Canadian Journal of Emergency Nursing最新文献

{"title":"A Better Way to Care for Long Term Care (LTC) residents in Times of Medical Urgency: Improving Acute Care transfers for LTC Residents.","authors":"L. Wyer, Abraham Munene, Tatiana Penconek, S. Reid, E. Lang, V. Ewa, G. Cummings, P. McLane, E. Spackman, P. Faris, Marian George, J. Holroyd-Leduc","doi":"10.29173/cjen217","DOIUrl":"https://doi.org/10.29173/cjen217","url":null,"abstract":"Background: Prior to the pandemic, every day approximately 28 long term care (LTC) residents were transferred to an emergency department (ED) in Alberta. This was placing increasing strain on healthcare resources and potentially negatively impacting the health and wellness of residents (e.g., exposure to iatrogenic harms). Many residents’ conditions could be managed within LTC if appropriate supports were provided. Poor communication between LTC and EDs can also lead to long ED lengths of stay, unnecessary resource utilization, sub-optimal health outcomes, and exposure to iatrogenic harms for LTC residents. Two INTERACT® tools (tools for early identification of acute medical issues) and a new care and referral pathway were implemented to help identify and address changes in health status among LTC residents sooner, improve communication between LTC and ED providers, and reduce unnecessary ED transfers.\u0000 \u0000Methods: Between October 2019 and April 2022, 40 LTC homes and 4 EDs within the Calgary zone implemented the standardized LTC-to-ED care and referral pathway supported by a centralized telephone advice and transfer system for healthcare providers, community paramedics, and two INTERACT® tools (Stop and Watch for healthcare aides; Change in Condition Cards for nursing). Using a randomized stepped-wedge design, the pathway was implemented within 9 cohorts of (4-5) LTC facilities every 3 months, supported by an implementation coach. Three-hour train the trainer implementation sessions were conducted in-person or online with over 325 health practitioners in the enrolled LTC homes using strategies adapted to consider local context and barriers, as well as considering pandemic-related challenges.\u0000 \u0000Evaluation Methods: Evaluation of the intervention involved both qualitative and quantitative methods. The primary study outcome is change in transfers from LTC to ED; secondary (quantitative) outcomes include hospital admissions, utilization of the centralized telephone advice and transfer system, and community paramedic visits. Analysis of these quantitative outcomes utilized negative binomial regression to estimate the incident rate with 95% confidence intervals (per 1000 residents), while adjusting for the different cohorts. The quantitative evaluation also included an economic analysis to determine potential cost savings. Interviews with healthcare providers were conducted to provide context to their experience with the intervention and ways it can be improved.  These interviews will be interpreted with the involvement of members of our project resident and family advisory council.\u0000 \u0000Results: Quantitative results demonstrate a reduction in the LTC-to-ED transfer rate [1.70 (95%CI 1.61-1.79) post-intervention) vs 1.91 (95%CI 1.84-2.00) pre-intervention], along with reduction in hospital admission rates [0.94 (95%CI 0.88-1.00) vs 1.08 (95%CI 1.03-1.14)]. There was an increase in utilization of the centralized telephone advice and transfer system [0.18 (95","PeriodicalId":377763,"journal":{"name":"Canadian Journal of Emergency Nursing","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131060759","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 Mental health Barriers in Emergency Rooms (EMBER)","authors":"Emily C Hilton, Jacqueline Smith, Andrew C. H. Szeto, S. Knaak, E. Chan, Rachel Grimminck, Jennifer Smith, S. Horn, Wafa Mustapha","doi":"10.29173/cjen209","DOIUrl":"https://doi.org/10.29173/cjen209","url":null,"abstract":"Background: Mental illness stigma is a complex public health issue that creates barriers for clients seeking services. For many clients, an ED visit may be their first point of contact with the health-care system for a mental illness/addiction crisis – but it often results in poor outcomes and negative experiences due to discriminatory and structural inequities. Calgary Health Foundation has funded a five-year multiphase study (EMBER) to explore stigma holistically through patients, families, physicians, psychiatrists, nurses, and protective services in FMC ED. The goal is to explore, address, understand, and evaluate interventions that mitigate stigma at both the individual and organizational levels.\u0000 \u0000Methods: The EMBER research team is working collaboratively with AHS Policy Services team to examine mental health and addiction-related policies that may be connected to institutional stigma and practices that create barriers to access, help-seeking and the provision of mental health and addiction services. The ORBIT model is being used as a conceptual framework to support the cross-disciplinary approaches used by the research team to explore clinical and public health policy needs (phases 1 & 2); multiple intervention strategies (phase 3); targeted changes in health behaviors related to mental health stigma; and the potential of behavioral treatments to affect health outcomes (phases 4 & 5).\u0000Intervention implementation considerations include: (1) the perceived fit between proposed training and identified learning needs; (2) the suitability of intervention content for different learner groups; (3) intervention length; (4) format of delivery; (5) size of training groups; (6) mix of professionals within groups; (7) incentives for participation; (8) sustainability; (9) support for reinforcement of training over time; (10) anticipated implementation challenges and how to address them; and (11) expected or desired outcomes.\u0000 \u0000Evaluation Methods: Addressing structural and resource inequities in the delivery of mental health/addiction care is a focal point of our study and an evidenced based pathway to ensure improved health outcomes for all Albertans. We are employing a mixed-method approach to capture quantitative and qualitative findings related to the experiences of patients/families, health care providers, and protective services as well as the policies that inform the delivery of care in ED settings.\u0000 \u0000Evaluation throughout Phases 1/2 included thematic analysis of interview and focus group transcripts. In Phase 1, baseline surveys were used to collect demographics of participants and current levels of stigma amongst ED staff. Phase 2a, includes policy review through a human rights lens. In Phase 3, quantitative and qualitative surveys will be used pre- and post-intervention, and at follow up points (TBD). In Phases 4/5, the intervention data will be synthesized and used to inform recommendations for scale and spread.\u0000 \u0000Results: Based on in-depth 6","PeriodicalId":377763,"journal":{"name":"Canadian Journal of Emergency Nursing","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132767560","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":"Edmonton Zone triage project (EZ Triage)","authors":"C. Picard, R. Cotton, Murray Ware, Annah L. Hill, Brenda Bell, Lindsay Bouffard, D. O’Dochartaigh, Donalda Dyjur, C. Montgomery, M. Douma, C. Norris","doi":"10.29173/cjen223","DOIUrl":"https://doi.org/10.29173/cjen223","url":null,"abstract":"Background: Canadian Emergency Departments (ED) use the five-point Canadian Triage Acuity Scale (CTAS) to prioritize patients according to acuity. CTAS scores are used to make decisions on patient flow, staffing complement, and funding. Variations in triage can lead to mis-categorization and delayed care for critically ill patients. Edmonton zone quality improvement audits reduced high and low-risk vital sign errors (86% and 78%, respectively), increased between-nurse triage consistency, and levelled triage burden for individual nurses. However, previous audits were time-consuming and required auditors with clinical, data management, and analysis expertise, preventing their wide-scale adoption. \u0000  \u0000Implementation: This project utilizes the AHS AIW implementation framework. It is the extension of a triage audit and feedback tool that was developed and validated over a three-year window (Cotton et al., 2021). This current project is a scaling-up of the QI audit framework to a Tableau dashboard that will allow ED administrators and educators to efficiently examine individual nurse-level and department triage variation to craft local QI measures to improve triage accuracy. \u0000  \u0000The newly developed QI tool uses raw EPIC data retrieved from AHS data warehouses. It translates the framework to a python script that duplicates existing Excel QI framework Boolean logic and generates binary output variables. These variables are then loaded into a preformatted Tableau dashboard that displays both department and nurse-level triage variances (trimmed mean and standard deviation) for the following variables: high and low acuity vital sign error rates, triage acuity overrides, and sepsis alerts. The dashboard data (and visualizations) allow users to filter errors by nurse and error type. They include all the relevant triage-associated data and can be used for near real-time monitoring of triage variances or downloaded for additional department-level analyses. \u0000  \u0000Patient and Family Engagement: Triage has consistently been identified as an area of concern for hospital administrators, clinicians, and patients. Most complaints received by hospitals about ED care are generated at triage. Literature has suggested that triage can be cognitively demanding for nurses, and data have suggested that patients have experienced bias during triage. This project will benefit patients by minimizing errors, ensuring consistent triage, and allowing other sites across the province to engage in similar QI efforts. Because these triage QI efforts require the review of patient-sensitive data, patients were not included in the analyses.  \u0000  \u0000Evaluation Methods: The output of the triage audit dashboard was assessed in two ways: by soliciting the feedback of clinical audit end-users on the ease of use and operability of the dashboard, and by assessing the reliability of the tool by comparing it to the existing definitions and standard of screening. \u0000  \u0000The user interface of the triage audi","PeriodicalId":377763,"journal":{"name":"Canadian Journal of Emergency Nursing","volume":"139 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134277046","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":"International Federation of Emergency Medicine campaign on crowding","authors":"Tyara Marchand, E. Lang","doi":"10.29173/cjen206","DOIUrl":"https://doi.org/10.29173/cjen206","url":null,"abstract":"Background: The international crisis of emergency department crowding, and access block has reached new heights with the fallout from the COVID-19 pandemic. Many ED’s around the globe continue to overflow their departments with “hallway medicine” becoming the new norm for many countries. The International Federation of Emergency Medicine has responded to this health equity issue with the creation of an international campaign against crowding. With this campaign, IFEM hopes to move research into action by creating an international campaign to highlight why overcrowding matters and what physicians, hospital administrators, and health ministries can do to combat this issue. \u0000Methods: International relations have been vital throughout the development and implementation of this campaign. To date the implementation plan is to launch a social media presence the first two weeks of December 2022 where we put patient stories and on the ground solutions at the forefront. This movement is a multi-tiered strategy to use social media and the public to bring awareness to this health equity issue. We have created position statements, social media content, IFEM press releases, and pre-written letters for physician use to politicians or hospital administrators. Throughout this process we have also been gathering international news articles that detail the lethal consequences of crowding that we plan to display during the campaign. \u0000Evaluation Methods: The campaign will be evaluated via social media measures such as retweets/likes on Twitter, likes on Instagram, and hashtag use. In addition, there will be a post-campaign survey that campaign members and stakeholders can fill out to discuss the successes and possible areas of improvement for future campaign efforts. Evaluation of the campaign on an ongoing basis will be important to ensure that the finite resources of the organization is used to create the biggest impact. \u0000Results: Results for campaign launch will become available the third week of December 2022. Preliminary results show an overwhelming emergency physician desire for an international movement so that clinicians can show the immense impacts this issue has caused within their departments. There has also been voting on the social media content within the project team with the hashtags #NoMoreLivesLostWaiting and #ResetEmergencyCare to be the most effective messaging. \u0000Advice and Lessons Learned: \u0000 \u0000Ensure that you have a strong team of support and dedicated project leads – having strong clinicians willing to take on a specified area of the campaign played a vital role in the success of this campaign thus far \u0000Build off the successes and failures of others; a key role in the development of this campaign was seeing what initiatives have gone on in the past and how can ours utilize their accomplishments and learn from their failures \u0000Keeping a positive attitude is vital; when discussing an emotionally charged issue like crowding, keeping a positive outloo","PeriodicalId":377763,"journal":{"name":"Canadian Journal of Emergency Nursing","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126607553","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":"Domestic Abuse Screening: Normalizing Assessment at Triage through Simulations","authors":"D. Peta, Annamaria Mundell","doi":"10.29173/cjen205","DOIUrl":"https://doi.org/10.29173/cjen205","url":null,"abstract":"Background: Research suggests those residing in rural and remote locations across the province are more vulnerable to domestic violence (DV), with rates of DV and domestic homicide being three times higher than in urban areas (Canadian Domestic Homicide Prevention Initiative, 2019). Alberta has the third highest rate of police reported DV cases across Canada (Statistics Canada, 2019). Complex social determinants leading to this increase include geographic and social isolation, economic barriers, traditional social values, barriers to services, public visibility and the prevalence and normalization of firearms (Canadian Domestic Homicide Prevention Initiative, 2019). This simulation helps participants to recognize signs of possible domestic violence using screening tool at triage, understand and identify local processes available for domestic abuse and what resources their care area may have for victims.\u0000 \u0000Methods: To support and empower frontline healthcare professionals to recognize and respond to domestic violence within the healthcare setting, a partnership between South Zone (SZ) educators, the AHS (Alberta Health Services) eSIM team and the Provincial Domestic Abuse Response Team (DART) was created. Through a shared vision of empowering frontline healthcare staff, a unique Domestic Violence Screening Scenario was developed. Utilizing a flipped classroom approach, participants are provided didactic education prior to participating in the SBE, followed by a debrief using an adapted PEARLS framework approach.\u0000The approach provides a psychologically safe, judgement free environment to engage in critical reflexivity and discussion of the complex social determinants that place those residing in rural and remote areas at additional risk of experiencing DV (Canadian Domestic Homicide Prevention Initiative, 2019). Additionally, participants are given the opportunity to practice utilization of the DV universal screening tool and develop understanding of the importance of routine screening within a healthcare setting. Currently this education scenario is provided during the annual Rural Skills Days at each of our south zone sites.\u0000 \u0000Evaluation Methods: The SZ educators, AHS eSIMs Provincial Scientific team and DART developed several evaluation tools to capture data regarding the impact and applicability of the SBE Domestic Violence Screening Scenario, both on participants and patients seeking support for domestic violence in the emergency department setting.\u0000Data collection activities to measure the outcomes and impact of the SBE include:\u0000\u0000A pre- and post-SBE quantitative survey, which includes effective self-reported measures on: (1) attitudes of personal bias (2) communication strategies and (3) awareness of organizational resources.\u0000Participants will be contacted 3 and 6 months after the session for the following:\u0000\u0000Completion of the same evaluation survey (pre- and post-SBE) to capture data regarding the applicability of SBE learning to their clinic","PeriodicalId":377763,"journal":{"name":"Canadian Journal of Emergency Nursing","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126590238","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":"A progress update on the implementation of a multi-faceted intervention to spread and scale bronchiolitis appropriate care in Alberta","authors":"N. Solbak, E. Thompson, A. Peterson, L. Long, Daina Thomas, Brittany Sunderani, Hilary Ambrose, J. Thull-Freedman, Michelle Bailey, David Johnson","doi":"10.29173/cjen219","DOIUrl":"https://doi.org/10.29173/cjen219","url":null,"abstract":"Background: Acute viral bronchiolitis is among the most common illnesses seen in the emergency department (ED) and is the leading cause of infant hospitalization in Canada. Successful implementation of an audit and feedback (A&F) intervention at the Alberta Children’s Hospital (ACH) reduced use of low-value interventions and tests for bronchiolitis. Opportunities to improve bronchiolitis management are likely also present in other urban and rural settings. This project will spread and scale the work completed at ACH to 16 sites across Alberta focusing on children under one-year diagnosed with bronchiolitis who managed both in ED and inpatient settings. \u0000  \u0000Methods: Site implementation included two key aspects: \u0000 \u0000Audit & Feedback (A&F) – review practice data, facilitated discussion with clinicians and their teams, and identify enablers and barriers to practice change. \u0000 \u0000The seasonality of bronchiolitis cases (November to April) helped inform the frequency of A&F feedback reports: mid-season (February) and end-of-season (April) \u0000Clinical dashboards are being developed within the new clinical information system – ConnectCare - that will provide teams with real-time feedback on potential practice change. \u0000 \u0000 \u0000Site Specific Implementation Plan – Resources are tailored to fit site needs including the use of posters, handouts and practice guidelines; utilization of order sets; and staff and family education resources. \u0000 \u0000The bronchiolitis initiative is eligible for Continuing Medical Education accreditation through a newly developed easy-to-navigate web-based tool, My Practice Improvement – MyPI. An Education Working Group consisting of patient and family advisors was developed. Family resources included a QR code handout to a “How to suction your baby’s nose” instructional video to help parents/families care for their child at home. The HEAL handout provided links to additional resources for families. Family centred care participants were consulted on the development of a family resource: “Bronchiolitis: A roadmap from admission until discharge”. \u0000  \u0000Evaluation Methods: The primary objective of the study is a 25% absolute reduction in chest radiograph use. Chest x-rays utilization can be readily obtained from administrative data at all sites in the project. Return visits to the ED within 72 hours of discharge will be monitored as a balancing measure to assess potential unintended consequences of de-implementing low-value tests and interventions in the ED. The provincial rollout of ConnectCare and tableau dashboard integration will enable a broader array of tests and treatments that are used in the management of bronchiolitis to be reported. The spread and scale of this project has now engaged with ED sites in non-tertiary settings in urban and rural areas where patient demographics and resource availability could pose additional challenges. Providing education and resources for these sites is one way to ensure equitable healthcare access for all Albe","PeriodicalId":377763,"journal":{"name":"Canadian Journal of Emergency Nursing","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125288793","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":"Clinician’s Corner: An introduction to point-of-care ultrasound","authors":"Allan Lai, Monique Mclaughlin, J. McLean","doi":"10.29173/cjen210","DOIUrl":"https://doi.org/10.29173/cjen210","url":null,"abstract":"A 67-year-old is brought to your resuscitation room in your emergency department. She is in acute distress and has a blood pressure of 211/120, a heart rate of 130 per minute, a respiratory rate of 31 breaths per minute, and an oxygen saturation of 88% on room air. You are about to call for a portable chest radiograph, but the emergency nurse practitioner reaches for the point-of-care ultrasound machine, puts the probe on the patient’s chest, and in under a minute, states: “I see B-lines and weak cardiac contractility; there is normal lung sliding.”","PeriodicalId":377763,"journal":{"name":"Canadian Journal of Emergency Nursing","volume":"65 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128067243","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":"Editorial: Wellness and resilience: Beyond buzzwords and BS","authors":"P. Brindley","doi":"10.29173/cjen201","DOIUrl":"https://doi.org/10.29173/cjen201","url":null,"abstract":"A friend recently quit after 25 years working in healthcare. His parting words were memorable and chilling: “When I started this job I was given a bag for cash and a bag for crap; both bags are now full, so I’m outta here.” This ICU doctor did not know whether to cheer or cringe, but I understood where he was coming from. Hopefully you cannot relate, but I suspect many can. If so, then it’s time for a proper chat. I’ll share a few dark secrets, in the hopes that you feel safe doing the same.","PeriodicalId":377763,"journal":{"name":"Canadian Journal of Emergency Nursing","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125778558","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":"Inpatient supervised consumption services: A nursing perspective","authors":"Danielle Mercier, Matthew J. Douma, C. Montgomery","doi":"10.29173/cjen200","DOIUrl":"https://doi.org/10.29173/cjen200","url":null,"abstract":"Harm reduction reduces the risk of negative effects of health behaviours. Supervised consumption services (SCS) provide clean, safe and supervised locations for substance use. They are one strategy to reduce unintentional overdose and spread of infectious disease. The first in-hospital SCS in Edmonton, Alberta continues to offer services to inpatients. Nurses provide supervision of substance use, health promotion and education to clients. SCS staff also provide education to hospital nursing staff who refer clients for SCS. Despite existing community and hospital SCS, nursing frameworks for SCS and federal and provincial policies that support SCS, implementation of SCS in hospitals is uncommon. Nurses should be informed about SCS and their potential for further implementation. Existing programs can be useful templates for future implementation in hospitals. Nurses can be advocates for harm reduction strategies in their workplace that include SCS.","PeriodicalId":377763,"journal":{"name":"Canadian Journal of Emergency Nursing","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121241738","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":"Pediatric Emergency Resident – Nurse Teaching: a Survey of an Innovative Method","authors":"Chady El Tawil, Daniel Brody","doi":"10.29173/cjen180","DOIUrl":"https://doi.org/10.29173/cjen180","url":null,"abstract":"Background \u0000Triage is one of the most important steps in the emergency department (ED), as it helps to recognize the urgency among patients. A proper triage system identifies the most critical patients regardless of the time of presentation. Triage nurses rarely can follow up on their triaged patients to verify the accuracy of their decision. \u0000Methods \u0000A teaching session on male genitalia triage by a Pediatric Emergency Medicine (PEM) resident was given to triage nurses and a survey was sent afterwards to all participants to evaluate the confidence in their triage accuracy before and after the session. \u0000Results \u0000The results showed a statistically significant increase in the confidence of nurses in avoiding both undertriage and overtriage accuracy. Also, all the nurses recommended attending similar talks given by a PEM resident. This study has helped in ameliorating interprofessional relationship between the nurses and residents especially with the increased use of masks. However, the number of nurses is too small to be representative and a bigger quality improvement study is needed. \u0000Conclusion \u0000PEM resident-nurses teaching is an innovative method to improve the accuracy and quality of triage and to help establish good interpersonal relationship skills in the pediatric ED. More studies are needed in the future to validate this technique so that it can be implemented for all presentations.","PeriodicalId":377763,"journal":{"name":"Canadian Journal of Emergency Nursing","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125655084","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}