Work Environment Facilitators to the Availability of Complementary and Alternative Therapies in Perinatal Hospices

Wool, Charlotte; Kozak, Leila; Lindley, Lisa C.

doi:10.1097/njh.0000000000000167

Cited by 3 publications

(4 citation statements)

References 24 publications

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“…These guidelines demonstrate how the Omaha System can be used to represent nursing IH therapies in a structured manner. With structured IH therapy data, a data-driven approach can be applied to evaluate the use and outcomes of nursing IH therapies for inspiring future research and informing clinical and policy decisions [28,29,36,37].…”

Section: Health Informatics Approachmentioning

confidence: 99%

Informatics and Artificial Intelligence Approaches that Promote Use of Integrative Health Therapies in Nursing Practice: A Scoping Review

Lu¹,

Delaney²,

Tracy³

et al. 2020

OBM ICM

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Integrative health (IH) therapies are increasingly used to manage health conditions, but barriers hindering nurses from offering IH therapies persist. Informatics and artificial intelligence (AI) approaches have potential to promote nurses' professional use of IH therapies. The purposes of this review are to (1) describe the state of the science of informatics and AI approaches promoting nurses' use of IH therapies and (2) identify gaps in literature for future investigations. This systematic scoping review followed the systematic review guideline published by the Centre for Review and Dissemination. Five databases were used to retrieve relevant literature published between 2008 and 2018. Sixteen articles describing fourteen studies met predefined eligibility criteria and were reviewed. A descriptive numerical summary method and thematical analysis were used to synthesize the included literature. A fourfold typology emerged to label the informatics and AI approaches, including robots with AI, computer-and mobile-based applications, electronic communication using an information system, and information standards and standardized terminologies. The reviewed studies suggested that informatics and AI approaches could enhance the safety, accessibility, and communication of nursing IH therapies, as well as enable nursing IH data for IH-related knowledge discovery. Several gaps for future research were identified. There is a need of theory-informed research with more rigorous design and a larger scale to provide robust evidence for implementing existing applications and future innovations. Literature suggests progress toward use of informatics and AI approaches to support nurses' professional use of IH therapies. Further high-quality and theory-informed research is needed regarding the applications used in conventional healthcare in supporting nurses' use of IH therapies.

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Section: Health Informatics Approachmentioning

confidence: 99%

Informatics and Artificial Intelligence Approaches that Promote Use of Integrative Health Therapies in Nursing Practice: A Scoping Review

Lu¹,

Delaney²,

Tracy³

et al. 2020

OBM ICM

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“…Our independent variable of interest was the nursing unit environment and we created ten measures from the agency questionnaire [26–29]. RN unit size was calculated by the number of RNs per patient within each hospice.…”

Section: Methodsmentioning

confidence: 99%

“…Six measures of the hospice environment were created using data from the agency questionnaire [26–29]. Affiliation was a category measurement of the organizations’ freestanding nature (e.g.…”

Section: Methodsmentioning

confidence: 99%

Nursing Unit Environment Associated with Provision of Language Services in Pediatric Hospices

Lindley

Held

Henley

et al. 2016

J. Racial and Ethnic Health Disparities

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Background Provision of language services in pediatric hospice enables nurses to communicate effectively with patients who have limited English proficiency. Language barriers contribute to ethnic disparities in health care. While language service use corresponds with improved patient comprehension of illness and care options, we lack an understanding of how the nurse work environment affects the provision of these services. Methods Data were obtained from the 2007 National Home and Hospice Care Survey and included a study sample of 1,251 pediatric hospice agencies. Variable selection was guided by Structural Contingency Theory, which posits that organizational effectiveness is dependent upon how well an organization’s structure relates to its context. Using multivariate logistic regression, we analyzed the extent to which nursing unit environment predicted provision of translation services and interpreter services. Results The majority of hospices provided translation services (74.9%) and interpreter services (87.1%). Four variables predicted translation services: registered nurse (RN) unit size, RN leadership, RN medical expertise, and for-profit status. RN medical expertise and having a safety climate within the hospice corresponded with provision of interpreter services. Conclusions Findings indicate that nursing unit environment predict provision of language services. Hospices with more specialized RNs and a stronger safety climate might include staff who are dedicated to best care provision, including language services. This study provides valuable data on the nurse work environment as a predictor of language services provision, which can better serve patients with limited English proficiency, and ultimately reduce ethnic disparities in end-of-life care for children and their families.

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“…One study found substantial differences in the nurse work environment between providers that did and did not provide perinatal hospice and palliative care (Lindley et al, 2013). Differences in the nurse work environment were also associated with changes in the delivery of care (Mixer, Lindley, Wallace, Fornehed, & Wool, 2015; Wool, Kozak, & Lindley, 2015). Specifically, aspects of the nurse work environment such as nurse knowledge in the form on of advanced practice registered nurses were associated with reduced RN turnover (Lindley & Cozad, 2016).…”

mentioning

confidence: 99%

Using Agency Nurses to Fill RN Vacancies Within Specialized Hospice and Palliative Care

Cozad

Lindley

Mixer

2016

Policy, Politics, & Nursing Practice

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The use of agency nurses offers flexibility in filling registered nurse openings during times of shortage, yet little is known about their use in specialized palliative care. In an effort to fill this knowledge gap, this study determined whether significant relationships existed between full-time and part-time RN vacancies and the use of agency RNs within specialized hospices that deliver perinatal end of life care to women and their families in the event of miscarriage, ectopic pregnancy, or other neonatal complications resulting in death. This study used data from the 2007 National Home and Hospice Care Survey and multivariate regression methods to estimate the association between RN vacancies and agency RNs use. Approximately 13% of perinatal hospices in 2007 used agency nurses. Increases in full-time RN vacancies are associated with a significant increase in the use of agency RNs, while part-time RN vacancies are associated with a significant decrease in agency RNs. These results suggest that full-time agency RNs were used as a supplemental workforce to fill vacancies until the full-time position is recruited. However, for part-time vacancies, the responsibilities of those positions shifted onto existing staff and the position was not filled.

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Work Environment Facilitators to the Availability of Complementary and Alternative Therapies in Perinatal Hospices

Cited by 3 publications

References 24 publications

Informatics and Artificial Intelligence Approaches that Promote Use of Integrative Health Therapies in Nursing Practice: A Scoping Review

Informatics and Artificial Intelligence Approaches that Promote Use of Integrative Health Therapies in Nursing Practice: A Scoping Review

Nursing Unit Environment Associated with Provision of Language Services in Pediatric Hospices

Using Agency Nurses to Fill RN Vacancies Within Specialized Hospice and Palliative Care

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