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Nurses and Nursing

Nurses are a significant factor in the effectiveness of health care systems. RAND has analyzed labor market trends in the nursing field, the influence of nurse staffing and quality on patient outcomes, and the evolving roles of nurses and nurse practitioners as providers continue to explore new models of care delivery.

Journal Article
Home Visiting for First-Time Parents: Community Innovation
We outline lessons from the First Born home visiting program for other universal programs, including the pros and cons of universal services, the expectation that universal programs will have population-level impact, and barriers to innovation.
May 25, 2023
Journal Article
The Impact of Nurse Practitioner-Led Primary Care on Quality and Cost for Medicaid-Enrolled Patients in States With Pay Parity
This retrospective cohort study evaluated the quality and cost implications of receiving primary care from nurse practitioners (NPs) compared to physicians in 14 states that reimburse NPs at the Medicaid fee-for-service physician rate (pay parity).
May 16, 2023
Journal Article
Methodology for a Six-State Survey of Primary Care Nurse Practitioners
To overcome the limitations of administrative data, we fielded a cross-sectional, mixed-mode (mail/online) survey of primary care NPs in six states to collect data directly from NPs on their clinical roles and practice environments.
Apr 12, 2023
Journal Article
Surveying Primary Care Nurse Practitioners: An Overview of National Sampling Frames
The purpose of this article is to provide an overview of national sampling frames that can be used by researchers interested in surveying or studying the U.S. primary care nurse practitioner workforce.
Apr 12, 2023
Journal Article
Practice Patterns, Work Environments, and Job Outcomes of Rural and Urban Primary Care Nurse Practitioners
This study compares urban and rural NPs using data from a survey of 1,244 primary care NPs in Arizona, California, New Jersey, Pennsylvania, Texas, and Washington.
Apr 12, 2023
Journal Article
Associations of Pediatric Nurse Burnout with Involvement in Quality Improvement
We examined the associations of inpatient pediatric nurse burnout with their perspectives on the importance of quality at the hospital, patient experience measurement, quality improvement, unit culture, and staffing.
Dec 2, 2022
Journal Article
Evaluation of a Home-Based, Nurse Practitioner–led Advanced Illness Care Program
Evaluation of a nurse-led, home-based serious illness care program (Advanced Illness Care) at UPMC, a health system in Pittsburgh, PA.
Jun 1, 2022
Journal Article
Nurse Aide Retention in Nursing Homes
The research presented provides information on nurse aide retention in nursing homes as a workforce challenge and its impact on quality.Retention may be an additional staffing characteristic of nursing facilities with policy and practice relevance.
Feb 8, 2022
Journal Article
Nursing Home Patient Safety Culture Perceptions Among US and Immigrant Nurses
This study compared the PSC perceptions of foreign and domestic born and trained nurses working in urban NHs in 5 states to analyze how nurses' patient safety culture perceptions corresponded to their personal and professional characteristics.
Feb 8, 2022
Journal Article
Top Priorities for the Next Decade of Nursing Health Services Research
This article presents a Nursing Health Services Research agenda for the 2020s.
Jan 8, 2021
Journal Article
Effects of Opting-Out from Federal Nurse Anesthetists' Supervision Requirements on Anesthesiologist Work Patterns
In response to California opting out of a supervision requirement for CRNAs, anesthesiologists' did not change time spent working, or time spent supervising CRNAs. They did decrease direct care clinical work hours and worked more in intraoperative care and less in postoperative care.
Nov 25, 2020
Journal Article
The Surgical and Anesthesia Workforce and Provision of Surgical Services in Rural Communities: A Mixed-Methods Examination
This mixed-methods study describes the distribution of the surgical and anesthesia workforce and qualitatively explores how such workforce and other factors influence rural hospitals' provision of surgical services.
Nov 24, 2020
Journal Article
Relationship Between State Policy and Anesthesia Provider Supply in Rural Communities
Rural communities have significantly fewer certified registered nurse anesthetists and fewer anesthesiologists than nonrural communities.
Apr 11, 2019
Commentary
On Nurse Staffing Ballot Measure, Massachusetts Voters Should Look to Evidence from California
Massachusetts residents will soon vote on the Patient Safety Act, a mandate to increase nurse-to-patient ratios in acute care facilities. Evaluating existing data on the impact of a similar nurse staffing law implemented in California in 2004 may help inform voters as they head to the polls.
Nov 2, 2018
Report
Identification of Alternative Physician Assistant Recertification Models: An Analysis of the Landscape and Evidence Surrounding Approaches to Recertification in the Health Professions
Health professional recertification is meant to demonstrate and foster knowledge and competence. This report assesses recertification requirements for physician assistants, physicians, and advanced practice nurses in the U.S. and elsewhere.
Oct 3, 2018
Journal Article
Rural And Nonrural Primary Care Physician Practices Increasingly Rely On Nurse Practitioners
Data from 2008-2016 show that both rural and non-rural primary care practices increasingly involve nurse practitioners (NPs) to deliver care.
Jul 6, 2018
Journal Article
Promoting a Culture of Health Through Cross-Sector Collaborations
Effective efforts to promote the health of communities require cross-sector collaborations that draw on long-term, trusting relationships .
Jun 5, 2018
Dissertation
The Impact of Nurse Practitioner Scope-of-Practice Regulations in Primary Care
The dissertation assesses the impact of nurse practitioner scope-of-practice regulations in primary care.
Feb 14, 2018
Journal Article
Care Coordination and Provider Stress in Primary Care Management of High-risk Patients
Providing adequate support to PCPs and nurses may help reduce the stress they experience when coordinating care for high-risk patients.
Dec 7, 2017
Journal Article
Utilization of Registered Nurses in Primary Care Teams: A Systematic Review
Embedding registered nurses into primary care teams can increase patient access to primary care services and alleviate organizational workload.
Aug 4, 2017

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RAND Topic:
Nurses and Nursing

Topic Synonyms:
LPN;
Nurse Practitioner;
RN

Research conducted by

RAND Health Care