More RNs need to be involved in hospital QI programs

Too few nurses are involved in quality improvement efforts, and the number is not growing, according to a study published in the Journal of Nursing Care Quality. The study compared participation levels in hospital QI activities for RNs who were first licensed between 2004 and 2005 and those first licensed between 2007 and 2008. Researchers found disappointingly little difference for such activities as performance measurement, working to improve processes or systems of care, monitoring sustainability of improved practices, and efforts at performance improvement. “These findings underscore the need for hospitals to collaborate with nursing schools to develop effective strategies to ensure that RNs expect and are prepared to engage in QI activities” says Maja Djukic, R.N., assistant professor at New York University College of Nursing.

State laws limit practice opportunities for NPs

While state scope-of-practice laws don’t typically restrict what primary care services nurse prac-
titioners can provide to patients, they do affect practice opportunities for NPs and appear to influence payer policies, according to a study by the Center for Studying Health System Change for the National Institute for Health Care Reform. The study found that some states allow NPs to practice independently and others limit their authority to diagnose, treat and prescribe medications to patients without supervision. Restrictive laws were associated with more challenging environments for NPs to bill payers, order certain tests and establish independent primary care practices. Visit www.nihcr.org/PCP-Workforce-NPs.

Job hunts might spike

Health care professionals, including clinicians, administrators and others, believe more jobs are available so far this year in their areas of expertise and are more likely to look for a new job, according to Randstad Healthcare, a staffing firm. Nearly one-third of workers surveyed earlier this year said they were likely to look for a new job within the next 12 months. Visit www.randstadusa.com.