Joanne Iennaco, PhD, PMHNP (BC), APRN
Professor, Clinical TrackCards
About
Research
Publications
2025
Protocol for a hybrid type 1 effectiveness-implementation study of mindfulness-based therapy for insomnia in Black women
Nam S, Tong G, Iennaco J, Humphries D, Ordway M, Lee M, Thompson S, Seguinot M, Morales F, Harriot K, Paris N, Bryant K, Weidner K, Edwards T, Whittemore R. Protocol for a hybrid type 1 effectiveness-implementation study of mindfulness-based therapy for insomnia in Black women. Contemporary Clinical Trials 2025, 160: 108166. PMID: 41308952, PMCID: PMC12910561, DOI: 10.1016/j.cct.2025.108166.Peer-Reviewed Original ResearchConceptsCommunity health workersBlack womenSocial determinantsImplementation researchSocial determinants of healthImplementation strategiesDeterminants of healthCommunity advisory boardQualitative individual interviewsEquity-focused interventionsEvidence-based interventionsCommunity engagement processMindfulness-based therapyInsomnia Severity Index scoreRegistered NursesHealth workersImplementation outcomesIndividual interviewsCommunity partnershipsWaitlist controlSleep healthSleep interventionsHealth burdenAdvisory BoardCommunity needsExpanding the Five Urgent Recommendations: Advancing Workplace Safety in Healthcare Settings
Schimmels J, Beeber L, Delaney K, Hauenstein E, Iennaco J, Sharp D, Shattell M. Expanding the Five Urgent Recommendations: Advancing Workplace Safety in Healthcare Settings. Journal Of The American Psychiatric Nurses Association 2025, 31: 550-562. PMID: 40667703, DOI: 10.1177/10783903251348948.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsConceptsPsychiatric mental healthPMH nursesWorkplace violenceSafety of nursesWorkplace violence reportsWorkplace violence preventionNational accreditation standardsNursing voiceNursing settingsMethodsA comprehensive searchHealthcare settingsMental healthNursesPublic reportingWorkplace safetyAccreditation standardsPersonal behavior changeComprehensive searchNational effortsBehavioral changesHealthcareData collectionCurrent literatureNational policyRecommendationsProtecting our nursing and healthcare workers with comprehensive strategies for preventing violence and promoting safety: An American Academy of Nursing consensus paper
Schimmels J, Iennaco J, Delaney K, Hauenstein E, Sharp D, Brewer-Smyth K, Kverno K, Patch M, Cadena S, Blaakman S, Arends R, Beeber L. Protecting our nursing and healthcare workers with comprehensive strategies for preventing violence and promoting safety: An American Academy of Nursing consensus paper. Nursing Outlook 2025, 73: 102425. PMID: 40334529, DOI: 10.1016/j.outlook.2025.102425.Peer-Reviewed Original ResearchConceptsAmerican Academy of NursingWorkplace violence preventionAmerican AcademyNursing voiceWorkplace safetyHealthcare workforceHealthcare workplaceHealth careNursesPatient carePractice exemplarsHealthcare workersConsensus paperHealthcarePromote safetyWell-beingViolence preventionOrganizational outcomesCareOccurrence of violencePolicy changesPolicy dialoguePrevent violenceComprehensive strategyWorkplaceCreating Inclusive and Affirming Primary Care Environments for LGBTQIA+ Patients
Korbey S, Iennaco J, Nelson L. Creating Inclusive and Affirming Primary Care Environments for LGBTQIA+ Patients. The Journal For Nurse Practitioners 2025, 21: 105306. DOI: 10.1016/j.nurpra.2024.105306.Peer-Reviewed Original ResearchPrimary care environmentLGBTQIA+ patientsCare environmentCultural competence of providersCompetence of providersPrimary care settingQuality improvement projectEvidence-based modelDisclosure of sexual orientationSignificant health consequencesCare settingsHealth careImprovement projectCultural competenceHealth consequencesMedical CenterHeterosexual communitySexual orientationLGBTQIA+ communityPatientsCareProvidersHealthCommunityDisparities
2024
Measurement and Prevalence of Aggression
Iennaco J, Molle E, Lauvrud C, Palmstierna T, Nijman H, Almvik R. Measurement and Prevalence of Aggression. 2024, 93-123. DOI: 10.1007/978-3-031-61224-4_5.ChaptersQuality of carePatient safetyActivity programmeHealthcare workplaceHealthcare settingsPatient carePsychiatric settingsOverview of scalesImpact patientsTherapeutic relationshipClinical environmentCoercive interventionsPrevalence of aggressionClinical settingCareHealthcareSeverity of violenceHigher RatesPrevalenceViolenceCaregiversSetsPatientsComplex issuesInterventionMindfulness-based therapy for insomnia in Black women: a pilot randomized controlled trial
Nam S, Jeon S, Ordway M, Mazure C, Sinha R, Yau L, Iennaco J. Mindfulness-based therapy for insomnia in Black women: a pilot randomized controlled trial. Journal Of Behavioral Medicine 2024, 47: 1094-1106. PMID: 39306634, DOI: 10.1007/s10865-024-00521-2.Peer-Reviewed Original ResearchPatient Health Questionnaire-9Spielberger State-Trait Anxiety InventoryInsomnia Severity IndexHealth educationMindfulness-based therapyBlack womenDepressive symptomsEfficacy of mindfulness-based therapyAttention control groupSleep health disparitiesPost-intervention changesState-Trait Anxiety InventoryPittsburgh Sleep Quality IndexInsomnia severity scoresSleep Quality IndexInsomnia Severity Index scoreBehavioral sleep strategiesRandomized Controlled TrialsClinically significant improvementPhysical activityHealth disparitiesHealthy eatingSleep hygiene practicesImprove anxietyWeekly sessionsAMPlifying 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 perceptionsScreeningMedicationEmpowermentPatientsPerceptionStaffAntipsychoticsInpatientsUnits
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
Staff 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 A Journal Of Prevention Assessment & Rehabilitation 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 trainingFactorsClinicExperiences 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 themes