Dr. Krugman studies various aspects of healthcare that directly impact patient and nurse experiences. He looks at how hospital environments, nurse education, and leadership affect patient care and staff satisfaction. For instance, he has researched how new hospital designs can enhance nurses' job satisfaction, examined the effects of training programs for new nurses, and developed frameworks to reduce infections from medical devices. His work aims to create better healthcare systems by emphasizing evidence-based practices and the importance of education and support for nurses.
Key findings
In a study of AI language models for rhinoplasty consultation, Claude scored 224 points while ChatGPT scored 200, showing a clear preference among surgeons for better AI responses.
An educational program for nurses resulted in a significant increase in knowledge and confidence, correlating with improved patient care and reduced emergency calls by leveraging Medical Emergency Teams.
A facility redesign led to increased nurse satisfaction after a hospital move, although measurements of daily activities showed no significant change due to unreliable methods.
Developing rules for assessing the environmental impact of shampoos can help identify areas for improvement, despite challenges in data quality and impact assessment.
Implementing nurse leadership training programs led to noticeable improvements in leadership skills over time, essential for enhancing patient safety.
Frequently asked questions
Does Dr. Krugman study ways to improve patient care?
Yes, Dr. Krugman focuses on various methods to enhance patient care through better nursing practices, facility designs, and educational programs.
What treatments or conditions does Dr. Krugman focus on?
Dr. Krugman emphasizes improving nursing practices and patient care processes, particularly in settings involving surgery, environmental health in products, and emergency healthcare.
Is Dr. Krugman's work relevant to nurses?
Absolutely, Dr. Krugman's research is aimed at enhancing the training, support, and working conditions for nurses, which directly influences patient care.
How can Dr. Krugman's research benefit patients?
His research enhances nursing practices and hospital environments, leading to better patient outcomes, higher safety standards, and improved satisfaction.
What is evidence-based practice, and how does Dr. Krugman use it?
Evidence-based practice involves using research and data to guide healthcare decisions. Dr. Krugman incorporates it in training programs and facility designs to ensure that patient care is informed by the best available evidence.
Publications in plain English
Comparative Performance of the Leading Large Language Models in Answering Complex Rhinoplasty Consultation Questions.
2025
Facial plastic surgery & aesthetic medicine
Goshtasbi K, Best C, Powers B, Ching H, Pastorek NJ +4 more
Plain English This study looked at how well different AI language models, like ChatGPT and Claude, could answer complicated questions about nose surgery (rhinoplasty). The results showed that Claude received the highest ratings from plastic surgeons, scoring 224 points overall, while ChatGPT scored 200. This matters because better AI responses can improve patient consultations and help surgeons provide clearer information to their patients.
Who this helps: Patients considering rhinoplasty and their doctors.
Plain English This paper discusses the need for all registered nurses (RNs) to have a Bachelor of Science in Nursing (BSN) degree since nursing is currently the only healthcare profession without this requirement. The authors argue that making the BSN a standard requirement would improve nursing practice and patient care. They emphasize that it is essential for nurse leaders to advocate for this change now.
Who this helps: This change benefits nurses, patients, and healthcare organizations by ensuring higher education standards in nursing.
Developing Product Environmental Footprint Category Rules (PEFCR) for shampoos: The basis for comparable life cycle assessment.
2018
Integrated environmental assessment and management
Golsteijn L, Lessard L, Campion JF, Capelli A, D'Enfert V +9 more
Plain English This study focused on creating specific rules to assess the environmental impacts of shampoo throughout its life cycle, from sourcing ingredients to disposal. The researchers found that developing these rules could help identify areas where shampoos have a high environmental impact and opportunities for improvement. However, the study also pointed out that there are significant challenges due to the complexity of the current methods and the need for better data, especially in areas concerning data quality and impact assessment.
Who this helps: This benefits consumers, companies, and organizations looking for clearer information on the environmental effects of shampoos and other similar products.
Part 1: Evidence-based facility design using Transforming Care at the Bedside principles.
2015
The Journal of nursing administration
Devine DA, Wenger B, Krugman M, Zwink JE, Shiskowsky K +4 more
Plain English This study looked at how a hospital redesigned its expansion using principles that focus on improving care at the patient's bedside. The team, which included nurses and architects, gathered evidence to create a hospital environment that prioritizes patients and their families while also supporting healthcare workers. This approach aims to make the hospital safer and more pleasant for everyone involved.
Who this helps: This benefits patients, their families, and healthcare workers.
Part 2: Evaluation and outcomes of an evidence-based facility design project.
2015
The Journal of nursing administration
Krugman M, Sanders C, Kinney LJ
Plain English This study looked at how moving into a new hospital building affected nurses' job satisfaction and activity levels. After the move, nurse satisfaction increased significantly, but their daily work activities and steps taken did not show meaningful changes because the device used to measure steps was unreliable. This is important because improving the work environment for nurses can lead to better patient care and employee happiness.
Who this helps: This helps nurses and hospital administrators.
Advancing medical-surgical nursing practice: improving management of the changing patient condition.
2014
Journal for nurses in professional development
Monroe H, Plylar P, Krugman M
Plain English This research studied the impact of an educational program aimed at improving the skills and confidence of nurses caring for patients with changing medical conditions. The program led to a significant increase in nurses’ knowledge and confidence, and it resulted in a higher usage of Medical Emergency Teams while keeping emergency calls low. This is important because it helps nurses manage patients more effectively, leading to better patient outcomes.
Who this helps: This benefits patients and nurses on medical-surgical units.
Rural hospital web-based, evidence-based practice professional development: challenges and opportunities.
2013
Journal for nurses in professional development
Oman KS, Fink RM, Krugman M, Goode CJ, Traditi LK
Plain English This study looked at a web-based training program aimed at teaching nurses in rural hospitals how to use research and evidence to improve patient care. The program helps nurses learn better practices, which is important for providing high-quality care and improving patient outcomes. By supporting nurses with online education, these hospitals can enhance their services, especially in areas where resources may be limited.
Who this helps: This benefits nurses and patients in rural hospitals.
Structuring a life support program using evidence-based practice and the Magnet model for successful patient outcomes.
2013
Journal for nurses in professional development
Krugman M, Paston K
Plain English This study looked at how to set up a life support program in hospitals using proven methods and a well-respected management model. Researchers found that this approach not only improved patient safety but also made the program more cost-effective, leading to better outcomes for patients. These results are important because they show that hospitals can provide high-quality care for patients needing life support while also supporting the professional growth of healthcare providers.
Who this helps: This benefits patients and healthcare providers in acute care settings.
Longitudinal charge nurse leadership development and evaluation.
2013
The Journal of nursing administration
Krugman M, Heggem L, Kinney LJ, Frueh M
Plain English This study looked at how a leadership training program affected charge nurses from 1996 to 2012. It found that the leadership skills of charge nurses improved over time, with their performance scores increasing noticeably. By 2012, even relief charge nurses showed similar improvements in their leadership skills, which is important for maintaining patient safety and effective team functioning in hospitals.
Who this helps: This benefits charge nurses and ultimately improves patient care and safety in healthcare settings.
Leading change to create a healthy and satisfying work environment.
2013
Nursing administration quarterly
Sanders CL, Krugman M, Schloffman DH
Plain English This study focused on how nurse leaders can create a better work environment for nurses in a hospital setting. The research showed that by implementing strategies like ensuring nurses get uninterrupted meal breaks and creating calming spaces in intensive care units, the hospital saw lower staff turnover and higher retention rates. This matters because a happier, more satisfied nursing workforce can lead to better patient care and outcomes.
Who this helps: This helps nurses and healthcare staff.
The Colorado Patient-Centered Interprofessional Evidence-Based Practice Model: a framework for transformation.
2011
Worldviews on evidence-based nursing
Goode CJ, Fink RM, Krugman M, Oman KS, Traditi LK
Plain English This study looked at a new framework called the Colorado Patient-Centered Interprofessional Evidence-Based Practice Model, which helps healthcare teams use both research and real-world evidence to improve patient care. The model is designed to lower the rates of urinary tract infections caused by catheters by guiding clinicians through specific steps to identify problems and implement effective solutions. This approach matters because it promotes better healthcare practices that can lead to safer treatment for patients.
Who this helps: Patients who are at risk for catheter-associated urinary tract infections.
Professional development research literature from 1996 to 2006: an integrative review.
2011
Journal for nurses in staff development : JNSD : official journal of the National Nursing Staff Development Organization
Krugman M, Warren J
Plain English This study looked at research on professional development in nursing from 1996 to 2006 by reviewing 949 publications, and it found only 8 studies that met strong research criteria. The results highlight areas for improvement in nursing professional development research and suggest ways to advance future studies in this field. This is important because enhancing research can lead to better training and support for nurses, ultimately improving patient care.
Who this helps: This helps nurses and healthcare organizations.
Structures and practices enabling staff nurses to control their practice.
2008
Western journal of nursing research
Kramer M, Schmalenberg C, Maguire P, Brewer BB, Burke R +6 more
Plain English This study examined how hospital structures and practices allow nurses to have more control over their work. Researchers found that in 101 high-scoring clinical units, nurses reported having greater control, which is linked to a better work environment. This matters because when nurses have the ability to influence their practice, it can lead to better patient care and job satisfaction.
Who this helps: This helps nurses and ultimately improves outcomes for patients.
The graduate nurse experience: qualitative residency program outcomes.
2008
The Journal of nursing administration
Fink R, Krugman M, Casey K, Goode C
Plain English This study looked at the experiences of new graduate nurses in a residency program at 12 hospitals and focused on the challenges they faced as they started their careers. The researchers analyzed responses from the Casey-Fink Graduate Nurse Experience Survey, leading to the conclusion that open-ended questions could be turned into easier-to-use numerical formats for future research. This matters because it helps improve the way we understand and support new nurses in high-pressure environments.
Who this helps: This helps new graduate nurses as well as the hospitals and programs that train them.
Nurse manager support: what is it? Structures and practices that promote it.
2007
Nursing administration quarterly
Kramer M, Maguire P, Schmalenberg C, Brewer B, Burke R +6 more
Plain English This study looked at how nurse managers (NMs) can effectively support their staff nurses to create a better work environment. Over 2,300 nurses identified key supportive behaviors of their managers, such as being approachable, caring, and motivating confidence. Additionally, effective support systems in hospitals include strong leadership support, teamwork, training programs, and adequate staffing, all of which are important for enhancing nurse satisfaction and performance.
Who this helps: This benefits nurses and ultimately improves patient care.
Clinical Scholar Model: providing excellence in clinical supervision of nursing students.
2006
Journal for nurses in staff development : JNSD : official journal of the National Nursing Staff Development Organization
Preheim G, Casey K, Krugman M
Plain English This study looked at the Clinical Scholar Model (CSM), which pairs experienced nurses with nursing students to enhance their education and skills in real healthcare settings. The model improves how nursing students learn by having expert nurses coordinate and supervise them, ensuring better training outcomes. This matters because it helps students gain hands-on experience with support from knowledgeable mentors, ultimately leading to better patient care.
Who this helps: Nursing students and healthcare facilities.
The national post-baccalaureate graduate nurse residency program: a model for excellence in transition to practice.
2006
Journal for nurses in staff development : JNSD : official journal of the National Nursing Staff Development Organization
Krugman M, Bretschneider J, Horn PB, Krsek CA, Moutafis RA +1 more
Plain English The study focused on a new training program for new nursing graduates to help them transition smoothly into their jobs. After implementing the program at six hospitals, the results were positive: retention rates were high, nurses reported less stress over time, improved their ability to organize and prioritize care, and were more satisfied in their first year of work. This is important because it can lead to better care for patients and help retain new nurses in the workforce.
Who this helps: New graduate nurses and the patients they serve.
Evaluating the impact of computerized clinical documentation.
2005
Computers, informatics, nursing : CIN
Smith K, Smith V, Krugman M, Oman K
Plain English Researchers studied the effects of a new computerized system for planning and documenting patient care at a hospital. They found that staff attitudes towards using computers became less positive, the time spent on charting stayed the same, but the thoroughness of nurses' documentation improved, as they recorded more details in patient charts. This matters because better documentation can lead to improved patient care and outcomes.
Who this helps: This helps nurses and ultimately enhances patient care.
Excellence through evidence: securing collegial/collaborative nurse-physician relationships, part 1.
2005
The Journal of nursing administration
Schmalenberg C, Kramer M, King CR, Krugman M, Lund C +2 more
Plain English This study looked at how the relationships between nurses and doctors in hospitals can influence patient care. Researchers interviewed 141 healthcare professionals across five hospitals to find out what helps create strong, collaborative relationships between nurses and doctors. They found that certain structures and practices support these partnerships, which can lead to better patient outcomes.
Who this helps: This benefits patients by improving their care experience and health results.
Excellence through evidence: securing collegial/collaborative nurse-physician relationships, part 2.
2005
The Journal of nursing administration
Schmalenberg C, Kramer M, King CR, Krugman M, Lund C +2 more
Plain English This study looked at how well nurses and doctors work together in hospitals and found that when they have strong, collaborative relationships, patient care improves significantly. Specifically, it identified five key structures needed for better teamwork between nurses and doctors, which were analyzed across five hospitals. This research matters because it shows that improving nurse-doctor collaboration can lead to better health outcomes for patients.
Who this helps: Patients benefit from better coordinated care.
Plain English This study looked at the challenges faced by new nurses as they transition from school to working in hospitals. Researchers found that many graduate nurses feel inexperienced and unsure of their skills for up to a year after starting their jobs. This is important because it indicates that hospitals need to offer better training and support during this critical time to help new nurses succeed.
Who this helps: This helps graduate nurses and healthcare organizations by improving support for new staff.
Charge nurse leadership development and evaluation.
2003
The Journal of nursing administration
Krugman M, Smith V
Plain English This study focused on creating and assessing a permanent charge nurse role in healthcare to enhance patient care and develop nurse leaders over four years. The findings revealed that charge nurses rated their leadership skills significantly higher than the staff nurses did, and they also expressed greater job satisfaction regarding their schedules, recognition, and responsibilities. This matters because it highlights how having dedicated leaders can improve both nurse satisfaction and potentially the quality of care provided to patients.
Who this helps: This helps nurses and healthcare organizations looking to improve leadership and job satisfaction in nursing teams.
Evidence-based practice. The role of staff development.
2003
Journal for nurses in staff development : JNSD : official journal of the National Nursing Staff Development Organization
Krugman M
Plain English This paper looks at how important it is for healthcare staff to use the best available research to improve patient care. It found that having staff development specialists lead these efforts can help nurses provide better outcomes for their patients. The article emphasizes that understanding how evidence-based practice has evolved is crucial for effective healthcare.
Who this helps: This helps nurses and healthcare organizations improve patient care.
Evidence-based multidisciplinary practice: improving the safety and standards of male bladder catheterization.
2002
Medsurg nursing : official journal of the Academy of Medical-Surgical Nurses
Daneshgari F, Krugman M, Bahn A, Lee RS
Plain English This study looked at the best way to safely insert catheters in men, revealing that nurses often don't have the right training or information. It found that many of the common practices are not based on solid evidence, which can put patients at risk. Improving how catheters are inserted is important for ensuring better safety and care for patients.
Who this helps: Patients who need catheterization.
A clinical advancement program: evaluating 10 years of progressive change.
2000
The Journal of nursing administration
Krugman M, Smith K, Goode CJ
Plain English This study looked at a nursing development program called UEXCEL at a hospital over a ten-year period to see how it changed and improved nurses' job satisfaction. Initially, nurse satisfaction was low, but it has gradually increased after each of the program's three major updates, with satisfaction rising from 54% in 1993 to over 75% in 1998. This is important because higher nurse satisfaction can lead to better patient care and outcomes, highlighting the need for ongoing support and involvement in such development programs.
Who this helps: This benefits registered nurses and ultimately improves patient care.
Outcomes from use of an evidence-based practice guideline.
2000
Nursing economic$
Goode CJ, Tanaka DJ, Krugman M, O'Connor PA, Bailey C +2 more
Plain English This study focused on creating a guideline for treating uncomplicated acute cystitis (a common bladder infection) in women, aiming to improve treatment outcomes without raising costs. After implementing the guideline, doctors changed their antibiotic prescribing practices, leading to effective treatment, a trend toward fewer follow-up visits, and a significant drop in treatment costs. This matters because it shows that following evidence-based practices can enhance care quality while saving money.
Who this helps: This helps female patients with bladder infections and their healthcare providers.
Longitudinal evaluation of professional nursing practice redesign.
1999
The Journal of nursing administration
Krugman M, Preheim G
Plain English This study looked at how changes in a hospital's management affected nurses' job satisfaction and how satisfied patients were over a five-year period. Researchers found that while nurse autonomy improved initially, job satisfaction and patient satisfaction declined in later evaluations, revealing differences across various hospital units. Understanding these results helps hospital leaders make better decisions to support nurses and improve patient care.
Who this helps: This helps hospital administrators and nursing staff.