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A brand new Penn Nursing Heart for Well being Outcomes & Coverage Analysis (CHOPR) research sheds mild on the essential components that assist or hinder hospital nurses in offering high quality care to socially deprived populations. The findings, printed in JAMA Community Open, supply 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 function of social staff and neighborhood sources in connecting sufferers with wanted help.
Inadequate staffing and time constraints: Excessive workloads and insufficient staffing ranges as main impediments to high quality care.
Expertise to deal with language limitations: The significance of language entry know-how and in-person interpreters for sufferers with restricted English proficiency.
Sufferers’ determinants of well being: Components like well being literacy, household help, 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 research highlights that nurses, as frontline care providers, possess invaluable perspectives on the systemic, institutional, community, and individual factors that shape high 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 Neighborhood Well being; Director of the Bates Heart for the Examine of the Historical past of Nursing; and Affiliate Director of CHOPR; “Their experiences underscore the urgent need for hospitals to prioritize patient-centered approaches, invest in adequate staffing, strengthen community partnerships, and foster a diverse and culturally competent nursing workforce. By listening to and acting on these insights, we can significantly improve health outcomes for all patients, including those from socially and economically disadvantaged backgrounds.”
Nurses proposed a number of options to enhance care, together with bettering language know-how help, strengthening neighborhood sources for sufferers, and advancing tailor-made cultural competency schooling. This research enhances a latest research carried out by the identical staff that emphasised the necessity for bettering nursing sources—together with nurse staffing ranges and work environments—significantly in hospitals that serve socially weak communities.
Co-authors from Penn Nursing embody Okay. 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 Obstacles and Facilitators to Caring for Socially Deprived Sufferers, JAMA Community Open (2025). DOI: 10.1001/jamanetworkopen.2025.12397
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College of Pennsylvania Faculty of Nursing
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Nurses cite staffing shortages, language limitations, and revenue focus as key care challenges (2025, June 7)
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