International Emergency Nursing最新文献

{"title":"Corrigendum to “Telehealth Referral to Improve Outcomes (TRIO) Intervention for Asymptomatic Hypertension in the Emergency Department: A Randomized Pilot Feasibility Study” [Int. Emerg. Nurs. 81 (2025) 101622]","authors":"K. Souffront , C. Shubeck , G.T. Loo , L.D. Richardson","doi":"10.1016/j.ienj.2025.101634","DOIUrl":"10.1016/j.ienj.2025.101634","url":null,"abstract":"","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"81 ","pages":"Article 101634"},"PeriodicalIF":1.8,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576785","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":"Variables affecting interpersonal relationship styles in the emergency department: Female male nurses difference in Turkey","authors":"Gülseren Keskin ,&nbsp;Süreyya Gümüşsoy ,&nbsp;Aysun Babacan Gümüş","doi":"10.1016/j.ienj.2025.101646","DOIUrl":"10.1016/j.ienj.2025.101646","url":null,"abstract":"<div><h3>Background</h3><div>The COVID-19 pandemic has affected not only people’s daily lives but also their interpersonal relationships.</div></div><div><h3>Aims</h3><div>It is aimed to evaluate the anxiety levels and ways of distress tolerance of female and male nurses in terms of their interpersonal relationship styles during the COVID-19 pandemic period.</div></div><div><h3>Methods</h3><div>This descriptive and comparative study was conducted with 525 nurses. Interpersonal Relationship Styles Scale (IRSS), Beck Anxiety Inventory (BAI) and Distress Tolerance Scale (DTS) were used to collect study data.</div></div><div><h3>Results</h3><div>A significant difference was found between male and female nurses in terms of BAI (p &gt; 0.05) and DTS (p &gt; 0.05) scale scores. A weak, positive and statistically significant relationship was found between IRSS, dominant, avoidant, insensitive, manipulative, belittling styles and BAI in women.</div></div><div><h3>Conclusion</h3><div>It was found that the anxiety scores of female nurses were higher than those of male nurses, while male nurses had higher distress tolerance scale scores than female nurses.</div></div><div><h3>Implications for nursing practice and policies</h3><div>Therapeutic and gender-sensitive interventions that strengthen nurses’ interpersonal relationship skills during crises can reduce distress and anxiety, improve team communication, and support emotional resilience in clinical settings.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"81 ","pages":"Article 101646"},"PeriodicalIF":1.8,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144556586","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":"Can Patients’ characteristics influence triage Errors? A Quasi-Experimental study","authors":"Arian Zaboli ,&nbsp;Davide Battisti ,&nbsp;Marta Ziller ,&nbsp;Gianni Turcato ,&nbsp;Silvia Camporesi","doi":"10.1016/j.ienj.2025.101647","DOIUrl":"10.1016/j.ienj.2025.101647","url":null,"abstract":"<div><h3>Background</h3><div>Triage error rates in emergency departments (ED) range from 10% to 30%. Despite numerous studies, it remains unclear whether certain patient characteristics are associated with triage errors. To evaluate whether patient characteristics are associated with triage errors, and whether daily auditing reduces their impact.</div></div><div><h3>Methods</h3><div>A quasi-experimental study was conducted from June 2019 to June 2021 in an Italian ED. Patient characteristics were reconstructed and their association with triage errors was evaluated. Following an intervention period, during which serial audits were provided to triage nurses, the study analyzed whether patient-related variables remained associated with errors or if they changed.</div></div><div><h3>Results</h3><div>The study enrolled 1,773 patients, with 904 in the pre-intervention period and 869 in the post-intervention period. In the pre-intervention period, multinomial logistic regression showed age and being accompanied to the ED were associated with lower odds of over-triage. Post-intervention, only being a tourist was associated with under-triage, and none of the previously significant variables remained associated.</div></div><div><h3>Conclusions</h3><div>The study demonstrated that certain patient socio-demographic characteristics are associated with triage errors and highlighted the need for dedicated studies to evaluate which variables are linked to errors. Daily auditing emerges as a promising strategy to improve triage accuracy and promote equity in emergency care.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"81 ","pages":"Article 101647"},"PeriodicalIF":1.8,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144501091","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":"Relationship between parental stress levels and parenting self-efficacy in parents of preschool children admitted to the emergency department","authors":"Gülay Manav ,&nbsp;Gonca Karayağız Muslu ,&nbsp;Nihan Korkmaz ,&nbsp;Recep Kara ,&nbsp;Ayşe Sarıkaya","doi":"10.1016/j.ienj.2025.101641","DOIUrl":"10.1016/j.ienj.2025.101641","url":null,"abstract":"<div><h3>Aim</h3><div>This study aimed to examine the relationship between parental stress levels and parenting self-efficacy in parents of preschool-aged children admitted to the Pediatric Emergency Department.</div></div><div><h3>Method</h3><div>This cross-sectional and correlational study was conducted between January and June 2024, involving 257 parents of children aged 3 to 6 years. Data were collected using a Sociodemographic Information Form, the Parental Stress Scale, and the Revised Berkeley Parenting Self-Efficacy Scale (BPSE-R).</div></div><div><h3>Results</h3><div>Among the children, 26.5 % were three years old, 54.1 % were boys, 52.5 % were one of two siblings, and 56.4 % had a prior visit to the pediatric emergency department. The mothers’ mean age was 33.86 ± 4.92 years, while the fathers’ mean age was 37.05 ± 5.48 years. Parenting self-efficacy was significantly associated with the number of children (r = 0.172–.192, <em>p</em> &lt; 0.05), birth order (r = 0.168–.173, <em>p</em> &lt; 0.05), and parental education level—with the strongest effect observed for maternal education (r = 0.571–.578, <em>p</em> &lt; 0.01) and a moderate effect for paternal education (r = 0.289–.306, <em>p</em> &lt; 0.05). The mean total score on the Parental Stress Scale was 53.14 (±7.21), while the mean score for parenting self-efficacy was 88.55 (±17.21). A significant, positive, and moderate correlation was found between the total scores of the Parental Stress Scale and the BPSE-R (r = 0.499, <em>p</em> &lt; 0.01). Additionally, there was a statistically significant, positive, and moderate relationship between parental stress and the parenting strategies subscale (r = 0.521, <em>p</em> &lt; 0.01), as well as the child outcomes subscale (r = 0.443, <em>p</em> &lt; 0.01).</div></div><div><h3>Conclusion</h3><div>The findings indicate that parents presenting to the emergency department experience high levels of both parental stress and parenting self-efficacy. Furthermore, a positive association was found between parental stress and the parenting strategies dimension. These results may inform efforts to develop interventions aimed at reducing parental stress, strengthening parenting skills, and minimizing non-urgent visits to pediatric emergency services.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"81 ","pages":"Article 101641"},"PeriodicalIF":1.8,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144480724","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":"Honduran nurses’ perceptions of advanced nursing care competencies for adults in emergency and critical care: a qualitative study","authors":"Merary Enid Pavón Rivera ,&nbsp;Oscar Fidel Antunez Martinez ,&nbsp;Perla Simons Morales","doi":"10.1016/j.ienj.2025.101640","DOIUrl":"10.1016/j.ienj.2025.101640","url":null,"abstract":"<div><h3>Background</h3><div>In Central America, the implementation of APN is still in its early stages, with limited regulatory support, or structured training for advanced nursing practice in critical care. The absence of these roles leaves significant gaps in critical and emergency care quality, further exacerbating health disparities which need to be explore deeply.</div></div><div><h3>Objective</h3><div>To explore the Honduran Nurses’ Perspectives on Advanced Nursing Care Competencies for Adults in Emergency and Critical Care.</div></div><div><h3>Method</h3><div>A qualitative design was employed, using in-depth interviews with 15 Honduran critical care and emergency nurses from a public hospital in northern Honduras. Data were analyzed through participants’ narratives, following Colaizzi’s steps.</div></div><div><h3>Findings</h3><div>Three central themes, and eight subthemes emerged. Firstly, the perspectives on APN in critical and emergency care indicate a lack of clarity among nurses about what constitutes APN, often confusing it with CNS; Secondly, essential competencies for APN in critical care, which highlight the critical procedural and cognitive skills necessary for effective nursing care. Lastly, the barriers to autonomy and advancement in critical care APN, and it underscore the challenges posed by inadequate training, limited resources, and insufficient legal support, which hinder nurses’ autonomy and professional growth.</div></div><div><h3>Conclusion</h3><div>The study reveals a fragmented understanding of APN roles, with participants recognizing the need for advanced competencies while highlighting the lack of formal recognition, certification, and institutional support. Participants emphasized the importance of postgraduate education, leadership, and procedural autonomy but noted that their clinical roles remain limited by systemic, educational, and regulatory barriers. These insights underscore the urgency of developing clear frameworks, training pathways, and policy support to promote APN as a viable and distinct professional roles.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"81 ","pages":"Article 101640"},"PeriodicalIF":1.8,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144365724","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 relationship between clinical competence and psychological capital in nurses working in the emergency departments","authors":"Olia Jahani ,&nbsp;Mohammad Ali Heidari Gorji ,&nbsp;Masoumeh Bagheri Nesami ,&nbsp;Seyed Noureddin Mousavinasab ,&nbsp;Jamal A. Farooquie","doi":"10.1016/j.ienj.2025.101642","DOIUrl":"10.1016/j.ienj.2025.101642","url":null,"abstract":"<div><h3>Background</h3><div>Clinical competence is one of the key indicators in evaluating the performance of nurses and the quality of nursing care. Psychological capital has a positive impact on job performance. This study aimed to evaluate the relationship between clinical competence and psychological capital among nurses working in emergency departments.</div></div><div><h3>Method(s)</h3><div>This study employed a cross-sectional design. The sample consisted of 220 nurses who were randomly selected from the list of nurses working in the emergency departments of hospitals affiliated with Mazandaran University of Medical Sciences during the period of 2020–2021. Data were collected using the Competency Inventory for Registered Nurses and the Psychological Capital Questionnaire developed by Luthans et al. Finally, data analysis was performed using Pearson correlation and linear regression analysis.</div></div><div><h3>Results</h3><div>The results indicated that the average score for clinical competence among the nurses participating in this study was at a moderate level (163.81 ± 29.54), while psychological capital was at a high level (113.33 ± 15.76). The results of Pearson’s correlation coefficient analysis revealed a positive and significant relationship between clinical competence and its dimensions with psychological capital and its dimensions among nurses (P &lt; 0.01). Clinical competence had the highest regression effect on nurses’ psychological capital, with a standardized beta coefficient of 0.716.</div></div><div><h3>Conclusion(s)</h3><div>Enhancing nurses’ clinical competence can foster their psychological capital, which in turn promotes professional skills and personal growth. Consequently, clinical competence contributes to positive aspects of human life both scientifically and practically.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"81 ","pages":"Article 101642"},"PeriodicalIF":1.8,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144338821","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":"Patients’ experiences of community care after ambulance assessment: A scoping review’","authors":"Pepita Bowling ,&nbsp;Gideon de Jong","doi":"10.1016/j.ienj.2025.101635","DOIUrl":"10.1016/j.ienj.2025.101635","url":null,"abstract":"<div><h3>Introduction</h3><div>The changing role of ambulance clinicians has come with a focus on providing tailored care to patients within the community, thus preventing the need for transport to an emergency department.</div></div><div><h3>Aim</h3><div>The aim of this scoping review was to identify and analyse patient experiences of receiving community care following ambulance assessment.</div></div><div><h3>Methods</h3><div>A scoping literature review was conducted guided by the PRISMA Extension for Scoping Reviews. Four electronic databases were searched: MEDLINE, CINAHL, ProQuest, and Scopus. Thematic analysis was used for exploring key codes, themes, and sub-themes.</div></div><div><h3>Results</h3><div>The search led to an initial list of 930 articles of which ultimately 10 were selected for narrative analysis. Three key themes and eight subthemes were identified. First, the perceived benefits of community ambulance care which according to participants improved: health status and literacy; created a safety net; and provided holistic care. Second, ambulance professionals that were regarded as excellent clinicians due to: their interpersonal and communication skills; the importance they put on building rapport; and their ability to provide reassurance for vulnerable patients. Finally, participants preferred to be treated within the community instead of the hospital as such treatment provided: timely and accessible care in the home environment; and is better aligned with the principles of patient and family-centred care.</div></div><div><h3>Conclusion</h3><div>The patient-clinician bond allows for a trusting and collaborative relationship in ambulance services with both patients and family, as a unit of care, resulting in a more personalised, and functional approach to care provision.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"81 ","pages":"Article 101635"},"PeriodicalIF":1.8,"publicationDate":"2025-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144330383","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":"Disaster preparedness among Jordanian nurses: An implications paper","authors":"Hasan Mohammad","doi":"10.1016/j.ienj.2025.101637","DOIUrl":"10.1016/j.ienj.2025.101637","url":null,"abstract":"","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"81 ","pages":"Article 101637"},"PeriodicalIF":1.8,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144596242","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":"Strategies to improve the quality of nurse triage in emergency departments: A systematic review","authors":"Simon Ouellet ,&nbsp;Maria Cécilia Gallani ,&nbsp;Guillaume Fontaine ,&nbsp;Éric Mercier ,&nbsp;Alexandra Lapierre ,&nbsp;Fabian Severino ,&nbsp;Céline Gélinas ,&nbsp;Mélanie Bérubé","doi":"10.1016/j.ienj.2025.101639","DOIUrl":"10.1016/j.ienj.2025.101639","url":null,"abstract":"<div><h3>Aim</h3><div>This systematic review aimed to assess the impact of implementation strategies for nursing triage on quality outcomes and to examine barriers and facilitators to their implementation in the emergency department (ED).</div></div><div><h3>Data sources</h3><div>Embase, PubMed, CINAHL, Cochrane Library, Web of Science, PsycINFO and ProQuest Dissertations &amp; Theses.</div></div><div><h3>Methods</h3><div>This systematic review included quantitative and qualitative studies published from January 1990 to April 2024 that evaluated strategies to improve ED triage. Study quality was assessed with the Mixed Methods Appraisal Tool (MMAT). The benefits of the strategies were reported using descriptive statistics (quantitative studies) and themes and subthemes (qualitative studies). Barriers and facilitators were identified using the Behavior Change Wheel framework.</div></div><div><h3>Result</h3><div>Three main implementation strategy categories to improve the quality of nursing triage were identified: education (64%), technology (30%), and audit and feedback (6%). All strategies demonstrated short-term benefits, including increased triage accuracy and improved triage knowledge and skills. The most frequently reported barriers were workload and overcrowding, while facilitators included nurses’ experience, interprofessional collaboration, and a culture of continuous improvement.</div></div><div><h3>Conclusion</h3><div>Comprehensive approaches, including education, technology, and regular audits with feedback, are associated with improved triage quality outcomes. Continuous training, active nurse participation in tool development, and the use of validated audit tools are essential. These measures could ensure rigorous nursing triage in EDs and enhance care safety by optimizing patient prioritization as they enter healthcare systems. This review underscores the need for further research on implementation strategies to enhance effective and safe patient prioritization in the ED.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"81 ","pages":"Article 101639"},"PeriodicalIF":1.8,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144298277","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 low-flow mask oxygen could be a more effective, comfortable, and easy-to-follow treatment for psychogenic hyperventilation syndrome: A double-blind, randomized controlled trial","authors":"Linhe Yang ,&nbsp;Dongmei Yuan ,&nbsp;Zhenyu Luo ,&nbsp;Yunying Li ,&nbsp;Xiuli Zhu","doi":"10.1016/j.ienj.2025.101636","DOIUrl":"10.1016/j.ienj.2025.101636","url":null,"abstract":"<div><h3>Objectives</h3><div>To compare the effect of low-flow mask oxygenation (LFMO) with breathing training (BT) for psychogenic hyperventilation syndrome (PHVS), providing more options and evidence for clinical treatment.</div></div><div><h3>Methods</h3><div>The randomized double-blinded controlled trial was prospectively registered in the Chinese Clinical Trial Registry on 1 June 2023 under the defined number (ChiCTR2300072044) and subsequently approved by the Ethics Committee (REDACT) (GYZXLL2023070). From 10 May 2024 to 23 November 2024, participants with PHVS were recruited and blindly randomized into the LFMO group and the BT group, then the LFMO group inhaled 3L/minute oxygen with the oxygen mask and breathed freely, while the BT group performed the breath training led by researchers face-to-face. The recovery length from PHVS, the Nijmegen Questionnaire score at fifteen minutes since the intervention, the Nijmegen Questionnaire score at the end of the intervention, and the comfort/tolerance score (participant rating via NRS) were collected as the primary outcome. The secondary outcome was measured by the mean breath rate during the recovery (Calculated by dividing the total number of breaths during the intervention by time) and laboratory results, including the PH, lactate, K+, Ca2+, PO₂, and PCo₂.</div></div><div><h3>Results</h3><div>Forty-five participants (all Asian) completed the study and were included in the analysis (21 for the LFMO group and 24 for the BT group), mainly female (75 %, n = 33). All demographic characteristics between the two groups are within the reasonable range and show no significant difference. However, significant differences were measured among the outcomes, including the oxygen index (480.22 ± 29.64, 311.01 ± 15.45, p &lt; 0.001), Mean breath rate during recovery (19.17 ± 1.74, 28.24 ± 2.53, p &lt; 0.001), and the LFMO group showed significant advantages in both the length of recovery (22.94 ± 2.81, p &lt; 0.001) and comfort/tolerance (5.86 ± 1.24, p &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>Compared to breath training therapy, the low-flow mask oxygenation could be a more effective, comfortable, and easy-to-follow treatment for PHVS.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"81 ","pages":"Article 101636"},"PeriodicalIF":1.8,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144298276","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}