International Emergency Nursing最新文献

{"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}

{"title":"Evaluating the National Early Warning Score (NEWS) in triage: A machine learning perspective","authors":"Arian Zaboli ,&nbsp;Francesco Brigo ,&nbsp;Serena Sibilio ,&nbsp;Magdalena Massar ,&nbsp;Gabriele Magnarelli ,&nbsp;Gloria Brigiari ,&nbsp;Gianni Turcato","doi":"10.1016/j.ienj.2025.101602","DOIUrl":"10.1016/j.ienj.2025.101602","url":null,"abstract":"<div><h3>Background</h3><div>The National Early Warning Score is widely used in Emergency Departments for triage, primarily to predict mortality. However, its effectiveness in assessing additional clinical outcomes relevant to triage, such as patient urgency and severity, remains unclear and warrants further investigation.</div></div><div><h3>Methods</h3><div>This prospective observational study was conducted from June to December 2023 at the Merano Emergency Department, enrolling 1,270 patients. The National Early Warning Score was categorized into three risk groups: low (0–4), intermediate (5–6), and high (≥7). Outcomes assessed included 30-day mortality, Intensive Care Unit hospitalization, general hospitalization, physician-defined urgency, and physician-defined severity. A decision tree analysis identified the most significant predictors for each outcome. Receiver Operating Characteristic (ROC) curve analysis evaluated the predictive performance of the National Early Warning Score across these outcomes.</div></div><div><h3>Results</h3><div>Among the enrolled patients, 88.7 % had a National Early Warning Score of 0–4, 6.1 % had 5–6, and 5.2 % had ≥ 7. The National Early Warning Score demonstrated good predictive ability for 30-day mortality (ROC = 0.82) and Intensive Care Unit hospitalization (ROC = 0.72). Decision tree analysis identified the score as the strongest predictor for mortality and Intensive Care Unit admissions. However, for physician-defined urgency and severity, it was less reliable, often misclassifying seriously ill patients into lower-risk categories.</div></div><div><h3>Conclusions</h3><div>The National Early Warning Score proves valuable in triage for predicting mortality and Intensive Care Unit admissions. However, its limitations in evaluating broader clinical outcomes, as revealed by decision tree analysis, suggests that it should be complemented rather than replace traditional triage assessments.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"80 ","pages":"Article 101602"},"PeriodicalIF":1.8,"publicationDate":"2025-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143735199","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 vital signs criteria with low sensitivity may need to be revised in the Pediatric Emergency Severity Index","authors":"Amir Mirhaghi","doi":"10.1016/j.ienj.2025.101604","DOIUrl":"10.1016/j.ienj.2025.101604","url":null,"abstract":"","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"80 ","pages":"Article 101604"},"PeriodicalIF":1.8,"publicationDate":"2025-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143735200","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":"Implementing a re-structured response to behavioural disturbance in the emergency Department – A mixed methods evaluation","authors":"Jennifer Davids ,&nbsp;Nicole Bohlken ,&nbsp;Martin Brown ,&nbsp;Margaret Murphy","doi":"10.1016/j.ienj.2025.101600","DOIUrl":"10.1016/j.ienj.2025.101600","url":null,"abstract":"<div><h3>Background</h3><div>The increasing prevalence of violence in Emergency Departments (EDs) globally emphasises that the early detection of behavioural disturbance, the skilful application of de-escalation techniques and as a last resort, patient restraint, are vital to the safety and wellbeing of staff and patients.</div><div>The findings from our previous research led four EDs across three sites to form a working party consisting of clinicians, educators, IT specialists, researchers, and security officers to design and implement a restructured approach to managing behavioural emergencies.</div></div><div><h3>Methods</h3><div>This mixed methods study used surveys and interviews and the Theoretical Domains Framework (TDF) to evaluate the barriers and facilitators to implementing an intervention designed to manage behavioural emergencies. We collected 61 surveys and conducted 12 interviews with nurses, physicians and security staff.</div></div><div><h3>Results</h3><div>The qualitative and quantitative data collected using the TDF pinpointed six facilitators and nine barriers for the implementation of the Code Black intervention. We were able to identify environmental, systemic and cultural factors that inhibited its implementation. Staff felt confident in their ability to apply the Code Black knowledge and skills and appreciative of efforts being made to improve safety. However, some remain unconvinced that behavioural change of staff will lead to safer outcomes.</div></div><div><h3>Conclusion</h3><div>The restructured approach is an effective containment of escalating aggression which ensures greater safety of patients and staff. However, the implementation of interventions in emergency care settings is complex. EDs have unique characteristics that influence sustainability and that need to be explored further to ensure the ongoing uptake of new practices. This paper demonstrates how to identify facilitators and barriers to change and provide evidence that may be used to drive implementation in the emergency care setting.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"80 ","pages":"Article 101600"},"PeriodicalIF":1.8,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143704657","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 of disaster management training program on emergency nurses’ knowledge, skills, and personal preparedness in Palestine","authors":"Rihab Issa Sa’d ,&nbsp;Malakeh.Z. Malak","doi":"10.1016/j.ienj.2025.101601","DOIUrl":"10.1016/j.ienj.2025.101601","url":null,"abstract":"<div><h3>Purpose</h3><div>Healthcare professionals including nurses have a crucial role in reducing the impact of severe crises, also emergency nurses are the majority of healthcare professionals who directly work with catastrophe victims. Thus, they should be prepared well to cope with such situations and they need to have appropriate knowledge, skills, and competencies to manage their tasks during disasters. Thus, this study aimed to assess the effect of a training program for disaster management on knowledge, skills, and personal preparedness among emergency nurses in Palestine.</div></div><div><h3>Methods</h3><div>A one-group pretest-post-test design was used. The data were collected from 64 emergency nurses from governmental and non-governmental hospitals in Palestine by distributing the Disaster Preparedness Evaluation Tool before and after the educational program. Nursing Triage Observation Checklist (NTOC) was used to assess the nurses’ skills in the emergency departments.</div></div><div><h3>Results</h3><div>The findings demonstrated that emergency nurses’ knowledge, skills, and personal readiness for disaster preparedness before the training program were moderate. There were significant increases in nurses’ knowledge after a training program (pre [M = 3.83, SD = 0.82]; post [M = 5.15, SD = 0.29]), skills (pre [M = 3.70, SD = 0.87]; post [M = 5.04, SD = 0.27]), and personal preparedness (pre [M = 3.85, SD = 0.83]; post [M = 5.12, SD = 0.27]). After the training program, nurses demonstrated strong knowledge, skills, and personal preparedness. There were significant differences in nurses’ knowledge, skills, and personal preparedness before and after the disaster training program (t = -13.326; p &lt; 0.001; t = -12.539; p &lt; 0.001, t = -12.256; p &lt; 0.001, respectively). The observation of nurses’ skills pre-intervention indicated that 51 (79.6 %) nurses of the participants had good skills in triage and observation of nurses’ skills one-month post-intervention program indicated that all nurses (100 %) showed good skills in triage.</div></div><div><h3>Conclusions</h3><div>The results proved the effectiveness of a disaster training program in improving emergency nurses’ knowledge, skills, and personal preparedness for disaster management. Therefore, policymakers and healthcare professionals must ensure that disaster preparedness training for emergency nurses is continuously updated to incorporate new developments in the field. This will equip nurses to respond effectively, mitigate risks, and deliver high-quality care during disasters.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"80 ","pages":"Article 101601"},"PeriodicalIF":1.8,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143619534","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":"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}