Validation Study of a Nursing Education and Competency Tool.

Distinguishing competency and education in clinical healthcare education is complex. The NYU Langone Health Nursing Education and Competency Algorithm (NE-CA) was developed as a tool for competency identification and sustainment. A mixed-methods design national research study was employed to evaluate the validity of the NE-CA.

Perceived Dying Experience and Compassion in Oncology Patients and Nurses Following Implementation of the Forever Heart Program: A Pilot Study.

This pilot study explored the feasibility of a Forever Heart Program and the impact it has on oncology nurses' perception of the dying experience and their own compassion competence. Guided by Kubler-Ross's framework, the Forever Heart Program consists of a gemstone keepsake offered to patients and families during end-of-life care to support the grieving process. A mixed-methods approach utilized pretest/posttest design in a convenience sample of oncology nurses in an academic medical center over a 3-month period.

Emergency Nurses' Perception of Geriatric Readiness in the ED Setting: A Mixed-Methods Study.

Introduction: The Centers for Disease Control and Prevention (CDC) reports 136.9 million ED visits in 2015, of which 21.4 million (15.

2018 Visionary Leader Lori A. Colineri.

The following manuscript is the winning 2018 Richard Hader Visionary Leader Award entry submitted to Nursing Management in recognition of Lori A. Colineri, DNP, RN, NEA-BC, CNO of the Southern Region for RWJBarnabas Health (RWJBH). Lori was formally recognized for her achievements before the Keynote Address on September 26 at Congress2018 in Lake Buena Vista, Fla.

Keep It Moving and Remember to P.A.C. (Pharmacology, Ambulation, and Compression) for Venous Thromboembolism Prevention.

The purpose of this article is to describe in detail how an academic hospital system took on the challenge of deep vein thrombosis (DVT) prevention. A VTE Prevention Task Force was formed in response to an increased incidence of hospital acquired DVTs. The interdisciplinary team reviewed the literature and examined the current state of organizational venous thromboembolism (VTE) prevention to identify gaps in process, determine opportunity and approaches for practice and process improvements, and develop standardized VTE prevention protocols.

Are critical care nurses more likely to leave after a merger?

The relationship between perceptions of a healthy work environment and intent to transfer.

Resilience and Coping After Hospital Mergers.

Objective: The aim of this study was to explore the relationship between resilience and coping in frontline nurses working in a healthcare system that has recently undergone a merger.

Background: Hospital mergers are common in the current healthcare environment. Mergers can provide hospital nurses the opportunity to use and develop positive coping strategies to help remain resilient during times of change.

Workplace bullying in emergency nursing: Development of a grounded theory using situational analysis.

Background: The Institute of Medicine recognizes that the workplace environment is a crucial factor in the ability of nurses to provide safe and effective care, and thus interactions that affect the quality and safety of the work environment require exploration.

Objectives: The purpose of this study was to use situational analysis to develop a grounded theory of workplace bullying as it manifests specifically in the emergency care setting.

Methods: This study used a grounded theory methodology called situational analysis.

New Paths to Professional Nursing: Using Encouragement to Prepare a Minority Workforce to Enter the Nursing Profession.

The current professional nursing workforce in the United States is predominantly White and female, even though minorities compose 33% of the national population (Travers, Smaldone, & Cohn, 2015). Minority patients are more effectively cared for when their particular cultural milieu is taken into consideration as part of their health care plan (Sullivan, 2004). According to the Agency for Healthcare Research and Quality (AHRQ), health care quality remains suboptimal for diverse populations in the United States because some individuals do not receive quality care or do not believe their values are honored or respected (AHRQ, 2016).

Triaging the Emergency Department, Not the Patient: United States Emergency Nurses' Experience of the Triage Process.

Introduction: Triage, as it is understood in the context of the emergency department, is the first and perhaps the most formal stage of the initial patient encounter. Bottlenecks during intake and long waiting room times have been linked to higher rates of patients leaving without being seen. The solution in many emergency departments has been to collect less information at triage or use an "immediate bedding" or "pull until full" approach, in which patients are placed in treatment areas as they become available without previous screening.

Exploring the Relationship Among Moral Distress, Coping, and the Practice Environment in Emergency Department Nurses.

Emergency department (ED) nurses practice in environments that are highly charged and unpredictable in nature and can precipitate conflict between the necessary prescribed actions and the individual's sense of what is morally the right thing to do. As a consequence of multiple moral dilemmas, ED staff nurses are at risk for experiencing distress and how they cope with these challenges may impact their practice. To examine moral distress in ED nurses and its relationship to coping in that specialty group.

Nursing Morbidity and Mortality: The Clinical Nurse Specialist Role in Improving Patient Outcomes.

Purpose: The purpose of this article is to discuss the development and implementation of a nursing morbidity and mortality (M&M) monthly conference at an academic medical center. Nursing M&M was developed as a peer review process in which cases where clinical errors or misjudgments that have occurred are reviewed in a nonpunitive setting. The cases are selected based on the National Database for Nursing Quality Indicators and the implications they have for the quality of nursing practice.

Reducing Central Line-Associated Bloodstream Infections on Inpatient Oncology Units Using Peer Review.

The purpose of this article is to describe a peer-to-peer program and the outcomes of interventions to reduce the incidence of central line-associated bloodstream infections in patients in bone marrow transplantation, medical, and surgical oncology units. The article reviews the process and describes tools used to achieve success in a Magnet®-designated academic medical center.

"It's a Burden You Carry": Describing Moral Distress in Emergency Nursing.

Introduction: Moral distress in nursing has been studied in many settings, but there is a paucity of research on moral distress as it manifests in the emergency department. One study suggests a correlation between moral distress and aspects of burnout, and other researchers report that nurses have considered leaving their position or even their profession because of moral distress. Further exploration of these issues may provide insight into their effects on ED patient care and the emergency nursing profession.

Exploring the Management of Death: Emergency Nurses' Perceptions of Challenges and Facilitators in the Provision of End-of-Life Care in the Emergency Department.

Introduction: The importance of end-of-life (EOL) care for dying patients and their families is well described; however, little research has been performed in emergency settings. The purpose of this study was to explore emergency nurses' perceptions of challenges and facilitators in the care of patients at the EOL.

Methods: A mixed-methods design using survey data (N = 1,879) and focus group data (N = 17).

Strengthening the foundation for the future of nursing through a Summer Study Hall program at an academic medical center.

Purpose: The purpose of this article was to describe the development and implementation of an innovative Summer Study Hall program developed by clinical nurse specialists (CNSs)/clinical nurse educators (CNEs) in an urban academic medical center.

Background: The program was implemented as a strategy to give nursing students the opportunity to enhance their clinical skills. The chosen skills are considered high risk for hospitals and have major impact on the American Nurses Association National Database for Nursing Quality Indicators, such as ventilator-associated pneumonia and catheter-acquired urinary tract infections.

Resuscitation team perceptions of family presence during CPR.

The literature supports family presence during cardiopulmonary resuscitation (CPR) and its many perceived benefits for patients and their families. It also suggests that, overall, health care professionals are supportive of this practice. There have not been any published studies to date that have looked at the perception of family presence from the multidisciplinary resuscitation or code team's perspective.

The effects of music on pain and anxiety during screening mammography.

One in four women who are diagnosed with breast cancer die annually, and the single most important way to prevent this is early detection; therefore, women older than 40 years should have an annual screening mammography. Many barriers have been reported that prevent compliance with this recommendation, including lack of insurance, fear, anxiety, pain, worry, and mistrust of the medical community. Nurses are in a position to use creative interventions, such as music therapy, to help minimize barriers.