Jack Needleman@JackNeedleman

Jack Needleman, PhD, FAAN, is Professor and former Chair of the Dept of Health Policy and Management at UCLA Fielding School of Public Health

ph.ucla.edu/faculty/needlema…
Joined August 2011
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What nurses do
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Recent commentary: The challenge of sustaining practice improvement myamericannurse.com/the-chal… #AmericanNurse #implementationscience

The challenge of sustaining practice improvement

Implementation success needs frontline staff participation during development to make sure that sustaining healthcare practice is possible.

myamericannurse.com
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Three key takeaways: 1) deaths increase with low staffing and additional cost per avoided death are low enough to justify paying them....
International Journal of Nursing Studies@IJNSJournal
23 Feb 2021
Flexible nurse staffing with low baseline staff does not provide a safe or cost-effective approach to staffing hospital wards. With unlimited temporary staff, outcomes are still worse and the cost per life saved of higher base staffing is low ow.ly/hw7r30ry63N
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2) costs of higher staffing are offset about 50% by costs associated with reduced lengths of stay as nurses can get their work done on time and staffing reduces complications...
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3) mid-level staffing with pools of nurses to draw upon if census or absences require more staffing still result in excess deaths because of the stickiness of the decision to bring in another needed nurse. It's a well done study that should be widely distributed & impact policy
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Flexible nurse staffing with low baseline staff does not provide a safe or cost-effective approach to staffing hospital wards. With unlimited temporary staff, outcomes are still worse and the cost per life saved of higher base staffing is low ow.ly/hw7r30ry63N
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2/ Any board or task force trying to analyze and improve care that does not include the expertise of nurses is frankly incompetent to do its work. tinyurl.com/yynvxkqj
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Recent op-ed in LATimes on need for nurses on Biden covid taskforce, coupled with petition drive, contributed to nurse and occ health specialist being added. My letter in support of the op-ed tinyurl.com/yynvxkqj Key sentence at end: 1/
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Important work on diversity in HSR being led by @taybrogers. More here: bit.ly/2P7bySd Take the survey and follow the project.#ARM20 #ARM2020
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D @kdrum Doing presentation tomorrow for UCLA International Center on covid in US, Canada, Mexico. Would it be possible to get copies of your slides for the three plus Italy? Thanks.
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This Thursday 12 PDT, participating in webinar "Mexico, Canada, the United States and COVID-19 The Challenges for North America's Federalist Democracies." Info and registration: international.ucla.edu/lai/c…
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3/Professional nursing should track down that quote, put it on a loop, and use it to help the public and other health professionals appreciate the cognitive and skill-based work nurses do. #nursing
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2/The public and health professionals often understand the physical and emotional demands of nursing, but not the cognitive or managerial demands or expectations. It was refreshing to hear Johnson highlight the skill and expertise of the nursing staff. #nursing
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1/When discharged, Boris Johnson praised the NHS and its providers in general, but he also did a shout out to two of his ICU nurses. What struck me about the shout out was he praised the knowledge and skill of the nurses, not just their caring.#nursing @ILCconnect2care @JaneEBall
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How do we make this happen? Start by looking at whether national bodies have a nurse on board and identifying the gaps. e.g Is there a nurse on the NHS Research Authority Board? @HRA_Latest
Prof Jane Ball (FRCN)💙@JaneEBall
31 Dec 2019
“And although nurses make up nearly half of the world’s health-care workforce—and 90% of patients’ contacts with health workers—they are often not at the table when health-policy decisions are made” Key mission for ⁦@NursingNow2020⁩ ⁦@ICNurses⁩ theworldin.economist.com/edi…
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Association of registered nurse and nursing support staffing with inpatient hospital mortality qualitysafety.bmj.com/conten…

Association of registered nurse and nursing support staffing with inpatient hospital mortality

Background The association of nursing staffing with patient outcomes has primarily been studied by comparing high to low staffed hospitals, raising concern other factors may account for observed...

qualitysafety.bmj.com
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Recent article in BMJ Quality and Safety demonstrating association of low staffing for RNs on mortality. Also find an independent effect of low nursing support staffing on mortality. bit.ly/2XcA07Y
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Dr Lisa Smeds Alenius presents data from Sweden on the importance of work environment - for nurses and for patient care.
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Great presentation by @SmedsAlenius Disconnect between extent of influence & participation vs demands/expectations placed on RNs.
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“You think you’re going to save money when you reduce nurse staffing. NO. You ADD costs. It is NOT a cost saving”. Concludes @JackNeedleman Take note health policy makers & managers worldwide.
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