International Emergency Nursing最新文献

{"title":"Interventions to retain emergency department nurses: A scoping review","authors":"Amanda Amarrador ,&nbsp;Julia Crilly OAM ,&nbsp;Paula Brough ,&nbsp;Elizabeth Elder","doi":"10.1016/j.ienj.2025.101573","DOIUrl":"10.1016/j.ienj.2025.101573","url":null,"abstract":"<div><h3>Introduction</h3><div>Globally, the nursing workforce is facing significant shortages, exacerbated by the COVID-19 pandemic. Emergency departments (ED) are dynamic environments that expose nurses to high levels of stress. Retention of existing nurses is vital, however the efficacy of interventions to improve the retention of ED nurses is limited. This review aimed to explore the evidence surrounding interventions focussed on addressing the retention of ED nurses.</div></div><div><h3>Method</h3><div>A scoping review of the literature was undertaken, guided by the Joanna Briggs Institute framework. A search of five electronic databases was conducted. Original research published between 2012 and 2023 regarding the population of nurses, the concept of interventions to decrease turnover/improve retention and the context of the emergency department were considered for inclusion.</div></div><div><h3>Results</h3><div>Five articles met the criteria for inclusion; three evaluated educational programs to ease the transition to becoming ED nurses, two assessed locally developed ‘ad hoc’ interventions. All the transitional education programs reported an increase in retention rates, while the ad hoc interventions produced minimal to no improvement in retention or reduction of turnover intent. All studies were conducted in high-income countries.</div></div><div><h3>Conclusion</h3><div>There is a dearth of evidence for organisations to draw upon to increase the retention of ED nurses. Additional research is warranted, especially regarding the long-term effects of interventions aimed at improving ED nurse retention, as well as evaluating interventions implemented in a wider variety of contexts.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"79 ","pages":"Article 101573"},"PeriodicalIF":1.8,"publicationDate":"2025-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143419718","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":"Comment on “Telenursing as a tool in emergencies and disasters: A systematic review”","authors":"Mehrab Neyazi,&nbsp;Rachana Mehta,&nbsp;Shubham Kumar,&nbsp;Ranjana Sah","doi":"10.1016/j.ienj.2025.101588","DOIUrl":"10.1016/j.ienj.2025.101588","url":null,"abstract":"","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"79 ","pages":"Article 101588"},"PeriodicalIF":1.8,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143379222","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":"Nurses’ perceptions of clinical leadership in the emergency department: A qualitative descriptive study","authors":"C. Scott ,&nbsp;L. Kuhn ,&nbsp;C. Moss","doi":"10.1016/j.ienj.2025.101586","DOIUrl":"10.1016/j.ienj.2025.101586","url":null,"abstract":"<div><h3>Aim</h3><div>To understand and describe how clinical leadership practices in nursing are undertaken within the emergency department from the perspectives of experienced emergency nurses.</div></div><div><h3>Research Question</h3><div>How do emergency nurses perceive and practice clinical leadership in the emergency department?</div></div><div><h3>Method</h3><div>A qualitative descriptive design was used. Ten individual semi-structured interviews were conducted with registered nurses with experience working in Australian emergency departments. The data were analysed using thematic analysis.</div></div><div><h3>Result</h3><div>Analysis of how clinical leadership was practiced in the emergency department resulted in the identification of four themes: leadership as coaching; leadership as supporting others; leadership by being where the department needs are; and leadership by sustaining and using hospital systems.</div></div><div><h3>Discussion</h3><div>The findings highlight that clinical leadership is exercised in guiding and supporting less experienced staff through coaching. Clinical leadership is demonstrated through expertise and detailed understanding of hospital systems and is used to empower nurses to trust their clinical judgement. Through understanding hospital systems, clinical leadership is exercised to ensure staff are supported to perform their roles and cater for their departmental and hospital needs.</div></div><div><h3>Conclusion</h3><div>Emergency nurses utilise clinical leadership skills in their everyday practice to coach and support less experienced staff. Emergency nurses who utilise clinical leadership dynamically use their knowledge of staff and systems to meet the constantly changing needs of their respective departments.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"79 ","pages":"Article 101586"},"PeriodicalIF":1.8,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143376931","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":"Risk Factors and Preventive Measures of Venous Thromboembolism in Trauma Patients using Trauma Embolic Scoring System: A retrospective chart review","authors":"Eun-Ji Choi ,&nbsp;Hyunjin Oh","doi":"10.1016/j.ienj.2025.101585","DOIUrl":"10.1016/j.ienj.2025.101585","url":null,"abstract":"<div><h3>Background</h3><div>Venous thromboembolism (VTE) is a major preventable complication in trauma patients, with varying incidence and risk factors across populations.</div></div><div><h3>Aim/Objective</h3><div>To categorize VTE risk in Korean trauma patients using the Trauma Embolic Scoring System (TESS) and assess the application of prophylaxis by risk level.</div></div><div><h3>Methods</h3><div>This retrospective study at Korea University Guro Hospital involved 1913 trauma patients over two years. Data on demographics, injury specifics, and preventive treatments were analyzed using TESS. The study examined general, mechanical, and chemical interventions for VTE prevention.</div></div><div><h3>Results</h3><div>Of the patients, 1.4% were diagnosed with VTE. The average TESS score was 3.20, indicating lower injury severity but higher percentages of surgeries over 2 h and serious injuries. The findings showed VTE occurrences even in patients with TESS scores below the high-risk threshold, particularly in limb injuries. Nurse-led interventions like early physical activity were most common in the low-risk group, while mechanical prophylaxis like anti-embolism stockings was also predominantly used in this group. Chemical prophylaxis showed consistent administration across groups, with 37.5% of the high-risk group receiving Low Molecular Weight Heparin (LMWH), although only a minority received it within the recommended 48-hour.</div></div><div><h3>Conclusions</h3><div>The study reveals a need for vigilant monitoring and intervention across all risk categories, underscoring the importance of tailored VTE prevention guidelines in South Korea. It highlights the role of comprehensive management, including patient education and adherence to updated guidelines.</div></div><div><h3>Tweetable Abstract</h3><div>New study categorizes VTE risk in Korean trauma patients using TESS, showing the need for tailored prophylaxis across risk levels #VTEPrevention #TraumaCare.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"79 ","pages":"Article 101585"},"PeriodicalIF":1.8,"publicationDate":"2025-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143372692","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":"Accuracy in identification of pre-eclampsia patients at emergency department triage: A quantitative descriptive study","authors":"Lisa Wolf ,&nbsp;Angelique Russell ,&nbsp;Deena Brecher ,&nbsp;Claire Simon","doi":"10.1016/j.ienj.2025.101583","DOIUrl":"10.1016/j.ienj.2025.101583","url":null,"abstract":"<div><h3>Introduction</h3><div>To describe the accuracy of triage decision-making in a sample of US emergency departments regarding the identification of preeclampsia in both pregnant and postpartum patients.</div></div><div><h3>Methods</h3><div>A quantitative correlative retrospective approach using a large data set to verify the impact of accurate identification of the high-risk preeclamptic patient at triage. Data were extracted from a dataset of de-identified ED records. All female-identified patients presenting to the study sites from January 1, 2022-September 30, 2023, were included. Accurate triage of patients was modeled using logistic regression to identify significance and strength of associations between ESI classification and patient disposition outcomes in high-risk patients with the specific emergency department diagnosis of preeclampsia.</div></div><div><h3>Results</h3><div>The final sample included over 1.3 million patients whose record contained an ICD-10 code describing suspected perinatal preeclampsia in 25 sites across four U.S. states. The percentage of high-risk perinatal presentations at triage ranged from 17.7% to 23.3% across sites; the percentage of those patients with a final (confirmed) diagnosis of preeclampsia comprised 881 patients of 243,872 high-risk presentations. Of the 881 patients with preeclampsia, 80.1% (711) were under triaged. Women in the preeclampsia cohort were 66% more likely to be in a maternal care desert and 59% were Hispanic or non-white.</div></div><div><h3>Conclusions</h3><div>While high risk pregnancy and postpartum presentations are 18.5% of the obstetric population presenting to emergency departments, they are under triaged 50% of the time; when a very high risk, low volume presentation such as preeclampsia is present, those patients are under triaged 80% of the time. Given the documented inadequacy of education related to obstetric emergencies, and growing maternal care deserts, these findings suggest a concerning situation for patients seeking pregnancy-related care in emergency departments.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"79 ","pages":"Article 101583"},"PeriodicalIF":1.8,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143152680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring staff perceptions regarding alarm fatigue and practices among nurses: A multicentre study in the Northern Emirates","authors":"Hussam Al Nusair ,&nbsp;Mariezl Fonbuena ,&nbsp;Caitriona Chew ,&nbsp;Rafi Alnjadat ,&nbsp;Nishad Nellikunnel Muhammed ,&nbsp;Saleem Perinchery ,&nbsp;Mezzani Mayo ,&nbsp;Maha Ali Rashid ,&nbsp;Maryam Dadalla ,&nbsp;Mona Ibrahim Nada ,&nbsp;Hisham Abdelmotaleb","doi":"10.1016/j.ienj.2025.101584","DOIUrl":"10.1016/j.ienj.2025.101584","url":null,"abstract":"<div><h3>Background</h3><div>Alarm fatigue poses a significant challenge in healthcare, particularly among emergency department and intensive care unit nurses. This phenomenon can lead to delayed responses, missed critical alarms, and compromised patient outcomes. Addressing alarm fatigue is vital to maintain patient safety and optimize nursing workflows.</div></div><div><h3>Purpose</h3><div>To comprehensively investigate alarm fatigue among nurses, with a focus on exploring their perceptions of alarm fatigue, identifying factors contributing to alarm fatigue, and propose strategies for alarm management and enhance patient safety.</div></div><div><h3>Methods</h3><div>Multicentre cross-sectional, quantitative study was conducted from the three (3) Sheikh Khalifa Initiative Hospitals in the Northern Emirates. The participants involved 120 nurses from Emergency Department, Intensive Care Unit, and Medical Surgical Ward − Close Monitoring Beds. An online survey platform developed by the Healthcare Technology Foundation was used, and data was collected between September 2023 to November 2023. Regression analysis was conducted to identify predictors of alarm fatigue among participating nurses, with potential predictors including demographic variables (age, gender), clinical characteristics (years of nursing experience), and organizational factors (e.g., hospital setting). Significance levels was set at p &lt; 0.05.</div></div><div><h3>Results</h3><div>Majority of participants were aged between 25–34 years (n = 60, 50 %), female (n = 87, 72.5 %), and predominantly working in the emergency department (n = 70, 58.3 %). Regression analysis (β = 0.244, t = 2.73, p &lt; 0.01) revealed gender as a significant predictor of alarm fatigue, with male nurses experiencing higher levels compared to females. Majority of the staff agreed and strongly agreed (n = 84, 70 %) that setting alarm parameters and alerts is overly complex in existing devices, and that alarm integration and communication systems with other wireless devices are useful for improving alarms management and responses (n = 101, 84.2 %).</div></div><div><h3>Conclusions</h3><div>This study provided insights into the prevalence and predictors of alarm fatigue among nurses, ultimately informing the development of targeted interventions and strategies to mitigate alarm fatigue, enhance patient safety, and improve the well-being of healthcare providers in critical care settings.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"79 ","pages":"Article 101584"},"PeriodicalIF":1.8,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143152681","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 potential for Safewards to reduce restrictive interventions for people arriving to the emergency Department with police for a mental health assessment","authors":"Catherine Daniel ,&nbsp;Celene Y.L. Yap ,&nbsp;Jonathan C Knott ,&nbsp;Ashleigh Ryan ,&nbsp;Rebecca Brittliff ,&nbsp;Marie Gerdtz","doi":"10.1016/j.ienj.2024.101570","DOIUrl":"10.1016/j.ienj.2024.101570","url":null,"abstract":"<div><div>Safewards is a complex intervention developed to promote a therapeutic response to minimise conflict and containment in inpatient mental health settings. A pilot study was conducted to adapt Safewards for the emergency department (ED) setting to evaluate its impact on the use of restrictive interventions. This subgroup analysis focusses on patients transported to the ED by police for mental health assessment.</div></div><div><h3>Method</h3><div>A retrospective file audit was conducted using pre and post measures on the use of restrictive interventions following the implementation of Safewards. Demographic and restrictive interventions data were extracted from the hospital databases 12 months before and 6 months after Safewards was implemented. All patients transported to the ED by police for a mental health assessment were included in two regional emergency departments in Victoria, Australia, with over 122,000 presentations per year accredited by the Australasian College for Emergency Medicine.</div></div><div><h3>Results</h3><div>There were 1379 pre and 543 post attendances accompanied by police. Of these, 85.5% pre and 99.1% post were transported to the hospital under Section 351 of the MHA (2014). Post implementation, there were fewer code grey events (clinical and security responses to unarmed threat) that required restrictive interventions including mechanical or chemical restraint. The number of code grey events in which no restrictive intervention was applied increased from 76.7% to 86.6%. Staff assigned higher triage ratings following the introduction of Safewards.</div><div>There was a significant reduction in code grey events that used one restrictive intervention after implementing Safewards ED interventions (15.6% versus 7.2%<em>; p</em>=&lt;0.001). Significantly fewer sedative medications were administered to manage behaviour on arrival (20.6% pre versus 9.8% post, p=&lt;0.001).</div></div><div><h3>Conclusion</h3><div>The Safewards ED adaptation may have contributed to a reduction in the use of restrictive interventions in this high-risk subgroup of patients frequently subject to restrictive interventions in the ED. Further research is required to validate the findings from this subgroup analysis.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"78 ","pages":"Article 101570"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014448","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":"Investigating the impact of nursing shift change audit on the safety of emergency department patients","authors":"Sina Kazemi ,&nbsp;Saeed Hashemi ,&nbsp;Ali Rahmani ,&nbsp;Hossein Mahmoudi","doi":"10.1016/j.ienj.2024.101551","DOIUrl":"10.1016/j.ienj.2024.101551","url":null,"abstract":"<div><h3>Introduction</h3><div>Nursing care is complex and critical, emphasizing the importance of standardized communication methods for conveying health information. Nurses working different shifts exchange treatment details and patient information during shift handover. By utilizing the SBAR method for shift handover, nurses can ensure that the receiving nurse has a comprehensive understanding of the patient’s condition. Conducting shift change audits allows for comparison of the current shift practices with standard protocols, enabling the identification and resolution of any issues. Implementing targeted reporting strategies during shift changes can help address challenges and improve the effectiveness of health information transfer.</div></div><div><h3>Objective</h3><div>The study was conducted to investigate the impact of auditing nursing shift changes on patient safety in the emergency department of a hospital in Tehran.</div></div><div><h3>Methods</h3><div>The present study is a semi-experimental study conducted on 35 nurses and 70 patients in a convenience sample before and after the intervention. The study took place in the emergency department of a hospital in Tehran during 2023–2024. Initially, nurses’ shift work, patient safety, and nurses’ satisfaction were assessed using a questionnaire. The current situation was then compared with the SBAR checklist, and an SBAR training program was developed for nurses. Interventions included theoretical training sessions on using the SBAR method during shift changes and the presentation of a training video. After completing the educational interventions, the materials were reviewed, problems were addressed, and nurses’ shift changes were evaluated using the SBAR checklist, along with completion of a patient safety questionnaire.</div></div><div><h3>Results</h3><div>The study found that the SBAR score significantly increased after the intervention (49.49) compared to before (21.31) (P &lt; 0.05). Additionally, patient safety scores significantly improved after the intervention (P &lt; 0.05).</div></div><div><h3>Conclusion</h3><div>Implementing a targeted and integrated approach to shift work based on the SBAR method can help address challenges in nursing shift delivery, improve the nursing care process, and enhance patient safety.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"78 ","pages":"Article 101551"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792193","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 emergency competencies in healthcare professionals via murder mystery games: Comment","authors":"Amnuay Kleebayoon,&nbsp;Viroj Wiwanitkit","doi":"10.1016/j.ienj.2024.101566","DOIUrl":"10.1016/j.ienj.2024.101566","url":null,"abstract":"","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"78 ","pages":"Article 101566"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878620","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 effectiveness of using animal-themed vacutainers to reduce pain and fear in children during bloodletting","authors":"Nejla Canbulat Sahiner ,&nbsp;Selda Ates Besirik ,&nbsp;Alper Yusuf Koroglu ,&nbsp;Seda Dilay","doi":"10.1016/j.ienj.2024.101549","DOIUrl":"10.1016/j.ienj.2024.101549","url":null,"abstract":"<div><h3>Introduction</h3><div>This study aimed to compare the effects of vacutainers of three different animal characters on pain and fear in children during bloodletting.</div></div><div><h3>Methods</h3><div>This randomized controlled trial included 180 children between the ages of 4 and 7 years who required bloodletting for routine control. Children were randomized into two groups: experimental and control groups. Routine bloodletting procedure was applied to those in the control group. Animal characters (butterfly, peacock and rabbit) chosen by children in the experimental group was attached to the vacutainer, and then their blood was drawn. The data were obtained by face-to-face interviews with the child, parent and observer before and after the procedure. Children’s pain and fear/anxiety levels were evaluated using the Wong-Baker FACES Pain Scale and the Children’s Fear Scale, respectively.</div></div><div><h3>Results</h3><div>There was no statistically significant difference between the groups’ pre-test scores with respect to age, BMI, gender, fear/anxiety assessments of the child, parent, and observer. Children in the experimental group had significantly lower pain and fear/anxiety levels after the procedure compared to those in the control group(p &lt; 0.000).</div></div><div><h3>Conclusions</h3><div>Animal characters (butterfly, peacock and rabbit) attached to the vacutainer is effective in reducing both fear and pain levels in children during bloodletting.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"78 ","pages":"Article 101549"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773881","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}