Affiliation: Duke University Medical Center
- Job satisfaction of nursing home administrators and turnoverNicholas G Castle
University of Pittsburgh, Pittsburgh, Pennsylvania, USA
Med Care Res Rev 64:191-211. 2007..In general, the authors found a stronger association with job satisfaction and actual turnover than with intent to turnover...
- Manifestations and implications of uncertainty for improving healthcare systems: an analysis of observational and interventional studies grounded in complexity scienceLuci K Leykum
South Texas Veterans Health Care System, San Antonio, TX, USA
Implement Sci 9:165. 2014..We sought to better understand and explain these inconsistencies by analyzing our findings across studies and building new theory...
- Local interaction strategies and capacity for better care in nursing homes: a multiple case studyRuth A Anderson
Duke University School of Nursing, DUMC 3322, Durham, NC 27710, USA
BMC Health Serv Res 14:244. 2014..To describe relationship patterns and management practices in nursing homes (NHs) that facilitate or pose barriers to better outcomes for residents and staff...
- Tool for evaluating research implementation challenges: a sense-making protocol for addressing implementation challenges in complex research settingsKelly M Simpson
Durham Veteran Affairs Medical Center, GRECC, 508 Fulton St, Durham, NC 27705, USA
Implement Sci 8:2. 2013..This article describes a Tool for Evaluating Research Implementation Challenges (TECH), developed using a complexity science framework to assist research teams in assessing and managing these challenges...
- CONNECT for quality: protocol of a cluster randomized controlled trial to improve fall prevention in nursing homesRuth A Anderson
School of Nursing, Duke University, Durham, NC 27710, USA
Implement Sci 7:11. 2012....
- Making sense of health information technology implementation: A qualitative study protocolRebecca R Kitzmiller
School of Nursing, Duke University, 307 Trent Drive, Durham, NC 27502, USA
Implement Sci 5:95. 2010..Project teamwork is a change strategy increasingly used by hospitals that facilitates sensemaking by providing a formal mechanism for team members to share ideas, construct the meaning of events, and take next actions...
- Nursing homes as complex adaptive systems: relationship between management practice and resident outcomesRuth A Anderson
Duke University School of Nursing, Durham, North Carolina 27710, USA
Nurs Res 52:12-21. 2003..Despite numerous clinical and regulatory efforts, problems of poor quality of care in nursing homes continue, suggesting a need for effective management practices...
- The power of relationship for high-quality long-term careRuth A Anderson
Duke University School of Nursing, Box DUMC 3322, Durham, NC 27710, USA
J Nurs Care Qual 20:103-6. 2005
- Complexity science and the dynamics of climate and communication: reducing nursing home turnoverRuth A Anderson
Duke University School of Nursing, Durham, NC 27710, USA
Gerontologist 44:378-88. 2004..Using complexity theory, we tested the effect of administrative climate, communication patterns, and the interaction between the two on turnover, controlling for facility context...
- Regulation and mindful resident care in nursing homesCATHLEEN S COLON-EMERIC
Duke University Medical Center and the Durham VA GRECC, Durham, NC, USA
Qual Health Res 20:1283-94. 2010..When managers emphasized the punitive aspects of regulation we observed a decrease in mindful practices in all facilities...
- Patterns of medical and nursing staff communication in nursing homes: implications and insights from complexity scienceCATHLEEN S COLON-EMERIC
Duke University Medical Center, Durham, NC, USA
Qual Health Res 16:173-88. 2006..The patterns of communication between care providers in nursing facilities have an important impact on their ability to provide quality, innovative care...
- Cascade iatrogenesis: factors leading to the development of adverse events in hospitalized older adultsDeirdre K Thornlow
Center for the Study of Aging and Human Development, Duke University School of Nursing, 307 Trent Dr, Durham, NC 27710, United States
Int J Nurs Stud 46:1528-35. 2009..We believe that this model will help guide research in this area and enable clinicians to identify systemic failures and develop targeted interventions to prevent their occurrence...
- Connection, regulation, and care plan innovation: a case study of four nursing homesCATHLEEN S COLON-EMERIC
Department of Medicine, Division of Geriatrics, and the Center for the Study of Aging and Human Development, Duke University Medical Center, Durham, NC, USA
Health Care Manage Rev 31:337-46. 2006..Interventions which improve staff connectedness may improve resident outcomes...
- Barriers to and facilitators of clinical practice guideline use in nursing homesCATHLEEN S COLON-EMERIC
Department of Medicine, Division of Geriatrics, Duke University Medical Center, Durham, North Carolina 27710, USA
J Am Geriatr Soc 55:1404-9. 2007..To identify barriers to and facilitators of the diffusion of clinical practice guidelines (CPGs) and clinical protocols in nursing homes (NHs)...
- Use of a handheld computer observational tool to improve communication for care planning and psychosocial well-beingKirsten Corazzini
Duke University School of Nursing and Duke University Center for the Study of Aging and Human Development, Durham, North Carolina 27710, USA
J Nurses Staff Dev 25:E1-7. 2009..Findings suggest that staff development nurses who aim to improve UAP reporting without simultaneously targeting licensed nursing staff behaviors may worsen nursing staff relationships...
- Complexity theory: a long-term care specialty practice exemplar for the education of advanced practice nursesEleanor S McConnell
Education and Clinical Center, Durham Veterans Affairs Medical Center, NC, USA
J Nurs Educ 43:84-7. 2004..Complexity theory guides a discussion of how curriculum design and research-based practices can be implemented to enhance both student and facility outcomes...
- Case study research: the view from complexity scienceRuth A Anderson
Duke University, Durham, NC, USA
Qual Health Res 15:669-85. 2005..They offer complexity theory, partnered with case study method, as a place to begin the daunting task of studying a system as an integrated whole...
- Effect of hospital conversion on organizational decision making and service coordinationRuth A Anderson
School of Nursing, Duke University, Durham, North Carolina, USA
Health Care Manage Rev 28:141-54. 2003..As predicted from complexity theory, MDs and RNs had greater levels of participation and influence over final decision choices in converted hospitals than in nonconverted hospitals...
- Nurse assistant mental models, sensemaking, care actions, and consequences for nursing home residentsRuth A Anderson
Duke University School of Nursing, Durham, North Carolina, USA
Qual Health Res 15:1006-21. 2005..Study results highlight a critical need for registered nurses (RNs) to be involved in frontline care...
- Exit interview-consultation for research validation and disseminationQueen Utley-Smith
Duke University School of Nursing, Durham, NC, USA
West J Nurs Res 28:955-73. 2006..Benefits from research participation are often indirect; this study's results suggest that exit interview-consultation can provide direct and immediate benefits to organizations and individuals...
- MDS coordinator relationships and nursing home care processesMary L Piven
University of North Carolina at Chapel Hill School of Nursing, USA
West J Nurs Res 28:294-309. 2006..This study revealed that MDS coordinators are an important new source of capacity for the nursing home industry to improve quality of care...
- Administrative characteristics of comprehensive prenatal case management programsL Michele Issel
University of Illinois at Chicago, School of Public Health, Chicago, Illinois 60612, USA
Public Health Nurs 20:349-60. 2003..Future studies of comprehensive prenatal case management should focus on cross-level questions...