Hospitals and nursing homes are responding to changes in the health care system by modifying staffing levels and the mix of nursing personnel. But do these changes endanger the quality of patient care? Do nursing staff suffer increased rates of injury, illness, or stress because of changing workplace demands? These questions are addressed in Nursing Staff in Hospitals and Nursing Homes, a thorough and authoritative look at today's health care system that also takes a long-term view of staffing needs for nursing as the nation moves into the next century. The committee draws fundamental conclusions about the evolving role of nurses in hospitals and nursing homes and presents recommendations about staffing decisions, nursing training, measurement of quality, reimbursement, and other areas. The volume also discusses work-related injuries, violence toward and abuse of nursing staffs, and stress among nursing personnelâ€"and examines whether these problems are related to staffing levels. Included is a readable overview of the underlying trends in health care that have given rise to urgent questions about nurse staffing: population changes, budget pressures, and the introduction of new technologies. Nursing Staff in Hospitals and Nursing Homes provides a straightforward examination of complex and sensitive issues surround the role and value of nursing on our health care system.

In the early 1990s, the Census Bureau proposed a program of continuous measurement as a possible alternative to the gathering of detailed social, economic, and housing data from a sample of the U.S. population as part of the decennial census. The American Community Survey (ACS) became a reality in 2005, and has included group quarters (GQ)-such places as correctional facilities for adults, student housing, nursing facilities, inpatient hospice facilities, and military barracks-since 2006, primarily to more closely replicate the design and data products of the census long-form sample. The decision to include group quarters in the ACS enables the Census Bureau to provide a comprehensive benchmark of the total U.S. population (not just those living in households). However, the fact that the ACS must rely on a sample of what is a small and very diverse population, combined with limited funding available for survey operations, makes the ACS GQ sampling, data collection, weighting, and estimation procedures more complex and the estimates more susceptible to problems stemming from these limitations. The concerns are magnified in small areas, particularly in terms of detrimental effects on the total population estimates produced for small areas. Small Populations, Large Effects provides an in-depth review of the statistical methodology for measuring the GQ population in the ACS. This report addresses difficulties associated with measuring the GQ population and the rationale for including GQs in the ACS. Considering user needs for ACS data and of operational feasibility and compatibility with the treatment of the household population in the ACS, the report recommends alternatives to the survey design and other methodological features that can make the ACS more useful for users of small-area data.

American Community Survey Data for Community Planning helps new and expert data users: Learn practical skills for finding and using population and housing statistics from the U.S. Census BureauOs American Community Survey. Investigate issues that challenge your community, state, the nation, and different population groups. The American Community Survey (ACS) is a powerful new dataset but it is not your mother's decennial census. Learn: How to find and analyze demographic, social, economic, and housing statistics for geographic areas and people (e.g., teenage mothers, college graduates, poor families). The basics for finding and using data in the American Community Survey. The strengths of the data set and its limitations. Many of the skills and concepts you learn from American Community Survey Data for Community Planning will help you find and use other data sets from the U.S. Census Bureau including the decennial census. American Community Survey Data for Community Planning covers: Part I: American Community Survey Basics —the essentials you need to formulate your questions and identify your data needs. Part II: Finding Your Data teaches geographic concepts and helps you use the American FactFinder to find the data. Part III: Making Sense of Your Data describes analytic techniques, sources of error in data, differences between census counts and survey estimates, aspects of data accuracy and accounting for sampling error in your analyses, and how to compare estimates. Part IV: Writing Your Report describes how to avoid common errors, how to use the multi-year statistics from the American Community Survey's rolling sample, and gives you tips on writing reports. Part V: Descriptive Measures, Common Errors, and Useful References At the end of each part, exercises are provided so you can test your understanding of important concepts by making decisions and solving problems.

Master the essentials of health promotion in community and public health nursing! Foundations for Population Health in Community/Public Health Nursing, 6th Edition provides clear, concise coverage of the nurse's role in preventing disease, promoting health, and providing health education in community settings. Case studies and critical thinking activities make it easier to apply concepts to community nursing practice. New to this edition are Healthy People 2030 guidelines and coverage of the latest issues, trends, and approaches. Written by well-known nursing educators Marcia Stanhope and Jeanette Lancaster, this streamlined text covers the fundamentals of designing effective nursing strategies for vulnerable and special populations. - Focus on health promotion throughout the text emphasizes initiatives, strategies, and interventions that promote the health of the community. - QSEN boxes illustrate how quality and safety goals, competencies, objectives, knowledge, skills, and attitudes can be applied in nursing practice in the community. - Levels of Prevention boxes identify specific nursing interventions at the primary, secondary, and tertiary levels, reinforcing the concept of prevention as it relates to community and public health care. - Applying Content to Practice boxes highlight how chapter content is applied to nursing practice in the community. - Practice Application scenarios present practice situations with questions and answers to help you apply concepts to community practice. - Genomics coverage provides a history of genetics and genomics and how they impact public/community health nursing care. - Coverage of ongoing health care reform issues includes the impact of the Patient Protection and Affordable Care Act of 2010 (ACA) on public health nursing. - Evidence-Based Practice boxes highlight current research findings, their application to practice, and how community/public health nurses can apply the study results. - NEW! COVID-19 pandemic information has been added. - NEW! Healthy People 2030 objectives are highlighted throughout the book, addressing the health priorities and emerging health issues expected in the next decade. - NEW! Updated content and figures reflect the most current data, issues, trends, and practices. - NEW! Expanded Check Your Practice boxes use Clinical Judgment (Next Generation NCLEX®) steps to guide your thinking about practice scenarios.