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How to break bad news. 如何打破坏消息
Emergency Nurse Pub Date : 2023-09-05 Epub Date: 2023-06-20 DOI: 10.7748/en.2023.e2174
Aby Mitchell
{"title":"How to break bad news.","authors":"Aby Mitchell","doi":"10.7748/en.2023.e2174","DOIUrl":"10.7748/en.2023.e2174","url":null,"abstract":"<p><strong>Rationale and key points: </strong>Breaking bad news is a fundamental yet challenging aspect of the role of healthcare professionals, including nurses. This article provides a step-by-step framework that nurses can use when delivering bad news and having challenging conversations with patients and/or families. • Preparation is important to ensure that challenging conversations are carried out in a suitable physical environment and with family members and/or friends present as appropriate. • Using a framework can aid nurses when undertaking challenging conversations, ensuring that all necessary aspects of the process are incorporated. • Nurses need to manage the expectations of patients and family members and respond appropriately to their emotional reactions. REFLECTIVE ACTIVITY: 'How to' articles can help to update your practice and ensure it remains evidence based. Apply this article to your practice. Reflect on and write a short account of: • How this article may help you to deliver bad news using a step-by-step framework in your practice. • How you can use the information in this article to communicate effectively and address emotional distress when breaking bad news.</p>","PeriodicalId":35711,"journal":{"name":"Emergency Nurse","volume":"31 5","pages":"17-21"},"PeriodicalIF":0.0,"publicationDate":"2023-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10213998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
What nurses need to know to care for young adult patients in EDs 护士在急诊科照顾年轻成年病人需要知道什么
Emergency Nurse Pub Date : 2023-09-05 DOI: 10.7748/en.31.5.7.s5
Norman Miller
{"title":"What nurses need to know to care for young adult patients in EDs","authors":"Norman Miller","doi":"10.7748/en.31.5.7.s5","DOIUrl":"https://doi.org/10.7748/en.31.5.7.s5","url":null,"abstract":"","PeriodicalId":35711,"journal":{"name":"Emergency Nurse","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43156170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Assessment and management of adult patients with neutropenic sepsis in the emergency department. 急诊科对嗜中性败血症成人患者的评估和管理。
Emergency Nurse Pub Date : 2023-09-05 Epub Date: 2023-02-16 DOI: 10.7748/en.2023.e2159
Daniella Elizabeth Leloch
{"title":"Assessment and management of adult patients with neutropenic sepsis in the emergency department.","authors":"Daniella Elizabeth Leloch","doi":"10.7748/en.2023.e2159","DOIUrl":"10.7748/en.2023.e2159","url":null,"abstract":"<p><p>As cancer diagnoses rise, and more treatment options become available, doctors, nurses and allied health professionals will increasingly encounter more patients with acute oncological emergencies in the emergency department (ED). Neutropenia (low levels of neutrophils in the blood) is a common side effect of systemic anti-cancer therapy, particularly chemotherapy, and has a negative effect on patients' immune system, leaving them vulnerable to infection. Patients who develop neutropenia are at increased risk of developing neutropenic sepsis, a potentially life-threatening condition that requires urgent assessment and treatment within an hour of presentation. This article describes the risk factors for and signs and symptoms of neutropenic sepsis and outlines assessment and management of patients who present to the ED with this condition.</p>","PeriodicalId":35711,"journal":{"name":"Emergency Nurse","volume":"31 5","pages":"22-26"},"PeriodicalIF":0.0,"publicationDate":"2023-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10529263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
How to manage radiology and pathology results 如何管理放射学和病理学结果
Emergency Nurse Pub Date : 2023-09-05 DOI: 10.7748/en.31.5.10.s7
Pavan Amara
{"title":"How to manage radiology and pathology results","authors":"Pavan Amara","doi":"10.7748/en.31.5.10.s7","DOIUrl":"https://doi.org/10.7748/en.31.5.10.s7","url":null,"abstract":"","PeriodicalId":35711,"journal":{"name":"Emergency Nurse","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47133531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Meet the nurses working in some surprising places 认识一下在一些令人惊讶的地方工作的护士
Emergency Nurse Pub Date : 2023-09-05 DOI: 10.7748/en.31.5.12.s8
Yvonne Covell
{"title":"Meet the nurses working in some surprising places","authors":"Yvonne Covell","doi":"10.7748/en.31.5.12.s8","DOIUrl":"https://doi.org/10.7748/en.31.5.12.s8","url":null,"abstract":"","PeriodicalId":35711,"journal":{"name":"Emergency Nurse","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48075238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Non-urgent presentations to the paediatric emergency department: a literature review. 儿科急诊的非急诊病例：文献综述。
Emergency Nurse Pub Date : 2023-09-05 Epub Date: 2023-02-02 DOI: 10.7748/en.2023.e2154
Alessandra Pol, Valentina Biagioli, Luca Adriani, Giulia Fadda, Orsola Gawronski, Luisa Cirulli, Rocco Stelitano, Tatiana Federici, Emanuela Tiozzo, Immacolata Dall'Oglio
{"title":"Non-urgent presentations to the paediatric emergency department: a literature review.","authors":"Alessandra Pol, Valentina Biagioli, Luca Adriani, Giulia Fadda, Orsola Gawronski, Luisa Cirulli, Rocco Stelitano, Tatiana Federici, Emanuela Tiozzo, Immacolata Dall'Oglio","doi":"10.7748/en.2023.e2154","DOIUrl":"10.7748/en.2023.e2154","url":null,"abstract":"<p><p>It is estimated that between 58% and 82% of children and young people who present to paediatric emergency department (PEDs) have a non-urgent condition. This systematic review of the literature explores why parents of children with non-urgent conditions present to the PED rather than to community healthcare services. Five databases were searched for studies on children and young people's presentations to the PED for the treatment of a non-urgent condition, as identified by a low priority triage code. This article describes and discusses the findings of the 18 included studies.</p>","PeriodicalId":35711,"journal":{"name":"Emergency Nurse","volume":"31 5","pages":"35-41"},"PeriodicalIF":0.0,"publicationDate":"2023-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10159285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Inspectors raise concerns about staff burnout 检查员对员工倦怠表示担忧
Emergency Nurse Pub Date : 2023-09-05 DOI: 10.7748/en.31.5.6.s3
{"title":"Inspectors raise concerns about staff burnout","authors":"","doi":"10.7748/en.31.5.6.s3","DOIUrl":"https://doi.org/10.7748/en.31.5.6.s3","url":null,"abstract":"","PeriodicalId":35711,"journal":{"name":"Emergency Nurse","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46179975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Benefits of a collaborative approach to service evaluation in urgent care. 紧急护理服务评估合作方法的益处。
Emergency Nurse Pub Date : 2023-09-05 Epub Date: 2022-11-22 DOI: 10.7748/en.2022.e2160
Craig Brown, Deborah Armstrong, Alexandra Gibbins, Rhiannon Roynon, Alice Groves, Alastair Richards, Claire McCarthy, Richard Bowen, Helena White, Mike Brady
{"title":"Benefits of a collaborative approach to service evaluation in urgent care.","authors":"Craig Brown, Deborah Armstrong, Alexandra Gibbins, Rhiannon Roynon, Alice Groves, Alastair Richards, Claire McCarthy, Richard Bowen, Helena White, Mike Brady","doi":"10.7748/en.2022.e2160","DOIUrl":"10.7748/en.2022.e2160","url":null,"abstract":"<p><p>Collaboration and service evaluation are essential enablers for improving models of health and social care. Significant benefits can be achieved when they are combined to form a collaborative service evaluation, particularly when such collaboration involves different clinical professions. This article uses the NHS 111 Wales service to explore a simple example of collaborative service evaluation and to discuss the benefits and challenges identified. While the tabletop exercises described were expected to focus solely on compliance data and the reasons for non-compliance, broader learning was identified for all parties involved. It became clear that there was a lack of shared understanding of each service, and that there were opportunities for education and opportunities to develop new national pathways. It is hoped that readers may be able to compare, learn and possibly replicate the collaborative approach used in their practice settings to achieve similar outcomes.</p>","PeriodicalId":35711,"journal":{"name":"Emergency Nurse","volume":"31 5","pages":"27-33"},"PeriodicalIF":0.0,"publicationDate":"2023-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10147723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Royal London wins city’s first autism inclusion award 皇家伦敦赢得了城市首个自闭症包容奖
Emergency Nurse Pub Date : 2023-09-05 DOI: 10.7748/en.31.5.6.s4
{"title":"Royal London wins city’s first autism inclusion award","authors":"","doi":"10.7748/en.31.5.6.s4","DOIUrl":"https://doi.org/10.7748/en.31.5.6.s4","url":null,"abstract":"","PeriodicalId":35711,"journal":{"name":"Emergency Nurse","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44070838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sepsis awareness month: a reminder of the need for swift action 脓毒症宣传月:提醒人们需要迅速采取行动
Emergency Nurse Pub Date : 2023-09-05 DOI: 10.7748/en.31.5.5.s1
{"title":"Sepsis awareness month: a reminder of the need for swift action","authors":"","doi":"10.7748/en.31.5.5.s1","DOIUrl":"https://doi.org/10.7748/en.31.5.5.s1","url":null,"abstract":"","PeriodicalId":35711,"journal":{"name":"Emergency Nurse","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42423923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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