scholarly journals Registered nurses: can our supply meet the demand during a disaster?

BMC Nursing ◽  
2022 ◽  
Vol 21 (1) ◽  
Author(s):  
Yin Li ◽  
Jason M. Hockenberry ◽  
Jiaoan Chen ◽  
Jeannie P. Cimiotti
Keyword(s):  
New Jersey ◽  
Registered Nurses ◽  
Natural Disaster ◽  
Secondary Data ◽  
Hurricane Sandy ◽  
The State ◽  
Full Time ◽  
American Hospital ◽  
American Hospital Association ◽  
Demand And Supply

Abstract Background Death and destructions are often reported during natural disasters; yet little is known about how hospitals operate during disasters and if there are sufficient resources available for hospitals to provide ongoing care during these catastrophic events. The purpose of this study was to determine if the State of New Jersey had a supply of registered nurses (RNs) that was sufficient to meet the needs of hospitalized patients during a natural disaster – Hurricane Sandy. Methods Secondary data were used to forecast the demand and supply of New Jersey RNs during Hurricane Sandy. Data sources from November 2011 and 2012 included the State Inpatient Databases (SID), American Hospital Association (AHA) Annual Survey on hospital characteristics and staffing data from New Jersey Department of Health. Three models were used to estimate the RN shortage for each hospital, which was the difference between the demand and supply of RN full-time equivalents. Results Data were available on 66 New Jersey hospitals, more than half of which experienced a shortage of RNs during Hurricane Sandy. For hospitals with a RN shortage in ICUs, a 20% increase in observed RN supply was needed to meet the demand; and a 10% increase in observed RN supply was necessary to meet the demand for hospitals with a RN shortage in non-ICUs. Conclusion Findings from this study suggest that many hospitals in New Jersey had a shortage of RNs during Hurricane Sandy. Efforts are needed to improve the availability of nurse resources during a natural disaster.

scholarly journals DEVELOPMENT OF A STORM EROSION CLIMATOLOGY FOR THE NEW JERSEY COAST, US

2018 ◽  
pp. 93
Author(s):  
Laura Lemke ◽  
Jon K. Miller
Keyword(s):  
New Jersey ◽  
Return Period ◽  
Coastal Erosion ◽  
Atlantic Coast ◽  
Hurricane Sandy ◽  
The State ◽  
Northern Half ◽  
Erosion Index ◽  
Storm Duration ◽  
Southern Half

In this study, the Storm Erosion Index (SEI), developed by Miller and Livermont (2008), is used to reevaluate storms that have impacted New Jersey over the past several decades based on their erosion potential. This index considers all three drivers of coastal erosion including wave height, water level, and storm duration and has been shown to more closely correlated to observed erosion than more traditional indices (Miller and Livermont 2008). Here, storms are assessed at thirteen shoreline segments defined along the Atlantic coast of New Jersey. When reevaluated with SEI, the top three storms across all shoreline segments are the December 1992 nor’easter, the Veteran’s Day Storm in November 2009, and Hurricane Sandy in October 2012. In general, the December 1992 nor’easter and Hurricane Sandy are more highly ranked in the northern half of the state with Hurricane Sandy having a maximum return period of 38 years. The Veteran’s Day Storm on the other hand is more highly ranked in the southern half of the state having a maximum return period of 42 years. A closer look at these three storms illustrates the importance of each of the three drivers of coastal erosion in determining erosion potential. A particular emphasis is placed on storm duration which explains why the Veteran’s Day Storm (td = ~90 hours) outranks Hurricane Sandy (td = ~60 hours) in the southern portion of the state. The assessment performed in this study produces a record of historical storms ranked by SEI that future storms can be compared to. This allows for an understanding of the erosion potential of future storms in the context of what has occurred previously.

scholarly journals Federalism in New Jersey: The Response to Hurricane Sandy

2019 ◽  
Vol 5 (1) ◽  
pp. 307
Author(s):  
Robert Schulte
Keyword(s):  
High School ◽  
New Jersey ◽  
Natural Disaster ◽  
Hurricane Sandy ◽  
School Level ◽  
High School Level ◽  
Government Response ◽  
Teaching Unit ◽  
Teaching Award ◽  
The Government

NJ Studies is pleased to present the teaching unit that won the New Jersey Studies Academic Alliance (NJSAA) 2018 Teaching Award. Per NJSAA, Robert Schulte’s award “recognizes the innovative nature of this unit about federalism and the government response to the disaster of Hurricane Sandy in 2012. The lesson is intended for students at the high school level, but can easily be modified for the middle school as well. Also, teachers can substitute any natural disaster that might face New Jersey to replace the zombie scenario if they are so inclined.”

Factors Promoting Consistent Adherence to Safe Needle Precautions Among Hospital Workers

2004 ◽  
Vol 25 (7) ◽  
pp. 548-555 ◽  
Author(s):  
Thomas E. Vaughn ◽  
Kimberly D. McCoy ◽  
Susan E. Beekmann ◽  
Robert F. Woolson ◽  
James C. Torner ◽  
...  
Keyword(s):  
Infection Control ◽  
Survey Data ◽  
Body Fluid ◽  
Response Rate ◽  
Organizational Factors ◽  
Protective Equipment ◽  
Care Hospital ◽  
Full Time ◽  
American Hospital ◽  
American Hospital Association

AbstractObjective:To examine organizational factors and occupational characteristics associated with adherence to occupational safety guidelines recommending never recapping needles.Design:Mail surveys were conducted with healthcare workers (HCWs) and infection control professionals (ICPs).Setting:The surveys were conducted at all non-federal general hospitals in Iowa, except one tertiary-care hospital. Survey data were linked to annual survey data of the American Hospital Association (AHA).Participants:HCWs were sampled from statewide rosters of physicians, nurses, and laboratory workers in Iowa. Eligible HCWs worked in a setting and position in which they were likely to routinely handle needles. ICPs at all hospitals in the state were surveyed.Results:Ninety-nine ICPs responded (79% response rate). AHA data were available for all variables from 84 (85%) of the hospitals. Analyses were based on 1,454 HCWs who identified one of these hospitals as their primary hospital (70% response rate). Analyses were conducted using multiple logistic regression. Positive predictors of consistent adherence included infection control personnel hours per full-time–equivalent employee (odds ratio [OR], 1.03), frequency of standard precautions education (OR, 1.11), facilities providing personal protective equipment (OR, 1.82), facilities using needleless intravenous systems (OR, 1.42), and management support for safety (OR, 1.05). Negative predictors were use of “blood and body fluid precautions” isolation category (OR, 0.74) and increased job demands (OR, 0.90).Conclusion:Healthcare organizations can improve staff safety by investing wisely in educational programs regarding approaches to minimize these risks, providing protective equipment, and eliminating the use of blood and body fluid precautions as an isolation policy.

scholarly journals Looking back at the lawsuit that transformed the chiropractic profession part 5: Evidence exposed

2021 ◽  
Vol 35 (S1) ◽  
pp. 74-84 ◽  
Author(s):  
Claire D. Johnson ◽  
Bart N. Green
Keyword(s):  
Health Education ◽  
Secondary Data ◽  
Medical Specialty ◽  
The United States ◽  
Qualitative Inquiry ◽  
Chiropractic Profession ◽  
Business Practices ◽  
American Hospital ◽  
American Hospital Association ◽  
Department Of Health

Objective This is the fifth article in a series that explores the historical events surrounding the Wilk v American Medical Association (AMA) lawsuit in which the plaintiffs argued that the AMA, the American Hospital Association, and other medical specialty societies violated antitrust law by restraining chiropractors' business practices. The purpose of this article is to provide a brief review of events surrounding the eventual end of the AMA's Committee on Quackery and the exposure of evidence of the AMA's efforts to boycott the chiropractic profession. Methods This historical research study used a phenomenological approach to qualitative inquiry into the conflict between regular medicine and chiropractic and the events before, during, and after a legal dispute at the time of modernization of the chiropractic profession. Our methods included obtaining primary and secondary data sources. The final narrative recount was developed into 8 articles following a successive timeline. This article, the fifth of the series, explores the exposure of what the AMA had been doing, which provided evidence that was eventually used in the Wilk v AMA antitrust lawsuit. Results The prime mission of the AMA's Committee on Quackery was “first, the containment of chiropractic and, ultimately, the elimination of chiropractic.” However, the committee did not complete its mission and quietly disbanded in 1974. This was the same year that the chiropractic profession finally gained licensure in all 50 of the United States; received recognition from the US Commissioner of Education, Department of Health, Education and Welfare; and was successfully included in Medicare. In 1975, documents reportedly obtained by the Church of Scientology covert operatives under Operation AMA Doom revealed the extent to which the AMA and its Committee on Quackery had been working to contain and eliminate the chiropractic profession. The AMA actions included influencing mainstream media, decisions made by the Joint Commission on Accreditation of Hospitals, and the Department of Health, Education, and Welfare. Other actions included publishing propaganda against chiropractic and implementing an anti-chiropractic program aimed at medical students, medical societies, and the American public. Conclusion After more than a decade of overt and covert actions, the AMA chose to end its Committee on Quackery. The following year, documents exposed the extent of AMA's efforts to enact its boycott of chiropractic.

scholarly journals Looking back at the lawsuit that transformed the chiropractic profession part 6: Preparing for the lawsuit

2021 ◽  
Vol 35 (S1) ◽  
pp. 85-96 ◽  
Author(s):  
Claire D. Johnson ◽  
Bart N. Green
Keyword(s):  
Secondary Data ◽  
Well Being ◽  
Medical Specialty ◽  
Phenomenological Approach ◽  
The United States ◽  
Qualitative Inquiry ◽  
Chiropractic Profession ◽  
Business Practices ◽  
American Hospital ◽  
American Hospital Association

Objective This is the sixth article in a series that explores the historical events surrounding the Wilk v American Medical Association (AMA) lawsuit in which the plaintiffs argued that the AMA, the American Hospital Association, and other medical specialty societies violated antitrust law by restraining chiropractors' business practices. The purpose of this article is to provide a brief review of the plaintiffs, lead lawyer, and the events immediately before the lawsuit was filed. Methods This historical research study used a phenomenological approach to qualitative inquiry into the conflict between regular medicine and chiropractic and the events before, during, and after a legal dispute at the time of modernization of the chiropractic profession. Our methods included obtaining primary and secondary data sources. The final narrative recount was developed into 8 articles following a successive timeline. This article, the sixth of the series, explores the plaintiffs' stories. Results Because of the AMA's boycott on chiropractic, chiropractors were not able to collaborate with medical physicians or refer patients to medical facilities, which resulted in restricted trade and potential harm to patients' well-being. The plaintiffs, Patricia Arthur, James Bryden, Michael Pedigo, and Chester Wilk, came from different regions of the United States. Each had unique experiences and were compelled to seek justice. The lead lawyer, Mr George McAndrews, was the son of a chiropractor and had witnessed the effect that the AMA's attacks on chiropractic had on his father. It took several years to gather enough resources to file the suit, which was submitted in 1976. Conclusion The conflicts that the plaintiffs experienced stimulated them to pursue a lawsuit against the AMA and other organized political medicine groups.

scholarly journals COVID-19 Vaccine Readiness Among Acute-Care Registered Nurses in New Jersey: Results of a Statewide Survey

2021 ◽  
Vol 1 (S1) ◽  
pp. s55-s55
Author(s):  
Monika Pogorzelska-Maziarz ◽  
Mary Lou Manning ◽  
Angela Gerolamo ◽  
Mary Johansen ◽  
Irina Grafova ◽  
...  
Keyword(s):  
New Jersey ◽  
Side Effects ◽  
Registered Nurses ◽  
Acute Care ◽  
The State ◽  
Vaccine Hesitancy ◽  
Cross Sectional ◽  
Fda Approval ◽  
To Receive ◽  
Seriously Ill

Background: The coronavirus disease 2019 (COVID-19) vaccine is an important intervention to control the COVID-19 pandemic. As the most trusted profession integral to providing care to patients across all care settings, nurses play a critical role in educating patients regarding the SARS-CoV-2 vaccine. However, little is known about the readiness of registered nurses (RNs) to receive the vaccine. Methods: In October 2020, prior to FDA approval of vaccines, we conducted a cross-sectional electronic survey of all active registered nurses in the state of New Jersey. The eligibility criteria included providing direct patient care in a New Jersey hospital in an emergency or an adult inpatient unit during the emergence of COVID-19 (March 2020). Results: In total, 3,027 RNs completed the survey (15% response rate). When asked whether they plan to get vaccinated, 27% of RNs responded yes, 30% responded no, and 43% were undecided. Among those RNs who reported that they were planning to get vaccinated, their main reasons for their willingness to receive the vaccine included (1) wanting to protect themselves and their families (95%), (2) wanting to protect the community at large (76%), wanting to protect their patients (75%), the belief that life won’t get back to normal until most people are vaccinated (72%), and the belief that getting vaccinated is the best way to avoid getting seriously ill from COVID-19 (67%). The main reasons reported for not planning to or being undecided about getting vaccinated included the belief that the vaccine will likely be developed too quickly to be safe (81%) and concern about the side effects from the vaccine (74%). RNs also reported being in a low-risk group for becoming seriously ill (12%) and having had COVID-19 (8%) as reasons for planning not to get vaccinated. In open-ended responses, participants also discussed several additional issues driving vaccine hesitancy: their lack of trust in the political process, planning to become pregnant or currently pregnant or breastfeeding, questions about effectiveness of the vaccine and long-term side effects, and the need for more information before making a decision. Conclusions: This cross-sectional study of all acute-care RNs in the State of New Jersey was conducted prior to the FDA approval of COVID-19 vaccines. The results outline factors driving vaccine hesitancy among RNs. Although vaccine efficacy data and approval by the FDA may have alleviated some of these fears, immunization programs for healthcare workers and the public should focus on dispelling myths about vaccine development and side effects.Funding: NoDisclosures: None

scholarly journals For-profit hospitals as anchor institutions in the United States: a study of organizational stability

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Berkeley Franz ◽  
Cory E. Cronin ◽  
Vanessa Rodriguez ◽  
Kelly Choyke ◽  
Janet E. Simon ◽  
...  
Keyword(s):  
Multivariable Analysis ◽  
The United States ◽  
Full Time ◽  
American Hospital ◽  
American Hospital Association ◽  
Community Factors ◽  
For Profit ◽  
Anchor Institutions ◽  
Significant Difference

Abstract Background Anchor institutions, by definition, have a long-term presence within their local communities, but it is uncertain as to whether for-profit hospitals meet this definition; most research on anchor institutions to date has been limited to nonprofit organizations such as hospitals and universities. Accordingly, this study aims to determine whether for-profit hospitals are stable enough to fulfill the role of anchor institutions through a long-term presence in communities which may help to stabilize local economies. Methods This longitudinal study analyzes national, secondary data between 2008 and 2017 compiled from the Dartmouth Atlas of Health Care, the American Hospital Association Annual Survey, and County Health Rankings. We use descriptive statistics to calculate the number of closures and mergers of hospitals of different ownership type, as well as staffing levels. Using logistic regression, we also assessed whether for-profit hospitals had higher odds of closing and merging, controlling for both organization and community factors. Results We found for-profit hospitals to be less stable than their public and nonprofit hospital counterparts, experiencing disproportionately more closures and mergers over time, with a multivariable analysis indicating a statistically significant difference. Furthermore, for-profit hospitals have fewer full-time employees relative to their size than hospitals of other ownership types, as well as lower total payroll expenditures. Conclusions Study findings suggest that for-profit hospitals operate more efficiently in terms of expenses, but this also may translate into a lower level of economic contributions to the surrounding community through employment and purchasing initiatives. For-profit hospitals may also not have the stability required to serve as long-standing anchor institutions. Future studies should consider whether for-profit hospitals make other types of community investments to offset these deficits and whether policy changes can be employed to encourage anchor activities from local businesses such as hospitals.

scholarly journals Rural Disparities in Hospital Patient Satisfaction: Multilevel Analysis of the Massachusetts AHA, SID, and HCAHPS Data

2019 ◽  
Vol 7 (4) ◽  
pp. 607-614
Author(s):  
Yu (Sunny) Kang ◽  
Huey-Ming Tzeng ◽  
Ting Zhang
Keyword(s):  
Patient Satisfaction ◽  
Hospital Environment ◽  
Full Time ◽  
Hospital Patient ◽  
Care Needs ◽  
Full Time Equivalent ◽  
American Hospital ◽  
American Hospital Association ◽  
Hispanic Patients ◽  
Satisfaction Measures

Introduction: Hospital patient satisfaction has been a salient policy concern. We examined rurality’s impact on patient satisfaction measures. Methodology: We examined patients (age 50 and up) from 65 rural and urban hospitals in Massachusetts, using the merged data from 2007 American Hospital Association Annual Survey, State Inpatient Database and Survey of Patients’ Hospital Experiences, utilizing Hierarchical binary logistic regression analyses to examine the rural disparities in patient satisfaction measures. Results: Relative to the urban location, rurality reduced the likelihood of cleanliness of environment (odds ratio = 0.66, 95% confidence interval: [0.63-0.70]); but increased the likelihood of staff responsiveness and quietness. Compared to Caucasian counterparts, Hispanic patients were less likely to reside in a quiet hospital. Compared to other payments, Medicare or Medicaid coverage each reduced the likelihood of staff responsiveness and cleanliness. Compared to other diagnoses, depressive or psychosis disorders predicted smaller odds in responsiveness and cleanliness. Anxiety diagnosis reduced the likelihood of cleanness and quietness. At the facility level, higher registered nurse full-time equivalent (FTE)s or being a teaching hospital increased the likelihood of all measures. Conclusion: Relative to the urban counterparts, rural patients experienced lower likelihood of staff responsiveness after adjusting for other factors. Compared to Caucasian patients, Hispanic patients were less likely to reside in quiet hospital environment. Research is needed to further explore the basis of these disparities. Mental health diagnoses in depressive and psychosis disorders also called upon further studies in special care needs.

scholarly journals Looking back at the lawsuit that transformed the chiropractic profession part 4: Committee on Quackery

2021 ◽  
Vol 35 (S1) ◽  
pp. 55-73 ◽  
Author(s):  
Claire D. Johnson ◽  
Bart N. Green
Keyword(s):  
Secondary Data ◽  
Medical Specialty ◽  
Phenomenological Approach ◽  
Qualitative Inquiry ◽  
Chiropractic Profession ◽  
Medical Society ◽  
Business Practices ◽  
American Hospital ◽  
American Hospital Association ◽  
The 1960S

Objective This is the fourth article in a series that explores the historical events surrounding the Wilk v American Medical Association (AMA) lawsuit, in which the plaintiffs argued that the AMA, the American Hospital Association, and other medical specialty societies violated antitrust law by restraining chiropractors' business practices. The purpose of this article is to provide a brief review of the history of the origins of AMA's increased efforts to contain and eliminate the chiropractic profession and the development of the Chiropractic Committee, which would later become the AMA Committee on Quackery. Methods This historical research study used a phenomenological approach to qualitative inquiry into the conflict between regular medicine and chiropractic and the events before, during, and after a legal dispute at the time of modernization of the chiropractic profession. Our methods included obtaining primary and secondary data sources. The final narrative recount was developed into 8 articles following a successive timeline. This article is the fourth of the series that explores the origins of AMA's increased efforts to contain and eliminate the chiropractic profession. Results In the 1950s, the number of chiropractors grew in Iowa, and chiropractors were seeking equity with other health professions through legislation. In response, the Iowa State Medical Society created a Chiropractic Committee to contain chiropractic and prompted the creation of the “Iowa Plan” to contain and eliminate the chiropractic profession. The AMA leadership was enticed by the plan and hired the Iowa State Medical Society's legislative counsel, who structured the operation. The AMA adopted the Iowa Plan for nationwide implementation to eradicate chiropractic. The formation of the AMA's Committee on Chiropractic, which was later renamed the Committee on Quackery (CoQ), led overt and covert campaigns against chiropractic. Both national chiropractic associations were fully aware of many, but not all, of organized medicine's plans to restrain chiropractic. Conclusion By the 1960s, organized medicine heightened its efforts to contain and eliminate the chiropractic profession. The intensified campaign began in Iowa and was adopted by the AMA as a national campaign. Although the meetings of the AMA committees were not public, the war against chiropractic was distributed widely in lay publications, medical sources, and even chiropractic journals. Details about events would eventually be more fully revealed during the Wilk v AMA trials.

scholarly journals Looking back at the lawsuit that transformed the chiropractic profession part 3: Chiropractic growth

2021 ◽  
Vol 35 (S1) ◽  
pp. 45-54 ◽  
Author(s):  
Claire D. Johnson ◽  
Bart N. Green
Keyword(s):  
Public Relations ◽  
Secondary Data ◽  
Qualitative Inquiry ◽  
Chiropractic Profession ◽  
Business Practices ◽  
Popular Press ◽  
American Hospital ◽  
American Hospital Association ◽  
The Public ◽  
The Third

Objective This is the third paper in a series that explores the historical events surrounding the Wilk v American Medical Association (AMA) lawsuit in which the plaintiffs argued that the AMA, the American Hospital Association, and other medical specialty societies violated antitrust law by restraining chiropractors' business practices. The purpose of this paper is to provide a brief review of the history of the growth of chiropractic, its public relations campaigns, and infighting that contributed to the events surrounding the Wilk v AMA lawsuit. Methods This historical research study used a phenomenological approach to qualitative inquiry into the conflict between regular medicine and chiropractic and the events before, during, and after a legal dispute at the time of modernization of the chiropractic profession. Our methods included obtaining primary and secondary data sources. The final narrative recount was developed into 8 papers following a successive timeline. This paper is the third of the series that explores the growth the chiropractic profession. Results By the 1930s, the AMA was already under investigation for violation of antitrust laws and the National Chiropractic Association was suggesting that the AMA was establishing a health care monopoly. Chiropractic schools grew and the number of graduates rose quickly. Public relations campaigns and publications in the popular press attempted to educate the public about chiropractic. Factions within the profession polarized around differing views of how they thought that chiropractic should be practiced and portrayed to the public. The AMA leaders noted the infighting and used it to their advantage to subvert chiropractic. Conclusion Chiropractic grew rapidly and established its presence with the American public through public relations campaigns and popular press. However, infighting would give the AMA material to further its efforts to contain and eliminate the chiropractic profession.

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