Joanne Iennaco, PhD, PMHNP (BC), APRN
Professor, Clinical TrackCards
About
Research
Publications
2024
AMPlifying metabolic screening for inpatients on antipsychotic medications with a nurse-driven protocol
DeMarco J, Iennaco J. AMPlifying metabolic screening for inpatients on antipsychotic medications with a nurse-driven protocol. Archives Of Psychiatric Nursing 2024, 49: 113-117. PMID: 38734446, DOI: 10.1016/j.apnu.2024.02.007.Peer-Reviewed Original ResearchNurse-driven protocolPsychiatric inpatient settingsInpatient psychiatric unitNursing staffMetabolic screeningPre-interventionInpatient settingPost-implementationSmoking cessationSurveys pre-Psychiatric unitNursesAntipsychotic medicationLipid panelMetabolic syndromeNegative perceptionsScreeningMedicationEmpowermentPatientsPerceptionStaffAntipsychoticsInpatientsUnitsThe feasibility and efficacy of mindfulness-based therapy for insomnia among young and middle-aged Black women in the United States (US)
Nam S, Jeon S, Ordway M, Yau L, Iennaco J. The feasibility and efficacy of mindfulness-based therapy for insomnia among young and middle-aged Black women in the United States (US). Sleep Medicine 2024, 115: 192. DOI: 10.1016/j.sleep.2023.11.540.Peer-Reviewed Original Research
2023
The Aggressive Incidents in Medical Settings (AIMS) Study: Advancing Measurement to Promote Prevention of Workplace Violence
Iennaco J, Molle E, Allegra M, Depukat D, Parkosewich J. The Aggressive Incidents in Medical Settings (AIMS) Study: Advancing Measurement to Promote Prevention of Workplace Violence. The Joint Commission Journal On Quality And Patient Safety 2023, 50: 166-176. PMID: 38158280, DOI: 10.1016/j.jcjq.2023.11.005.Peer-Reviewed Original ResearchInpatient medical unitsCohort studyMedical unitsCare staffAggressive incidentsAggressive eventsIncidence of patientsMultisite cohort studyNumber of patientsAcute care hospitalsPatient care staffExposure rateHealth care settingsFoods/drinksCare hospitalPatient aggressionMedication administrationAcademic hospitalCommunity hospitalCare settingsCommon precipitantsPreventive interventionsPatient safetyHospitalAdditional studies
2020
4123 Characterization of Physical Restraint and Sedative Use for Treatment of Agitation in the Emergency Department
Wong A, Crispino L, Parker J, McVaney C, Rosenberg A, Ray J, Whitfill T, Iennaco J, Bernstein S. 4123 Characterization of Physical Restraint and Sedative Use for Treatment of Agitation in the Emergency Department. Journal Of Clinical And Translational Science 2020, 4: 125-125. PMCID: PMC8823616, DOI: 10.1017/cts.2020.374.Peer-Reviewed Original ResearchLogistic regression modelsRestraint useSedative useEmergency departmentOvert Aggression Scale scoresPhysical restraintOvert Aggression ScaleAggression scale scoresTreatment of agitationAgitated Behavior ScaleSeverity ScaleHigher oddsAgitation ScaleScale scoreLogistic regression models of factorsAssociated with significantly higher oddsTertiary care referral centerUrban tertiary care referral centerProspective cohort study of adult patientsFrequent chief complaintProspective cohort studySignificantly higher oddsAlcohol/drug useCohort study of adult patientsSeverity Scale scoreExperiences of Individuals Who Were Physically Restrained in the Emergency Department
Wong AH, Ray JM, Rosenberg A, Crispino L, Parker J, McVaney C, Iennaco JD, Bernstein SL, Pavlo AJ. Experiences of Individuals Who Were Physically Restrained in the Emergency Department. JAMA Network Open 2020, 3: e1919381. PMID: 31977058, PMCID: PMC6991263, DOI: 10.1001/jamanetworkopen.2019.19381.Peer-Reviewed Original ResearchConceptsEmergency departmentPhysical restraintED visitsExperiences of restraint useQualitative studyExperiences of physical restraintCombination of mental illnessPatient-centered approachMacArthur Perceived Coercion ScaleRestraint experienceParticipants' demographic informationAssociated with injuryExperiences of individualsData saturationEpisodes of physical restraintRestraint ordersCare provisionSelf-reported responsesRestraint useEpisodes of agitationMental illnessLast restraintMain OutcomesEligible visitsPrimary themesStaff perceptions of risk factors for violence and aggression in ambulatory care.
Folgo AR, Iennaco JD. Staff perceptions of risk factors for violence and aggression in ambulatory care. Work 2020, 65: 435-445. PMID: 32007986, DOI: 10.3233/wor-203096.Peer-Reviewed Original ResearchConceptsRisk factorsAmbulatory carePotential risk factorsAmbulatory care settingsStaff perceptionsAmbulatory care environmentCommunity clinicsVisitor violenceCare settingsEnvironment of careHospital settingSubstance abuseClinic environmentCare environmentCarePatientsSafety interventionsPossible contributorsCharacteristics of staffSurvey toolStaffSettingCrisis trainingFactorsClinic
2019
Characteristics and Severity of Agitation Associated With Use of Sedatives and Restraints in the Emergency Department
Wong AH, Crispino L, Parker JB, McVaney C, Rosenberg A, Ray JM, Whitfill T, Iennaco JD, Bernstein SL. Characteristics and Severity of Agitation Associated With Use of Sedatives and Restraints in the Emergency Department. Journal Of Emergency Medicine 2019, 57: 611-619. PMID: 31594740, DOI: 10.1016/j.jemermed.2019.07.019.Peer-Reviewed Original ResearchConceptsAgitated patientsOvert Aggression Scale scoresUse of sedativesRestraint useEmergency departmentOvert Aggression ScaleAggression scale scoresAgitated Behavior ScaleAgitation ScaleScale scoreSedative useHigher oddsAggression ScaleBehavior ScaleBehavioral techniquesTriage chief complaintTertiary referral centerProspective observational studyAgitation severityAlcohol/drug useSeverity Scale scoreLevel of agitationLogistic regression modelsSeverity ScaleDetection of agitationWorkplace Violence in Health Care and Agitation Management: Safety for Patients and Health Care Professionals Are Two Sides of the Same Coin
Wong AH, Ray JM, Iennaco JD. Workplace Violence in Health Care and Agitation Management: Safety for Patients and Health Care Professionals Are Two Sides of the Same Coin. The Joint Commission Journal On Quality And Patient Safety 2019, 45: 71-73. PMID: 30638870, DOI: 10.1016/j.jcjq.2018.11.001.Peer-Reviewed Original Research
2018
Use of sedatives and restraints for treatment of agitation in the emergency department
Wong AH, Crispino L, Parker J, McVaney C, Rosenberg A, Ray JM, Whitfill T, Iennaco JD, Bernstein SL. Use of sedatives and restraints for treatment of agitation in the emergency department. The American Journal Of Emergency Medicine 2018, 37: 1376-1379. PMID: 30598374, DOI: 10.1016/j.ajem.2018.12.027.Peer-Reviewed Original ResearchAddressing Dual Patient and Staff Safety Through A Team-Based Standardized Patient Simulation for Agitation Management in the Emergency Department
Wong AH, Auerbach MA, Ruppel H, Crispino LJ, Rosenberg A, Iennaco JD, Vaca FE. Addressing Dual Patient and Staff Safety Through A Team-Based Standardized Patient Simulation for Agitation Management in the Emergency Department. Simulation In Healthcare The Journal Of The Society For Simulation In Healthcare 2018, 13: 154-162. PMID: 29613919, DOI: 10.1097/sih.0000000000000309.Peer-Reviewed Original ResearchConceptsAdvanced practice registered nursesStandardized patient simulationAgitation managementPatient simulatorPhysician assistantsEmergency carePatient encountersFocus groupsEmergency departmentSafety of staffPractice registered nursesInterprofessional focus groupsEmergency medicine residentsGrounded theory approachFear of physical harmRegistered nursesED nursesData saturationHealth workersInterprofessional educationImprove teamworkMedicine residentsEnhance teamworkHospital sitesMedical resuscitation