Julie Sochalski
Biographic Data
| ID | 5536734 |
|---|---|
| NAME | Julie Sochalski |
| GIVEN NAMES | Julie |
| FAMILY NAME | Sochalski |
| SIGNATURE | SOCHALSKI J |
| AFFILIATIONS | University of Pennsylvania |
| VERIFIED | No |
| TOTAL WORKS | 16 |
| TOTAL CITATIONS | 6 |
| AUTHOR COUNT | 16 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1985 |
| LATEST PUBLICATION YEAR | 2024 |
| H-INDEX | 1 |
Use of Simulation to Integrate Behavioral Health Into Primary Care Nurse Practitioner Programs
Background: Identifying and treating acute and chronic behavioral health conditions is integral to primary care practice, yet primary care nurse practitioner (NP) training models do not meet the demand for integrated behavioral health practices. Simulation offers an effective pedagogical tool for integrating behavioral health training in primary care. Method: With support from federal funding and external consultants, new didactic and complementa…
Does Quality of End‐of‐Life Care Differ by Urban‐Rural Location? A Comparison of Processes and Family Evaluations of Care in the VA
PURPOSE: Several studies have identified differences in end-of-life (EOL) care between urban and rural areas, yet little is known about potential differences in care processes or family evaluations of care. The purpose of this study was to examine the relationship between rurality of residence and quality of EOL care within the Veterans Affairs health care system. METHODS: This study was a retrospective, cross-sectional analysis of 126,475 vetera…
The National Clinician Scholars Program
The National Clinician Scholars Program, which will begin training physician and nursing scholars in partnership with local community-based agencies in 2016, aims to develop health care leaders who pursue community-centered goals and treat their community partners with equality and respect
Managed Care and Hospital Cost Containment
This study assesses the ability of managed care to contain hospital costs since the managed care backlash, using data from California's Office of Statewide Health Planning and Development for all acute-care hospitals in the state for the period 1991-2001. The analysis employs a long-differences design to examine cost growth before and after the managed care backlash. Results from the early 1990s are consistent with prior evidence that the combina…
The Association Between Nursing Factors and Patient Mortality in the Veterans Health Administration
CONTEXT: Nurse staffing is not the same across an entire hospital. Nursing care is delivered in geographically-based units, with wide variation in staffing levels. In particular, staffing in intensive care is much richer than in nonintensive care acute units. OBJECTIVE: To evaluate the association of in-hospital patient mortality with registered nurse staffing and skill mix comparing hospital and unit level analysis using data from the Veterans H…
Will Mandated Minimum Nurse Staffing Ratios Lead to Better Patient Outcomes
BACKGROUND: Mandatory hospital nurse staffing ratios are under consideration in a number of states without strong empirical evidence of the optimal ratio. OBJECTIVE: To determine whether increases in medical-surgical licensed nurse staffing levels are associated with improvements in patient outcomes for hospitals having different baseline staffing levels. RESEARCH DESIGN: Cross-sectional and fixed-effects regression analyses using a 1993-2001 pan…
Polsky and Sochalski Respond
Trends in Characteristics and Country of Origin Among Foreign-Trained Nurses in the United States, 1990 and 2000
Objectives. We describe long-term trends in the characteristics of foreign-trained new entrants to the registered nurse (RN) workforce in the United States. Methods. Using the 1990 and 2000 US Census 5% Public Use Microdata Sample files, we compared trends in characteristics of US- and foreign-trained new entrants to the RN labor force (n=40827) and identified trends in the country of origin of the foreign-trained new entrants. Results. Foreign-t…
Polsky and Sochalski Respond
We appreciate the letter from Betlehem et al. and the information on the growth of educational opportunities for Hungarian nurses and the consequences of those efforts. The experience in Hungary confirms our analysis of nurses working in the United States: the skill level among nurses educated abroad is comparable to that of nurses educated in the United States. As the demand for university-trained nurses grows globally, countries like Hungary th…
Is More Better
OBJECTIVE: The objective of this study was to examine the effects of nurse staffing and process of nursing care indicators on assessments of the quality of nursing care. RESEARCH DESIGN: This study examined the variation in inpatient hospital staff nurses' assessments of the quality of nursing care and the effects of nurse staffing (patient workload), patient safety problems (medication errors and patient falls with injuries), and unfinished care…
Nurses’ Reports On Hospital Care In Five Countries
The current nursing shortage, high hospital nurse job dissatisfaction, and reports of uneven quality of hospital care are not uniquely American phenomena. This paper presents reports from 43,000 nurses from more than 700 hospitals in the United States, Canada, England, Scotland, and Germany in 1998-1999. Nurses in countries with distinctly different health care systems report similar shortcomings in their work environments and the quality of hosp…
Organization and Outcomes of Inpatient Aids Care
OBJECTIVE: To compare differences in AIDS patients' 30-day mortality and satisfaction with care in dedicated AIDS units, scattered-bed units in hospitals with and without dedicated AIDS units, and in magnet hospitals known to provide good nursing care. METHODS: Data were obtained on 1,205 consecutively admitted patients in 40 units in 20 hospitals and on 820 of their nurses. RESULTS: Mortality was lower and satisfaction was higher for AIDS patien…
Hospital Restructuring in the United States, Canada, and Western Europe
Restructuring of the hospital workforce and redesign of work in inpatient settings is widespread and markedly similar across North American and Europe, and warrants systematic study. Cross-national studies of the impact of restructuring inpatient care on patient outcomes would yield valuable lessons about the cost-quality tradeoffs in hospital redesign and re-engineering, as well as inform national planning about the numbers and types of nurses n…
Studying Outcomes of Organizational Change in Health Services
OBJECTIVES: The rapidly changing organizational context within which health care is delivered is altering provider-patient relations and processes of clinical decision-making, with significant implications for patient outcomes. Yet definitive research on such effects is lacking. The authors seek to underscore the contribution of organizational research to studies of clinical outcomes and demonstrates several approaches to further such efforts. ME…
A Report on the Congressional Fellowship Program, 1992–93 and 1993–94
An abstract is not available for this content so a preview has been provided. As you have access to this content, a full PDF is available via the ‘Save PDF’ action button
Reply to Halloran and Kiley
Trends in Characteristics and Country of Origin Among Foreign-Trained Nurses in the United States, 1990 and 2000
Objectives. We describe long-term trends in the characteristics of foreign-trained new entrants to the registered nurse (RN) workforce in the United States. Methods. Using the 1990 and 2000 US Census 5% Public Use Microdata Sample files, we compared trends in characteristics of US- and foreign-trained new entrants to the RN labor force (n=40827) and identified trends in the country of origin of the foreign-trained new entrants. Results. Foreign-t…
Reply to Halloran and Kiley
A Report on the Congressional Fellowship Program, 1992–93 and 1993–94
An abstract is not available for this content so a preview has been provided. As you have access to this content, a full PDF is available via the ‘Save PDF’ action button
Hospital Restructuring in the United States, Canada, and Western Europe
Restructuring of the hospital workforce and redesign of work in inpatient settings is widespread and markedly similar across North American and Europe, and warrants systematic study. Cross-national studies of the impact of restructuring inpatient care on patient outcomes would yield valuable lessons about the cost-quality tradeoffs in hospital redesign and re-engineering, as well as inform national planning about the numbers and types of nurses n…
Studying Outcomes of Organizational Change in Health Services
OBJECTIVES: The rapidly changing organizational context within which health care is delivered is altering provider-patient relations and processes of clinical decision-making, with significant implications for patient outcomes. Yet definitive research on such effects is lacking. The authors seek to underscore the contribution of organizational research to studies of clinical outcomes and demonstrates several approaches to further such efforts. ME…
Organization and Outcomes of Inpatient Aids Care
OBJECTIVE: To compare differences in AIDS patients' 30-day mortality and satisfaction with care in dedicated AIDS units, scattered-bed units in hospitals with and without dedicated AIDS units, and in magnet hospitals known to provide good nursing care. METHODS: Data were obtained on 1,205 consecutively admitted patients in 40 units in 20 hospitals and on 820 of their nurses. RESULTS: Mortality was lower and satisfaction was higher for AIDS patien…
Nurses’ Reports On Hospital Care In Five Countries
The current nursing shortage, high hospital nurse job dissatisfaction, and reports of uneven quality of hospital care are not uniquely American phenomena. This paper presents reports from 43,000 nurses from more than 700 hospitals in the United States, Canada, England, Scotland, and Germany in 1998-1999. Nurses in countries with distinctly different health care systems report similar shortcomings in their work environments and the quality of hosp…
Is More Better
OBJECTIVE: The objective of this study was to examine the effects of nurse staffing and process of nursing care indicators on assessments of the quality of nursing care. RESEARCH DESIGN: This study examined the variation in inpatient hospital staff nurses' assessments of the quality of nursing care and the effects of nurse staffing (patient workload), patient safety problems (medication errors and patient falls with injuries), and unfinished care…
Polsky and Sochalski Respond
Trends in Characteristics and Country of Origin Among Foreign-Trained Nurses in the United States, 1990 and 2000
Objectives. We describe long-term trends in the characteristics of foreign-trained new entrants to the registered nurse (RN) workforce in the United States. Methods. Using the 1990 and 2000 US Census 5% Public Use Microdata Sample files, we compared trends in characteristics of US- and foreign-trained new entrants to the RN labor force (n=40827) and identified trends in the country of origin of the foreign-trained new entrants. Results. Foreign-t…
Polsky and Sochalski Respond
We appreciate the letter from Betlehem et al. and the information on the growth of educational opportunities for Hungarian nurses and the consequences of those efforts. The experience in Hungary confirms our analysis of nurses working in the United States: the skill level among nurses educated abroad is comparable to that of nurses educated in the United States. As the demand for university-trained nurses grows globally, countries like Hungary th…
Managed Care and Hospital Cost Containment
This study assesses the ability of managed care to contain hospital costs since the managed care backlash, using data from California's Office of Statewide Health Planning and Development for all acute-care hospitals in the state for the period 1991-2001. The analysis employs a long-differences design to examine cost growth before and after the managed care backlash. Results from the early 1990s are consistent with prior evidence that the combina…
The Association Between Nursing Factors and Patient Mortality in the Veterans Health Administration
CONTEXT: Nurse staffing is not the same across an entire hospital. Nursing care is delivered in geographically-based units, with wide variation in staffing levels. In particular, staffing in intensive care is much richer than in nonintensive care acute units. OBJECTIVE: To evaluate the association of in-hospital patient mortality with registered nurse staffing and skill mix comparing hospital and unit level analysis using data from the Veterans H…
Will Mandated Minimum Nurse Staffing Ratios Lead to Better Patient Outcomes
BACKGROUND: Mandatory hospital nurse staffing ratios are under consideration in a number of states without strong empirical evidence of the optimal ratio. OBJECTIVE: To determine whether increases in medical-surgical licensed nurse staffing levels are associated with improvements in patient outcomes for hospitals having different baseline staffing levels. RESEARCH DESIGN: Cross-sectional and fixed-effects regression analyses using a 1993-2001 pan…
The National Clinician Scholars Program
The National Clinician Scholars Program, which will begin training physician and nursing scholars in partnership with local community-based agencies in 2016, aims to develop health care leaders who pursue community-centered goals and treat their community partners with equality and respect
Does Quality of End‐of‐Life Care Differ by Urban‐Rural Location? A Comparison of Processes and Family Evaluations of Care in the VA
PURPOSE: Several studies have identified differences in end-of-life (EOL) care between urban and rural areas, yet little is known about potential differences in care processes or family evaluations of care. The purpose of this study was to examine the relationship between rurality of residence and quality of EOL care within the Veterans Affairs health care system. METHODS: This study was a retrospective, cross-sectional analysis of 126,475 vetera…
Use of Simulation to Integrate Behavioral Health Into Primary Care Nurse Practitioner Programs
Background: Identifying and treating acute and chronic behavioral health conditions is integral to primary care practice, yet primary care nurse practitioner (NP) training models do not meet the demand for integrated behavioral health practices. Simulation offers an effective pedagogical tool for integrating behavioral health training in primary care. Method: With support from federal funding and external consultants, new didactic and complementa…
Medicine (13 works) · Nursing (8 works) · Health care (7 works) · Political science (7 works) · Family medicine (6 works) · Nursing education and management (4 works) · Psychology (4 works) · Business (3 works) · Environmental health (3 works) · Geriatric Care and Nursing Homes (3 works)