Sarah A. Lartey, Matthew J. Douma, Megan Kennedy, Greta Cummings, Charlotte Pooler, C. Montgomery
{"title":"Impact of Nurse Practitioner Role in Emergency Departments","authors":"Sarah A. Lartey, Matthew J. Douma, Megan Kennedy, Greta Cummings, Charlotte Pooler, C. Montgomery","doi":"10.29173/cjen225","DOIUrl":"https://doi.org/10.29173/cjen225","url":null,"abstract":"Background \u0000Overcrowding and long wait times in the emergency department (ED) have resulted in decreased patient satisfaction and quality of care. One of the solutions proposed to address wait times is the introduction of the nurse practitioner (NP) role in the ED. We present a systematic mixed studies review protocol that aims to gather and analyze available knowledge on the impact of the NP role in the ED on patients, other healthcare providers, and organizations. \u0000Methods \u0000The review will employ a mixed studies analysis approach. Data will be gathered from peer-reviewed and grey literature in English with no time limit. All international publications on the impact of NP role implementation that meets the inclusion criteria in the ED setting will be included. Each study will be appraised for quality using the mixed methods appraisal tool and data extracted by two independent authors. In the presence of conflict, a third author will provide a resolution. Study characteristics and findings will be synthesized using descriptive analysis, meta-analysis, and a three-stage thematic analysis approach. The review results will be presented using the PRISMA checklist for systematic reviews. \u0000Conclusions \u0000The systematic review will present current evidence on the impact of NP role implementation in the ED setting. The results are anticipated to support decisions and policymakers in their quest to decrease ED wait times and improve the quality of patient care in healthcare settings. \u0000Keywords: Nursing, Nurse Practitioner, Emergency Department, Patient Care, Systematic Review","PeriodicalId":377763,"journal":{"name":"Canadian Journal of Emergency Nursing","volume":" 34","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140690096","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}
Jean Bourgeois, Greg Clark, Scott Delaney, Jeremy Grushka, Jennifer A Knopp-Sihota
{"title":"English","authors":"Jean Bourgeois, Greg Clark, Scott Delaney, Jeremy Grushka, Jennifer A Knopp-Sihota","doi":"10.29173/cjen195","DOIUrl":"https://doi.org/10.29173/cjen195","url":null,"abstract":"Background: For patients sustaining major trauma, decreasing time to definitive care remains a primary goal. Specialized trauma team involvement is essential for coordinating the emergency department care of complex major trauma patients. The aim of this study was to evaluate if the timing of trauma team involvement impacts length of stay and time to definitive care in the emergency department. \u0000Methods: This is a single-centre retrospective medical record review, including patients meeting Quebec pre-hospital triage criteria for major trauma from May 15, 2018 to December 31, 2020. We assessed time from patient arrival until departure from the resuscitation room, time to CT scan, time to disposition, and overall length of emergency department stay. Patients were grouped according to the timing of trauma team activation (TTA) as (1) pre-hospital notification, (2) on arrival in the emergency department, (3) receiving a trauma consult only, or (4) no trauma team involvement. Mean times and standard deviations were calculated, and group differences were assessed using the Kruskal-Wallis test and the independent sample Mann-Whitney U test. \u0000Results: We identified 371 patients meeting our inclusion criteria; there were no differences between groups in mean time spent in the resuscitation room based on the timing of trauma team involvement (45-51 minutes, p=0.422). A trauma team activation with pre-hospital notification was associated with a statistically significant shorter time to CT scan (62-81 minutes, p=0.010), time to disposition (6:37-13:41, p<0.001), and total emergency department length of stay (9:22-23:16 hours: minutes, p<0.001). \u0000Conclusion: Appropriate trauma team activation improves performance indicators used to evaluate the quality of care in the emergency department. This research suggests that pre-hospital trauma team activation should be considered the standard of care for all patients meeting pre-hospital field triage criteria for major trauma. \u0000 Keywords: trauma, triage, pre-hospital, trauma team activation, trauma quality indicators","PeriodicalId":377763,"journal":{"name":"Canadian Journal of Emergency Nursing","volume":" 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140685818","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}
{"title":"Exploring delay points at the emergency department","authors":"Jenipher Kayuni, Dzifa Dordunoo, Mallidou Mallidou, Mitchell Mohan, Pamela Marquard","doi":"10.29173/cjen158","DOIUrl":"https://doi.org/10.29173/cjen158","url":null,"abstract":"Background \u0000 The increasing time spent in the emergency department is becoming a global problem contributing to overcrowding. The increased length of stay in the emergency department can negatively affect patients' perception of care, contributes to high morbidity and mortality rates, and increased aggression towards staff. Therefore, understanding the delay points will help administrators and policy makers channel resources to the areas that require improvement. \u0000Methods \u0000This is a cross-sectional descriptive study to evaluate the delay points in the emergency department. The study was conducted at level IV community hospital in British Columbia. One hundred sixty-seven participants were recruited using a consecutive convenience sampling. \u0000Results \u0000The total sample size of this study was 167 and the age of the respondents ranged from 18-101 years. There were more females (50.9%) than males (47.9%) or queer individuals. The care point with the longest wait time was tests to physician reassessment (median time 65 minutes), followed by physician to Imaging (median time 52 minutes) and finally nurse to physician assessment (median time 45 minutes). Despite the prolonged length of stay in emergency department, most participants enjoyed the courtesy of staff (74.7%, good-very good) and 59.9% indicated that they would recommend this emergency department to others. \u0000Conclusion \u0000Tests and waiting for physician reassessments are important points in the patient journey in the emergency department that can prolong length of stay. Future studies are needed to determine whether various interventions such as point of care testing, utilizing the Lean Model and improving physician services can help reduce lengths of stay in the emergency department.","PeriodicalId":377763,"journal":{"name":"Canadian Journal of Emergency Nursing","volume":" 20","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140688467","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}
{"title":"Questions de révision pour la CSU(C)","authors":"Heather McLellan, Margaret Dymond","doi":"10.29173/cjen231","DOIUrl":"https://doi.org/10.29173/cjen231","url":null,"abstract":"","PeriodicalId":377763,"journal":{"name":"Canadian Journal of Emergency Nursing","volume":" 40","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140688971","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}
Francis Tenorio, Emma Siegmund, Rebecca Oxland, Jonathan Sherbino, Teresa M. Chan
{"title":"Use of Social Media and Free Open Access Medicine (FOAM) for Continuing Education in Emergency Nursing: A Scoping Review","authors":"Francis Tenorio, Emma Siegmund, Rebecca Oxland, Jonathan Sherbino, Teresa M. Chan","doi":"10.29173/cjen220","DOIUrl":"https://doi.org/10.29173/cjen220","url":null,"abstract":"Objective: Emergency nurses are responsible for ensuring that they have up-to-date knowledge and skills to deal with any situation that may present in clinical practice. As an emerging trend for learners to obtain and discuss evidence-based medical education, social media, Free Open Access Medical education (FOAM) and Free Open Access Nursing education (FOAN) could be used for continuing education in emergency nursing. This scoping review aims to discover what is known about social media and FOAM in continuous emergency nursing education.\u0000Methods: This scoping review was guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses – Extension for Scoping Reviews (PRISMA-ScR). The review searched three databases (Medline, CINAHL, and Web of Science) for any paper that discussed social media or FOAM in the context of continuing education in either general or emergency nursing published in any year. Of the 346 records screened, 12 studies were reviewed for their description of social media for continuing education use and any reported challenges or outcomes.\u0000Results: The current state of literature is limited in describing the use of social media with continuing education specifically in emergency nursing. Rather than as a primary educational intervention, social media has been used to enhance other educational strategies or as in-the-moment forms of learning. Studies that utilized social media showed favorability to its use, but there were often challenges to the methodology of these studies. Despite papers describing the elements of FOAM, papers within the nursing literature did not use this term.\u0000Conclusion: Although the literature on social media in emergency and general nursing literature is growing, it is superficial and broad. More studies are needed to see the overall effects of social media in continuing education in emergency nursing.\u0000Keywords: continuing education, emergency nursing, nursing education, social media.","PeriodicalId":377763,"journal":{"name":"Canadian Journal of Emergency Nursing","volume":" 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140687329","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}
Matthew J. Douma, C. Picard, K. Su, Calah Myhre, K. Smith, C. Montgomery
{"title":"Clinician’s Corner: Meeting family care needs during resuscitative procedures and cardiac arrest in the emergency department","authors":"Matthew J. Douma, C. Picard, K. Su, Calah Myhre, K. Smith, C. Montgomery","doi":"10.29173/cjen228","DOIUrl":"https://doi.org/10.29173/cjen228","url":null,"abstract":"Emergency nurses in Canada provide care to many thousands of critically ill and injured patients, and their families, each year (Rowe et al., 2020). Unfortunately, some Emergency Department (ED) patients and families report a lack of psychosocial and emotional caring (Gordon et al., 2010). Many resuscitative processes and procedures have been described as dehumanizing and traumatic for families (De Stefano et al., 2016; Jang & Choe, 2019). Significant negative emotional and physiological impacts may remain after hospitalization for the patient and their loved ones, whether receiving care for medical, (Davidson & Harvey, 2016) trauma, (McGahey-Oakland et al., 2007) or cardiac arrest presentations (Leske et al., 2013). Families of patients who survive (and those who do not survive) have reported persistent negative psychological effects weeks and months after receiving care in the ED (Jang & Choe, 2019; Keyes et al., 2014; Sawyer et al., 2020).","PeriodicalId":377763,"journal":{"name":"Canadian Journal of Emergency Nursing","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133852672","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}
{"title":"We’re Open: Caring for the Walking Well in a Rural Emergency Department","authors":"Paul Norman, Thomas Heeley, Christopher Patey","doi":"10.29173/cjen165","DOIUrl":"https://doi.org/10.29173/cjen165","url":null,"abstract":"Emergency departments (EDs) are increasingly unable to cope with patient volume, leading staff to question the arrival of those seeking non-urgent care. However, these patients ideally should be afforded appropriate management and treatment. In 2014, the Carbonear General Hospital ED in Newfoundland and Labrador took decisive action, engaging front-line staff and shifting the focus of care away from why patients were visiting to prioritize how best to treat those who did. By 2019, the ED had not needed to resort to hallway medicine, despite a visit volume that increased to 30,000 patients over five years, and staff grew into a close-knit, quality improvement and community force. From this experience, it is evident that small investments in education and system redesign can shift attitudes toward ED care for patients, and provide support for primary care in the community. It has already started in one hospital — we’re open for assistance with primary and non-urgent care.","PeriodicalId":377763,"journal":{"name":"Canadian Journal of Emergency Nursing","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129308411","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}
C. Picard, D. O’Dochartaigh, Cristina Burnett, Richard Drew, Gabriela Peguero-Rodriguez, Guillaume Fontaine, M. Douma
{"title":"NENA Position Statement: Ultrasound Guidance for Peripheral Intravenous Cannulation","authors":"C. Picard, D. O’Dochartaigh, Cristina Burnett, Richard Drew, Gabriela Peguero-Rodriguez, Guillaume Fontaine, M. Douma","doi":"10.29173/cjen212","DOIUrl":"https://doi.org/10.29173/cjen212","url":null,"abstract":"Ultrasound guidance can increase peripheral vein cannulation success by nurses in the Emergency Department (ED). Unfortunately, ED nurses are not routinely trained to use ultrasonography for peripheral vein cannulation and may not have access to the required equipment.","PeriodicalId":377763,"journal":{"name":"Canadian Journal of Emergency Nursing","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125369843","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}
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