International Emergency Nursing最新文献

{"title":"Emergency department patients’ self-perceived medical severity and urgency of care: The role of health literacy, stress and coping","authors":"Amanda McIntyre ,&nbsp;Richard Booth ,&nbsp;Lisa Shepherd ,&nbsp;Mickey Kerr","doi":"10.1016/j.ienj.2025.101599","DOIUrl":"10.1016/j.ienj.2025.101599","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to (1) compare the agreement between triage acuity and emergency department (ED) patients’ self-perceived medical severity and urgency, and (2) examine how health literacy, stress, and coping relate to patients’ perceptions of medical need and urgency.</div></div><div><h3>Methods</h3><div>In this cross-sectional, observational study, 171 patients from a large acute care teaching hospital in Southwestern Ontario were recruited in autumn 2020. English-speaking adults (18 + years) with Canadian Triage Acuity Scale (CTAS) scores from 2 (emergent) to 5 (non-urgent) were included. Patients completed surveys on stress (Perceived Stress Scale), coping (Brief Coping with Problems Experienced), and health literacy (Health Literacy Questionnaire). Electronic medical records linked ED utilization data with patient-reported data. Agreement between CTAS and patients’ self-assessed severity and urgency was analyzed using crosstabs and Cohen’s kappa.</div></div><div><h3>Results</h3><div>A total of 171 patients were recruited. There were no significant differences between ED patients with varying triage acuities and stress, coping, or health literacy levels. Cohen’s kappa statistics showed poor agreement between triage nurse-assigned scores and patients’ self-perceived medical severity and urgency of care. Those who overestimated were younger, single, had low medical acuity (CTAS 4/5), and lower understanding of how to navigate the health care system. Conversely, those who underestimated were older, married, and had high medical acuity (CTAS 2).</div></div><div><h3>Conclusions</h3><div>Future studies should focus on exploring the underlying factors (e.g., sociodemographic variables, clinical health information, and other personal attributes) contributing to discrepancies between patient-perceived severity and triage assessments in a larger, more representative sample.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"80 ","pages":"Article 101599"},"PeriodicalIF":1.8,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143592797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Major trauma coordinators in the UK: A survey of demographics and role functions","authors":"Heather Jarman ,&nbsp;Robert Crouch ,&nbsp;Neil Strawbridge ,&nbsp;Elaine Cole","doi":"10.1016/j.ienj.2025.101598","DOIUrl":"10.1016/j.ienj.2025.101598","url":null,"abstract":"<div><h3>Background</h3><div>Trauma coordinators (TCs) play a key role in managing patients with complex injuries, coordinating care across multiple specialties. This study aimed to investigate the current role functions of TCs in the UK, compare them to findings from 2015, and explore differences between TCs in Major Trauma Centres (MTCs) and Trauma Units (TUs).</div></div><div><h3>Methods</h3><div>A UK-wide cross-sectional survey was conducted using an online questionnaire. Participants included trauma coordinators from MTCs and TUs. Data on role functions, clinical activities, and professional background were analyzed using descriptive statistics.</div></div><div><h3>Results</h3><div>There were 153 responses from TCs from 22 of the 27 trauma networks in the UK. Respondents reported 54 different role titles. Nurses comprised 65 % of the respondents, with 45 % holding a master’s qualification. Clinical activities accounted for 51 % of the role, an increase from 39 % in 2015. Data entry and research responsibilities decreased. Advanced or autonomous practice was reported by 19 % of respondents, with more TCs from TUs engaging in independent prescribing.</div></div><div><h3>Conclusion</h3><div>The role of TCs has evolved since 2015, with increasing clinical responsibilities and more professionals working at advanced practice levels. However, there remains considerable variation in role titles and functions, reflecting the need for standardization and further research on the impact of TC roles on patient outcomes.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"80 ","pages":"Article 101598"},"PeriodicalIF":1.8,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143592909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhancing Disaster surge capacity through reverse triage in Addis Ababa Ethiopia: A retrospective cross-sectional study","authors":"Tsion Seyoum ,&nbsp;Ousman Adal ,&nbsp;Lemlem Beza ,&nbsp;Sue Anne Bell ,&nbsp;Aklilu Azazh","doi":"10.1016/j.ienj.2025.101590","DOIUrl":"10.1016/j.ienj.2025.101590","url":null,"abstract":"<div><h3>Background</h3><div>During disasters and emergencies, hospitals play a pivotal role in response efforts, particularly through the early discharge of inpatients who can be safely discharged to free up capacity. Reverse triage helps hospitals allocate resources efficiently and prioritize patient care according to medical necessity.</div></div><div><h3>Objective</h3><div>To investigate the impact of reverse triage on the surge capacity of public hospitals in Addis Ababa, Ethiopia.</div></div><div><h3>Methods</h3><div>This cross-sectional study was conducted in three public hospitals using convenience sampling. Data were collected from September 1 to 30, 2023. Descriptive statistics and binomial logistic regression were used to identify factors associated with hospital surge capacity.</div></div><div><h3>Results</h3><div>A total of 296 participants were included, of whom 45.9 % were aged 13–34 years and 55 % were female. Of the participants, 69.3 % were admitted through the Emergency Department. The Reverse Triage Tool Leuven was used to assess patients for early discharge, with 58.4 % (95 % CI 52.6 %–64.1 %) qualifying. The percentage of patients eligible for early discharge was approximately 66.7 % (95 % CI 54 %–77.8 %) at Zewditu Memorial Hospital, 57.6 % (95 % CI 49.5 %–65.4 %) at Tikur Anbessa Specialized Hospital (TASH), and 52.8 % (95 % CI 40.7 %–64.7 %) at St. Paul Hospital, Millennial Medical College. Data indicates that obstetric patients have a significantly higher likelihood of early discharge (p = 0.008) with an Adjusted Odds Ratio (AOR) of 12.62 (95 % CI: 3.978–19.147), making them over 12 times more likely to be discharged early than those in medical units. Similarly, psychiatric patients also exhibit a significant early discharge association (p = 0.002) with an AOR of 6.62 (95 % CI: 3.978–9.147), indicating over six times greater likelihood compared to medical patients. Additionally, the age group 35–44 shows a significant relationship with early discharge (p = 0.027), increasing odds by 26 % per year of age. Surgical units also demonstrate a strong association with early discharge (p &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>This study highlights the effectiveness of reverse triage in identifying patients suitable for early discharge during disasters, thereby enhancing surge capacity and resource management in public hospitals. The regression analysis findings indicate that obstetric and psychiatric units significantly influence early discharge rates among hospitalized patients. This has crucial implications for hospital policies focused on optimizing bed usage and enhancing discharge protocols amid rising healthcare demands and resource constraints.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"80 ","pages":"Article 101590"},"PeriodicalIF":1.8,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143549265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychometric validation and cultural adaptation of the Italian version of the ambulance nurse competence scale","authors":"Notarnicola Ippolito ,&nbsp;Rocco Gennaro ,&nbsp;Duka Blerina ,&nbsp;Romano Daniela ,&nbsp;Da Fre Alessandro ,&nbsp;Tesone Luca ,&nbsp;Stievano Alessandro","doi":"10.1016/j.ienj.2025.101589","DOIUrl":"10.1016/j.ienj.2025.101589","url":null,"abstract":"<div><h3>Introduction</h3><div>This study aimed to examine the validity and reliability of the Italian translation of the Ambulance Nurse Competence Scale (I-ANC) through a rigorous psychometric validation process. Ambulance nurses play a critical role in delivering emergency care, making a reliable, culturally adapted tool to assess their competencies essential. In Italy, where nursing practice in pre-hospital settings is expanding, there was a need for a validated tool reflecting the specific competencies of ambulance nurses.</div></div><div><h3>Methods</h3><div>The validation process used a three-phase approach. First, linguistic and cultural adaptation involved forward and backward translation to align with the Italian healthcare context. Second, a panel of experts assessed content and face validity. Finally, construct validity was tested through confirmatory factor analysis (CFA) with a sample of 212 nurses, and reliability was evaluated using Cronbach’s alpha.</div></div><div><h3>Results</h3><div>The I-ANC demonstrated strong performance in linguistic translation and cultural adaptation. Content and face validity assessments showed high levels of agreement among experts, confirming the tool’s relevance. CFA supported the original four-component structure: (1) professional value-based nursing care, (2) professional development and research, (3) management of community events, and (4) management of serious events. These components explained a significant portion of the variance in the data, and Cronbach’s alpha values for each factor exceeded 0.70, confirming internal consistency.</div></div><div><h3>Conclusions</h3><div>The I-ANC is a valid and reliable tool for assessing the competencies of Italian ambulance nurses. Its use can enhance self-assessment, professional development, and the quality of pre-hospital emergency care.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"80 ","pages":"Article 101589"},"PeriodicalIF":1.8,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143528849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Major disaster, profound impact: A qualitative examination of emergency department nurses’ experiences during the 2023 Turkey Maraş earthquake","authors":"Duygu Akbaş Uysal ,&nbsp;Meltem Adaiçi ,&nbsp;Fisun Şenuzun Aykar","doi":"10.1016/j.ienj.2025.101587","DOIUrl":"10.1016/j.ienj.2025.101587","url":null,"abstract":"<div><h3>Introduction</h3><div>This study aims to reveal the experiences of emergency department nurses who were deployed to the region during the Kahramanmaraş earthquake. Emergency nurses play a critical role in disaster management due to their ability to perform rapid and effective triage in crisis situations, which can be life-saving.</div></div><div><h3>Method</h3><div>The study conducted interviews with 20 emergency department nurses using a snowball sampling and criterion sampling approach. The interview questions were developed based on a thorough review of the existing literature and the conceptual framework, and were refined through expert consultations. Feedback from experts was used to evaluate the scope and content of the questions, which were then used to guide the interviews with a semi-structured format. Each interview lasted approximately 20–45 min. The data were analyzed using thematic analysis.</div></div><div><h3>Results</h3><div>Of the 20 nurses participating in the study, 11 were male and 9 were female, with ages ranging from 25 to 45. Two main themes were identified from the data: “Seismic Wounds” and “Navigating in the Rubble.” Under the theme “Seismic Wounds,” the physical and environmental challenges faced by nurses in the region, particularly material shortages and coordination deficiencies, were highlighted. The theme “Navigating in the Rubble” addressed the nurses’ experiences in team formation, emergency triage, and providing psychological support.</div></div><div><h3>Conclusion</h3><div>This study provides a comprehensive overview of the challenges and experiences encountered by emergency department nurses during the Kahramanmaraş earthquake. The physical and environmental challenges, material shortages, and coordination deficiencies experienced by the nurses represented significant obstacles in disaster management. Additionally, the experiences related to team formation, emergency triage, and psychological support underscore the critical importance of nurses’ ability to effectively intervene during crises.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"79 ","pages":"Article 101587"},"PeriodicalIF":1.8,"publicationDate":"2025-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143419717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interventions to retain emergency department nurses: A scoping review","authors":"Amanda Amarrador ,&nbsp;Julia Crilly OAM ,&nbsp;Paula Brough ,&nbsp;Elizabeth Elder","doi":"10.1016/j.ienj.2025.101573","DOIUrl":"10.1016/j.ienj.2025.101573","url":null,"abstract":"<div><h3>Introduction</h3><div>Globally, the nursing workforce is facing significant shortages, exacerbated by the COVID-19 pandemic. Emergency departments (ED) are dynamic environments that expose nurses to high levels of stress. Retention of existing nurses is vital, however the efficacy of interventions to improve the retention of ED nurses is limited. This review aimed to explore the evidence surrounding interventions focussed on addressing the retention of ED nurses.</div></div><div><h3>Method</h3><div>A scoping review of the literature was undertaken, guided by the Joanna Briggs Institute framework. A search of five electronic databases was conducted. Original research published between 2012 and 2023 regarding the population of nurses, the concept of interventions to decrease turnover/improve retention and the context of the emergency department were considered for inclusion.</div></div><div><h3>Results</h3><div>Five articles met the criteria for inclusion; three evaluated educational programs to ease the transition to becoming ED nurses, two assessed locally developed ‘ad hoc’ interventions. All the transitional education programs reported an increase in retention rates, while the ad hoc interventions produced minimal to no improvement in retention or reduction of turnover intent. All studies were conducted in high-income countries.</div></div><div><h3>Conclusion</h3><div>There is a dearth of evidence for organisations to draw upon to increase the retention of ED nurses. Additional research is warranted, especially regarding the long-term effects of interventions aimed at improving ED nurse retention, as well as evaluating interventions implemented in a wider variety of contexts.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"79 ","pages":"Article 101573"},"PeriodicalIF":1.8,"publicationDate":"2025-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143419718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment on “Telenursing as a tool in emergencies and disasters: A systematic review”","authors":"Mehrab Neyazi,&nbsp;Rachana Mehta,&nbsp;Shubham Kumar,&nbsp;Ranjana Sah","doi":"10.1016/j.ienj.2025.101588","DOIUrl":"10.1016/j.ienj.2025.101588","url":null,"abstract":"","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"79 ","pages":"Article 101588"},"PeriodicalIF":1.8,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143379222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nurses’ perceptions of clinical leadership in the emergency department: A qualitative descriptive study","authors":"C. Scott ,&nbsp;L. Kuhn ,&nbsp;C. Moss","doi":"10.1016/j.ienj.2025.101586","DOIUrl":"10.1016/j.ienj.2025.101586","url":null,"abstract":"<div><h3>Aim</h3><div>To understand and describe how clinical leadership practices in nursing are undertaken within the emergency department from the perspectives of experienced emergency nurses.</div></div><div><h3>Research Question</h3><div>How do emergency nurses perceive and practice clinical leadership in the emergency department?</div></div><div><h3>Method</h3><div>A qualitative descriptive design was used. Ten individual semi-structured interviews were conducted with registered nurses with experience working in Australian emergency departments. The data were analysed using thematic analysis.</div></div><div><h3>Result</h3><div>Analysis of how clinical leadership was practiced in the emergency department resulted in the identification of four themes: leadership as coaching; leadership as supporting others; leadership by being where the department needs are; and leadership by sustaining and using hospital systems.</div></div><div><h3>Discussion</h3><div>The findings highlight that clinical leadership is exercised in guiding and supporting less experienced staff through coaching. Clinical leadership is demonstrated through expertise and detailed understanding of hospital systems and is used to empower nurses to trust their clinical judgement. Through understanding hospital systems, clinical leadership is exercised to ensure staff are supported to perform their roles and cater for their departmental and hospital needs.</div></div><div><h3>Conclusion</h3><div>Emergency nurses utilise clinical leadership skills in their everyday practice to coach and support less experienced staff. Emergency nurses who utilise clinical leadership dynamically use their knowledge of staff and systems to meet the constantly changing needs of their respective departments.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"79 ","pages":"Article 101586"},"PeriodicalIF":1.8,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143376931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk Factors and Preventive Measures of Venous Thromboembolism in Trauma Patients using Trauma Embolic Scoring System: A retrospective chart review","authors":"Eun-Ji Choi ,&nbsp;Hyunjin Oh","doi":"10.1016/j.ienj.2025.101585","DOIUrl":"10.1016/j.ienj.2025.101585","url":null,"abstract":"<div><h3>Background</h3><div>Venous thromboembolism (VTE) is a major preventable complication in trauma patients, with varying incidence and risk factors across populations.</div></div><div><h3>Aim/Objective</h3><div>To categorize VTE risk in Korean trauma patients using the Trauma Embolic Scoring System (TESS) and assess the application of prophylaxis by risk level.</div></div><div><h3>Methods</h3><div>This retrospective study at Korea University Guro Hospital involved 1913 trauma patients over two years. Data on demographics, injury specifics, and preventive treatments were analyzed using TESS. The study examined general, mechanical, and chemical interventions for VTE prevention.</div></div><div><h3>Results</h3><div>Of the patients, 1.4% were diagnosed with VTE. The average TESS score was 3.20, indicating lower injury severity but higher percentages of surgeries over 2 h and serious injuries. The findings showed VTE occurrences even in patients with TESS scores below the high-risk threshold, particularly in limb injuries. Nurse-led interventions like early physical activity were most common in the low-risk group, while mechanical prophylaxis like anti-embolism stockings was also predominantly used in this group. Chemical prophylaxis showed consistent administration across groups, with 37.5% of the high-risk group receiving Low Molecular Weight Heparin (LMWH), although only a minority received it within the recommended 48-hour.</div></div><div><h3>Conclusions</h3><div>The study reveals a need for vigilant monitoring and intervention across all risk categories, underscoring the importance of tailored VTE prevention guidelines in South Korea. It highlights the role of comprehensive management, including patient education and adherence to updated guidelines.</div></div><div><h3>Tweetable Abstract</h3><div>New study categorizes VTE risk in Korean trauma patients using TESS, showing the need for tailored prophylaxis across risk levels #VTEPrevention #TraumaCare.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"79 ","pages":"Article 101585"},"PeriodicalIF":1.8,"publicationDate":"2025-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143372692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Accuracy in identification of pre-eclampsia patients at emergency department triage: A quantitative descriptive study","authors":"Lisa Wolf ,&nbsp;Angelique Russell ,&nbsp;Deena Brecher ,&nbsp;Claire Simon","doi":"10.1016/j.ienj.2025.101583","DOIUrl":"10.1016/j.ienj.2025.101583","url":null,"abstract":"<div><h3>Introduction</h3><div>To describe the accuracy of triage decision-making in a sample of US emergency departments regarding the identification of preeclampsia in both pregnant and postpartum patients.</div></div><div><h3>Methods</h3><div>A quantitative correlative retrospective approach using a large data set to verify the impact of accurate identification of the high-risk preeclamptic patient at triage. Data were extracted from a dataset of de-identified ED records. All female-identified patients presenting to the study sites from January 1, 2022-September 30, 2023, were included. Accurate triage of patients was modeled using logistic regression to identify significance and strength of associations between ESI classification and patient disposition outcomes in high-risk patients with the specific emergency department diagnosis of preeclampsia.</div></div><div><h3>Results</h3><div>The final sample included over 1.3 million patients whose record contained an ICD-10 code describing suspected perinatal preeclampsia in 25 sites across four U.S. states. The percentage of high-risk perinatal presentations at triage ranged from 17.7% to 23.3% across sites; the percentage of those patients with a final (confirmed) diagnosis of preeclampsia comprised 881 patients of 243,872 high-risk presentations. Of the 881 patients with preeclampsia, 80.1% (711) were under triaged. Women in the preeclampsia cohort were 66% more likely to be in a maternal care desert and 59% were Hispanic or non-white.</div></div><div><h3>Conclusions</h3><div>While high risk pregnancy and postpartum presentations are 18.5% of the obstetric population presenting to emergency departments, they are under triaged 50% of the time; when a very high risk, low volume presentation such as preeclampsia is present, those patients are under triaged 80% of the time. Given the documented inadequacy of education related to obstetric emergencies, and growing maternal care deserts, these findings suggest a concerning situation for patients seeking pregnancy-related care in emergency departments.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"79 ","pages":"Article 101583"},"PeriodicalIF":1.8,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143152680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}