Factors contributing to nurses' intent to leave during COVID-19.

To examine the association between demographic characteristics (i.e., gender, race, age, and years of experience), burnout, and nurses' intent to leave their jobs during the first wave of COVID-19 in New Jersey.

A theoretical framework for Acute Care Nurse Stress Appraisal: Application of the transactional model of stress and coping.

Aim: To develop a framework for understanding the stress appraisal process among acute care nurses during the COVID-19 pandemic.

Design: A secondary analysis of open-ended responses from a cross-sectional survey of 3030 frontline, acute care nurses in New Jersey and the effect of burnout during the COVID-19 pandemic.

Methods: Lazarus and Folkman's transactional model of stress and coping guided the study.

Voices from frontline nurses on care quality and patient safety during COVID-19: An application of the Donabedian model.

Background: The COVID-19 pandemic has adversely impacted quality of care and patient safety. This study aimed to describe registered nurses' (RNs) perceptions on the impact of the COVID-19 pandemic on their ability to adhere to patient safety protocols using Donabedian's Health Care Quality model.

Methods: In October 2020, a survey was conducted among all actively licensed RNs in New Jersey who provided direct patient care during the first peak of COVID-19.

Nursing Work Environment Staffing Councils: An Alternative to Mandatory Regulated Staffing Ratios.

Objective: The aim of this study was to examine the self-reported perceptions of the healthy work environment (HWE) of nurses who are members of Nursing Workplace Environment and Staffing Councils (NWESCs).

Background: In a statewide initiative, NWESCs were established at hospitals throughout the state of New Jersey as an alternative to nurse staffing ratio laws and to provide clinical nurses a voice in determining resources needed for patient care and support an HWE.

Methods: This quantitative descriptive study presents the results of the Healthy Workplace Environment Assessment Tool (HWEAT) and open-ended questions about NWESCs among a sample of 352 nurses.

Burnout and intent to leave during COVID-19: A cross-sectional study of New Jersey hospital nurses.

Aim: The aim of this work is to examine staffing, personal protective equipment (PPE) adequacy and physical exhaustion that contributed to burnout and intent to leave among hospital nurses during the first peak of the COVID-19 pandemic.

Background: Burnout is associated with adverse nurse and patient outcomes. Identifying the magnitude of burnout that occurred during the pandemic can prepare managers for the long-term mental health effects on nurses.

Racial and ethnic differences in vaccine hesitancy Among registered nurses in New Jersey: A cross-sectional survey.

Nurses play an important role in the vaccine readiness process and high vaccination rates among nurses are essential to ensuring successful vaccination programs. This study sought to examine whether the intention to get vaccinated varied by race and/or ethnicity among a large sample of registered nurses in New Jersey.

Does Public Reporting of Staffing Ratios and Nursing Home Compare Ratings Matter?

Objective: Public reporting is a policy to improve quality and increase data transparency. The objective was to examine the association between publicly available staffing ratios and the Five-Star Quality Ratings from Nursing Home Compare over time.

Design: Panel data analysis.

Oncology Nurse Engagement: The Impact of a Management Education Program.

Background: Previous studies have demonstrated that a predictor of nurse engagement is a supportive work environment. Organizations that promote employee engagement have higher retention rates compared to their counterparts. The role of the nurse manager is critical to nursing engagement, and the principles of nurse engagement are teachable.

Public Reporting of Cardiac Outcomes for Patients With Acute Myocardial Infarction: A Systematic Review of the Evidence.

Background: Percutaneous coronary intervention (PCI) is recognized by both the American Heart Association and the American College of Cardiology as an optimal therapy to treat patients experiencing acute myocardial infarction (AMI) with ST-segment elevation myocardial infarction. A health policy aimed at improving outcomes for the patient with AMI is public reporting of whether a patient received a PCI.

Objective: A systematic review was conducted to evaluate the effect of public reporting for patients with AMI, specifically for those patients who receive PCI.

Emergency Department Weekend Presentation and Mortality in Patients With Acute Myocardial Infarction.

Background: Patients admitted to acute care hospitals on weekends have poorer outcomes than those admitted on weekdays, and patients admitted to hospitals for acute myocardial infarction (AMI) on weekends have a higher mortality rate than those admitted during the week. Very few studies have examined weekend presentation for patients with AMI with respect to mortality in the emergency department (ED).

Objective: The purpose of this research was to determine if weekend and holiday presentation is associated with increased mortality in EDs among patients with AMI in New Jersey.

Entrepreneurship: Assessing the Readiness of the New Jersey APN Workforce.

There is an unprecedented opportunity to move advanced practice nurses (APNs) into primary care settings at a steady rate over the next 5 to 8 years. In addition, the opportunity for nurse-owned or nurse-led practices has never been greater. However, many APNs currently work in a structured environment where the employer focuses on the business aspects of the practice and the APN focuses primarily on clinical care.

An Educational Program to Promote Emotional Mastery Skills in Nurse Managers.

A curriculum was designed and implemented for nurse managers to develop and optimize emotional mastery skills. The program is outlined, implementation strategies were discussed, results were measured, and outcomes were reviewed. Outcomes from this program support the value and impact that nursing professional development specialists have on the development of nursing leadership.

Pivot Nursing: An Alternative to Traditional ED Triage.

Problem: A 7.2% increase in patient volume from 130,700 to 140,800 in 2012 prompted St Joseph's Regional Medical Center Emergency Department to review existing triage processes to decrease turnaround time. "Pivot triage" is a new, efficient intake process that entails use of 4 rather than 8 determinants to identify acuity levels.

Conflict management style, supportive work environments and the experience of work stress in emergency nurses.

Aims: To examine the conflict management style that emergency department (ED) nurses use to resolve conflict and to determine whether their style of managing conflict and a supportive work environment affects their experience of work stress.

Background: Conflict is a common stressor that is encountered as nurses strive to achieve patient satisfaction goals while delivering quality care. How a nurse perceives support may impact work stress levels and how they deal with conflict.

Decision Making in Nursing Practice: A Concept Analysis.

Purpose: The study aims to gain an understanding of the concept of decision making as it relates to the nurse practice environment.

Methods: Rodgers' evolutionary method on concept analysis was used as a framework for the study of the concept. Articles from 1952 to 2014 were reviewed from PsycINFO, Medline, Cumulative Index to Nursing and Allied Health Literature (CINAHL), JSTOR, PubMed, and Science Direct.

The implications of nurse resources on cardiac care in the emergency department.

During a stay in the emergency department the treatment that cardiac patients receive can have a significant effect on health outcomes; yet, little is known about the process of care in emergency departments. In this study we examined the effect of nurse resources on the process of care in all New Jersey hospital-based emergency departments. Patient-to-nurse ratio, nurse skill mix, and Magnet accreditation were associated with aspirin on arrival and percutaneous coronary intervention within 90 minutes of arrival.

Conflicting priorities: emergency nurses perceived disconnect between patient satisfaction and the delivery of quality patient care.

Introduction: As hospitals compete for patients and their healthcare dollars, the emergency nurse is being asked to provide excellent nursing care to "customers" rather than patients. This has changed the approach in delivering quality care and has created favorable conditions for conflict as the nurse tries to achieve specific patient satisfaction goals.

Methods: A sample of 9 emergency nurses from 2 hospitals in northern New Jersey participated in focus groups designed to learn about the types of conflict commonly encountered, and to identify the attitudes and understanding of the emergency nurses experiencing conflict and how interpersonal conflict is dealt with.