June 2021
June 2021
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CHOPR Newsletter                                                    June 2021
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TOP STORIES

CHOPR Investigators Generate High Level Impact in Top-Tier Peer-Reviewed Journals.

A CHOPR study published in The Lancet showed that a policy establishing minimum nurse-to-patient staffing ratios in hospitals in Queensland, Australia saved lives, prevented readmissions, shortened hospital stays, and reduced costs. The study also further strengthens the case that the relationship between adequate nurse staffing and good patient outcomes is in fact a causal one, as frontline nurses have been saying for decades. More

Matthew D. McHugh, Linda H. Aiken, Douglas M. Sloane, Carol Windsor, Clint Douglas, Patsy Yates. Effects of nurse-to-patient ratio legislation on nurse staffing and patient mortality, readmissions, and length of stay: a prospective study in a panel of hospitals. The Lancet, 397: 1905–13. Download

According to a new CHOPR study published in Medical Care, improving hospital nurse staffing as proposed in pending legislation in New York state would likely save lives. The cost of improving nurse staffing would be offset by savings achieved by reducing hospital readmissions and length of hospital stays. More

Karen B. Lasater, Linda H. Aiken, Douglas M. Sloane, Rachel French, (...), Matthew D. McHugh. Is Hospital Nurse Staffing Legislation in the Public’s Interest? Medical Care 59(5):444-450. Download.

Dr. Margo Brooks Carthon has a new study out this month in the Journal of Nursing Administration (JONA), in which researchers conducted a cross sectional analysis of nearly 12,000 nurses working in community-based settings. The team found that Black nurses' intent to leave decreased in adjusted models that accounted for dissatisfaction with aspects of their job.

J. Margo Brooks Carthon, Jasmine L. Travers, Danielle Hounshell, Idorenyin Udoeyo, Jesse Chittams. Disparities in Nurse Job Dissatisfaction and Intent to Leave: Implications for Retaining a Diverse Workforce. JONA: The Journal of Nursing Administration 51(6). Download


CHOPR Researchers find electronic health records (EHR) usability issues linked to nurse burnout and patient outcomes. The team found that employing EHR systems with suboptimal usability was associated with higher odds of adverse nurse job outcomes and surgical patient mortality and readmission. The results have been published in the journal Medical Care. More

Ann Kutney-Lee, Margo Brooks Carthon, Douglas M Sloane, Kathryn H Bowles, Matthew D McHugh, Linda H Aiken. Electronic Health Record Usability: Associations With Nurse and Patient Outcomes in Hospitals. Medical Care 2021 Apr 1. Download

Researchers from CHOPR and Children's Hospital of Philadelphia wanted to better understand where newborns with neonatal abstinence syndrome most often receive care and reported their findings in Hospital Pediatrics, a journal of the American Academy of Pediatrics. More

Eileen T. Lake, Rachel French, Rebecca R.S. Clark, Kate O’Rourke, Scott Lorch. Newborns With Neonatal Abstinence Syndrome Are Concentrated in Poorer-Quality Hospitals. Hospital Pediatrics 11(4): 342-349. Download

Another new paper from CHOPR researchers in the Journal of Nursing Administration asks the question why only some nurses obtain specialty certification and received top billing in the issue. The study is a follow-up to an earlier CHOPR paper showing that hospitals with larger proportions of specialty certified nurses have lower mortality. 


Andrew M. Dierkes, Amelia E. Schlak, Rachel French, Matthew D. McHugh, Linda Aiken. Why Some Nurses Obtain Specialty Certification and Others Do Not. JONA: The Journal of Nursing Administration 51(5):249-256. Download

CHOPR Postdoctoral Fellow to Join Penn Nursing Standing Faculty as Clinician Educator Assistant Professor.
As a clinician educator, Dr. Rebecca Clark will be the nurse scientist at Pennsylvania Hospital. In that role, she is responsible for developing and implementing a strategic vision for nursing research, building the scientific foundation for clinical practice via the application of evidence and the design and execution of studies. Her role also involves developing innovative programs and strategies to educate, mentor, and support nurses, as well as leading efforts to increase grant submissions. Dr. Clark submitting her K08 application to AHRQ. Her proposed study will examine the effect of the hospital where a woman delivers, and the nursing resources available in that hospital.

CHOPR & The Media

The Nursing Standard ran the inspiring story, "Magnet hospitals: what makes them places where nurses want to work?" featuring nurses from the EU-funded research project Magnet4Europe led by Dr. Linda Aiken... Aiken is also quoted in the northjersey.com piece "How the powerful NJ hospital interests beat back stronger health laws during COVID." The article is about stalled legislation in New Jersey that would boost existing health care laws... Dr. Eileen Lake is lead author of the invited commentary "Treating Newborns in Opioid Withdrawal: A Nursing-First Approach," which was designated exclusive content in Smerconish, an online newsletter with more than 50,000 subscribers... In an Albany Times Union Op-Ed, Dr. Karen Lasater advocates for the Safe Staffing for Quality of Care Act, a bill before the New York State Assembly that would improve hospital nurse staffing ratios. Lasater is also quoted in Nurse.com... Dr. Ann Kutney-Lee is quoted in the American Journal of Managed Care article, "EHRs, COVID-19, and Understaffing: Spotlighting Contributing Factors to Nurse Burnout"... Dr. Matthew McHugh's successful roll-out of the latest CHOPR study in The Lancet has received widespread media attention from well-known outlets such as The National Tribune, MSN Australia and The Independent.
News from Senior Fellows
CHOPR T32 Alumna and Senior Fellow is returning to Penn Nursing as Assistant Professor.
Dr. Amanda Bettencourt graduated with her PhD in 2019 and was given a joint postdoctoral appointment in the National Clinician Scholars Program at the University of Michigan.  At Michigan, Dr. Bettencourt worked closely with CHOPR Alumna and Senior Fellow, Dr. Deena Kelly-Costa. She brings with her a new $1.5M grant from the Department of Defense’s Military Burn Research Program to study the implementation of whole-team telemedicine for acute burn care. 

CHOPR Welcomes 2021 Senior Fellows 

From the University of Pennsylvania
Evan D. AndersonSusan K. Keim, and Halley Ruppel
From the Universidad de Los Andes

Marta Simonetti 

CHOPR Alumni and Senior Fellows, Drs. Hilary Barnes and Monica Rochman have both accepted faculty positions at Widener University. In addition to exploring research opportunities, their primary responsibility will be to teaching across the undergraduate and graduate programs. CHOPR Alumna and Senior Fellow, Dr. Mary Powell is the Dean of Graduate Programs at Widener. 
Dr. Christopher Friese has received the Oncology Nursing Society Distinguished Researcher Award. In other news, Friese and colleagues published a paper in JAMA Psychiatry that documents the increased risk of death by suicide for nurses. Video
Dr. Robert Lucero joins the UCLA School of Nursing as Associate Dean for Equity, Diversity, and Inclusion; Professor of Nursing; and the Inaugural Adrienne H. Moseley Endowed Chair in Diversity, Equity, and Inclusion  More
More 2021 CHOPR Papers
  • Aiken LH, Sloane DM, Ball J, Bruyneel L, Rafferty AM, Griffiths P. Patient satisfaction with hospital care and nurses in England. BMJ Open, doi: 10.1136/bmjopen-2017-019189
  • Brooks Carthon JM, Hatfield L, Brom H, Houton M, Kelly-Hellyer E, Schlak A, Aiken LH. System-level improvements in work environments lead to lower nurse burnout and higher patient satisfaction. Journal of Nursing Care Quality, doi: 10.1097/NCQ.0000000000000475
  • Lasater KB, Clark RRS, McCabe MA, Frankenberger WD, Agosto PM, Riman KA, Aiken LH. Predictors of specialty certification among paediatric hospital nurses. Journal of Clinical Nursing, https://doi-org.proxy.library.upenn.edu/10.1111/jocn.15540.
  • Schlak AE, Aiken LH, Chittams J, Poghosyan L, McHugh M. Leveraging the work environment to minimize the negative impact of nurse burnout on patient outcomes. International Journal of Environmental Research and Public Health, doi: 10.3390/ijerph18020610.
@AcademyHealth June 2021
  • “Measuring Moral Distress in Nurses during a Pandemic: Development of the COVID-MDS.” E. Cramer, J. Smith, J. Rogowski, E. Lake (Podium).
  • "The Psychosocial Impact of COVID-19 on Registered Nurses." CHOPR Alumna and Senior Fellow, Amy W. Stimpfel (Podium).
  • "Associations between Changes in Hospital Nurse Staffing Prompted By California Assembly Bill 394 and Improvements in Patient Outcomes." C. Anusiewicz, M. Peele, D. Sloane, L. Aiken, M. McHugh (Poster).
  • "The Effect of the Nurse Work Environment on Older Hispanic Surgical Patient Readmissions." M. Daus, M. McHugh, A. Kutney-Lee, J.M. Brooks Carthon (Poster).
  • “Patient Safety and Quality in Hospitals and Nursing Homes: How Were U.S. Healthcare Systems Faring in the Months Preceding the COVID-19 Pandemic.” R. French, K. Rosenbaum, K. Lasater, L. Aiken (Poster).
  • “Hospital Nurses’ Moral Distress and Mental Health during COVID-19." E. Lake, A. Narva, S. Holland, J. Smith, E. Cramer, K. Rosenbaum, R. French, R. Clark, J. Rogowski (IRGNI Webinar, will also be published in the Journal of Nursing Research).

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The CHOPR Newsletter is published quarterly at 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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