Advanced Emergency Nursing Journal最新文献_第9页

The Potential Utility of Single-Dose Long-Acting Intravenous Antibiotics for Acute Bacterial Skin and Skin-Structure Infections in the Emergency Department. 单剂量长效静脉抗生素在急诊科急性细菌性皮肤和皮肤结构感染中的潜在用途。

IF 0.5

Advanced Emergency Nursing Journal Pub Date : 2023-07-01 DOI: 10.1097/TME.0000000000000467

Kyle A Weant, Haili Gregory

{"title":"The Potential Utility of Single-Dose Long-Acting Intravenous Antibiotics for Acute Bacterial Skin and Skin-Structure Infections in the Emergency Department.","authors":"Kyle A Weant, Haili Gregory","doi":"10.1097/TME.0000000000000467","DOIUrl":"10.1097/TME.0000000000000467","url":null,"abstract":"Acute bacterial skin and skin-structure infections (ABSSSIs) are frequent clinical presentations to emergency departments (EDs) across the nation that can require substantial resources to treat due to several factors. These include an increasing prevalence of methicillin-resistant Staphylococcus aureus (MRSA) as the causative organism, limited availability of oral antibiotics that treat ABSSSIs secondary to MRSA, absorption and pharmacodynamic concerns with oral therapy, and regimen adherence. In patients who are unable to tolerate oral therapy, or are unable to adhere to prescribed antibiotics, inpatient admission for intravenous (IV) antibiotics may be necessary. Although inpatient IV antibiotics used to treat MRSA, such as vancomycin, are relatively inexpensive, hospital admission itself incurs significant associated costs. The introduction of the long-acting lipoglycopeptides, dalbavancin and oritavancin, has many potential advantages for the treatment of ABSSSIs including one- or two-dose regimens, allowing patients to receive their dose in the ED or infusion center and avoid inpatient admission altogether. Existing data have borne out these results, demonstrating that these agents can significantly reduce the length of hospital stay and the overall treatment cost of ABSSSIs. However, as these agents have nontraditional therapeutic regimens compared with alternative IV and oral agents that require consistent dosing, it is imperative to have decision support tools in place to ensure that this therapy is utilized in appropriate patients with ABSSSIs and that its true benefits can be realized for both the patient and the health care system.","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"45 3","pages":"177-186"},"PeriodicalIF":0.5,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9883611","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

Guest Editorial: Exposing Research Misconduct and Data Misrepresentation Targeting Nurse Practitioners in Emergency Care. 客座编辑：揭露针对急诊科执业护士的研究不端行为和数据失实。

IF 0.8

Advanced Emergency Nursing Journal Pub Date : 2023-07-01 DOI: 10.1097/TME.0000000000000466

Wesley D Davis, Lorna Schumann, Dian Dowling Evans, Elda Ramirez, Jennifer Wilbeck

引用次数: 0

Sleep Disturbance and Occupational Fatigue in Emergency Nurses of Public Hospitals in Greece: A Cross-Sectional Study. 希腊公立医院急诊护士的睡眠障碍和职业疲劳：一项横断面研究。

IF 0.5

Advanced Emergency Nursing Journal Pub Date : 2023-07-01 DOI: 10.1097/TME.0000000000000473

Ioannis Kasimis, Panteleimon Perdikaris, Varvara Boutopoulou, Arsenia Tsanaka, Theodora Mantziou, Alexandra Skodra, Vlachioti Effrosyni, Vasiliki Matziou

{"title":"Sleep Disturbance and Occupational Fatigue in Emergency Nurses of Public Hospitals in Greece: A Cross-Sectional Study.","authors":"Ioannis Kasimis, Panteleimon Perdikaris, Varvara Boutopoulou, Arsenia Tsanaka, Theodora Mantziou, Alexandra Skodra, Vlachioti Effrosyni, Vasiliki Matziou","doi":"10.1097/TME.0000000000000473","DOIUrl":"10.1097/TME.0000000000000473","url":null,"abstract":"The emergency department (ED) is a stressful workplace for nurses, due to heavy workload and work shifts, which affect sleep quality, causing occupational fatigue. As a result, nurses burn out and turn over and quality of care is impaired. The aim of this study was to investigate sleep disturbance (SD) and occupational fatigue (OF) in emergency nurses of public hospitals in Greece. This descriptive cross-sectional study was conducted in the ED of tertiary public hospitals in Greece from September 2019 to October 2021, after the approval from the scientific and ethical committee of hospitals and the full informed consent of participants. The Standard Shift work Index (SSI) questionnaire was used, which includes 12 question groups about sleep habits and OF evaluation for shift workers, as nurses. Two hundred and ten ED nurses were recruited for the purpose of the study. In this research their quality of life, sleep completeness, and fatigue levels were studied. A moderate level of SD (total score = 70.54) of nurses was found that was related to marital status, presence of children, and underlying diseases (p = 0.012, p = 0.024, and p = 0.002, respectively). OF was assessed at low levels (score = 27.34) and was mainly related to age, with younger nurses reporting less fatigue compared with older nurses. The effect of work shifts in SD and OF of ED nurses was well documented. ED nurses' OF was correlated with increased SD, age, and marital status. Further research is needed for a better assessment and understanding of the factors that influence SD and OF of ED nurses to plan a strategy to optimize sleep patterns of work shift ED nurses.","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"45 3","pages":"230-239"},"PeriodicalIF":0.5,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9880818","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

Mycoplasma Genitalium: A Lesser-Known Cause of Pelvic Inflammatory Disease. 生殖支原体：盆腔炎的一个鲜为人知的病因。

IF 0.5

Advanced Emergency Nursing Journal Pub Date : 2023-07-01 DOI: 10.1097/TME.0000000000000472

Crystle Harcar

引用次数: 0

Atopic Dermatitis: A Common Pediatric Diagnosis That Is Not Just Another Rash. 特应性皮炎：一种常见的儿科诊断，而不仅仅是另一种皮疹。

IF 0.5

Advanced Emergency Nursing Journal Pub Date : 2023-07-01 DOI: 10.1097/TME.0000000000000468

Michael D Gooch, Kathleen S Jordan

引用次数: 0

Heatstroke on the Rise: A Guide to Implementing Tarp-Assisted Cooling With Oscillation (TACO) in the Emergency Department. 中暑加剧：急诊科实施焦油辅助振荡冷却（TACO）指南。

IF 0.5

Advanced Emergency Nursing Journal Pub Date : 2023-07-01 DOI: 10.1097/TME.0000000000000477

引用次数: 0

The Diagnostic Challenge of an Older Adult With Epigastric Pain in the Emergency Department: High Risk and High Volume. 急诊科老年人上腹痛的诊断挑战：高风险和高容量。

IF 0.5

Advanced Emergency Nursing Journal Pub Date : 2023-07-01 DOI: 10.1097/TME.0000000000000475

Karen Sue Hoyt, Kathleen S Jordan

引用次数: 0

Spontaneous Pneumothorax: Controversies in Treatment. 自发性胸腔积液：治疗中的争议。

IF 0.5

Advanced Emergency Nursing Journal Pub Date : 2023-07-01 DOI: 10.1097/TME.0000000000000465

Marlen Alvarez, Dian Dowling Evans, Paula Tucker

引用次数: 0

Intracranial Hemorrhage Presenting With ST-Segment Elevation and T-Wave Inversion Concerning for Acute Myocardial Infarction. 急性心肌梗死并发ST段抬高和T波倒置的颅内出血。

IF 0.5

Advanced Emergency Nursing Journal Pub Date : 2023-07-01 DOI: 10.1097/TME.0000000000000471

Evan Rusoja, Amandeep Singh

引用次数: 0

Splint Quality Assessment and Improvement Among Emergency Department Staff. 急诊科工作人员分流质量评估与改进。

IF 0.5

Advanced Emergency Nursing Journal Pub Date : 2023-07-01 DOI: 10.1097/TME.0000000000000474

Jason Cucchiara, Julie Thompson, Michael Zychowicz, Adam McHone, Robert Williamson

{"title":"Splint Quality Assessment and Improvement Among Emergency Department Staff.","authors":"Jason Cucchiara, Julie Thompson, Michael Zychowicz, Adam McHone, Robert Williamson","doi":"10.1097/TME.0000000000000474","DOIUrl":"10.1097/TME.0000000000000474","url":null,"abstract":"The purpose of this quality improvement project is to assess and improve the quality of splint application in the emergency department (ED), as well as the splint application confidence level of the ED staff. Consistent and high-quality splint application is critical in fracture stabilization and prevention of further injury. Significantly high turnover and a lack of formal training of ED staff has led to poor splint application, and in some cases, patient injuries related to the splints themselves. These injuries include pain, edema, and skin complications (A. P. Carino, 2017). A random, Likert-based analysis was performed on 20 ED-applied splints. Once analysis was complete, training courses were implemented to improve splint application techniques. Using the same Likert-based tool, applications of 20 posttraining splints were analyzed. In addition, ED staff confidence levels were scored before and after the training courses. Overall, statistically significant improvement was achieved in splint application quality and staff confidence. Correct splint applications increased from 50% to 95% after the educational sessions. Staff confidence in splint application also increased, from 35% to 77.1%. Quality splint application affects all patients. The higher risk population is more likely to suffer the consequences of poor splint application. This project had a positive impact on the region's marginalized patient population. These patients have limited resources, including lack of transportation, financial limitations, and typically are at higher risk for complications due to comorbidities.","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"45 3","pages":"240-247"},"PeriodicalIF":0.5,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9886128","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