Acute and Critical Care Nurses' Roles in Mass Shootings: An Integrative Review.

IF 2 4区医学 Q3 CRITICAL CARE MEDICINE

Critical care nurse Pub Date : 2024-10-01 DOI:10.4037/ccn2024192

Dawn Carpenter, Alexander Menard, Johnny Isenberger, Gregg A Stevens, Lisa LaRock

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引用次数: 0

Abstract

Background: From 2018 to 2022, mass shooting incidents in the United States increased by 67.7%. Health care-associated shootings also increased. The role of acute and critical care nurses during shootings is not well defined in the literature.

Objective: To identify roles of acute and critical care nurses during mass shooting incidents and provide best-practice recommendations for shooting incidents within a hospital.

Methods: The methods of Whittemore, Knafl, and Torraco informed this integrative review. Ovid MEDLINE, CINAHL, and Scopus databases were searched for publications related to acute and critical care nurses, mass shooting incidents, and hospital setting.

Results: Of 13 589 articles retrieved, 27 were included; 63% were narrative reviews. The highest level of evidence was an expert consensus panel; next highest was a quasi-experimental study that simulated experiences to test mass casualty incident response. Third highest was a qualitative study that analyzed nurses' experiences during a mass casualty experience.

Discussion: The evidence revealed 3 themes: prevention and preparedness, response to incident, and recovery phase. Education and training for acute and critical care nurses about mass shooting incidents are central to defining nurses' roles and best practices for these incidents. Nurses must know Stop the Bleed techniques and run-hide-fight protocols. Additionally, acute and critical care nurses need representation on hospital committees to develop and implement policies and procedures.

Conclusions: Hospitals are not immune to mass shooting incidents. Acute and critical care nurses require education including simulations and drills on mass shooting incidents to ensure safety of nurses and patients.

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急诊和重症监护护士在大规模枪击事件中的角色：综合评述。

背景：从 2018 年到 2022 年，美国大规模枪击事件增加了 67.7%。与医疗相关的枪击事件也有所增加。急危重症护理护士在枪击事件中的角色在文献中没有明确定义：确定急诊和重症监护护士在大规模枪击事件中的角色，并为医院内的枪击事件提供最佳实践建议：方法：本综述参考了 Whittemore、Knafl 和 Torraco 的研究方法。我们在 Ovid MEDLINE、CINAHL 和 Scopus 数据库中检索了与急重症护理护士、大规模枪击事件和医院环境相关的出版物：在检索到的 13 589 篇文章中，有 27 篇被收录；63% 为叙述性综述。证据级别最高的是专家共识小组；其次是一项模拟大规模伤亡事件应对经验的准实验研究。排名第三的是一项定性研究，分析了护士在大规模伤亡事件中的经历：讨论：这些证据揭示了三个主题：预防和准备、事件响应和恢复阶段。对急危重症护理护士进行有关大规模枪击事件的教育和培训是确定护士在此类事件中的角色和最佳实践的核心。护士必须了解止血技术和 "跑-藏-打 "协议。此外，急危重症护理护士需要在医院委员会中有代表，以制定和实施相关政策和程序：医院不能幸免于大规模枪击事件。急危重症护理护士需要接受包括大规模枪击事件模拟和演习在内的教育，以确保护士和患者的安全。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Critical care nurse 医学-护理

CiteScore

2.80

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Critical Care Nurse (CCN) is an official publication of the American Association of Critical-Care Nurses (AACN). Authors are invited to submit manuscripts for consideration and peer review. Clinical topics must meet the mission of CCN and address nursing practice of acute and critically ill patients.