Karen B Lasater
Dados Biográficos
| ID | 4245571 |
|---|---|
| NOME | Karen B Lasater |
| PRENOMES | Karen B |
| SOBRENOME | Lasater |
| ASSINATURA | LASATER K B |
| AFILIAÇÕES | University of Pennsylvania |
| ORCID | 0000-0002-5834-1954 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 14 |
| TOTAL DE CITAÇÕES | 0 |
| TOTAL COMO AUTOR | 14 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2016 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 0 |
Job and Health Outcomes Among Transgender and Gender-Diverse Nurses
Introduction: Transgender and gender-diverse (TGD) individuals face health disparities and workplace discrimination, yet the job and health outcomes of TGD nurses remain underexplored. Purpose: To investigate how gender identity affects job and health outcomes. Methods: This cross-sectional observational study included 52,491 nurses (52,455 identifying as cisgender and 36 as TGD) in New York and Illinois surveyed in 2021. Job outcomes were burnou…
Magnet4Europe Intervention to Improve Clinician and Patient Well-Being
BACKGROUND: Descriptive studies have documented high hospital nurse burnout and turnover but there are few, if any, large-scale evaluations of organizational interventions to improve clinician retention. The Magnet model is an organizational hospital intervention associated with better clinician and patient outcomes but there is insufficient evidence as to whether the Magnet model based on structural empowerment of clinicians results in better ou…
Reducing Readmission Disparities in Hospitals Serving High Volumes of Patients With Limited English Proficiency
BACKGROUND: Despite national attention to address disparities in health care, significant language-based health inequities exist in the United States. OBJECTIVES: To evaluate whether readmissions for patients with limited English proficiency (LEP) are associated with the LEP volume of the hospital and to determine whether and to what extent the effect of hospital LEP volume on readmissions for LEP patients is conditional on the hospitals' nurse w…
Hospital Nursing Has Not Returned to Pre-Covid Conditions
BACKGROUND: Hospital nurse burnout, job dissatisfaction, and intent to leave were high before the COVID-19 pandemic and reached alarmingly new heights during the pandemic. OBJECTIVE: Evaluate whether hospital nurses' job outcomes and evaluations of patient safety, quality of care, and hospital management responsiveness have returned at least to prepandemic levels. DESIGN: Cross-sectional study of survey data from 50,044 nurses in New York and Ill…
System-Level Factors Contributing to Burnout and Professional Well-Being Among Transgender and Gender-Diverse Nurses
Introduction: Transgender and gender-diverse (TGD) health care professionals face significant burnout, yet evidence on system-level factors such as workplace discrimination that contribute to this issue among TGD nurses is limited. Responding to the U.S. Department of Health and Human Services’ call for research on burnout among health care staff from diverse demographic backgrounds, this study aimed to examine the system-level factors affecting …
Hospital Ownership Type Correlated With Investments in Nursing Services
BACKGROUND: The association between hospital ownership type and patient care quality has garnered increased public attention. OBJECTIVES: To describe differences in investments in nursing services, care quality and safety, and nurse job outcomes among for-profit and not-for-profit hospitals in Illinois. RESEARCH DESIGN: Cross-sectional, descriptive case study of hospital nursing services, patient care quality and safety outcomes, and nurse job ou…
Mapping Segregation Patterns of Hospital Care among Patients with Limited English Proficiency
Individuals with limited English proficiency (LEP) are disproportionately more likely to experience suboptimal care outcomes compared to English-proficient individuals, attributed to multi-level social determinants of health, including the quality of the hospital where LEP patients are more likely to receive care. Evidence demonstrates that racial minority patients are more often admitted to lower-quality hospitals serving high proportions of min…
Covid-19 Mortality Disparities Among Socially Vulnerable Medicare Beneficiaries Associated With the Quality of Nurse Work Environments in U.S. Hospitals
COVID-19 mortality disparities for socially vulnerable patients, including individuals facing higher levels of poverty, housing insecurity, and limited transportation, have been linked to the quality of hospitals where they received care. Few studies have examined the specific aspects of hospitals, such as nursing care quality, that may underlie disparate outcomes. Recent studies suggest that nursing resources in the pre-pandemic period were asso…
Hospital Performance on Hospital Consumer Assessment of Healthcare Providers and System Ratings
OBJECTIVE: To determine which hospital nursing resources (staffing, skill mix, nurse education, and nurse work environment) are most predictive of hospital Hospital Consumer Assessment of Healthcare Providers and System (HCAHPS) performance. BACKGROUND: HCAHPS surveying is designed to quantify patient experience, a measure of patient-centered care. Hospitals are financially incentivized through the Centers for Medicare and Medicaid Services to ac…
Alternative Models of Nurse Staffing May Be Dangerous in High-Stakes Hospital Care
BACKGROUND: Hospitals are resurrecting the outdated "team nursing" model of staffing that substitutes lower-wage staff for registered nurses (RNs). OBJECTIVES: To evaluate whether reducing the proportion of RNs to total nursing staff in hospitals is in the best interest of patients, hospitals, and payers. RESEARCH DESIGN: Cross-sectional, retrospective. SUBJECTS: In all, 6,559,704 Medicare patients in 2676 general acute-care US hospitals in 2019.…
Physician and Nurse Well-Being and Preferred Interventions to Address Burnout in Hospital Practice
This cross-sectional survey study of physicians and nurses practicing in US Magnet hospitals found that hospitals characterized as having too few nurses and unfavorable work environments had higher rates of clinician burnout, turnover, and unfavorable patient safety ratings. Clinicians wanted action by management to address insufficient nurse staffing, insufficient clinician control over workload, and poor work environments; they were less intere…
Is Hospital Nurse Staffing Legislation in the Public’s Interest
BACKGROUND: The Safe Staffing for Quality Care Act under consideration in the New York (NY) state assembly would require hospitals to staff enough nurses to safely care for patients. The impact of regulated minimum patient-to-nurse staffing ratios in acute care hospitals in NY is unknown. OBJECTIVES: To examine variation in patient-to-nurse staffing in NY hospitals and its association with adverse outcomes (ie, mortality and avoidable costs). RES…
A Methodology For Studying Organizational Performance
BACKGROUND: Rigorous measurement of organizational performance requires large, unbiased samples to allow inferences to the population. Studies of organizations, including hospitals, often rely on voluntary surveys subject to nonresponse bias. For example, hospital administrators with concerns about performance are more likely to opt-out of surveys about organizational quality and safety, which is problematic for generating inferences. OBJECTIVE: …
Unmet Nursing Care Linked to Rehospitalizations Among Older Black AMI Patients
BACKGROUND: Recent studies suggest that nurses may be unable to complete all aspects of necessary care due to a lack of time. Research is needed to determine whether unmet nursing care contributes to disparities in readmissions for vulnerable populations. OBJECTIVES: To examine differences in the relationship between nursing care left undone and acute myocardial infarction readmissions among older black patients compared with older white patients…
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Unmet Nursing Care Linked to Rehospitalizations Among Older Black AMI Patients
BACKGROUND: Recent studies suggest that nurses may be unable to complete all aspects of necessary care due to a lack of time. Research is needed to determine whether unmet nursing care contributes to disparities in readmissions for vulnerable populations. OBJECTIVES: To examine differences in the relationship between nursing care left undone and acute myocardial infarction readmissions among older black patients compared with older white patients…
A Methodology For Studying Organizational Performance
BACKGROUND: Rigorous measurement of organizational performance requires large, unbiased samples to allow inferences to the population. Studies of organizations, including hospitals, often rely on voluntary surveys subject to nonresponse bias. For example, hospital administrators with concerns about performance are more likely to opt-out of surveys about organizational quality and safety, which is problematic for generating inferences. OBJECTIVE: …
Is Hospital Nurse Staffing Legislation in the Public’s Interest
BACKGROUND: The Safe Staffing for Quality Care Act under consideration in the New York (NY) state assembly would require hospitals to staff enough nurses to safely care for patients. The impact of regulated minimum patient-to-nurse staffing ratios in acute care hospitals in NY is unknown. OBJECTIVES: To examine variation in patient-to-nurse staffing in NY hospitals and its association with adverse outcomes (ie, mortality and avoidable costs). RES…
Physician and Nurse Well-Being and Preferred Interventions to Address Burnout in Hospital Practice
This cross-sectional survey study of physicians and nurses practicing in US Magnet hospitals found that hospitals characterized as having too few nurses and unfavorable work environments had higher rates of clinician burnout, turnover, and unfavorable patient safety ratings. Clinicians wanted action by management to address insufficient nurse staffing, insufficient clinician control over workload, and poor work environments; they were less intere…
Mapping Segregation Patterns of Hospital Care among Patients with Limited English Proficiency
Individuals with limited English proficiency (LEP) are disproportionately more likely to experience suboptimal care outcomes compared to English-proficient individuals, attributed to multi-level social determinants of health, including the quality of the hospital where LEP patients are more likely to receive care. Evidence demonstrates that racial minority patients are more often admitted to lower-quality hospitals serving high proportions of min…
Covid-19 Mortality Disparities Among Socially Vulnerable Medicare Beneficiaries Associated With the Quality of Nurse Work Environments in U.S. Hospitals
COVID-19 mortality disparities for socially vulnerable patients, including individuals facing higher levels of poverty, housing insecurity, and limited transportation, have been linked to the quality of hospitals where they received care. Few studies have examined the specific aspects of hospitals, such as nursing care quality, that may underlie disparate outcomes. Recent studies suggest that nursing resources in the pre-pandemic period were asso…
Hospital Performance on Hospital Consumer Assessment of Healthcare Providers and System Ratings
OBJECTIVE: To determine which hospital nursing resources (staffing, skill mix, nurse education, and nurse work environment) are most predictive of hospital Hospital Consumer Assessment of Healthcare Providers and System (HCAHPS) performance. BACKGROUND: HCAHPS surveying is designed to quantify patient experience, a measure of patient-centered care. Hospitals are financially incentivized through the Centers for Medicare and Medicaid Services to ac…
Alternative Models of Nurse Staffing May Be Dangerous in High-Stakes Hospital Care
BACKGROUND: Hospitals are resurrecting the outdated "team nursing" model of staffing that substitutes lower-wage staff for registered nurses (RNs). OBJECTIVES: To evaluate whether reducing the proportion of RNs to total nursing staff in hospitals is in the best interest of patients, hospitals, and payers. RESEARCH DESIGN: Cross-sectional, retrospective. SUBJECTS: In all, 6,559,704 Medicare patients in 2676 general acute-care US hospitals in 2019.…
System-Level Factors Contributing to Burnout and Professional Well-Being Among Transgender and Gender-Diverse Nurses
Introduction: Transgender and gender-diverse (TGD) health care professionals face significant burnout, yet evidence on system-level factors such as workplace discrimination that contribute to this issue among TGD nurses is limited. Responding to the U.S. Department of Health and Human Services’ call for research on burnout among health care staff from diverse demographic backgrounds, this study aimed to examine the system-level factors affecting …
Hospital Ownership Type Correlated With Investments in Nursing Services
BACKGROUND: The association between hospital ownership type and patient care quality has garnered increased public attention. OBJECTIVES: To describe differences in investments in nursing services, care quality and safety, and nurse job outcomes among for-profit and not-for-profit hospitals in Illinois. RESEARCH DESIGN: Cross-sectional, descriptive case study of hospital nursing services, patient care quality and safety outcomes, and nurse job ou…
Job and Health Outcomes Among Transgender and Gender-Diverse Nurses
Introduction: Transgender and gender-diverse (TGD) individuals face health disparities and workplace discrimination, yet the job and health outcomes of TGD nurses remain underexplored. Purpose: To investigate how gender identity affects job and health outcomes. Methods: This cross-sectional observational study included 52,491 nurses (52,455 identifying as cisgender and 36 as TGD) in New York and Illinois surveyed in 2021. Job outcomes were burnou…
Magnet4Europe Intervention to Improve Clinician and Patient Well-Being
BACKGROUND: Descriptive studies have documented high hospital nurse burnout and turnover but there are few, if any, large-scale evaluations of organizational interventions to improve clinician retention. The Magnet model is an organizational hospital intervention associated with better clinician and patient outcomes but there is insufficient evidence as to whether the Magnet model based on structural empowerment of clinicians results in better ou…
Reducing Readmission Disparities in Hospitals Serving High Volumes of Patients With Limited English Proficiency
BACKGROUND: Despite national attention to address disparities in health care, significant language-based health inequities exist in the United States. OBJECTIVES: To evaluate whether readmissions for patients with limited English proficiency (LEP) are associated with the LEP volume of the hospital and to determine whether and to what extent the effect of hospital LEP volume on readmissions for LEP patients is conditional on the hospitals' nurse w…
Hospital Nursing Has Not Returned to Pre-Covid Conditions
BACKGROUND: Hospital nurse burnout, job dissatisfaction, and intent to leave were high before the COVID-19 pandemic and reached alarmingly new heights during the pandemic. OBJECTIVE: Evaluate whether hospital nurses' job outcomes and evaluations of patient safety, quality of care, and hospital management responsiveness have returned at least to prepandemic levels. DESIGN: Cross-sectional study of survey data from 50,044 nurses in New York and Ill…
Medicine (10 obras) · Nursing (9 obras) · Health care (7 obras) · MEDLINE (6 obras) · Nursing education and management (6 obras) · Acute care (5 obras) · Family medicine (5 obras) · Emergency Medicine (4 obras) · Logistic regression (4 obras) · Odds (4 obras)