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List of Figures xiii
List of Tables xv
Contributors xvii
Foreword Linda Aiken xix
Preface Geri L. Dickson Linda Flynn xxiii
Acknowledgments xxvii
Discovering the Research to Policy Connection 1
Back to the Future: From Evidence to Policy Geri L. Dickson 3
Select Examples of Past Policy Changes 4
Where Do We Go From Here? The Intersection of Politics and Policy 12
Applying Kingdon and Gladwell's Theories to Policy Change by Nurses 16
Nursing Outcomes Research: Connections to Workforce Issues and Policy Decisions Sean P. Clarke 19
Health Services Research and Nursing Outcomes Research 20
Challenges in Nursing Outcomes Research 22
Nursing Outcomes Research at the University of Pennsylvania's Center for Health Outcomes and Policy Research 27
The Future and the Role of Nursing Outcomes Research 29
Lessons Learned Geri L. Dickson 33
Toward Evidence-Based Policy: Collecting and Managing the Data 39
Introduction Geri L. Dickson 39
Addressing the Complexities of Survey Research Patricia Moulton Linda M. Lacey Linda Flynn Christine Tassone Kovner Carol S. Brewer 43
It Is All About the Why: Determining Your Survey Research Topic 44
Do You Know What You Are Asking? Common Problems With Survey Questions 50
Mail Survey Method: Imperatives and Pitfalls 58
Collecting Data by Survey-The Best-Laid Plans Can Go Awry 62
Forecasting a State Supply and Demand of RNs Using the Revised 2005 HRSA Models Lynn Unruh Valerie Danesh 71
The HRSA Nursing Demand and Supply Models 73
Using the HRSA Models for Forecasting in Individual States: Three Approaches 81
FCN Experiences in Using the HRSA Models for Forecasting in Florida 85
Summary of FCN Experiences: Lessons Learned in Using the HRSA Models for Forecasting in Florida and Recommendations for Other States 98
Missing Data Effects on Nurse Workforce Analysis and Projections Jennifer G. Nooney 103
Sources and Causes of Missing Data 104
Analyzing and Classifying Missingness: The Bias Analysis 107
Traditional Methods for Dealing with Missing Data 111
Recent Developments in Missing Data Techniques 115
Lessons Learned Linda Flynn 121
Research and Workplace Policy 125
Introduction Geri L. Dickson 125
Work Satisfaction Among Staff Nurses in Acute Care Hospitals Carol S. Brewer Christine Tassone Kovner 127
Sample 128
Methods 129
Findings 130
Discussion 136
Policy Implications 138
Workload, Quality of Care, and Job Satisfaction in Home Health Nurses Linda Flynn 143
Background and Significance 144
Method 146
Findings 147
Policy Implications 150
The Emotional Demands of Nursing Rebecca J. Erickson 155
A Crisis in Nurse Staffing 156
Why Nurses Leave Direct Patient Care 157
The Emotional Foundations of Burnout 158
Methods 162
Results 168
What Influences Burnout Among Registered Nurses? 170
Which Facets of the Emotional Context of Care Might Contribute to an Understanding of Burnout Over and Above the Effect of Individual and Occupational Characteristics? 172
Lessons Learned Geri L. Dickson 179
Research and Educational Policy 183
Introduction Geri L. Dickson 183
Nursing's Long-Term Pipeline: A Study of High School Students Using a Unique Data Collection Approach Rebecca Rudel Patricia Moulton 187
North Dakota's Unique Nursing Education History 188
Tomorrow's Nursing Pipeline: A Literature Review 191
Nursing as a Specific Career Vision in High School 193
The High School Student Survey 194
Discussion 200
The Looming Crisis of an Inadequate Pipeline for Nursing Faculty Brenda Cleary James W. Bevill Jr. Linda M. Lacey Jennifer G. Nooney 209
Faculty Supply and Demand 210
The Pipeline for Faculty Roles 212
Discussion 214
Clinical Simulation and the Need for Evidence-Based Policy Felissa R. Lashley Wendy Nehring 219
Types of Simulation 221
Standardized Patients 225
Simulation and Policy 226
Lessons Learned Geri L. Dickson 233
Funding the Research to Policy Connection 237
Introduction Linda Flynn 237
Of Horses and Ponies: Taking Your Show to Washington Claudia L. McDonald 239
Why Should I Learn to Dance? 239
The Dance: One Step at a Time 242
The Federal Budget Process 246
AHRQ Funding Opportunities for Nurse Researchers Kathleen Kendrick Gail S. Makulowich Mary L. Grady 253
AHRQ's Changing Mission 254
AHRQ's Research Priorities 255
Research Funding Opportunities 257
Training and Career Development Programs 263
Research Infrastructure Support Programs 265
Getting an AHRQ Research Grant 266
Overview of the Grant Application Submission, Review, and Award Process 267
From Issues to Action: How the Robert Wood Johnson Foundation Influences Health Policy Lori Melichar Susan B. Hassmiller 271
Governmental Policy: RWJF's Role in Advancing the Nurse Practitioner Role 272
Organizational Policy: Transforming Care at the Bedside 273
The Process of Influencing Policy 275
Identifying Promising Solutions to Improve Health and Health Care 278
Creating the Evidence to Convince Policy Makers to Improve Health and Health Care Policy 279
Restrictions on Lobbying: A Delicate Balance 285
Building Capacity of Individuals and Institutions 288
Conclusion: How RWJF Influences Policy 289
A Metaphor for Addressing the Nurse Shortage in Oregon Judith L. Woodruff 293
Northwest Health Foundation 294
Farming and the Relationship to the Nursing Workforce Crisis 295
Cultivating the Environment for Nursing 296
Planning for Future Crops: Supporting a Nursing Policy Agenda 308
Conclusion and Key Findings 310
Lessons Learned Linda Flynn 313
Making the Research to Policy Connection 317
Introduction Geri L. Dickson 317
Policy Development and Nursing Lucille A. Joel 319
Citizenship in a Democracy 319
Nurses as Participants in a Democratic Community 320
The Power of Numbers 322
Politics for Policy 323
Beyond Baseline 327
State Funding for Nurse Faculty Loan Repayment: The Vermont Experience Mary Val Palumbo 329
Applying Kingdon's Framework 329
The Political Stream 333
The Policy Stream 333
Using Research to Influence Federal Policy: The Nephrology Nurses' Experience Linda Flynn Charlotte Thomas-Hawkins Sandra M. Bodin 343
The Research-Policy Connection 344
The Revised Model in Action 344
Lessons Learned Linda Flynn 349
Epilogue 353
From Research to Policy-The Ultimate Translation Linda Flynn Geri L. Dickson 355
Index 359
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