This study suggests turnover may be more important in explaining nursing home (NH) outcomes than staffing and skill mix and should therefore be given greater emphasis.

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Aims To examine the factorial validity of the eHealth Literacy Scale among hospital nurses and to investigate the associations of its components with health‐promoting behaviours and nursing performance quality. Design This cross‐sectional study used survey data of 484 Korean hospital nurses, which were collected between March–May 2016. Methods The three‐factor structure was tested using confirmatory factor analyses. Multiple linear regression was conducted to test associations of the three components' scores with health‐promoting behaviours and self‐rated nursing performance quality. Results The eHealth Literacy Scale supported a three‐factor structure: awareness of internet health resources (awareness), having skills needed to access resources (skills), and the ability to evaluate the quality of internet health resources (evaluation). All the three components were significantly associated with higher quality of nursing performance and better interpersonal relations. Stress management, spiritual growth, and health responsibility were linked with evaluation or skills but physical activity and nutrition were not. Conclusion Strategies to enhance eHealth literacy among nurses could improve nurses' health and further patient care. Training to build nurses' self‐efficacy to evaluate internet health information could improve eHealth literacy and should be developed and examined. Impact To improve nurses' health and patient care, training programs to build nurses' self‐efficacy to access and evaluate internet health information should be developed.

Background Nurses promote self-care and active participation of individuals in managing their healthcare, yet little is known about their own use of electronic personal health records (ePHRs). Purpose To examine factors associated with ePHR use by nurses for their own health management. Method A total of 664 registered nurses working in 12 hospitals in the Maryland and Washington D.C. area participated in an online survey from December 2013 to January 2014. Multiple logistic regression models identified factors associated with ePHR use. Results More than a third (41%, 95% CI=0.37-0.44) of the respondents were ePHR users. There was no variation between ePHR users and nonusers by demographic or job related information. ePHR users were, however, more likely to be active health care consumers (i.e., have a chronic medical condition and taking prescribed medications, OR=1.64, 95% CI=1.06-2.53) and have health care providers that used electronic health records (EHRs) for care (OR=3.62, 95% CI=2.45-5.36). Conclusions Nurses were proactive in managing their chronic medical conditions and prescribed medication use with ePHRs. ePHR use by nurses can be facilitated by increasing use of EHRs.