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Published Works

CHOPR Investigators publish scholarly works in prestigious, high impact journals such as Journal of the American Medical Association, The Lancet, Research in Nursing and Health, theBMJ, Journal of Nursing Administration, Journal of the American Geriatric Society, Health Affairs, and Medical Care.

Recent Publications

Aiken LH, Dahlerbruch J, Todd B, Bai G. 2018. The Graduate Nurse Education Demonstration: Implications for Medicare policy.  New England Journal of Medicine. N Engl J Med 2018; 378:2360-2363.

CHOPR researchers call for modernizing the way Medicare pays for training nurses, and highlight a successful new model of cost-effectively training more advanced practice nurses to practice community-based primary care. Download

Barnes H, Richards MR, Martsolf G, & McHugh MD. 2018. Rural and non-rural primary care physician practices increasingly rely on nurse practitioners. Health Affairs 37(6):908-914

Little is known about trends in NP presence in primary care practices, or about how state policies such as scope-of-practice laws and expansion of eligibility for Medicaid may encourage or inhibit the use of NPs. We found increasing NP presence in both rural and nonrural primary care practices in the period 2008–16. Download

Smith J.G., Rogowski J.A., Schonauer, K., & Lake E.T. 2018. Infants in drug withdrawal: A national description of nurse workload, infant acuity, and parental needs. Journal of Perinatal and Neonatal Nursing. 32(1): 72-79.

The study objectives were to describe acuity, parental needs, and nurse workload of infants in drug withdrawal compared with other infants. Download

Aiken LH, Sloane DM, Ball J, Bruyneel L, Rafferty AM, Griffiths P.  2018.  Patient satisfaction with hospital care and nursing in England: An observational study. BMJ Open (In the top 5% of all research outputs scored by Altmetric).

The objective of the study is to inform healthcare workforce policy decisions by showing how patient perceptions of hospital care are associated with confidence in nurses and doctors, nurse staffing levels and hospital work environments. Download

Aiken LH, Cerón C, Simonetti M, Lake ET, Galiano A, Garbarini A, Soto P, Bravo D, Smith, HL. 2018. Hospital nurse staffing and patient outcomes. Revista Médica Clínica las Condes Mayo 2018 Vol. 29(3): 322-327.

A program of international research by the Center for Health Outcomes and Policy Research at the University of Pennsylvania, USA, was undertaken to determine whether variation in hospital registered nurse (RN) staffing across hospitals contributed to poor patient outcomes. Download

Brooks Carthon J, Hatfield L, Plover C, Dierkes A, Davis L, Hedgeland T, Sanders A, Visco F, Holland S, Ballinghoff J, Del Guidice M, Aiken LH.  2018. Association of nurse engagement with patient safety. Journal of Nursing Care Quality. DOI:10.1097/NGO.0000000000000334.

Our study examined the relationship between the level of engagement, staffing, and assessments of patient safety among nurses working in hospital settings and found that interventions to improve nurse engagement and adequate staffing serve as strategies to improve patient safety. Download

Aiken LH, Sloane DM, Lake ET, Agosto P, Roberts KE. 2018.  Is Magnet recognition associated with improved outcomes among critically ill children treated at freestanding children’s hospitals? Letter to the Editor.  Journal of Critical Care 43: 372

Letter to the Editor. Download

Brooks Carthon JM, Holland S, Gamble K, Rothwell H, Pancir D, Ballinghoff J, Aiken LH.  2017. Increasing research in a safety net setting though an academic clinical partnership.  JONA 47(6):350-355.

Safety net settings care for a disproportionate share of low-resource patients often have fewer resources to invest in nursing research. To address this dilemma, an academic-clinical partnership was formed in an effort to increase nursing research capacity at a safety net setting. Download

Lake ET, Cordova PB, Barton S, Singh S, Agosto PD, Ely B, Roberts KE, Aiken, LH. 2017. Missed nursing care in pediatrics.  Hospital Pediatrics. 7:378-384.

Nurses in inpatient pediatric care settings that care for fewer patients each and practice in a professionally supportive work environment miss care less often, increasing quality of patient care. Download

Aiken LH, Dahlerbruch JH.  2017.  Physician age and patient outcomes.
theBMJ 357:2286-7 

New research reports a link, but the underlying mechanism remains unclear. Download (In the top 5% of all research outputs scored by Altmetric)

CHOPR Papers In The News
  • Black Babies More Likely to Have Nursing Care Missed in their NICU Stay

    A new study from CHOPR compared missed nursing care in NICUs caring for high and low fractions of black infants. Indeed, nurses in hospitals with one-third or more percent black infants missed 50% more nursing care than those in hospitals with less than one-tenth percent black infants. Read the early online paper in Health Services Research here.

  • First Evidence for ANCC Pathway to Excellence Program in Home Care

    There has been a lot of research on the topic of hospital work environments, but very little on home care. Researchers from CHOPR and Rutgers University examined the factors influencing the likelihood of missed nursing care in the home care setting. Their findings indicate that home care nurses with poor work environments are more likely to miss required care. Read the Nursing Outlook paper online ahead of print.


  • Nurse Staffing Levels Linked to Patient Satisfaction

    Satisfaction with care in hospitals declines when patients believe there are not enough nurses on wards, according to a new CHOPR study based on the NHS Inpatient Survey published in the BMJ Open.

  • A Safe Workplace is Paramount

    Dr. Linda H. Aiken gives a global perspective on the importance of a safe workforce for the future and maximizing resources to improve outcomes for patients. Aiken summarizes recent study findings using the National Health System National Inpatient Survey.