International Emergency Nursing最新文献

{"title":"Further definition of critical incidents in paramedics’ work","authors":"Hilla Nordquist","doi":"10.1016/j.ienj.2025.101610","DOIUrl":"10.1016/j.ienj.2025.101610","url":null,"abstract":"<div><h3>Introduction</h3><div>Paramedics operate in unpredictable, fast-paced, and high-risk environments, yet their profession is profoundly centered on human interaction. This study aimed to define, through a unifying analysis, the critical incidents in paramedic work.</div></div><div><h3>Methods</h3><div>This qualitative study utilized three previously published listings of critical incidents among paramedics from the United States, Germany, and Denmark and e-survey data of Finnish paramedics. A directed content analysis was applied.</div></div><div><h3>Results</h3><div>The previously identified critical incidents formed two main categories. The first, ‘Challenging situations or circumstances faced during Emergency Medical Service (EMS) missions’, had five categories: ‘Accidents, threats, and violence targeting EMS personnel’; ‘Mistakes’; ‘EMS missions identified within one’s own personal life’; ‘Psychologically challenging interaction situations’; and ‘Working conditions that involve experiences of failure or unreasonableness’. The second main category, ‘Ethically burdensome and professionally demanding patient outcomes’, also had five categories: ‘Facing mutilated bodies and death’; ‘Children and youth as victims of illness, severe accidents, or crimes’; ‘Tragic patient outcomes involving injustice and misfortune’; ‘Mass casualty incidents’; and ‘Situations caused by intentional acts of others’. The unifying analysis proposed 34 critical incidents. The largest number of different critical incidents was identified in categories of ‘Accidents, threats, and violence targeting EMS personnel’ (7), ‘Psychologically challenging interaction situations’ (6), and ‘Children and youth as victims of illness, severe accidents, or crimes’ (6).</div></div><div><h3>Conclusions</h3><div>The unified listing should be tested in various countries to assess its comprehensiveness and, if necessary, refine and supplement the critical incidents in paramedic work.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"80 ","pages":"Article 101610"},"PeriodicalIF":1.8,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143922233","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":"Traumatic incident among nurses in the emergency department: A concept analysis","authors":"Aekkachai Fatai","doi":"10.1016/j.ienj.2025.101614","DOIUrl":"10.1016/j.ienj.2025.101614","url":null,"abstract":"<div><h3>Background</h3><div>The term “traumatic incidents” (TI) has been utilized in the healthcare setting; however, the definition and dimensions among emergency department (ED) nurses remain unclear. This concept analysis was to clarify the concept of TI among nurses in the ED by defining its attributes, antecedents, consequences, and empirical references specifically tailored to nurses in the ED.</div></div><div><h3>Methods</h3><div>A concept analysis using the Walker and Avant approach was conducted to investigate TI among nurses in the ED.</div></div><div><h3>Results</h3><div>TI among nurses in the ED encompasses physically and emotionally distressing events encountered during their duties. The two defining attributes include nurses in the ED frequently exposed to sudden and unexpected events involving patients’ suffering or life-threatening conditions and subjective reactions and the experiences of ED nurses.</div></div><div><h3>Conclusion</h3><div>A clarified understanding of antecedents, attributes, consequences, and the definition of TI among nurses in the ED can pave the way for a robust and reliable measurement tool, facilitating the assessment of such incidents within this specific nursing context. This contribution holds significant promise for advancing nursing and research.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"80 ","pages":"Article 101614"},"PeriodicalIF":1.8,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143903903","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 [Letter]”","authors":"Sari Luthfiyah ,&nbsp;Triwiyanto Triwiyanto ,&nbsp;Hery Sumasto","doi":"10.1016/j.ienj.2025.101615","DOIUrl":"10.1016/j.ienj.2025.101615","url":null,"abstract":"","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"80 ","pages":"Article 101615"},"PeriodicalIF":1.8,"publicationDate":"2025-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143898783","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":"Translation and cultural adaptation of the DE-STRESS survey into Danish – Measuring stress, coping, and intention to leave among Emergency department Nurses, Nurse Assistants, and Physicians","authors":"Maria Raun ,&nbsp;Camilla Schade Skov ,&nbsp;Jeanette Stroier ,&nbsp;Charlotte Myhre Jensen ,&nbsp;Caroline Margaret Moos ,&nbsp;Claire Gudex ,&nbsp;Elizabeth Elder ,&nbsp;Christina Østervang","doi":"10.1016/j.ienj.2025.101612","DOIUrl":"10.1016/j.ienj.2025.101612","url":null,"abstract":"<div><h3>Aim</h3><div>This study aimed to translate and culturally adapt the DE-STRESS (Emergency Department Stress, Coping, and Intention to Leave Survey) to the Danish emergency context.</div></div><div><h3>Background</h3><div>Clinicians (nurses, nurse assistants, and physicians) in an emergency department (ED) undertake psychologically demanding work, and the high-pressure environment combined with occupational stressors has made retention of ED clinicians a major issue. A suitable measure of stress and coping would contribute to the development of practices to support clinicians working in these high-stress environments.</div></div><div><h3>Method</h3><div>The translation process was undertaken using the ISPOR principles of good practice for the translation and cultural adaptation of patient-reported outcomes, including forward translation, back translation, and cognitive debriefing through individual interviews with ED clinicians (n = 5). The study took place in a large teaching hospital in Southern Denmark and involved three forward translators, two backward translators, a key in-country person from both Australia and Denmark, and a project lead.</div></div><div><h3>Results</h3><div>The translation and cultural adaptation process was successfully conducted. Some concepts were difficult to translate, such as the terms ED and organization and the role of an ED supervisor. It was necessary to omit some demographic questions to ensure respondent anonymity, so the final Danish version has 123 questions versus the original 133 questions.</div></div><div><h3>Conclusion</h3><div>The ED clinicians found the survey relevant and comprehensive as it addressed key factors in their work. We concluded that the Danish version of DE-STRESS is appropriate for use; however, a future study employing confirmatory factor analysis and assessing internal reliability is necessary to further investigate its psychometric properties.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"80 ","pages":"Article 101612"},"PeriodicalIF":1.8,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143869206","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":"Advanced practice nursing competence profile in emergencies: insights from Spain","authors":"Angela Jimenez-Garcia ,&nbsp;Miguel Angel Cuevas-Budhart ,&nbsp;Genoveva Perez-Romero ,&nbsp;Cristina Barneto-Valero ,&nbsp;Rafael Montoya-Juárez ,&nbsp;Mercedes Gomez Del Pulgar","doi":"10.1016/j.ienj.2025.101611","DOIUrl":"10.1016/j.ienj.2025.101611","url":null,"abstract":"<div><h3>Introduction</h3><div>The development of Advanced Practice Nursing roles in Emergency Care is crucial due to the growing demand for healthcare services, driven by the rising prevalence of chronic diseases, the impact of the COVID-19 pandemic on healthcare systems, and the need for cost-effective solutions amid workforce shortages in various healthcare professions.</div></div><div><h3>Aim</h3><div>To establish a well-defined competency profile for Advanced Practice Nursing in emergency care using the Delphi method, ensuring that the identified competencies are relevant, clearly articulated, and systematically structured for effective practice in urgent and emergency settings.</div></div><div><h3>Methodology</h3><div>A mixed-methods design, structured in three phases, was implemented to develop a competency profile for Advanced Practice Nursing in emergency care in Spain. The first phase utilized qualitative focus groups with experienced nurses to identify foundational competencies. The second phase applied a modified Delphi method with a panel of 42 experts to refine and validate these competencies through iterative feedback and consensus-building. Finally, a quantitative approach was employed, incorporating statistical techniques such as the Content Validity Index and Cronbach’s alpha to ensure the clarity, coherence, and relevance of the competency items.</div></div><div><h3>Results</h3><div>The study identified eight competency units, comprising 17 competency criteria and 99 descriptors, of which 25 correspond to various competency units.</div></div><div><h3>Conclusions</h3><div>The validated competency units, criteria, and descriptors serve as a cornerstone for establishing a comprehensive Advanced Practice Nursing in Emergency Care framework. This framework plays a crucial role in standardizing practices, improving care quality, and ensuring that nurses are well-equipped to address the complex challenges of emergency settings.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"80 ","pages":"Article 101611"},"PeriodicalIF":1.8,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143860682","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":"Exploring nurse-led cardiopulmonary resuscitation in the emergency department: A scoping review","authors":"Adrienne Seabrooke ,&nbsp;Rachel K. Roy ,&nbsp;Lissette Aviles ,&nbsp;Leah Macaden","doi":"10.1016/j.ienj.2025.101608","DOIUrl":"10.1016/j.ienj.2025.101608","url":null,"abstract":"<div><h3>Aim of the Review</h3><div>The aim is to map the existing evidence on nurse-led resuscitation and identify gaps to inform future research directions.</div><div>This scoping review critically examines the role of nurse-led resuscitation in the emergency department (ED). The review identifies the integral role of nurses in resuscitation teams, evaluates nurses’ performance during resuscitation, and highlights the need for further research.</div></div><div><h3>Method</h3><div>The review employed a comprehensive search strategy across multiple databases, including MEDLINE, CINAHL, PROSPERO, and EMBASE, along with sources of unpublished studies and grey literature such as ProQuest Theses, Grey Matters, Policy Commons, and Google Scholar. The search covered literature from 1993 to 2023.</div></div><div><h3>Results</h3><div>The searches returned a total of 494 citations. A total of 8 full articles met the inclusion criteria for data extraction and synthesis. Three key themes emerged from the review: (1) <em>the integral role of nurses in resuscitation teams, (2) nurses’ performance during resuscitation</em> and <em>(3) the need for future research</em>.</div></div><div><h3>Conclusion</h3><div>This scoping review underscores the potential of nurse-led resuscitation in emergency care settings. Nurses’ roles in resuscitation teams are integral, with performance comparable to that of physicians in multiple domains. However, the current evidence base is limited to literature reviews and simulated environments and highlights the necessity for further robust research. Future studies should explore interdisciplinary team dynamics, communication patterns, and the direct impact of nurse-led resuscitation on patient outcomes in real-world clinical settings.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"80 ","pages":"Article 101608"},"PeriodicalIF":1.8,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143855079","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":"Effects of a theoretical and workshop-based educational intervention on emergency department nurses’ knowledge and attitudes towards pain management","authors":"Yi Shi ,&nbsp;Ying Wang ,&nbsp;Feifei Duan,&nbsp;Jing Liu,&nbsp;Na Wei","doi":"10.1016/j.ienj.2025.101606","DOIUrl":"10.1016/j.ienj.2025.101606","url":null,"abstract":"<div><h3>Background</h3><div>Patients have a fundamental right to freedom from pain, and proper pain assessment and management are prerequisites for pain relief. However, most emergency department nurses lack knowledge of pain management.</div></div><div><h3>Purpose</h3><div>This study aims to assess the impact of a pain management education program on emergency department nurses’ knowledge and attitudes regarding pain assessment and management.</div></div><div><h3>Methods</h3><div>This was a quasi-experimental study in which 120 nurses were recruited from the emergency department to participate in the study for an 8-week educational intervention, and pain knowledge levels were assessed pre- and post-intervention using the Knowledge and Attitude Survey regarding Pain (KASRP) questionnaire.</div></div><div><h3>Results</h3><div>The mean score of pain knowledge and attitude (21.87 ± 6.523) after the intervention was significantly higher than the mean score before the intervention (18.59 ± 4.118).</div></div><div><h3>Conclusion</h3><div>The theory-based and workshop-based educational intervention significantly improved emergency department nurses’ knowledge and attitudes toward pain management (p &lt; 0.001). The findings suggest that implementing evidence-based continuing education programs for emergency department nurses on pain management could enhance patient care quality. Therefore, it is recommended that hospital managers develop and evaluate feasible training programs to ensure their effectiveness and sustainability.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"80 ","pages":"Article 101606"},"PeriodicalIF":1.8,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143843777","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":"Factors affecting patient length of stay in the emergency unit: A scoping review","authors":"Firman Firman ,&nbsp;Andi Masyitha Irwan ,&nbsp;Amy Buckenmeyer","doi":"10.1016/j.ienj.2025.101607","DOIUrl":"10.1016/j.ienj.2025.101607","url":null,"abstract":"<div><h3>Background</h3><div>Despite the recommendation that patients should spend no more than six hours in the emergency department, crowding remains a persistent global health challenge. Extended patient wait times in emergency departments pose a barrier to timely medical care delivery. This scoping review aims to identify the variables increasing patients’ length of stay (LOS) in emergency department.</div></div><div><h3>Method</h3><div>This scoping review was conducted by searching PubMed, ScienceDirect, Wiley, Cochrane Library, Global Index Medicus, GARUDA, and Google Scholar, as well as additional secondary searches from 2013 to 2022 and in accordance with the Arksey and O’Malley methodological framework for scoping reviews. Studies were retained if they included primary, qualitative, or quantitative data and reported on patients admitted to the emergency department with their respective LOS.</div></div><div><h3>Results</h3><div>Of the 914 articles reviewed, 23 met the inclusion criteria. The results of the scoping review identified three main categories of contributory factors for LOS in emergency department: patient, diagnostic tests, and organizational factors.</div></div><div><h3>Conclusion</h3><div>The scoping review identified mitigatable factors to decrease LOS in the emergency department. These insights can help hospitals improve emergency department services by reducing the LOS.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"80 ","pages":"Article 101607"},"PeriodicalIF":1.8,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143843778","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":"Association between the practice environment and missed nursing care in the emergency room","authors":"Larissa Tabata Viana Santana ,&nbsp;Camila Fernandes Pollo ,&nbsp;José Fausto de Morais ,&nbsp;Aniele Fernanda Deplacido de Leo ,&nbsp;Juliana Pierami de Freitas ,&nbsp;Cesar de Oliveira ,&nbsp;Silmara Meneguin","doi":"10.1016/j.ienj.2025.101609","DOIUrl":"10.1016/j.ienj.2025.101609","url":null,"abstract":"<div><h3>Background</h3><div>The demanding and intricate practice environment affects the nursing care provided in the emergency room.</div></div><div><h3>Objective</h3><div>To investigate the relationship between the practice environment and missed nursing care in the emergency room while identifying the impact of sociodemographic and work-related factors.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted involving 102 emergency room nursing staff at a public hospital in São Paulo state, Brazil. Data collection included administering the Misscare-Brazil survey and the Practice Environment Scale.</div></div><div><h3>Results</h3><div>The sample consisted of 28 nurses and 74 nursing technicians. Most were women (n = 89; 87.3 %); the largest segment had a high school education (n = 48; 47.1 %). The mean score on the Practice Environment Scale was 2.17 (±0.60). The multivariate analysis indicated that the practice environment was influenced by workload (p &lt; 0.001), experience in the profession (p = 0.013), experience in the sector (p = 0.029), extra hours (p = 0.005), adequate employee numbers (p = 0.001), job satisfaction (p = 0.033), satisfaction with the profession (p = 0.016), and Part A of the Misscare-Brazil survey (p &lt; 0.001). The mean number of care omissions was 2.64 (± 0.77). It was independently associated with education level (p = 0.040), workload (p &lt; 0.001), extra hours (p = 0.005), number of patients under care (p = 0.004), number of discharges (p = 0.010), and satisfaction with the profession (p = 0.037).</div></div><div><h3>Conclusion</h3><div>The perception of an unfavourable practice environment impacted personal and work-related factors and was linked to missed nursing care in the emergency room.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"80 ","pages":"Article 101609"},"PeriodicalIF":1.8,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143834388","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":"A bibliometric overview of research on emergency nursing and burnout","authors":"Senay Karadag Arli","doi":"10.1016/j.ienj.2025.101605","DOIUrl":"10.1016/j.ienj.2025.101605","url":null,"abstract":"<div><h3>Introduction</h3><div>Burnout is a serious issue for caregivers, patients, and healthcare institutions. It is considered a significant problem among nurses, with emergency nurses being particularly affected. This study aims to examine the studies conducted on emergency nursing and burnout using bibliometric analysis and scientific mapping methods.</div></div><div><h3>Methods</h3><div>This study employs bibliometric analysis and scientific mapping methods. The data were obtained through a search conducted in the Web of Science (WoS) database. During the search, the keywords “emergency nursing” and “burnout” were used. A total of 145 studies indexed in the SSCI and SCI-EXPANDED categories were identified. Due to the continuous influx of scientific publications in the database, the search was conducted on a single day, October 23, 2024.</div></div><div><h3>Results</h3><div>The research identified a total of 145 studies. The highest number of publications related to emergency nursing and burnout (16 %, n = 23) was recorded in 2022. The journals with the most publications were <em>International Emergency Nursing</em> (32.9 %, n = 46) and <em>Journal of Emergency Nursing</em> (29 %, n = 42). The most frequently used keyword in the studies was “burnout,” which was commonly associated with all other keywords. The United States emerged as the country with the highest number of publications on the subject. Additionally, the majority of the studies were published in English (98 %, n = 142). The most-cited publication, with 446 citations, was authored by Adriaenssens, De Gucht, and Maes.</div></div><div><h3>Discussion</h3><div>This study aims to comprehensively address the current state of research on emergency nursing and burnout, highlighting its prevalence in the literature. The findings indicate that burnout and its associated challenges among emergency nurses warrant increasing attention. This research emphasizes the importance of developing more effective strategies to combat burnout and underscores the need for ongoing awareness and research to safeguard the well-being of nurses.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"80 ","pages":"Article 101605"},"PeriodicalIF":1.8,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143817474","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}