My program of research focuses on understanding and testing how nursing systems and other organizational systems in acute care hospitals impact patient outcomes and patient safety and nurse workforce outcomes.
I am interested in factors that predict positive nurse workforce outcomes such as decreased turnover and absenteeism, job satisfaction, and increased ethnic diversity.
Some of my research can be defined as health services research with a focus on nursing systems and the nurse workforce, including nursing education.
I also investigate organizational variables as predictors (length of stay, hours per patient day, skill mix, RN union),
and positive patient events (patient satisfaction) and adverse patient events
(medication errors, patient falls, decubitus ulcers, mortality) as outcomes.
SELECTED PUBLICATIONS
Ash, M and Seago, JA. The effect of registered nurses' unions on heart-attack mortality. Industrial and Labor Relations Review. 57(3): 422-42, 2004.
Seago, JA, Spetz, J, Mitchell, S. Nurse staffing ratios and hospital ownership in California. J Nurs Adm. 34(5): 228-37, 2004.
Seago, JA and Spetz, J. California's minority majority and the white face of nursing. J Nurs Educ. 44(12): 555-62, 2005.
Seago, JA, Williamson, A, and Atwood, C. Longitudinal analyses of nurse staffing and patient outcomes: More about failure to rescue. J Nurs Adm. 36(1): 13-21, 2006.
Seago, JA, Spetz, J, Alvarado, A., Keane, D., and Grumbach, K. The nursing shortage: Is it really about image? J of Healthcare Management. 51(2): 96-110, 2006.
Seago, JA, Spetz, J., Keane, D., Grumbach, K. College Student Perceptions of Nursing: A GEE Approach. Canadian Journal of Nursing Leadership. 19(2): 56-74, 2006.
Seago, JA, Spetz, J., Chapman, S., and Dyer, W. Can LPNs solve the nursing shortage? American Journal of Nursing. 106(7): 40-9, 2006. (Adapted for LPN2006--*Seago, JA, Spetz, J., Chapman, S., and Dyer, W. How can LPNs ease the nursing shortage? LPN2006. 2006).
Spetz, J, Dyer, WT, Chapman, S and Seago, JA. Hospital demand for Licensed Practical Nurses. Western J of Nursing Research. 28(6): 726-39, 2006.
Seago, JA. Autonomy: A realistic goal for the practice of hospital nursing? Aquichan: Revista de la Facultad de Enfermería de la Universidad de La Sabana (Bogotá, Colombia). 6(1): 92-103, 2006 [literature review].
Seago, JA, Alvarado, A., & Grumbach, K. The Chaotic World of the Nursing Program Director. Colombia Médica: Órgano oficial de la Facultad de Salud de la Universidad del Valle en Cali (Cali, Colombia). 38(4 supl.2) (Octubre-Diciembre): 6-14, 2007.
(http://colombiamedica.univalle.edu.co/Vol38No4sup2/html%20v38n4s2/CONTENIDO.html).
Seago, JA, Spetz, J. Minority Nurses' Experiences on the Job. J Cultural Diversity. 15(1): 16-23, 2008.
Wong, ST, Seago, JA, Keane, D, and Grumbach, K. Perceptions of College Success: What Do Minority Nursing Students Think? Journal of Nursing Education. 47(4): 190-5, 2008.
Seago, JA. Unit characteristics and patient satisfaction. J of Policy, Politics, and Nursing Practice. 9(4) 230-40, 2008.
Seago, JA, Wong, ST, Keane, D, and Grumbach, K. Measuring Attributes of Success of College Students in Nursing Programs: A Psychometric Analysis. J of Nursing Measurement. 16(3): 184-200, 2008.
Seago, JA, Coffman, J, Spetz, J, O'Neil, E. Nurse patient staffing ratios:
A review of the literature. A preliminary report to the California Department of Health Services.
San Francisco, CA: University of California, San Francisco, California Workforce Initiative and the Center for the Health Professions;
December, 2000. [literature review]
Seago, JA. Nurse Staffing, Models of Care, and Interventions. In: Shojania KG, Duncan BW, McDonald KM, Wachter RM, ed. Making Health Care Safer: A Critical Analysis of Patient Safety Practices.
Washington, DC: Agency for Healthcare Research and Quality; Evidence/TechnologyAssessment No. 43, AHRQ Publication No.
01-E058.2001:427-451, July, 2001. http://www.ahrq.gov/clinic/evrptfiles.htm. [structured literature review]
Chapman, S, Spetz, J, Matthias, R, Seago, JA, Morrison, E, Rickles, J, & Dyer, W. California Nurse Workforce Initiative Early Process Report: Implementation of Project Initiatives.
Sacramento, CA: Employment Development Department, California Health and Human Services Agency. July, 2004.
http://www.calmis.ca.gov/specialreports/NWI-FinalEarlyProcessReport.pdf
Seago, JA, Spetz, J, Chapman, S, Dyer, W, & Grumbach, K. Supply, Demand, and Use of Licensed Practical Nurses. Washington, DC: Department of Health and Human Resources, Health Resources Services Administration; Bureau of Health Professions. November, 2004.
http://bhpr.hrsa.gov/healthworkforce/reports/lpn/LPN1_5.htm.
Chapman, S, Spetz, J, Matthias, R, Seago, JA, Kaiser, J, Chen, E, Rickles, J. California Nurse Workforce Initiative Final Report: Implementation of Project Initiatives. Sacramento, CA: Employment Development Department, California Health and Human Services Agency. June, 2007.
Seago, JA. Professional Communication. In: Hughes R, ed. Advances in Patient Safety and Quality - An Evidence-based Handbook for Nurses.
Washington, DC: Agency for Healthcare Research and Quality. March, 2008.
www.ahrq.gov/qual/nurseshdbk/ [structured literature review].
Seago, JA, Benroth, R, McDougall, B, Fernandez, M, Giberson, A, Daniel, P. Comprehensive Study of Peer Review in California: Final Report. Sacramento, CA: Medical Board of California, July, 2008. http://mbc.ca.gov/publications/peer_review.html
OTHER REPORTS
Spetz, J, Seago, JA, and Mitchell, S. Changes in hospital ownership in California. San Francisco, CA: Public Policy Institute of California; 1999. (Attached to California Assembly Bill 254 during the 99/00 session;
listed in The California Institute For Federal Policy Research, Capitol Hill Bulletin 11/99; reviewed in the California Healthline 12/9/99).
Spetz, J, Seago, JA, Coffman, J, Rosenoff E, and O'Neil, E. Minimum Nurse Staffing Ratios in California Acute Care Hospitals. San Francisco, CA: California Healthcare Foundation; December 4, 2000.
http://futurehealth.ucsf.edu/publications/index.html.
Coffman, J, Spetz, J, Seago, JA, Rosenoff E, and O'Neil, E. Nursing in California: A Workforce Crisis. San Francisco, CA: California Workforce Initiative and UCSF Center for the Health Professions; January, 2001. http://futurehealth.ucsf.edu/publications/index.html.
