Jessica G. Smith, PhD, MSN, RN
Assistant Professor at the University of Texas at Arlington (UTA) College of Nursing and Health Innovation (CONHI)
Associate Fellow, Leonard Davis Institute of Health Economics
Dr. Jessica G. Smith’s core research focus is to determine the effects of a well-prepared nursing workforce and better work environments on nurse and patient outcomes in rural hospitals. Her goal is to shed more light on these relationships to guide rural-relevant policy recommendations needed to increase nursing resources for improved patient and nurse outcomes. She has published empirical findings from work during her postdoctoral fellowship at CHOPR using Linda Aiken’s Multi-State Nurse Survey Data from 2005-8 about rural hospitals and their nursing resources. One paper is published at Public Health Nursing and highlights how, as hospitals became more rural, there were fewer nurses with a BSN, fewer RNs, and higher patient-to-RN ratios. The second paper is in press at SAGE Open Nursing and highlights the association between nursing skill mix and work environments and adverse event frequency.
PhD, University of Wisconsin-Milwaukee
MSN, University of Texas at Arlington
BSN, Texas Christian University
In addition to her current work focusing on rural hospital nursing resources and outcomes, Dr. Smith published two empirical papers from her dissertation research about how the work environment was associated with hospital care processes. The first paper described how more favorable nurse work environments were associated with lower mean scores of nurse incivility. The second paper described how nurse work environments and collective efficacy were associated with lower mean scores for missed nursing care.
Dr. Smith has also coauthored publications with colleagues about how hospital nursing resources were associated with care for vulnerable populations. She co-authored a paper with lead investigator Elizabeth White about how hospitals with a better-educated hospital workforce were associated with lower postsurgical mortalities for individuals with dementia. Dr. Smith was lead author on a paper with colleagues about how the conditions for nurses differed while caring for infants in drug withdrawal compared to caring for infants not in drug withdrawal. Dr. Smith coauthored a paper with Lake and colleagues about nursing care disparities in the NICU and increased patient acuity and work environments as additive precursors to missed care in NICUs.
Smith, J. G., Plover, C. M., McChesney, M. C., & Lake, E. T. (2019). Isolated, small, and large hospitals have fewer nursing resources than urban hospitals: Implications for rural health policy. Public Health Nursing. Advance Online Publication. doi:10.1111/phn.1261
Smith, J. G., Plover, C. M., McChesney, M. C., & Lake, E. T. (2019). Rural hospital nursing skill mix and work environment associated with frequency of adverse events. SAGE Open Nursing. (In Press).
Smith, J. G., Morin, K. H., & Lake, E. T. (2018). Association of the nurse work environment with nurse incivility in hospitals. Journal of Nursing Management, 26(2), 219-226. doi:10.1111/jonm.12537
Smith, J. G., Morin, K. H., Wallace, L. E., & Lake, E. T. (2018). Association of the nurse work environment, collective efficacy, and missed care. Western Journal of Nursing Research, 40(6), 779-798. doi:10.1177/0193945917734159
Lake, E. T., Staiger, D., Edwards, E. M., Smith, J. G., & Rogowski, J. A. (2018). Nursing care disparities in neonatal intensive care units. Health Services Research, 53(S1), 3007-3026. doi:10.1111/1475-6773.12762
Lake, E. T., Staiger, D. O., Cramer, E., Hatfield, L. A., Smith, J. G., Kalisch, B. J., & Rogowski, J. A. (2018). Association of patient acuity and missed nursing care in U.S. neonatal intensive care units. Medical Care Research and Review. Advance Online Publication doi:10.1177/1077558718806743
White, E. M., Smith, J. G., Trotta, R. L., & McHugh, M. D. (2018). Lower postsurgical mortality for individuals with dementia with better‐educated hospital workforce. Journal of the American Geriatrics Society, 66(6), 1137-1143. doi:10.1111/jgs.15355
Smith, J. G., Rogowski, J. A., Schoenauer, K. M., & 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. doi:10.1097/jpn.0000000000000309
Smith, J. G. (2018). Does missed care in isolated rural hospitals matter? Western Journal of Nursing Research, 40(6), 775-778. doi:10.1177/0193945918759467
Smith, J. G. (2018). Establishing norms of respect—Strategies for nurses and managers. American Nurse Today, 13(6), 1-2.
Smith, J. G. (2018). The nurse work environment: Current and future challenges. Journal of Applied Biobehavioral Research, 23(1), e12126. doi:10.1111/jabr.12126