- Professional overview
Amy Witkoski Stimpfel, PhD, RN joinedthe Rory Meyers College of Nursing as an assistant professor in 2013, following a T-32 post-doctoral fellowship in the Center for Health Outcomes and Policy Research at the University of Pennsylvania. Dr. Witkoski Stimpfel's research is focused on identifying modifiable conditions in nurses’ work environment that influence nurse well-being, such as occupational injuries and burnout, and clinical outcomes, such as quality of care and patient satisfaction. Her scholarship uses theories and methodologies from health services research, occupational health and safety, sleep/chronobiology, and nursing. Dr. Witkoski Stimpfel is currently the Co-Program Director of the NIOSH-funded doctoral training program in Occupational and Environmental Health Nursing.
University of Pennsylvania, 2011, PhDUniversity of Pennsylvania, 2009, MSVillanova University, 2006, BSN
- Honors and awards
At-large member, Advisory Committee of the Interdisciplinary Research Group on Nursing Issues (IRGNI) (2017)T32 Post-doctoral fellowship, National Institute of Nursing Research (2011)T01 Pre-doctoral fellowship, National Institute for Occupational Safety and Health (2009)Cum laude graduate, Villanova University (2006)Inducted into Sigma Theta Tau International Honor Society (2005)Connelly-Delouvrier Scholarship for International Nursing in Ireland (2005)
- Professional membership
AcademyHealthAmerican Nurses AssociationAmerican Organization of Nurse ExecutivesEastern Nursing Research SocietySigma Theta Tau InternationalSleep Research Society
Understanding the role of the professional practice environment on quality of care in Magnet® and non-Magnet hospitals.Stimpfel, A. W., Rosen, J. E., & McHugh, M. D. (2014). The Journal of nursing administration 44, (10-6). 10.1097/NNA.0000000000000015
The aim of this study was to explore the relationship between Magnet Recognition® and nurse-reported quality of care.
How differing shift lengths relate to quality outcomes in pediatrics.Stimpfel, A. W., Lake, E. T., Barton, S., Gorman, K. C., & Aiken, L. H. (2013). The Journal of nursing administration 43, (95-100). 10.1097/NNA.0b013e31827f2244
The aims of this study were to describe the shift lengths of pediatric nurses and to measure the association of shift length with nurse job outcomes, nurse-reported patient outcomes, and nurse-assessed safety and quality of care in hospitals.
Nurse reported quality of care: a measure of hospital quality.McHugh, M. D., & Stimpfel, A. W. (2012). Research in nursing & health 35, (566-75). 10.1002/nur.21503
As the primary providers of round-the-clock bedside care, nurses are well positioned to report on hospital quality of care. Researchers have not examined how nurses' reports of quality correspond with standard process or outcomes measures of quality. We assess the validity of evaluating hospital quality by aggregating hospital nurses' responses to a single item that asks them to report on quality of care. We found that a 10% increment in the proportion of nurses reporting excellent quality of care was associated with lower odds of mortality and failure to rescue; greater patient satisfaction; and higher composite process of care scores for acute myocardial infarction, pneumonia, and surgical patients. Nurse reported quality of care is a useful indicator of hospital performance.
The longer the shifts for hospital nurses, the higher the levels of burnout and patient dissatisfaction.Stimpfel, A. W., Sloane, D. M., & Aiken, L. H. (2012). Health affairs (Project Hope) 31, (2501-9). 10.1377/hlthaff.2011.1377
Extended work shifts of twelve hours or longer are common and even popular with hospital staff nurses, but little is known about how such extended hours affect the care that patients receive or the well-being of nurses. Survey data from nurses in four states showed that more than 80 percent of the nurses were satisfied with scheduling practices at their hospital. However, as the proportion of hospital nurses working shifts of more than thirteen hours increased, patients' dissatisfaction with care increased. Furthermore, nurses working shifts of ten hours or longer were up to two and a half times more likely than nurses working shorter shifts to experience burnout and job dissatisfaction and to intend to leave the job. Extended shifts undermine nurses' well-being, may result in expensive job turnover, and can negatively affect patient care. Policies regulating work hours for nurses, similar to those set for resident physicians, may be warranted. Nursing leaders should also encourage workplace cultures that respect nurses' days off and vacation time, promote nurses' prompt departure at the end of a shift, and allow nurses to refuse to work overtime without retribution.
Hospital staff nurses' work hours, meal periods, and rest breaks. A review from an occupational health nurse perspective.Witkoski, A., & Dickson, V. V. (2010). AAOHN journal : official journal of the American Association of Occupational Health Nurses 58, (489-97; quiz 498-9). 10.3928/08910162-20101027-02
Registered nurses are the largest group of health care providers in the United States. To provide 24-hour care, hospital staff nurses often work long hours and consecutive shifts, without adequate meal or rest breaks. Serious declines in functioning related to provider fatigue can lead to safety issues for patients and nurses alike. The occupational health nurse can assess the effects of nurses' work hours and break periods on employee health, educate staff on the importance of sleep and deleterious effects of fatigue, and implement programs to improve the work environment. This article examines nurses' work hours, break and meal period laws and regulations, and the role of the occupational health nurse in caring for this group of employees. Overall findings suggest that the expertise of an occupational health nurse in the hospital setting could significantly improve the health and safety of staff nurses.
Hospital staff nurses' shift length associated with safety and quality of care.Stimpfel, A. W., & Aiken, L. H. Journal of nursing care quality 28, (122-9). 10.1097/NCQ.0b013e3182725f09
The objective of this study was to analyze hospital staff nurses' shift length, scheduling characteristics, and nurse reported safety and quality. A secondary analysis of a large nurse survey linked with hospital administrative data was conducted. More than 22 000 registered nurses' reports of shift length and scheduling characteristics were examined. Extended shift lengths were associated with higher odds of reporting poor quality and safety. Policies aimed at reducing the use of extended shifts may be advisable.