International Emergency Nursing最新文献

{"title":"Experiences of patients with peripheral intravenous catheter insertion and care in an Australian emergency department: A CFIR-guided qualitative study","authors":"Hui (Grace) Xu ,&nbsp;Jed Duff ,&nbsp;Vickii Binnie","doi":"10.1016/j.ienj.2026.101762","DOIUrl":"10.1016/j.ienj.2026.101762","url":null,"abstract":"<div><h3>Background</h3><div>Peripheral intravenous catheter insertion is a common procedure in emergency departments. Despite clear guidelines, patient experiences vary, and evidence-based practice is inconsistently applied. Understanding patient perspectives is essential to improving care quality.</div></div><div><h3>Aim</h3><div>To explore patient experiences of peripheral intravenous catheter insertion and care in the emergency department, identifying barriers and enablers to evidence-based practice.</div></div><div><h3>Methods</h3><div>A qualitative study was conducted in an Australian emergency department in 2025. Semi-structured interviews were analysed using thematic analysis, guided by CFIR domains to explore current clinical practice.</div></div><div><h3>Results</h3><div>A total of 13 patients and nine clinicians were interviewed. Patients reported variability in technical skill, communication, and involvement in decision-making. Many felt disempowered by hurried consent processes or convenience-driven insertions, while some preferred that clinicians make decisions. Clinicians identified barriers including limited access to ultrasound, insufficient hands-on training with real patients, workload, time pressures, and a culture discouraging escalation of difficult cannulations. Key enablers included mentorship, role modelling, standardised training, and supportive leadership. Both patients and clinicians emphasised the importance of empathetic communication, tailored information provision, and managing needle-related anxiety.</div></div><div><h3>Conclusion</h3><div>Addressing barriers to best clinical practice is critical to improving patient experience and quality outcomes. Future research should explore interventions across diverse hospital settings, including rural and resource-limited emergency departments. Implication for Profession: Enhancing training, structured mentorship, and embedding champions can strengthen clinician capability and confidence. Cultivating a culture of patient-centred care and shared decision-making may improve safety, satisfaction, and adherence to evidence-based practice.</div></div><div><h3>Reporting Method</h3><div>Findings were reported using the Consolidated criteria for reporting qualitative research.</div></div><div><h3>Public Contribution</h3><div>Patients were the sample group.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"85 ","pages":"Article 101762"},"PeriodicalIF":1.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146174152","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":"Rethinking frailty for the emergency department: Fast, fair, and actionable","authors":"Arian Zaboli ,&nbsp;Gianni Turcato","doi":"10.1016/j.ienj.2026.101751","DOIUrl":"10.1016/j.ienj.2026.101751","url":null,"abstract":"","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"85 ","pages":"Article 101751"},"PeriodicalIF":1.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147385339","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":"Prediction of Alcohol Withdrawal Severity Scale (PAWSS) for patients cared for in an emergency department/Level I Trauma Center: An evidence-based practice change","authors":"Jessica Lawien ,&nbsp;Jennifer Welter ,&nbsp;Jamie Aranda ,&nbsp;Amy Zosel ,&nbsp;Tina Nielsen ,&nbsp;Natalie S. McAndrew","doi":"10.1016/j.ienj.2026.101761","DOIUrl":"10.1016/j.ienj.2026.101761","url":null,"abstract":"<div><h3>Background</h3><div>Patients with alcohol use disorder (AUD) often come to the Emergency Department (ED) for unrelated complaints but can still experience withdrawal. The purpose of this Evidence-Based Practice (EBP) project was to detect the potential for alcohol withdrawal in the ED using the Prediction of Alcohol Withdrawal Severity Scale (PAWSS) and then provide necessary treatment to prevent negative patient outcomes (i.e., alcohol withdrawal-related seizures, admissions to the intensive care unit (ICU), and prolonged stays in the ED).</div></div><div><h3>Methods</h3><div>This EBP project was implemented at a Level I Trauma/Academic Medical Center in the Midwest. Nurses were educated on the PAWSS before the project began and then screened patients presenting to the ED using the PAWSS. Patient information collected included: chief complaint (alcohol withdrawal vs other), length of stay (LOS) in ED, total number and type of medications administered for alcohol withdrawal (collected as Phenobarbital and Lorazepam equivalents), disposition (admitted or discharged), alcohol withdrawal seizures, and ICU admissions. These patient outcomes were extracted from the electronic health record and analyzed weekly throughout the course of the project. At the end of the study period, the selected patient information collected during the course of the project were compared to those of pre-project patients in which a revised Clinical Institute Withdrawal Assessment for Alcohol (CIWA-Ar) was documented or those with a chief complaint related to alcohol.</div></div><div><h3>Results</h3><div>During the project, LOS decreased to an average of 418 min (range: 163–676 min, <em>SD</em> = 106 min) in those with PAWSS score four or greater compared to pre-project numbers. Providers prescribed fewer alcohol withdrawal medications, withdrawal seizures decreased to almost zero, and the number of patients requiring ICU admission decreased from 10 to 7.</div></div><div><h3>Discussion</h3><div>Implementation of PAWSS resulted in decreased ED LOS, decreased ICU admissions, and decreased use of medications for the treatment of alcohol withdrawal. These promising results suggest PAWSS is a valuable screening tool for ED patients with the potential for experiencing alcohol withdrawal.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"85 ","pages":"Article 101761"},"PeriodicalIF":1.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146158667","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":"Research hotspots and emerging trends in low-altitude medical rescue (2014–2024): A bibliometric study","authors":"Lu Liu ,&nbsp;Tingting Peng ,&nbsp;Xun Deng ,&nbsp;Shan Zhang","doi":"10.1016/j.ienj.2026.101773","DOIUrl":"10.1016/j.ienj.2026.101773","url":null,"abstract":"<div><h3>Introduction</h3><div>Due to the constraints of ground traffic congestion, geographical barriers in remote areas, and the stringent time-sensitivity of life-threatening conditions, low-altitude medical rescue (LAMR) have emerged as an indispensable solution, attracting widespread attention and becoming an inevitable trend in next-generation medical rescue research. This study aimed to analyze research hotspots and emerging trends in drone-based LAMR to assist healthcare professionals in optimizing LAMR systems for sustainable development.</div></div><div><h3>Methods</h3><div>A visual analysis was conducted using CiteSpace 6.3.R1 software to analyze research hotspots and emerging trends in drone-based LAMR from January 1, 2014 to December 31, 2024. The indicators included publication output over time, publication countries and institutions, authors, cited journals, co-occurrence of keywords, and burst keyword detection.</div></div><div><h3>Results</h3><div>A total of 524 publications were included in the final analysis. The <em>Scandinavian Journal of Trauma Resuscitation &amp; Emergency Medicine</em> emerged as the most cited journal. Research hotspots focused on operational efficiency and clinical outcomes of drone-based LAMR, system-level management and resource optimization, and tailored protocols for critical conditions. Future trends emphasize service delivery optimization and the role of drone-based LAMR in public health security.</div></div><div><h3>Discussion</h3><div>This study delineates the evolution of drone-based LAMR research, highlighting its growing integration with public health strategies. Findings reveal the need for innovation in drone-assisted technologies and interdisciplinary collaboration to enhance drone-based LAMR scalability and resilience.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"85 ","pages":"Article 101773"},"PeriodicalIF":1.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146174156","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 correlation of emotional intelligence and demographic characteristics with work performance among Palestinian emergency nurses","authors":"Malakeh.Z. Malak ,&nbsp;Anas Shehadeh ,&nbsp;Ahmad Ayed ,&nbsp;Moath Abu Ejheisheh ,&nbsp;Ahmad Batran","doi":"10.1016/j.ienj.2026.101752","DOIUrl":"10.1016/j.ienj.2026.101752","url":null,"abstract":"<div><h3>Purpose</h3><div>Emergency nurses work in high-pressure and emotionally demanding environments. High emotional intelligence is a crucial skill that can influence emergency nurses’ work performance. However, few studies have examined the correlations between emotional intelligence and demographic variables with emergency nurses’ work performance, especially in conflict zones such as Palestine. This study aimed to examine the levels of emotional intelligence and work performance, their correlations, and the effects of select demographic variables among a sample of 223 emergency nurses working in high-patient-load governmental hospitals in Palestine.</div></div><div><h3>Methods</h3><div>A cross-sectional, quantitative correlational design was used. Data were collected using the Schutte Self-Report Emotional Intelligence Test (SSEIT) and the Employee Job Performance (EJP) Scale between March and April 2025. Data analysis included descriptive statistics, correlation tests, and multiple linear regression.</div></div><div><h3>Results</h3><div>The findings revealed high levels of emotional intelligence (M = 151.8 ± 1.9 out of 165) and work performance (M = 4.3 ± 0.4 out of 5). There were significant moderate correlations between work performance and age (r = 0.421, p &lt; 0.001), work experience (r = 0.337, p &lt; 0.001), and emotional intelligence (r = 0.597, p &lt; 0.001). Emotional intelligence and age were positive predictors of work performance.</div></div><div><h3>Conclusions</h3><div>The findings highlight the central role of emotional intelligence in enhancing care provision among emergency nurses. Interventions that strengthen the emotional intelligence of emergency nurses should be adopted and promoted, especially in conflict zones. Correlating demographic variables can inform the design and delivery of such interventions.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"85 ","pages":"Article 101752"},"PeriodicalIF":1.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146025052","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":"Systematic review of clinical practice guidelines on the Canadian Triage and Acuity Scale (CTAS)","authors":"Simon Ouellet ,&nbsp;Maria Cécilia Gallani ,&nbsp;Sarah-Eve St-Pierre ,&nbsp;Éric Mercier ,&nbsp;Marc-Aurèle Gagnon ,&nbsp;Patrick Archambault ,&nbsp;Mélanie Bérubé","doi":"10.1016/j.ienj.2026.101771","DOIUrl":"10.1016/j.ienj.2026.101771","url":null,"abstract":"<div><h3>Aim</h3><div>Identify quality indicators for nursing triage outlined in the Canadian Triage and Acuity Scale (CTAS) guidelines and describe the skills and professional attributes required for nurses to perform high-quality triage.</div></div><div><h3>Data sources</h3><div>Embase, PubMed, CINAHL, Cochrane Library, Web of Science, and 37 professional association websites.</div></div><div><h3>Methods</h3><div>This systematic review included CTAS guidelines published between January 1990 and August 2025. Guideline quality was appraised using the AGREE II tool. Quality indicators and nursing skills were standardized, grouped into conceptual categories, and their frequency was documented.</div></div><div><h3>Result</h3><div>Nine guidelines were included, all of which were low quality. Twelve key quality indicator categories were identified. Of these, 100% of guidelines required that triage report chief complaints, objective clinical assessment, use of CTAS modifiers, and triage acuity levels. Documentation of the mode of arrival to the emergency department (22%) and infection risk screening and control measures (11%) were the quality indicators least reported on. Nursing skills were grouped into three core areas. The first was knowledge, encompassing clinical proficiency in physical and mental health as well as familiarity with ethical and legal concepts. The second comprised clinical skills, namely advanced judgment, therapeutic communication and accurate record keeping. The third focused on behavioral and professional attitudes, emphasizing empathy, confidence and autonomy.</div></div><div><h3>Conclusion</h3><div>These findings underscore the need to reinforce triage quality through education, audit tools, and monitoring. Given the low quality of existing guidelines, future consensus efforts are needed to validate and refine indicators, providing a foundation for improving triage quality.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"85 ","pages":"Article 101771"},"PeriodicalIF":1.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146174155","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":"Reframing barriers to evidence-based practice in early pregnancy bleeding: Insights from nursing theory and implementation science","authors":"Iman Nurjaman,&nbsp;Intihan Nurzaeni,&nbsp;Ina Saparlina","doi":"10.1016/j.ienj.2026.101779","DOIUrl":"10.1016/j.ienj.2026.101779","url":null,"abstract":"","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"85 ","pages":"Article 101779"},"PeriodicalIF":1.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147322458","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 mediating role of work-related stress between psychological capital and work alienation among nurses in emergency departments: A cross-sectional study","authors":"Yuting Qin,&nbsp;Na Li,&nbsp;Binbin Yang,&nbsp;JinFeng Liu","doi":"10.1016/j.ienj.2026.101769","DOIUrl":"10.1016/j.ienj.2026.101769","url":null,"abstract":"<div><h3>Background</h3><div>As the issue of nurses’ turnover rate becomes increasingly prominent, work alienation has gradually become a research focus.</div></div><div><h3>Aims</h3><div>The aim of this study was to understand the current situation of work alienation among emergency department nurses and explore the mediating effect of work-related stress in the relationship between psychological capital and work alienation.</div></div><div><h3>Methods</h3><div>A cross-sectional investigation was conducted in four cities from June to August 2022, in China. A total of 364 nurses in emergency departments were included in this study<strong>.</strong> Data were collected using work-related stress questionnaires, psychological capital questionnaires, and work alienation questionnaires. Structural equation modeling implemented was used to analyze the relationship among psychological capital, work alienation, and work-related stress.</div></div><div><h3>Results</h3><div>Nurses in the emergency department have some extent of work alienation. Psychological capital had a direct and negative effect on work alienation, and it also had a significant indirect effect on work alienation through work-related stress, which means that work-related stress to a certain extent mediated the effect of psychological capital on work alienation, the mediating effect accounted for 39.11% of the total effect.</div></div><div><h3>Conclusions</h3><div>Work-related stress to a certain extent mediated the effect of psychological capital on work alienation among emergency department nurses. The result provides new insights for nursing managers to reduce their level of work alienation among nurses in emergency department.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"85 ","pages":"Article 101769"},"PeriodicalIF":1.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146158640","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":"Building clinical confidence, the impact of de-escalation training on nurses’ management of aggression: An integrative review","authors":"Omar Almulla,&nbsp;Eman Tawash,&nbsp;Maryam Alaradi,&nbsp;Bindhu Nair","doi":"10.1016/j.ienj.2026.101745","DOIUrl":"10.1016/j.ienj.2026.101745","url":null,"abstract":"<div><h3>Objective</h3><div>This integrative literature review aimed to examine the impact of de-escalation training on nurses’ ability to recognise and manage aggressive patient behaviour with a particular focus on emergency care settings.</div></div><div><h3>Design</h3><div>An integrative review of the literature.</div></div><div><h3>Data Sources</h3><div>A comprehensive search was conducted across multiple databases including PubMed, CINAHL (EBSCO), and Scopus. Peer-reviewed articles published between 2013 and 2023 were considered. Search terms included “de-escalation techniques”, “workplace violence” and “emergency department staff”.</div></div><div><h3>Review Methods</h3><div>Nine studies met the inclusion criteria and were critically appraised using the Mixed Methods Appraisal Tool. Data were analysed thematically to identify recurring patterns and concepts.</div></div><div><h3>Results</h3><div>Three main themes emerged: 1) the impact of de-escalation training on nurses’ confidence and clinical practice, 2) the effectiveness of de-escalation training in reducing the frequency and severity of violent incidents, and 3) the recurring factors contributing to the emergence of aggression in healthcare settings. De-escalation training was found to consistently improve nurses’ self-efficacy and patient-centred practices, though its direct impact on reducing violent incidents varied across contexts.</div></div><div><h3>Conclusions</h3><div>De-escalation training demonstrates strong potential to improve nurses’ responses to aggression in emergency care settings. However, its effectiveness is closely linked to contextual factors such as organisational support, environmental conditions, and staff resources. Future research should explore longitudinal impacts, optimal training modalities, and the integration of broader systemic strategies to support violence prevention in emergency departments.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"85 ","pages":"Article 101745"},"PeriodicalIF":1.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146012253","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":"Use of virtual clinical education in emergency nursing care: a scoping review","authors":"Liesel Smit ,&nbsp;Tanya Heyns ,&nbsp;Maria Elizabeth Cochrane ,&nbsp;Marlize Kuhn","doi":"10.1016/j.ienj.2026.101776","DOIUrl":"10.1016/j.ienj.2026.101776","url":null,"abstract":"<div><h3>Background</h3><div>Head-mounted devices (HMDs), such as smart glasses, are being implemented to deliver virtual clinical education (VCE) in emergency care, yet their value and practical limitations remain unclear.</div></div><div><h3>Objective</h3><div>To synthesise evidence on HMDs enabled VCE usage by healthcare professionals and students in emergency care, and to identify reported benefits and challenges.</div></div><div><h3>Methods</h3><div>A Joanna Briggs Institute (JBI) guided scoping review was conducted. Five databases and grey literature sources were searched, without date restrictions, for English-language studies describing HMD use for VCE in emergency care. Sixteen studies met the eligibility criteria. Data were charted and summarised descriptively.</div></div><div><h3>Results</h3><div>Most studies (50%) were published after 2021, originating from high-income countries. Reported advantages included enhanced two-way communication, faster clinical decision-making, hands-free documentation and remote supervision. Recurrent barriers were short battery life, unstable connectivity, restricted field-of-view, hygiene concerns and medicolegal uncertainty. Small sample sizes, heavy reliability of simulated environments and varied use of outcome measures limits generalisability of the findings.</div></div><div><h3>Conclusion</h3><div>Early evidence suggests that VCE using HMDs, can enrich emergency care, workflow and teaching, but technical, human-factors and regulatory obstacles persist. Larger, multi-centre studies using standardised metrics and real-world deployment are required before routine adoption can be recommended.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"85 ","pages":"Article 101776"},"PeriodicalIF":1.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272368","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}