Elizabeth Schierholz is a third year pre-doctoral fellow. She holds a BSN from the University of Mary Hardin-Baylor and a MSN from the University of Pennsylvania. She is a board-certified Neonatal Nurse Practitioner. She also holds certifications in Neonatal and Pediatric Transport and as a Certified Medical Transport Executive. Elizabeth currently practices in a Level IV Neonatal Intensive Care Unit as a NNP in Philadelphia. Her previous experience includes work as a transport NNP in Colorado for AirLife Denver, and clinical practice as a NNP in several NICUs in San Diego, CA including Rady Children’s Hospital and Sharp Mary Birch Hospital for Women and Infants. Her research interests include the impact of organizational aspects, including the work environment, and nursing on outcomes of neonatal patients within the Neonatal Intensive Care Unit, safety and quality in handoff/transition of neonatal patients in critical care settings, regionalization and access to care and implementation of research findings in clinical practice.
CHOPR RESEARH PROJECT AND FOCUS
Title: Linking the Nurse Work Environment and Missed Nursing Care to Very Low Birth Weight Infant’s Outcomes in the Neonatal Intensive Care Unit (NICU)
Very low birth weight (VLBW) infants are entirely dependent on nursing care for sustained life. Neonatal nurses provide specialized care for these tiniest and most vulnerable infants. Diligent nursing care is required to minimize complications such as infection. Nurses have a critical role in patient evaluation and assessment using their knowledge for clinical reasoning in order to ensure patient health, well-being and safety. If nursing care is omitted or delayed (called missed nursing care) due to competing demands or limited resources, the potential exists for a negative effect on infant outcomes. As the first multihospital study to explore the concept of missed nursing care in the NICU linked to patient health outcomes,, we will use a 4-state (PA, NJ, FL, CA) administrative patient infant discharge data from 2006 and NICU nurse participants of the Multi-State Nursing Care and Patient Quality Study 2006 RN survey to 1) describe variation across NICUs in health outcomes, 2) determine associations between nurse work environments in the NICU and health outcomes of VLBW infants, and 3) explore missed care as a mediator between nurse work environments and health outcomes for VLWB infants.