Research Topics
| Joanne SpetzSummaryAffiliation: University of California Country: USA Publications
Research Grants
| Collaborators
|
Detail Information
Publications
Job and industry turnover for registered and licensed vocational nursesJoanne Spetz
School of Nursing, University of California, San Francisco, CA 94118, USA
J Nurs Adm 38:372-8. 2008..The duration of employment in the healthcare industry, as well as with specific employers, is tracked, lending a more thorough analysis of nursing job and industry turnover than found in other studies...
Information technology implementation in a rural hospital: a cautionary taleJoanne Spetz
University of California, San Francisco School of Nursing, USA
J Healthc Manag 54:337-47; discussion 348. 2009..Careful planning and thoughtful perseverance are required to ensure a successful IT implementation that benefits patients...- The effect of unions on the distribution of wages of hospital-employed registered nurses in the United StatesJoanne Spetz
School of Nursing, Center for the Health Professions, University of California, San Francisco, CA 94118, USA
J Clin Nurs 20:60-7. 2011..We examine whether unions have an effect on wage differences associated with race, gender, immigration status, education and experience, as well as whether there is less unexplained wage variation among unionised nurses... - Changes in nurse satisfaction in California, 2004 to 2008Joanne Spetz
Department of Community Health Systems and Center for the Health Professions, University of California, San Francisco, CA, USA
J Nurs Manag 18:564-72. 2010..To examine whether there were improvements in the satisfaction of hospital-employed registered nurses (RNs) in the mid-2000s... - College students' perceptions of nursing: a GEE approachJean Ann Seago
University of California, San Francisco, Center for California Health Workforce Studies Department of Community Health Systems, USA
Nurs Leadersh (Tor Ont) 19:56-74. 2006..Additionally, results support the need for a statistical method such as generalized estimating equations (GEE) to account for individual and interaction confounders, repeated measures, clustering and correlated data... - Do wages matter?: a backward bend in the 2004 California RN labor supplyMichelle Tellez
California State University, East Bay, Concord, CA, USA
Policy Polit Nurs Pract 10:195-203. 2009..00 and $100.00 per hour when compared with the wage category of $25.00 to $29.99. Results suggest that wages are important to secure the labor supply but do not increase aggregate supply beyond a wage threshold... - Minority nurses' experiences on the jobJean Ann Seago
Department of Community Health Systems at the University of California, San Francisco, CA 94143 0608, USA
J Cult Divers 15:16-23. 2008..They are more likely than white nurses in the sample to agree that they have opportunities to learn new skills at work, to think their job duties match their skills, and to believe they have opportunities to advance at their workplace... - Nurse satisfaction and the implementation of minimum nurse staffing regulationsJoanne Spetz
University of California, San Francisco, USA
Policy Polit Nurs Pract 9:15-21. 2008..However, improvements in satisfaction with the adequacy of RN staff were not associated with the degree to which regional hospitals were expected to increase staffing... - Can the use of LPNs alleviate the nursing shortage? Yes, the authors say, but the issues--involving recruitment, education, and scope of practice--are complexJean Ann Seago
School of Nursing, University of California, San Francisco, USA
Am J Nurs 106:40-9; quiz 50. 2006..While long-term care facilities already depend heavily on LPNs, hospitals could benefit from employing more LPNs. The authors make several specific policy recommendations to improve the education and employment of LPNs... - Hospital RN job satisfaction and nurse unionsJean Ann Seago
The Center for the Health Professions, University of California San Francisco, 2 Koret Way, San Francisco, CA 94143 0608, USA
J Nurs Adm 41:109-14. 2011..If managers can harness this ability of the nurses to be articulate and outspoken, working with unions and union nurses can be productive and satisfying... - The nursing shortage: is it really about image?Jean Ann Seago
Department of Community Health Systems, University of California, San Francisco, USA
J Healthc Manag 51:96-108; discussion 109-10. 2006..Much work remains to be done to alter the image of nursing as a women's occupation and to transform the work environment of nurses to make a career in nursing more attractive... - How have mandated nurse staffing ratios affected hospitals? Perspectives from California hospital leadersSusan A Chapman
Department of Social and Behavioral Sciences, University of California, San Francisco School of Nursing, USA
J Healthc Manag 54:321-33; discussion 334-5. 2009.... - California's minimum nurse-to-patient ratios: the first few monthsJoanne Spetz
Department of Community Health Systems, Center for California Health Workforce Studies, University of California, San Francisco, USA
J Nurs Adm 34:571-8. 2004..Future concerns and needs for research are explored to provide guidance about issues that nursing leaders must address when considering minimum nurse-to-patient ratios... - Baccalaureate education in nursing and patient outcomesMary A Blegen
School of Nursing, University of California, San Francisco, CA, USA
J Nurs Adm 43:89-94. 2013..The aim of this study was to examine the effects of registered nurse (RN) education by determining whether nurse-sensitive patient outcomes were better in hospitals with a higher proportion of RNs with baccalaureate degrees... - Predictors of students' success in community college nursing programsJean Ann Seago
Department of Community Health Systems, University of California, San Francisco, USA
J Nurs Educ 51:489-95. 2012..Higher prenursing grades are positive predictors of graduation; improvements in performance prior to commencing nursing education should improve student success... - What determines successful implementation of inpatient information technology systems?Joanne Spetz
Professor, Philip R Lee Institute for Health Policy Studies, University of California, San Francisco, CA 94118, USA
Am J Manag Care 18:157-62. 2012.... - Patient turnover and the relationship between nurse staffing and patient outcomesShin Hye Park
National Database of Nursing Quality Indicators, School of Nursing, University of Kansas Medical Center, 3901 Rainbow Blvd, MS 3060, Kansas City, KS 66160, USA
Res Nurs Health 35:277-88. 2012..5%. RN staffing should be adjusted according to patient turnover because turnover increases patient care demand beyond that presented by patient count, and outcomes may be adversely affected... - Minimum staffing ratios: the California workforce initiative surveyJean Ann Seago
Center for the Health Professions and Center for California Health Workforce Studies, University of California, San Francisco, CA, USA
Nurs Econ 21:65-70. 2003 - Comparison of patient outcomes in Magnet® and non-Magnet hospitalsColleen J Goode
College of Nursing, Division Informatics, Health Systems and Leadership, University of Colorado, Aurora, USA
J Nurs Adm 41:517-23. 2011..This study compared patient outcomes and staffing in Magnet® and non-Magnet hospitals... - The importance of good data: how The National Sample Survey of Registered Nurses has been used to improve knowledge and policyJoanne Spetz
Department of Community Health Systems and Social and Behavioral Sciences, UCSF School of Nursing, San Francisco, CA, USA
Annu Rev Nurs Res 28:1-18. 2010..The influence this body of research has had on policymaking is explored. Recommendations for future research are offered, in the hope that future waves of the NSSRN will continue to be used to their fullest potential... - California's minority majority and the White face of nursingJean Ann Seago
Department of Community Health Systems, University of California, San Francisco, School of Nursing, 94143 0608, USA
J Nurs Educ 44:555-62. 2005.... - Nurse staffing and hospital ownership in CaliforniaJean Ann Seago
Department of Community Health Systems, School of Nursing, University of California San Francisco, 2 Koret Way, San Francisco, CA 94143 0608, USA
J Nurs Adm 34:228-37. 2004..The purpose of this study is to describe the relationship between nurse staffing and owner type or specific corporate owner in California acute care hospitals... - Hospital demand for licensed practical nursesJoanne Spetz
Department of Community Health Systems, School of Nursing, University of California, San Francisco, USA
West J Nurs Res 28:726-39. 2006..The authors find evidence that higher RN wages increase hospital demand for LPNs, both in levels and relative to RNs, suggesting that hospitals at least partially substitute RNs with LPNs... 
How many nurses per patient? Measurements of nurse staffing in health services researchJoanne Spetz
Center for the Health Professions and School of Nursing, University of California, San Francisco, USA
Health Serv Res 43:1674-92. 2008..To compare alternative measures of nurse staffing and assess the relative strengths and limitations of each measure...- The cost and cost-effectiveness of nursing services in health careJoanne Spetz
University of California San Francisco, 3333 California Street, Suite 410, San Francisco, CA 94118, USA
Nurs Outlook 53:305-9. 2005..Research must be based on large, representative samples; provide clear, compelling results; discuss the importance of both costs and benefits in decision-making; and be published in highly-visible journals... - California's minimum nurse staffing legislation: results from a natural experimentBarbara A Mark
School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA
Health Serv Res 48:435-54. 2013.... - Leading successful rapid response teams: A multisite implementation evaluationNancy Donaldson
Center for Nursing Research and Innovation, School of Nursing, University of California, San Francisco, 2 Koret Way, N631, Box 0610, San Francisco, CA 4143 0610, USA
J Nurs Adm 39:176-81. 2009..quot; Results may be especially useful to clinical and administrative leaders who are either preparing to implement rapid response teams or considering how to strengthen rapid response team initiatives in their settings... - Public policy and nurse staffing: what approach is best?Joanne Spetz
Department of Community Health Systems, University of California San Francisco, San Francisco, CA, USA
J Nurs Adm 35:14-6. 2005 - Hospital nurse wages and staffing, 1977 to 2002: cycles of shortage and surplusJoanne Spetz
Department of Community Health Systems, School of Nursing, University of California San Francisco, San Francisco, CA 94118, USA
J Nurs Adm 34:415-22. 2004..The author reviews the causes of nursing shortages and surpluses and examines data from California hospitals to demonstrate how these cycles are expressed in the demand for and wages of nurses... - Are gatekeeper requirements associated with cancer screening utilization?Kathryn A Phillips
School of Pharmacy, Institute of Health Policy Studies, UCSF Comprehensive Cancer Center, University of California, San Francisco 94143, USA
Health Serv Res 39:153-78. 2004..Our objective was to examine whether gatekeeper requirements are associated with the utilization of cancer screening for breast, cervical, and prostate cancer... - The value of reducing hospital-acquired pressure ulcer prevalence: an illustrative analysisJoanne Spetz
Philip R Lee Institute for Health Policy Studies, and School of Nursing, University of California, San Francisco, CA 94118, USA
J Nurs Adm 43:235-41. 2013..The aim of this study was to assess the cost savings associated with implementing nursing approaches to prevent hospital-acquired pressure ulcers (HAPU)... - The future of the nurse shortage: will wage increases close the gap?Joanne Spetz
Center for California Workforce Studies, University of California, San Francisco, USA
Health Aff (Millwood) 22:199-206. 2003..2-3.8 percent per year between 2002 and 2016, with wages cumulatively rising up to 69 percent, to end the shortage. Total RN expenditures would more than double by 2016... - Nurse staffing effects on patient outcomes: safety-net and non-safety-net hospitalsMary A Blegen
Department of Community Health Systems, School of Nursing, University of California, San Francisco, CA, USA
Med Care 49:406-14. 2011..Nurse staffing has been linked to hospital patient outcomes; however, previous results were inconsistent because of variations in measures of staffing and were only rarely specific to types of patient care units... - How should we collect data on the nursing workforce?Joanne Spetz
Philip R Lee Institute for Health Policy Studies, University of California, San Francisco, USA
Nurs Econ 29:97-100. 2011..However, more detailed assessments of potential retirement patterns, changing family norms regarding childcare and household work, and movements into higher education require the rich data more often found in sample surveys... - NAPNES board of directors position paper regarding supply, demand, and use of licensed practical nursesJean Ann Seago
Center for California Health Workforce Studies, University of California, San Francisco, USA
J Pract Nurs 54:4. 2004 - Payment regulations for advanced practice nurses: implications for primary careSusan A Chapman
UCSF School of Nursing, San Francisco, CA 94118, USA
Policy Polit Nurs Pract 11:89-98. 2010..A clear regulatory framework and payment rationale are needed along with data on the type and complexity of care provided by various practitioners to increase efficiencies and improve access to health care... - Minimum nurse-to-patient ratios in acute care hospitals in CaliforniaJanet M Coffman
University of California, San Francisco, USA
Health Aff (Millwood) 21:53-64. 2002..Policymakers elsewhere should consider other strategies to address nurses' concerns, because other approaches may be less costly and produce greater benefits to nurses and patients... - Hospital information technology systems' impact on nurses and nursing careRenae Waneka
School of Nursing, Center for the Health Professions, University of California, San Francisco, CA 94118, USA
J Nurs Adm 40:509-14. 2010..We conducted a review of the literature to determine the impact of health information technologies (HITs) on nurses and nursing care... - Registered nurse pre-licensure education in CaliforniaJean Ann Seago
Center for the Health Professions and Center for California Health Workforce Studies, University of California, San Francisco, CA, USA
Nurs Econ 20:113-7, 125. 2002 - How can employment-based benefits help the nurse shortage?Joanne Spetz
Center for California Health Workforce Studies, University of California, San Francisco, CA, USA
Health Aff (Millwood) 25:212-8. 2006..We offer recommendations for health care leaders that follow from our findings about the current state of nurses' employment-based benefits... - Cost effectiveness of a medical vigilance system to reduce patient fallsJoanne Spetz
University of California, San Francisco, CA, USA
Nurs Econ 25:333-8, 352. 2007..The cost-effectiveness analysis found that use of this system was associated with somewhat higher measured costs. It is likely that the system was cost-saving, due to unmeasured costs...
Research Grants
- Hospital Unions, Staffing, Wages, and Patient SafetyJoanne Spetz; Fiscal Year: 2007..This study will delve into the "black box" of hospital unionization to learn whether and how unions affect the delivery and quality of care. ..
- Hospital Unions, Staffing, Wages, and Patient SafetyJoanne Spetz; Fiscal Year: 2009..This study will delve into the "black box" of hospital unionization to learn whether and how unions affect the delivery and quality of care. ..