Elizabeth White is a second year pre-doctoral fellow. She holds a BSN and MSN from the University of Pennsylvania and an MPH in Health Policy and Management from Columbia University. She is a board-certified adult and geriatric nurse practitioner and her predominant clinical interest is long-term care of the frail medically complex older adult. Elizabeth currently practices at Mercy LIFE West Philadelphia, a Program of All-Inclusive Care for the Elderly site, and prior to this, worked in nursing homes in New York City for eight years as an NP with Optum (formerly Evercare), a division of United Healthcare. Her research interests include nurse retention and the relationship between nurse work environment and quality outcomes in the nursing home setting.
CHOPR RESEARCH PROJECT / FOCUS
Title: The effects of nurse work environment on patient and nurse outcomes in nursing homes
High nurse turnover is a significant problem in nursing homes and is both detrimental to patients and costly to organizations. While turnover has been studied extensively in the literature, the direct link between nurse work environment and patient outcomes in nursing homes has been only minimally examined. Because elements of the work environment are modifiable and strongly influence nurse outcomes like job satisfaction, burnout, and intent to leave one’s job, this will likely be an important area to target for interventions to improve the quality care in nursing homes. Using a cross-sectional design combining 2015 RN4CAST nurse survey data and patient-level data from the Minimum Data Set and/or CMS claims files, we will study the effects of nurse work environment on patient and nurse outcomes in the nursing home setting.