International Emergency Nursing最新文献

{"title":"Reasons for hospital admissions in children with chronic diseases during the COVID-19 pandemic: A retrospective study","authors":"Zehra Çapa ,&nbsp;Gülendam Karadağ","doi":"10.1016/j.ienj.2025.101689","DOIUrl":"10.1016/j.ienj.2025.101689","url":null,"abstract":"<div><h3>Background</h3><div>This study was conducted to investigate the reasons for hospital admissions in children with chronic diseases during the COVID-19 pandemic.</div></div><div><h3>Objective</h3><div>A descriptive and retrospective study design was employed.</div></div><div><h3>Methods</h3><div>The study included the records of children (1,018 children) who had been diagnosed with chronic diseases and had presented to the pediatric polyclinics, pandemic polyclinics, and emergency departments of a state hospital between April 1, 2020 and March 31, 2021. For the disease diagnoses of the children, the ICD 10 codes entered into the system for the most common diseases seen in children, like epilepsy, asthma, and cerebral palsy, were searched. Descriptive statistical methods (frequencies and percentages) were used to analyze the data; no statistical significance testing or group comparisons were conducted.</div></div><div><h3>Results</h3><div>The mean age was 8.74 ± 4.63 years. It was found that 32.58 % of the children with epilepsy and 19.77 % with asthma had presented to the pediatric emergency department with fever and 26.32 % of those with cerebral palsy had presented with nausea and vomiting. A total of 212 PCR samples had been taken from children, and PCR test results of 15.57 % were positive. The procedures applied to the children during outpatient clinic presentations were ‘examination’ for girls (38.88 %) and boys (37.41 %) with epilepsy, ‘examination and test requests’ for girls with asthma (23.35 %), and ‘examination and prescription’ for boys with asthma (22.35 %), and ‘examination’ for both girls (39.18 %) and boys (33.90 %) with cerebral palsy.</div></div><div><h3>Conclusion</h3><div>It was found that the majority of children diagnosed with epilepsy had presented to pediatric neurology, those with asthma to pediatric allergy, and those with cerebral palsy to pediatric neurology departments. The most frequently performed procedures in children with epilepsy, asthma, and cerebral palsy were physical examination, test requests, prescription issuance, disability report issuance, and preparation of medication reports.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"83 ","pages":"Article 101689"},"PeriodicalIF":1.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145159364","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":"Trauma assessment within people who identify as LGBTQ+","authors":"Patrice Wade-Olson ,&nbsp;Jeremiah Wade-Olson","doi":"10.1016/j.ienj.2025.101687","DOIUrl":"10.1016/j.ienj.2025.101687","url":null,"abstract":"<div><h3>Objective</h3><div>Assess the prevalence of childhood and adulthood trauma in people who identify as LGBTQ+ as compared to people who identify as cisgender heterosexual.</div></div><div><h3>Background</h3><div>Trauma can have disastrous impacts on health. Much of the current trauma research is focused on childhood trauma and persons who identify as <em>cis</em>-gender heterosexuals. There is limited research regarding lifetime prevalence of trauma within people who identify as LGBTQ+.</div></div><div><h3>Method</h3><div>This study design is a survey and a quantitative, non-probability based, convenience sampling method was used to measures lifetime prevalence of trauma and discrimination in study participants. The survey was a combination of three validated instruments [<span><span>[1]</span></span>, <span><span>[2]</span></span>, <span><span>[3]</span></span>]. One hundred and fifty-five participants were enrolled across three community health primary care clinics within the United States and 141 surveys were analyzed.</div></div><div><h3>Results</h3><div>Participants who identified as LGBTQ+ had higher values of trauma across all measures as compared to participants who were cisgender heterosexual. African American respondents had higher trauma scores on two of the three trauma measures.</div></div><div><h3>Conclusion</h3><div>The widespread prevalence of trauma within the general population and the LGBTQ+ community suggests that the utilization of a trauma informed approach by emergency nurses can help to improve the health care experiences of people who identify as LGBTQ+ and prevent retraumatization. A trauma informed approach is recommended for persons who have experienced trauma.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"83 ","pages":"Article 101687"},"PeriodicalIF":1.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214180","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":"“Are prehospital shock, modified shock, age-adjusted shock indices and some scoring systems effective in predicting the prognosis of high-energy trauma Patients?”","authors":"Melih Yüksel,&nbsp;Mehmet Oğuzhan Ay,&nbsp;Fatma Betül Çalışkan,&nbsp;Ayşe Kılıç,&nbsp;Mustafa Tolga Özdal,&nbsp;Atakan Aydoğan,&nbsp;Yeşim İşler,&nbsp;Halil Kaya","doi":"10.1016/j.ienj.2025.101678","DOIUrl":"10.1016/j.ienj.2025.101678","url":null,"abstract":"<div><h3>Background</h3><div>This study aims to investigate whether prehospital shock index (SI), modified shock index (MSI), age-adjusted shock index (ASI), Rapid Emergency Medicine Score (REMS), and Triage in Emergency Department Early Warning Score (TREWS) are effective in predicting the need for blood replacement, emergency surgical intervention, and first 24 h and 28 days mortality in high-energy trauma patients.</div></div><div><h3>Methods</h3><div>Patients brought to a single-center, tertiary care emergency department by ambulance due to high-energy trauma between 01.08.2023 and 31.01.2024 were prospectively analyzed.</div></div><div><h3>Results</h3><div>A total of 209 patients meeting the study criteria were included. In blood replacement estimation in the emergency department, the area under the curve (AUC) value of MSI was found to be 0.789 (p &lt; 0.001), SI was 0.783 (p &lt; 0.001), and ASI was 0.688 (p = 0.016). For the prediction of emergency surgical intervention, the AUC value of SI was 0.784 (p &lt; 0.001), MSI was 0.760 (p &lt; 0.001) and TREWS was 0.641 (p = 0.043). As for the first 24 h mortality prediction, the AUC value of ASI was 0.872 (p &lt; 0.001), MSI was 0.768 (p = 0.007), TREWS was 0.980 (p &lt; 0.001), and REMS was 0.831 (p = 0.001). Finally, in the first 28-day mortality prediction, the AUC value of ASI was 0.759 (p = 0.001), TREWS was 0.942 (p &lt; 0.001), and REMS was 0.826 (p &lt; 0.001).</div></div><div><h3>Conclusions</h3><div>In high-energy trauma patients, prehospital SI and MSI indicated the best performance in predicting both blood replacement in the emergency department and emergency surgical intervention. We found that the prehospital TREWS showed the best performance in predicting mortality in the first 24 h and 28 days.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"83 ","pages":"Article 101678"},"PeriodicalIF":1.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145087952","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":"The applicability of artificial intelligence in managing emergency patients: An umbrella review","authors":"Wesam Taher Almagharbeh ,&nbsp;Maryam Alharrasi ,&nbsp;Moustaq Karim Khan Rony ,&nbsp;Sarmin Kabir ,&nbsp;Daifallah M. Alrazeeni ,&nbsp;Fazila Akter","doi":"10.1016/j.ienj.2025.101710","DOIUrl":"10.1016/j.ienj.2025.101710","url":null,"abstract":"<div><h3>Background</h3><div>Artificial intelligence (AI) is increasingly reshaping emergency medicine and nursing by enabling faster, more accurate, and scalable decision-making. In high-pressure settings such as emergency departments (EDs), AI technologies have shown promise in improving triage, diagnostics, clinical decision-making, and operational efficiency. Despite this potential, the current body of evidence remains fragmented, with a lack of comprehensive synthesis across diverse AI applications.</div></div><div><h3>Aim</h3><div>This umbrella review aimed to synthesize existing review-level evidence on the applicability of artificial intelligence in managing emergency patients.</div></div><div><h3>Methods</h3><div>A systematic umbrella review was conducted following PRISMA guidelines. Systematic reviews, scoping reviews, and narrative syntheses focusing on AI in emergency settings were identified through comprehensive searches in five major databases. The search covered studies published between January 2013 and March 2025. Data were extracted on AI types, clinical focus areas, implementation strategies, outcomes, and barriers. The Joanna Briggs Institute (JBI) checklist was used for quality assessment, and findings were synthesized thematically.</div></div><div><h3>Results</h3><div>A total of 24 eligible reviews were included. The analysis revealed AI’s significant impact across four major domains: triage and risk stratification, diagnostic support, clinical decision-making, and workflow optimization. Tools such as machine learning and deep learning improved diagnostic accuracy, decision consistency, and patient flow. However, barriers such as interoperability issues, lack of explainability, data privacy concerns, and legal ambiguity were consistently reported.</div></div><div><h3>Conclusion</h3><div>AI holds transformative potential in emergency patient management. While clinical benefits are clear, widespread adoption depends on addressing technical, ethical, and regulatory challenges. Future efforts should focus on explainable, validated, and user-integrated AI systems to ensure responsible and equitable implementation in emergency care.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"83 ","pages":"Article 101710"},"PeriodicalIF":1.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145519700","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":"The effect on intra-hospital transfer success of checklist in the pediatric emergency department: An interventional observational study","authors":"Selin Salmak ,&nbsp;Abdülkadir Utar ,&nbsp;Alkan Bal ,&nbsp;Dilek Ergin ,&nbsp;Halil Dönmez","doi":"10.1016/j.ienj.2025.101667","DOIUrl":"10.1016/j.ienj.2025.101667","url":null,"abstract":"<div><h3>Introduction</h3><div>Transfer of pediatric patients from the emergency department to in-hospital units is often inevitable. Since emergency departments are the first point of admission for patients, transfers are risky in terms of adverse events. The aim of this study was to evaluate the effect of the in-hospital transfer checklist in the pediatric emergency department on transfer success.</div></div><div><h3>Methods</h3><div>This study is an interventional observational study. The study was conducted in the pediatric emergency department of a university hospital in western Turkey between January 01 and March 31, 2024. After the control data (n = 120) were obtained retrospectively, a checklist for in-hospital transfer was created. Then, the data of the intervention group (n = 120) in which the checklist was used were obtained. The data between the two groups were compared using SPSS.</div></div><div><h3>Results</h3><div>The in-hospital transfer time of pediatric emergency department patients decreased from 12 min (median) to 10 min (median) after the checklist was applied (p &lt; 0.05). The rate of adverse events decreased from 46.7 % to 10.8 % depending on the use of the checklist (p &gt; 0.05). The intervention group had a significantly lower impact score (p &lt; 0.05) in terms of clinical and non-clinical adverse events compared to the control group.</div></div><div><h3>Conclusion</h3><div>Transporting pediatric patients from the emergency department to other units is an issue that requires attention. Using trained personnel, appropriate equipment, standardized protocols, and checklists will effectively reduce the frequency of adverse events.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"83 ","pages":"Article 101667"},"PeriodicalIF":1.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145049651","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":"Using virtual reality to enhance procedure-related experiences in adult emergency departments: A qualitative study","authors":"Hui (Grace) Xu ,&nbsp;Jed Duff ,&nbsp;Vicki Binnie","doi":"10.1016/j.ienj.2025.101692","DOIUrl":"10.1016/j.ienj.2025.101692","url":null,"abstract":"<div><h3>Introduction</h3><div>Needle phobia is a common issue affecting many patients in emergency departments (EDs), including adults. Virtual reality (VR) has rapidly advanced in recent years and is increasingly used in patient care. However, there is limited research exploring the subjective experiences of VR users in this context.</div></div><div><h3>Aim</h3><div>This study aims to explore the experiences of both patients and clinicians during painful needle-related procedures, as well as identify the barriers and facilitators associated with the use of VR to manage these procedures in ED.</div></div><div><h3>Design</h3><div>An exploratory qualitative study.</div></div><div><h3>Method</h3><div>The study was conducted in one adult ED in Australia in 2024. VR was used as an intervention to help manage needle phobia among adult patients with moderate or high anxiety levels. Semi-structured interviews were conducted with ten patients and seven ED clinicians. Thematic analysis was employed to analyse the data.</div></div><div><h3>Findings</h3><div>Overall, participants reported positive experiences with the innovative technology. Four themes developed from patient interviews included <em>Communication with clinicians; The influence of current and past experiences</em>; <em>The VR experience</em>; and <em>Considerations for VR implementation.</em> Three themes emerged from Clinician interviews including: <em>Communication with patients</em>; <em>The VR experience;</em> and <em>Considerations for VR implementation.</em></div></div><div><h3>Conclusion</h3><div>This study offers valuable preliminary insight into VR experiences from both patient and clinician perspectives in the ED setting.</div></div><div><h3>Implications</h3><div>Clinicians and researchers should consider the identified barriers, facilitators, and potential solutions when incorporating VR interventions into their clinical practice and research.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"83 ","pages":"Article 101692"},"PeriodicalIF":1.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214238","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":"Noise sensitivity, attention deficit-hyperactivity levels and individualized care behaviors of nurses working in the emergency department: A descriptive and cross-sectional multicenter study","authors":"Ezgi Yıldız ,&nbsp;Tuba Karabey ,&nbsp;Şerife Karagözoğlu","doi":"10.1016/j.ienj.2025.101701","DOIUrl":"10.1016/j.ienj.2025.101701","url":null,"abstract":"<div><h3>Aim</h3><div>This study was conducted to determine the noise sensitivity, attention deficit-hyperactivity level, and individualized care behaviors of nurses working in the emergency department.</div></div><div><h3>Methods</h3><div>The descriptive and cross-sectional multicenter study was conducted with 232 nurses working in the emergency department between December 2023 and February 2024. Data were collected using the Personal Information Form, Weinstein Noise Sensitivity Scale, Individualised Care Scale, and Adult Attention Deficit-Hyperactivity Disorder Self-Report Scale. We adhered to the STROBE checklist for reporting.</div></div><div><h3>Results</h3><div>The mean age of the nurses was 30.33 ± 7.12 years (Min:23; Max:62) and 63.4 % were female. The mean total score of the Weinstein Noise Sensitivity Scale was 91.09 ± 16.06, the mean total score of Individualised Care Scale-A was 3.56 ± 0.70, the mean total score of Individualised Care Scale-B was 3.72 ± 0.74, and the mean total score of Attention Deficit-Hyperactivity Disorder Self-Report Scale was 28.40 ± 9.57.</div></div><div><h3>Conclusion</h3><div>It was found that nurses had high levels of noise sensitivity, individualized care behaviors, and attention deficit hyperactivity. In the emergency department, high noise levels, distraction and the need for rapid intervention may make nursing care difficult. It is recommended that noise sources be identified and noise reduction interventions be made.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"83 ","pages":"Article 101701"},"PeriodicalIF":1.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145416384","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":"Poor treatment outcome and its determinants among patients with burn injuries in Ethiopia. A systematic review and meta-analysis","authors":"Mengistu Abebe Messelu ,&nbsp;Baye Tsegaye Amlak ,&nbsp;Tadesse Yirga Akalu ,&nbsp;Getnet Nibret Alemie ,&nbsp;Salelign Amlaku Matebe ,&nbsp;Mamaru Getie Fetene ,&nbsp;Bekele Getenet Tiruneh ,&nbsp;Ashenafi Fekad Getahun ,&nbsp;Makda Fekadie Tewelgne ,&nbsp;Tadesse Miretie Dessie ,&nbsp;Yasab Leykun ,&nbsp;Temesgen Ayenew","doi":"10.1016/j.ienj.2025.101676","DOIUrl":"10.1016/j.ienj.2025.101676","url":null,"abstract":"<div><h3>Background</h3><div>Burn continues to be a major public health problem, resulting in thousands of preventable deaths and disabilities each year. Therefore, this review and <em>meta</em>-analysis aimed to assess the national prevalence of poor treatment outcome and its determinants.</div></div><div><h3>Methods</h3><div>This systematic review was conducted according to the guidelines of Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and has been registered with PROSPERO. A structured search of databases (Medline/PubMed, Google Scholar, CINAHL, EMBASE, HINARI, and Web of Science) was undertaken. The quality of the studies was assessed using the Joanna Briggs Institute (JBI) critical appraisal tool. A <em>meta</em>-analysis using a random-effects model was performed to estimate the pooled prevalence and associated factors. The I² statistics was used to assess the heterogeneity of studies, and to identify the possible causes of heterogeneity, subgroup analysis and <em>meta</em>-regression were used. Egger’s test and funnel plots were used to assess publication bias.</div></div><div><h3>Results</h3><div>This systematic review and <em>meta</em>-analysis included eight studies involving a total of 9255 burn patients. The pooled national prevalence of poor treatment outcome among burn patients in Ethiopia was 20.1 % (95 %CI: 14.14, 26.06). Regional subgroup analysis showed that the pooled estimate of poor outcome was 13.12 %, 29.24 %, 26.2 %, 25.6 %, and 12.37 % in Tigray, Amhara, Oromia, Southern Nation Nationalities and People, and Addis Ababa, respectively. Moreover, subgroup analysis based on patients’ age revealed that the pooled estimate of poor outcome among adults and children was 18.87 % and 21.58 %, respectively. This <em>meta</em>-analysis demonstrated that being a rural resident (OR = 3.24, 95 % CI: 1.66, 6.33), malnourished (OR = 3.17, 95 % CI: 1.93, 5.19), extent of burn &gt; 10 % of TBSA (OR = 2.60, 95 % CI: 1.73, 3.90), and didn’t get adequate fluid resuscitation (OR = 2.86; 95 % CI: 1.36, 6.00) were determinants of poor clinical outcome for burn patients.</div></div><div><h3>Conclusion and recommendations</h3><div>One in every five burn patients in Ethiopia had poor treatment outcome. Being a rural resident, malnourished, extent of burn &gt; 10 %, and no getting adequate fluid resuscitation were significant predictors of poor treatment outcome. Special attention should be given to burn injured patients from rural area, malnourished, and with larger TBSA.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"83 ","pages":"Article 101676"},"PeriodicalIF":1.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145049653","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":"Lessons learned from health and disaster operations during the 2023 Turkey earthquake: Perspectives of foreign relief and health teams","authors":"Hamid Karimi kivi ,&nbsp;Saeed Nazari ,&nbsp;Elham Zamani ,&nbsp;Hosein Mahdian","doi":"10.1016/j.ienj.2025.101688","DOIUrl":"10.1016/j.ienj.2025.101688","url":null,"abstract":"<div><h3>Background</h3><div>The 2023 Turkey earthquake represented a significant challenge for health and disaster management systems, necessitating a coordinated response to address the urgent needs of affected populations. This paper explores the experiences and insights of foreign relief and health teams deployed during the disaster, highlighting the challenges encountered, strategies employed, and lessons learned.</div></div><div><h3>Methodology</h3><div>Utilizing a mixed-methods approach, this study incorporates in-depth, semi-structured interviews with health professionals and disaster response workers. Additionally, operational functions and assessments were observed to provide a comprehensive understanding of the response mechanisms employed during the earthquake. Data collection continued until data saturation and collected data were analyzed using the thematic analysis method, and the results were classified into different categories and sub-categories.</div></div><div><h3>Findings</h3><div>Extracting experiences in the earthquake of Turkey in 2023; after conducting 26 interviews and data saturation, was reached. The obtained data were divided into 8 categories and 47 sub-categories. Categories include; Response operations, international aid, social partnership, disease care system, planning and response to health emergencies, environmental health, communication and cooperation, coordination, leadership, and control in health operations.</div></div><div><h3>Conclusion</h3><div>The lessons learned from the health and disaster operations during the 2023 Turkey earthquake provide valuable insights for improving disaster response frameworks worldwide. Understanding the complexities of such emergencies is essential for enhancing the resilience of health systems in the face of future disasters. Additionally, Rapid response teams in the healthcare sector must be thoroughly equipped and ready for action, as they often encounter a myriad of challenges during the complex response process of international missions. Their preparedness is critical in effectively addressing emergent health crises, ensuring timely and appropriate interventions in high-pressure situations.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"83 ","pages":"Article 101688"},"PeriodicalIF":1.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145325128","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":"Paramedic nursing students’ experiences of clinical placement in an ambulance where the teacher is another clinical supervisor − A qualitative study","authors":"Kaisa Seppänen ,&nbsp;Antti Tanninen ,&nbsp;Anu Venesoja","doi":"10.1016/j.ienj.2025.101698","DOIUrl":"10.1016/j.ienj.2025.101698","url":null,"abstract":"<div><h3>Background</h3><div>Clinical placements are crucial for paramedic nursing students’ and other healthcare students’ learning. However, students’ experiences of guidance in placements vary. Our aim was to describe paramedic nursing students’ experiences of clinical placement in an ambulance where the teacher was another supervisor.</div></div><div><h3>Methods</h3><div>This descriptive qualitative study used purposeful sampling to interview 22 paramedic nursing students who completed their ambulance clinical placement with teacher supervision between April and December 2023. Data were analyzed using inductive content analysis.</div></div><div><h3>Findings</h3><div>One main category “Paramedic nursing students’ professional growth”, and two generic categories “Teachers’ supervising competence” and “Student-centered view” were generated. Students highlighted low threshold to ask questions, different perspective on supervising, and experiences of being safe, as well as time spent on ambulance tasks, learning discussions, learning experiences, and a targeted weekly schedule in a clinical placement where the teacher was their supervisor.</div></div><div><h3>Conclusion</h3><div>Embedding pedagogically trained teachers as clinical supervisors in ambulance placements enhances paramedic students’ professional growth by fostering a safe, structured, and student-centered learning environment. Familiar teacher-student relationships, low thresholds for questions, and reflective learning discussions contribute to meaningful supervision and highlight the need for pedagogical competence in ambulance settings.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"83 ","pages":"Article 101698"},"PeriodicalIF":1.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253350","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}