Evidence mapPaperPMID 39612563Full record

ArticleNursing outlook

Reducing disparities in emergency department outcomes for individuals with limited English proficiency: The nurse work environment.

Kathryn Jane Muir, Kathy Sliwinski, Karen B Lasater

Abstract read
In one paragraph

Article in Nursing outlook. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Improving Hospital Care for Patients Experiencing Communication Barriers Through Nurse-Endorsed Strategies.Inquiry : a journal of medical care organization, provision and financing
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Kathryn Jane MuirCenter for Health Outcomes and Policy Research T32, University of Pennsylvania School of Nursing, Philadelphia, PA; Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA; Department of Emergency Medicine, University of Pennsylvania, Philadelphia, PA. Electronic address: janemuir@nursing.upenn.edu.
Kathy SliwinskiCenter for Health Services & Outcomes Research, Northwestern University Feinberg School of Medicine, Chicago, IL.
Karen B LasaterCenter for Health Outcomes and Policy Research T32, University of Pennsylvania School of Nursing, Philadelphia, PA; Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA.

Funding

ADVANCED TRAINING IN NURSING OUTCOMES RESEARCHT32NR007104 · UNIVERSITY OF PENNSYLVANIA · 1999 to 2025
$2.6M
Multilevel Panel Study of Effects of Changes in Nursing on Patient OutcomesR01NR014855 · NINR · UNIVERSITY OF PENNSYLVANIA · 2024 to 2025
$1.5M
Evaluating Hospital Nurse Resources as a Driver of Outcomes Differences in Hospitals Serving High-Risk PatientsR01NR021234 · UNIVERSITY OF PENNSYLVANIA · 2025 to 2025
$406k
NINR NIH HHS R01 NR014855NINR NIH HHS R01 NR021234NINR NIH HHS T32 NR007104
6 · The paper itself

Abstract

backgroundPatients with limited English proficiency (LEP) experience worse emergency department (ED) outcomes. PURPOSE: To evaluate the association between nurses' work environments and ED outcomes among individuals with and without LEP.

methodsCross-sectional study of 1,358,802 patients seen in 64 New Jersey hospital EDs. Nurse work environment was measured by the Practice Environment Scale of the Nursing Work Index. Outcomes included 72-hr ED revisits, and departures against medical advice (AMA). DISCUSSION: Individuals with LEP experienced higher odds of a 72-hr ED revisit (aOR 1.12, 95% CI 1.04-1.21, p < .001) and lower odds of AMA departure (aOR 0.67, 95% CI, 0.61-0.74, p < .001). An interaction was found between LEP status and the nurse work environment: individuals with LEP experienced lower odds of a 72-hr ED revisit in better vs. poor nurse work environments, compared those without LEP.

conclusionDisparities in LEP outcomes might be ameliorated by targeted improvements to nurses' work environments.

Indexed as

Emergency Service, HospitalHealthcare DisparitiesLimited English ProficiencyNursing Staff, HospitalWorkplaceAdultAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedNew JerseyWorking ConditionsLanguage accessLimited English proficiencyWork environment

Identifiers

PMID39612563
PMCPMC11812054

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.