A brand new Penn Nursing Middle for Well being Outcomes & Coverage Analysis (CHOPR) research sheds gentle on the vital elements that assist or hinder hospital nurses in offering high quality care to socially deprived populations. The findings, revealed in JAMA Community Open, supply very important insights to tell hospital methods for advancing high-quality, equitable care.
The research, which analyzed open-text responses from 1,084 direct care hospital nurses throughout 58 New York and Illinois hospitals, recognized six key themes impacting care supply:
- Income over sufferers: A systemic problem the place monetary incentives are misaligned with equitable affected person care.
- Care continuity and hospital-community partnerships: The essential position of social employees and group assets in connecting sufferers with wanted assist.
- Inadequate staffing and time constraints: Excessive workloads and insufficient staffing ranges as main impediments to high quality care.
- Know-how to deal with language obstacles: The significance of language entry know-how and in-person interpreters for sufferers with restricted English proficiency.
- Sufferers’ determinants of well being: Elements like well being literacy, household assist, and affected person belief impacting care.
- Particular person nurses’ beliefs and backgrounds: How private experiences and biases, in addition to the necessity for elevated cultural competency coaching and workforce range, affect care.
“Our analysis highlights that nurses, as frontline care suppliers, possess invaluable views on the systemic, institutional, group, and particular person elements that form prime quality care,” says lead-author J. Margo Brooks Carthon, Ph.D., RN, FAAN, the Tyson Household Endowed Time period Chair for Gerontological Analysis; Professor of Nursing within the Division of Household and Group Well being; Director of the Bates Middle for the Examine of the Historical past of Nursing; and Affiliate Director of CHOPR; “Their experiences underscore the pressing want for hospitals to prioritize patient-centered approaches, put money into ample staffing, strengthen group partnerships, and foster a various and culturally competent nursing workforce. By listening to and appearing on these insights, we are able to considerably enhance well being outcomes for all sufferers, together with these from socially and economically deprived backgrounds.”
Nurses proposed a number of options to enhance care, together with enhancing language know-how assist, strengthening group assets for sufferers, and advancing tailor-made cultural competency schooling. This research enhances a current research performed by the identical group that emphasised the necessity for enhancing nursing assets—together with nurse staffing ranges and work environments—significantly in hospitals that serve socially susceptible communities.
Co-authors from Penn Nursing embody Ok. Jane Muir, Ph.D., MSHP, RN; Daniela Golinelli, Ph.D.; and Ann Kutney-Lee, Ph.D., RN; Lee Ang from the College of Pennsylvania Blended Strategies Lab; and Kelvin Amenyedor, MD, MPH and Shelli Feder, Ph.D., APRN, each from Yale College.
Extra info:
J. Margo Brooks Carthon et al, Hospital Nurse Views on Limitations and Facilitators to Caring for Socially Deprived Sufferers, JAMA Community Open (2025). DOI: 10.1001/jamanetworkopen.2025.12397
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Nurses cite staffing shortages, language obstacles, and revenue focus as key care challenges (2025, June 7)
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