Journal of emergency nursing : JEN : official publication of the Emergency Department Nurses Association
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Nurse managers with effective leadership skills are an essential component to the solution for ending the nursing shortage. Empirical studies of existing ED nurse manager leadership styles and their impact on key nurse management outcomes such as staff nurse turnover and patient satisfaction have not been performed. The specific aims of this study were to determine what types of leadership styles were used by ED nurse managers in academic health center hospitals and examine their influence on staff nurse turnover and patient satisfaction. ⋯ The ED is an ever-changing, highly regulated, critical-care environment. Effective ED nurse manager leadership strategies are vital to maintaining the standards of professional emergency nursing practice to create an environment that can produce management outcomes of decreased staff nurse turnover, thereby enhancing staff nurse retention and potentially impacting patient satisfaction.
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To evaluate the impact of the GENE course on emergency nurses' geriatric best practices in the emergency department (ED). ⋯ After attending the GENE course, emergency nurses showed increased a) knowledge of geriatric concepts (p < .000, alpha = .01) and b) self-rated ability to provide care in areas such as functional assessment, assessment of depression, delirium, dementia, polypharmacy, and appropriate referrals to services. ED nurses reported significantly greater utilization of particular geriatric assessment tools and greater incorporation of knowledge and skills related to the assessment of pain, polypharmacy, elder abuse and neglect, and atypical presentation of illness as part of their practice. Finally, a significant increase in the number of emergency departments that incorporated geriatric protocols of care was reported (p = .003, alpha = .05).
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This study was conducted to explore the characteristics of intimate partner violence (IPV) victims whose visit was coded as IPV and the health care delivery system in emergency departments (ED). ⋯ Caution should be implemented when interpreting the study results because they represent only coded IPV visits in the emergency department. The study findings suggest the critical need to improve identification, documentation, and coding of IPV visits.