Joyce Fitzpatrick

Case Western Reserve University | CWRU · Frances Payne Bolton School of Nursing

Objective This study aimed to develop and evaluate a mobile health (mHealth)-delivered, theory-guided, culturally tailored storytelling narrative (STN) intervention to increase cervical cancer screening among Malawian women living with human immunodeficiency virus (HIV). Methods This study involved two phases: Phase 1: development of a theory-guid...

Climate change is a global crisis with major impacts on planetary health and quality of life. Nurses are well positioned to recognize the major health consequences of climate change on health. Therefore, highlighting nurses’ active engagement in mitigating climate change impact and resilience efforts is essential. However, there is little evidence...

Purpose: To determine psychometric properties of the Caring Behaviors Inventory-24 (CBI-24) among Korean clinical nurses.Methods: A methodological design was used. Data were collected from 408 clinical nurses. Construct validity analysis was performed, including factorial, convergent, and discriminant validity. Internal consistency was tested by Cr...

Objective: Cervical cancer is preventable, and early diagnosis is possible using low-cost technologies, but a scant number of women receive cancer screening in Malawi. This study aims to identify facilitators and barriers that influence the uptakes of cervical cancer screening behavior in Malawi. Methods: A rapid ethnographic approach with the g...

Objective: The aim of this study was to investigate staff nurses' perception of their nurse managers' transformational leadership behaviors and their own structural empowerment. Background: Transformational leadership behaviors in nurse managers have been linked to increased staff nurse satisfaction and decreased turnover and burnout. Perception...

Objective: The aim of this study was to develop better understanding of the leadership characteristics of clinical nurse leaders. Background: Transformational leaders are the essential to support nursing in taking control of patient and family care coordination. One prior study of leadership and work engagement among clinical nurse leaders was i...

Objective: Describe the relationship between leadership practices and engagement of chief nursing officers (CNOs) in Magnet® organizations. Background: Transformational leadership practices and CNO engagement are vital in influencing nursing practice. Methods: Magnet hospital CNOs were invited to participate in a quantitative descriptive study...

The Institute of Medicine's report, The Future of Nursing: Leading Change, Advancing Health,¹ identified the importance of nursing leadership in the redesign and delivery of health care. The committee members advocated for health care organizations to create opportunities for nurses to take the lead in designing and implementing novel and effective...

Objective: The Leadership Education and Development (LEAD) Program was designed to transform care at the bedside by empowering clinical nurses as leaders. Background: The heart of LEAD was enhancing communication skills of clinical nurses with clinical colleagues and, most importantly, patients and families. Key concepts of leadership/management...

Introduction: Lack of work engagement in emergency nurses has been linked to increased job turnover, burnout, and lack of job satisfaction. Shared governance is a vehicle that can be used by emergency nursing leaders to increase work engagement among emergency nurses. Research is lacking about the relationship between perceptions of shared governa...

OBJECTIVE: The purpose of this study was to describe relationships between structural empowerment, psychological empowerment, and engagement among clinical nurses. BACKGROUND: Empowerment and engagement are key drivers of retention and quality in healthcare. Creating an empowering culture and an engaged staff supports initiatives that are essential...

OBJECTIVE: This study describes the relationship between emotional intelligence (EI) and transformational leadership (TL) in nurse managers (NMs). BACKGROUND: Effective NM leadership is important as they have direct influence over RN performance and patient outcomes. Research has demonstrated that a TL style generates greater commitment from follow...

Nurses' knowledge regarding advance directives may affect their administration and completion in end-of-life care. Confidence among nurses is a barrier to the provision of quality end-of-life care. This study investigated nurses' knowledge of advance directives and perceived confidence in end-of-life care, in Hong Kong, Ireland, Israel, Italy and t...

Aim: This study was focused on determining relationships between confidence levels and self-efficacy among nurse managers. Background: Frontline nurse managers have a pivotal role in delivering high-quality patient care while managing the associated costs and resources. The competency and skill of nurse managers affect every aspect of patient ca...

The purpose of this study was to examine perceptions of nurse caring behaviors by patients with diabetes and nurses caring for them, and to determine differences between the two groups. Data collection occurred in a 1,200-bed nonprofit hospital; 64 nurses and 54 patients with diabetes indicated their perceptions of nurse caring behaviors. There wer...

A descriptive, retrospective design was used to explore the relationship between employee engagement and culture of safety in ICUs within a large Midwestern healthcare system. Results demonstrated a strong positive relationship between total engagement score and total patient safety score (r = 0.645, P < .01) and positive relationships between tota...

Purpose: Nurse practitioners (NPs) deliver a wide array of healthcare services in a variety of settings. The purpose of this study was to examine the practice patterns and organizational commitment of inpatient NPs. Methods: A quantitative design was used with a convenience sample (n = 183) of NPs who attended the American Association of Nurse P...

Minimal cross-national comparisons of nurse caring behaviors are available. A descriptive correlational study was conducted to describe and compare caring behaviors between nurses in Ireland (n = 74) and the United States (US) (n = 74). Significant differences were found between the samples on both educational background and years of nursing experi...

Leadership is vital to patient safety, particularly in crises. Clinical leadership is an important component of the nurse practitioner (NP) role; expert clinicians are called upon to assure patient safety in crisis situations. The purpose of this study was to describe the self-perceived crisis leadership efficacy of NPs working in acute care settin...

To date, there is no benchmark data available on the measurement of program outcomes in doctor of nursing practice (DNP) programs. The purpose of this study was to identify barriers to integration of IT content in the curriculum in DNP programs, perceived IT competencies taught, and DNP faculty perception of competencies. The study location was DNP...

Sepsis is an emerging life-threatening entity and a worldwide epidemic. Nurses are in key positions to identify patients with sepsis, mobilize the medical team, and implement interventions. A study of self-assessed nurse competence was conducted to determine the influence of a specially designed sepsis education program on nurses' perceived ability...

Minimal cross-national comparisons of nurse caring behaviors are available. A descriptive correlational study was conducted to describe and compare caring behaviors between nurses in Ireland ( n = 74) and the United States (US) ( n = 74). Significant differences were found between the samples on both educational background and years of nursing expe...

: At the 2014 annual meeting of the International Academy of Nurse Editors, journal editors agreed to collectively address the issue of predatory journals, especially those in nursing, in order to better inform our authors, readers, and reviewers.

Purpose To examine changes in patterns of health and disease in global context between rich countries (U.S., Korea, South Africa) and poor countries (Cambodia, Malawi) by using the framework of epidemiology theory developed by Orman (1971, 2005), and to raise awareness of global health disparities thereby prompting actions to reduce such disparitie...

Fund-raising may be new to most nurse leaders and executives. This article focuses on dispelling the myths and mystery that surrounds nursing philanthropy. Key myths are addressed with supporting information to dispel them. Several practical tips are presented to enhance nurse leaders' involvement in philanthropy. Two recent gifts to hospital nursi...

In the 2010 publication, The Future of Nursing: Leading Change, Advancing Health, the Institute of Medicine (IOM) called on nurses to play a leadership role in reforming and improving the healthcare system. 1 The case for healthcare reform has rarely been more compelling. In 2008 alone, the United States spent $2.3 trillion on healthcare, a figure...

This paper describes the development and implementation of a professional practice model for the nursing department at a Magnet® hospital that is within an academic medical center. The professional practice model (PPM) that was developed is a relationship-centered care (RCC) model that was tailored to the institution and its programs and constituen...

The retention of qualified military healthcare providers is a top priority for Department of Defense (DoD) leaders. The purpose of this study is to examine the relationship between resilience and professional quality of life and to explore differences among providers who had been deployed and those who had never been deployed. Results indicated hig...

Psychiatric nursing has been identified as a stressful occupation, and this stress could affect individuals' health, well-being, and job satisfaction. The stress of nurses might also affect the organization in terms of absenteeism and quality of care. The purpose of this study was to examine the relationship between job satisfaction and turnover in...

The aim of this research was to explore the concept of caring from the perspectives of undergraduate BSc general student nurses midway through their educational program. Data were collected through written narratives. Participants (N = 21) were asked to respond in writing to three semistructured questions. Data were analysed using content analysis....

This study describes the transformational leadership (TL) practices of nurse leaders in professional nursing associations (PNAs). Professional nursing associations are vehicles to provide educational opportunities for nurses as well as leadership opportunities for members. Little has been published about the leadership practices of PNA members. E-m...

The purpose of this study was to describe perceptions of structural empowerment of clinical nurse managers (CNMs) in 1 large healthcare system. The recruitment and retention of CNMs are crucial to the future of healthcare institutions. Understanding the extent to which CNMs feel supported in the work environment and have access to resources, inform...

The aim of this research was to explore the concept of caring from the perspectives of undergraduate BSc general student nurses midway through their educational program. Data were collected through written narratives. Participants (N = 21) were asked to respond in writing to three semistructured questions. Data were analysed using content analysis....

Mount Sinai Medical Center (MSMC) in New York City has long recognized the value of nurses and nursing. The hospital established one of the first nurse training schools in the United States in 1881. The nursing staff has continued its distinguished reputation in the healthcare community. In 2004, Mount Sinai earned designation as a Magnet® hospital...

The aim of this study was to determine nurses' knowledge and attitudes regarding postoperative pain and identify postoperative patients' pain intensity experiences. The assessment and management of acute postoperative pain is important in the care of postoperative surgical patients. Inadequate relief of postoperative pain can contribute to postoper...

Nurses' perceptions of empowerment have been linked to a number of variables in the hospital workplace, including job satisfaction, autonomy, and work effectiveness. Yet there have been no previous studies of perceptions of empowerment specifically among emergency department (ED) nurses. Registered nurses (RNs) employed in the EDs of 6 hospitals in...

Background and aims: New therapies for HCV are rapidly emerging and providers are advising select patients to defer treatment and elect 'watchful waiting'. During the watchful waiting period, patients have been shown to have high rates of illness uncertainty and depression. We sought to answer the question of whether reassuring histological data (...

Previous research has focused on physician's perspectives of end-of-life (EOL) decision making as well as patient and family EOL decision making. There is a lack of research pertaining to the EOL treatment preferences of nurses and especially nurses working in a variety of care settings. The aim of this study was to compare nurses' EOL treatment pr...

Achieving health equity by improving the health care of all racial/ethnic groups is one of the key goals of Healthy People 2020. The implementation of evidence based practice (EBP) has been a major recommendation to achieve health equity in hopes of eliminating the subjectivity of clinical decision making. However, health disparities among racial/e...

There is little research on the use of simulation in Chinese nursing education. This research was focused on the effects of using simulation in promoting a range of outcomes among Chinese nursing students in a baccalaureate nursing program in China.Method In this descriptive study of 50 sophomore students, three instruments were translated and eval...

Background High-fidelity simulation has been demonstrated to be an efficient teaching method, although high-fidelity manikins are more expensive than low- or moderate-fidelity simulation manikins. This study was designed to explore differences in outcomes related to use of moderate-fidelity versus high-fidelity simulations in Chinese nursing educat...

Introduction: The value of specialty certification has been of interest to the profession and has been related to a number of key variables. The specific aims of this study were to determine differences between certified and noncertified ED nurses in perceptions of structural empowerment, anticipated turnover, intent to leave the current position,...

ITZHAKI M., EA E., EHRENFELD M. & FITZPATRICK J.J. (2013) Job satisfaction among immigrant nurses in Israel and the United States of America. International Nursing Review60, 122–128 Aim: The aim of this study is to examine perceptions of job satisfaction among immigrant registered nurses (RNs) in Israel and the USA. Background: Former Soviet Union...

BRENNAN M.M., FITZPATRICK J.J., MCNULTY S.R., CAMPO T., WELBECK J. & BARNES G. (2013) Paediatric resuscitation for nurses working in Ghana: an educational intervention. International Nursing Review60, 136–143 Background: Deficiencies in the paediatric emergency systems of developing countries may contribute to avoidable paediatric mortality. Studie...

This paper describes the successful implementation of an internationally-tested model for nursing within basic nursing education programs in the United States. Three different types of programs were chosen: a 4-year baccalaureate program, an accelerated baccalaureate program, and a Clinical Nurse Leader program.

All students in the Frances Payne Bolton baccalaureate program were trained in the Dreyfus Health Foundation, Problem Solving for Better Health (PSBH) model. Students implemented the model in the 6-semester community engagement component of the bachelor of science in nursing (BSN) curriculum. Students were trained in two 4- to 5-hour sessions after...

Background Heart disease, the primary cause of mortality in America, affects one in five individuals. Heart disease has strong genetic links and is significantly influenced by family history. Aim This study explored family history of premature heart disease, examining the differences between patients' perceptions of risk and actual risk stratificat...

The aim of this pilot study was to examine the relationship between structural empowerment and anticipated turnover among behavioural health nurses. There have been several studies relating structural empowerment to a range of organizational characteristics and personal attributes of nurses themselves. There are also previous studies linking the ke...

Digital photography is a valuable adjunct to document physical injuries after sexual assault. In order for a digital photograph to have high image quality, there must exist a high level of naturalness. Digital photo documentation has varying degrees of naturalness; however, for a photograph to be natural, specific technical elements for the viewer...

The purpose of this study was to describe the knowledge level of nurse practitioners regarding symptoms of child sexual abuse in children with cognitive disabilities. A total sample of 43 nurse practitioners from two professional nurse practitioner organizations was surveyed to assess child sexual abuse symptoms identification in intellectually dis...

This article discusses the critical role professional nurses will play and the tremendous impact nursing education and leadership development will have on the future of health care, as outlined in the recommendations of the Institute of Medicine's report, "The future of nursing: Leading change, and advancing health." Six doctorate of nursing practi...

This study describes the transformational leadership practices of Magnet® chief nursing officers (CNOs). It is believed that transformational leadership practices influence quality and are integral to Magnet designation. E-mail surveys of 384 Magnet CNOs were conducted in 2011 using the leadership practices inventory (LPI). Enabling others to act a...

Although there has been previous research linking perceptions of empowerment to specialty certification among critical care nurses, no research in this area has been conducted among nationally certified perinatal nurses. A comparative quantitative survey design was used. Participants included 80 perinatal registered nurses from one community hospit...

The clinical application of genetic advances has the potential to transform preconception and pregnancy care and improve pregnancy outcomes. The study aim was to evaluate the level of importance and level of confidence that midwives in the United States attach to using genetics in practice. The study was a descriptive, cross-sectional, online surve...

This paper describes the initial assessment of job satisfaction and satisfaction with the professional practice environment of registered nurses working on units where a professional practice model was implemented and the relationship between these two variables. The nursing shortage has been linked to overall job satisfaction and specifically to n...

A new culture bolstering collaborative behavior among nurses and physicians is needed to merge the unique strengths of both professions into opportunities to improve patient outcomes. To meet this challenge it is fundamental to comprehend the current uses of collaborative behaviors among nurses and physicians. The purpose of this descriptive study...

The primary aim of this article is to identify the self-care strategies that patients use to manage bowel symptoms experienced following sphincter-saving surgery for rectal cancer. Comparisons will be made with self-care strategies used by patients to manage chronic fecal incontinence and the bowel symptoms associated with other chronic bowel disea...

With the patient's consent, physical injuries sustained in a sexual assault are evaluated and treated by the sexual assault nurse examiner (SANE) and documented on preprinted traumagrams and with photographs. Digital imaging is now available to the SANE for documentation of sexual assault injuries, but studies of the image quality of forensic digit...

Certification is a voluntary process that is used to recognize specialized knowledge and skills. Little research has been focused on staff nurses with specialty certification. To determine if perceptions of empowerment and intent to leave the position and the profession differed among staff nurses who were certified by the American Association of C...