{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T18:09:35Z","timestamp":1785434975106,"version":"3.56.0"},"reference-count":41,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T00:00:00Z","timestamp":1770163200000},"content-version":"unspecified","delay-in-days":34,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Clin. Trans. Sci."],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S2059866126107006_as1\">\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>The impact of guideline-directed medical therapy (GDMT) has not fully translated to decreases in the disproportionate rates of hospitalization and lengths of stay in African Americans with congestive heart failure (CHF). GDMT is optimized by registered nurses (RNs) and their use of clinical information. Yet, there are no instruments for measuring the influence of clinical information use and nursing care. The study assessed an instrument\u2019s ability to measure the influence of RN performance of social, technical, and socio-technical care tasks on length of stay in the CHF hospitalizations of African Americans.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2059866126107006_as2\">\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A sample of 200 RNs, who cared for 5060 African Americans with 14,123 heart failure hospitalizations, were surveyed. Descriptive statistics, Cronbach\u2019s alpha, and a generalized linear regression assessed the instrument\u2019s reliability and predictive validity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2059866126107006_as3\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The Cronbach\u2019s alpha was 0.95 (95% CI: 0.94\u20130.96). The corrected item-total correlations for the 22 items ranged from 0.44 to 0.80. For an increase of one to four points per item in a RN\u2019s performance, the estimated reductions in the patient\u2019s length of stay were 3.34% (6.11,0.5), 6.58% (11.84,1), 9.70% (17.22,1.49), and 12.72% (22.28,1.99), respectively (\n                      <jats:italic>P<\/jats:italic>\n                      = 0.004).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2059866126107006_as4\">\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Increases in a RN\u2019s performance of social, technical, and socio-technical care tasks were significantly associated with clinically meaningful decreases in their patients\u2019 length of stay. The instrument has strong potential for addressing the disproportionate impact of CHF by measuring and tailoring interventions to optimize nursing care and the use of clinical information in the provision and receipt of GDMT.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/cts.2026.10700","type":"journal-article","created":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T04:34:46Z","timestamp":1770179686000},"source":"Crossref","is-referenced-by-count":0,"title":["An instrument for measuring the influence of nursing care on the length of stay in heart failure hospitalizations of African Americans"],"prefix":"10.1017","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4902-3038","authenticated-orcid":false,"given":"Tremaine Brueon","family":"Williams","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00xcryt71","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Arkansas for Medical 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