Emergency department workplace violence: Clinician-endorsed strategies informing prevention mandates.

Background: State legislation such as the Pennsylvania Healthcare Worker Violence Prevention Act would mandate hospital reporting of workplace violence (WPV) incidents and require committees that advance safety measures.

Purpose: Since it is unknown what interventions should be prioritized by hospital committees if such legislation were passed, we described strategies that hinder or facilitate the prevention and de-escalation of WPV.

Methods: Qualitative, descriptive study using individual and focus group interviews with emergency department (ED) nurses and physicians (n = 23) at a level I trauma center ED in Pennsylvania between August 2023 and February 2024.

Improving Hospital Care for Patients Experiencing Communication Barriers Through Nurse-Endorsed Strategies.

Patients with limited English proficiency (LEP) are more likely to experience suboptimal health care outcomes, including avoidable emergency department visits and hospital readmissions. Despite legal requirements in the United States to provide patients with LEP language access services such as certified interpreters during care encounters, gaps in these necessary care processes persist. Nurses provide the majority of direct care to patients with LEP in hospitals and oversee the implementation of necessary language access services.

Poor Patient Care Outcomes and Nurse Job Outcomes Associated With Unfavorable Intensive Care Unit and Emergency Department Nurse Work Environments: Implications for Critical Care Medicine.

Objectives: Efforts to improve critical care outcomes are traditionally focused on intensive care unit (ICU) work environments, despite the reality that nurses in emergency departments (EDs) also deliver critical care. EDs and ICUs in the same hospitals tend to be differently resourced and may have different work environments as assessed by nurses. The objective of this study was to assess similarities in ED and ICU nurse work environment evaluations and associations with patient care and nurse job outcomes.

Reducing disparities in emergency department outcomes for individuals with limited English proficiency: The nurse work environment.

Background: Patients with limited English proficiency (LEP) experience worse emergency department (ED) outcomes.

Purpose: To evaluate the association between nurses' work environments and ED outcomes among individuals with and without LEP.

Methods: Cross-sectional study of 1,358,802 patients seen in 64 New Jersey hospital EDs.