implementation related to nursing and midwifery workforces. Buchan also authored an analysis of recent trends for the Health Foundation and assessed the ongoing impact of COVID-19 for the International Council of Nurses. More
Dr. Deena Kelly Costa served as an advisor to the Office of Governor Gretchen Whitmer.
Her expert opinion was used to inform the development of Executive Order 2020-'30 during the height of the state's COVID-19 outbreak. The Michigan School of Nursing featured Dr. Costa's opinion here, the University's news outlet ran the following Q&A, and she was also quoted in a National Geographic article about nurse staffing.
Dr. Jeffrey Silber has won the Academy-Health Publication of the Year Award.
The winning paper, "Patient Safety Outcomes Under Flexible and Standard Resident Duty-Hour Rules," was published in the New England Journal of Medicine. Dr. Silber won this same award in 2010 and in 2003 for CHOPR's landmark paper in the Journal of the American Medical Association.
Dr. Frances Hughes was made a companion of the New Zealand order of merit for her services to Nursing and Mental Health. She received this from the Queen's representative in New Zealand, The Governor-General The Right Honourable Dame Patsy Reddy (right)

Honors and Other Things

CHOPR Senior Fellows, Drs. Eunhee Cho and Jingjing Shang, join the American Academy of Nursing's 2020 Class of Fellows, to be inducted at the Academy’s annual policy conference taking place virtually on October 29-31. - Dr. Pamela deCordova has been promoted to Associate Professor with tenure at the Rutgers School of Nursing, New Jersey Collaborating Center for Nursing. - In other exciting news from Rutgers, Dr. Linda Flynn is the new Dean of the School of Nursing. - Dr. Christopher Friese was interviewed for NPR's All Things Considered program on the pandemic's toll on health care workers. More.
Dr. Olga F. Jarrín Montaner is principal investigator of a new R01 research project entitled, "Upstream Approaches to Improve Late Life Care for People Living with Dementia." Its long-term goal is to improve the quality of end-of-life care provided to families and people living with Alzheimer’s disease. - Dr. Robert Lucero is co-leader for the AHRQ project titled "Shareable, Interoperable Clinical decision Support for Older Adults: Advancing Fall Assessment and Prevention Patient-Centered Outcomes Research Findings into Diverse Primary Care Practices (ASPIRE)."  - Dr. Amy W. Stimpfel is leading a new NYU study to explore how COVID-19 is impacting the psychosocial health of US nurses. The goal is to help investigators develop interventions aimed at improving the well-being of nurses during times of crisis.
NEW PUBLICATIONS
Ambani Z, Kutney‐Lee A, Lake ET. The Nursing Practice Environment and Nurse Job Outcomes: A Path Analysis of Survey Data, Journal of Clinical Nursing.
Bettencourt AP, McHugh MD, Sloane DM, Aiken LH. Nurse Staffing, the Clinical Work Environment, and Burn Patient Mortality, Journal of Burn Care & Research. 
Clark RRS, Lake ET. Association of Clinical Nursing Work Environment with Quality and Safety in Maternity Care in the United States, MCN, The American Journal of Maternal/Child Nursing.
French R, McHugh MD, Lake E, Brooks-Carthon JM. A Systematic Review of Care Needs for Surgical Patients with Chronic Opioid Use, Medsurgical Nursing.
Lake ET, Staiger DO, Cramer E, Hatfield LA, Smith JG, Kalisch BJ. Association of patient acuity and missed nursing care in US neonatal intensive care unit, Medical Care Research and Review.
Lasater KB, McHugh MD, Rosenbaum PR, Aiken LH... Silber JH. Evaluating the Costs and Outcomes of Hospital Nursing Resources: a Matched Cohort Study of Patients with Common Medical Conditions, Journal of General Internal Medicine.

Lasater KB, Aiken LH, Sloane DM, et al. Chronic hospital nurse understaffing meets COVID-19: an observational study, BMJ Quality & Safety.
Poghosyan L, Ghaffari A, Liu J, McHugh MD. Organizational Support for Nurse Practitioners in Primary Care and Workforce Outcomes, Nursing Research.
Donate to the CHOPR Research You Care About
In our first 30 years of nursing research, we have led major improvements in staffing worldwide, brought much-needed attention to workplace environments, and provided an evidence base for staffing legislation. With your gift, we can keep pushing forward and expand the Center’s work for the next 30 years. Make a Contribution Today to Help Make Our Work Possible!
The CHOPR Newsletter is a quarterly publication from The Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing. Contact Andrea Barol with any questions or comments at ajb@nursing.upenn.edu 
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