International Emergency Nursing最新文献

{"title":"Impact of virtual reality training on nurses’ preparedness and self-efficacy in emergencies and disasters: A quasi-experimental study","authors":"Khitam Alsaqer ,&nbsp;Saeed Hussein Alhmoud","doi":"10.1016/j.ienj.2025.101662","DOIUrl":"10.1016/j.ienj.2025.101662","url":null,"abstract":"<div><h3>Background</h3><div>Emergency preparedness in hospitals for disasters is unexpectedly required. Disasters, however, are rarely encountered clinically, making it ideal for simulation, such as Virtual Reality (VR).</div></div><div><h3>Objective</h3><div>To examine the impact of an immersive VR disaster training program on disaster preparedness and self-efficacy in emergency (ER) nurses.</div></div><div><h3>Methods</h3><div>A quasi-experimental design with one-group repeated measures. 90 ER nurses were recruited to receive disaster training through immersive VR. Nurses’ Perceptions of Disaster Core Competencies (NPDCC) and Disaster Response Self-Efficacy (DRSES) were collected before, immediately, and one month after the training.</div></div><div><h3>Results</h3><div>Paired t-tests revealed significant improvements in both NPDCC and DRSES scores from pre-test to post-test (NPDCC: t (89) = -12.45, p &lt; 0.001; DRSES: t (89) = -10.65, p &lt; 0.001). The follow-up scores showed a slight decrease compared to post-test scores but remained significantly higher than pre-test scores (NPDCC: t (89) = -6.72, p &lt; 0.001; DRSES: t (89) = -4.99, p &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>This study provides compelling evidence for the efficacy of immersive VR disaster training in enhancing disaster preparedness and self-efficacy among emergency nurses. Healthcare institutions and nursing education programs should incorporate VR training modules into their curricula and ongoing professional development.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"82 ","pages":"Article 101662"},"PeriodicalIF":1.8,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144863602","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":"Nasal high flow therapy in the emergency department – A prospective study","authors":"Jane O’Donnell ,&nbsp;Georgia Doyle ,&nbsp;Michaela Fletcher ,&nbsp;Chantelle Maria Dick","doi":"10.1016/j.ienj.2025.101660","DOIUrl":"10.1016/j.ienj.2025.101660","url":null,"abstract":"<div><h3>Background</h3><div>Globally, emergency department (ED) nurses routinely care for patients requiring respiratory support; this support may include nasal high flow (NHF) therapy.</div></div><div><h3>Objective</h3><div>The study objective was to profile and evaluate the outcomes of ED patients receiving NHF respiratory support compared to those receiving all other forms of respiratory support.</div></div><div><h3>Methods</h3><div>A prospective, observational, multicenter method was used to capture real-time, real-world epidemiological data at four New Zealand EDs for two 12-hour periods in April and May 2023. N = 898 patients presented to the participating EDs; the minority, n = 76 (8.46 %), received respiratory support, with a subset of these (<em>n</em> = 12, 15.7 %) receiving NHF.</div></div><div><h3>Results</h3><div>Most of those receiving NHF were male (<em>n</em> = 8, 66 %), of New Zealand European ethnicity (<em>n</em> = 4, 33 %), with a mean age of 69.91 years (SD 18.93). These participants had a mean triage score of 2.66 (SD 0.65) and a mean modified early warning score of 7.58 (SD 3.32). ‘Respiratory’ was the most common participant diagnostic category (<em>n</em> = 5, 41.5 %). The most common reason for NHF delivery was ‘oxygenation improvement’ (<em>n</em> = 4, 33.3 %).</div><div>Those receiving NHF appeared to require less escalation of respiratory support versus those receiving other forms of respiratory support (<em>n</em> = 1, 8.3 %, versus <em>n</em> = 21, 32.8 %). No significant difference in treatment effect was seen for escalation to NHF versus other forms of respiratory support (RR 0.31, 95 % CI 0.04 to 2.12, <em>P</em> = 0.23, NNT (benefit) 5.87, 95 % CI 2.43 to 14.07). The median overall length of stay for those admitted to the hospital was eight days (4–15). This was seen to be significantly higher for those receiving NHF in the ED (Mann-Whitney U, 183, <em>P</em> = 0.004).</div></div><div><h3>Conclusion</h3><div>Given the methods used, all findings must be viewed with caution. The study reports that a minority of ED patients requiring respiratory support receive NHF. However, these patients appear to have high acuities, a high need for hospitalization, and an increased length of stay (LOS). Collectively, these data suggest that these patients are high consumers of healthcare resources. These New Zealand study findings may have implications for research and care planning across health sectors, including the ED.</div></div><div><h3>Contribution to Emergency Nursing Practice</h3><div><strong>What is already known about this topic?</strong> Nasal high-flow therapy, which provides respiratory support, is provided in the emergency department to patients with many conditions.</div><div><strong>What does this paper add to the currently published literature?</strong> This description of the epidemiology of emergency department patients provided nasal high flow here may inform benchmarking for future ED clinical practice and","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"82 ","pages":"Article 101660"},"PeriodicalIF":1.8,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144772263","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 adjunctive therapy for organophosphate poisoning: A meta-analysis","authors":"Liang Wang ,&nbsp;Xue Wang","doi":"10.1016/j.ienj.2025.101659","DOIUrl":"10.1016/j.ienj.2025.101659","url":null,"abstract":"<div><h3>Aims</h3><div>This <em>meta</em>-analysis aims to assess the efficacy and safety of adjunctive therapies in patients with organophosphate poisoning.</div></div><div><h3>Methods</h3><div>A comprehensive literature search was performed in PubMed, EMBASE, Cochrane Library, and Web of Science from database inception to August 21, 2024. Prospective randomized controlled trials (RCTs) evaluating emergency interventions for organophosphate poisoning were included in the analysis. Clinical outcomes including mortality, duration of mechanical ventilation, length of stay (LOS) and need for mechanical ventilation were collected.</div></div><div><h3>Results</h3><div>Compared with atropine alone, the atropine plus pralidoxime group showed a significantly higher risk of mortality (P = 0.020) and a longer LOS (P &lt; 0.001), while no significant differences were observed in the need for mechanical ventilation or its duration. For the atropine plus FFP group, no significant differences were found in outcomes including mortality, LOS, or ventilatory parameters. Hemopurification combined with atropine significantly reduced both mortality (P = 0.020) and LOS (P = 0.001). NAC showed a trend towards reduced LOS, although the result was not statistically significant. MgSO₄ and glycopyrrolate exhibited potential benefits in reducing LOS, although the results were not statistically significant. NaHCO₃ significantly reduced LOS (P = 0.05).</div></div><div><h3>Conclusion</h3><div>The use of pralidoxime may be associated with an increased risk of adverse outcomes, calling into question its routine application in organophosphate poisoning. In contrast, hemopurification was associated with a significant reduction in mortality and may represent a promising adjunctive therapeutic strategy.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"82 ","pages":"Article 101659"},"PeriodicalIF":1.8,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144702277","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":"Understanding the need for and use of analgesics in the emergency department","authors":"Tjitske D. Groenveld ,&nbsp;Roeland A.L. Arpots ,&nbsp;Marjan de Vries ,&nbsp;Regina L.M. van Boekel ,&nbsp;Evelien van Eeten ,&nbsp;Harry van Goor ,&nbsp;Vincent M.A Stirler","doi":"10.1016/j.ienj.2025.101648","DOIUrl":"10.1016/j.ienj.2025.101648","url":null,"abstract":"<div><h3>Background</h3><div>Assessing factors related to patients and clinicians, particularly nurses, along with pain scores and their association with opioid administration is important before introducing non-pharmacological innovations in the emergency department.</div></div><div><h3>Methods</h3><div>A prospective cross-sectional study was conducted using multivariable logistic regression analysis. The primary outcome was the association of opioid administration with patient’s age, sex, pain acceptability, pain location, pre-hospital use of analgesics, baseline numeric rating scale (NRS) pain score at rest, desire for analgesics, and the nurses’ perception of the reported pain score. Secondary outcomes included NRS anxiety, analgesics use and prescription, patient satisfaction, and the patient’s definition of pain acceptability. Cut-off NRS pain scores for pain acceptability and desire for analgesics were calculated. Patient definitions of pain acceptability were determined using thematic analysis.</div></div><div><h3>Results</h3><div>Data from 236 patients were analyzed. Factors associated with administering opioids included nurse-perceived adequate pain score, higher baseline NRS pain scores, pre-hospital opioid use, and unacceptable pain. The cut-off NRS pain scores were 7 for pain acceptability and 6 for the desire for analgesics. Patients related pain acceptability to pain characteristics and situational context.</div></div><div><h3>Conclusions</h3><div>Nurse perception of the patient-reported pain score and pain acceptability are important determinants for administering analgesics. The insufficient discriminative power of a cut-off NRS pain score highlights that pain management should go beyond pain scores alone. These findings could enhance selecting patients with acute pain who may benefit from non-pharmacological interventions in the emergency department.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"82 ","pages":"Article 101648"},"PeriodicalIF":1.8,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144653933","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":"Assessing the effectiveness of an occupational musculoskeletal ınjury prevention program for paramedic students: A quasi-experimental, pretest–posttest study","authors":"Fatma Tok,&nbsp;Naile Canıtez,&nbsp;Tuğba Aydemir","doi":"10.1016/j.ienj.2025.101658","DOIUrl":"10.1016/j.ienj.2025.101658","url":null,"abstract":"<div><h3>Background</h3><div>Paramedics must apply appropriate body mechanics principles when providing emergency care, actively engaging their bodies to prevent physical injuries and protect patients from falls and harm. The aim of this study is to investigate the effectiveness of a occupational musculoskeletal injury prevention program provided to paramedic students on their level of knowledge regarding body mechanics principles and their performance in patient transport practices.</div></div><div><h3>Methods</h3><div>This semi-experimental study employs a pretest–posttest single-group design. The study population consisted of 60 paramedic program students at a university’s health services vocational school during the 2022–2023 academic year’s fall semester. Students received theoretical and practical training on body mechanics, following the Body Mechanics Training Guide. Data were analyzed using IBM SPSS 24.</div></div><div><h3>Results</h3><div>The mean age of the students was 20.40 ± 1.65 years, with 58.3 % in their second year, and 76.7 % female. Significant differences were found in Body Mechanics Knowledge Form scores across pre-training, post-training, and follow-up assessments. A statistically significant improvement was also observed in Observational Checklist scores, with 95.0 % of students failing the pre-test but all succeeding in the post-training assessment.</div></div><div><h3>Conclusion</h3><div>This study concluded that the occupational injury prevention training program improved the knowledge levels and performance in patient transport practices of paramedic students.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"82 ","pages":"Article 101658"},"PeriodicalIF":1.8,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144605124","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":"Comfort scores instead of pain scores as a possible tool for pain and analgesia reduction in the emergency department: A randomized controlled clinical trial","authors":"C.M. Edwards ,&nbsp;S. Veenje ,&nbsp;E. Visser ,&nbsp;D. Dammers ,&nbsp;M.I. de Haan-Lauteslager ,&nbsp;H. Lameijer","doi":"10.1016/j.ienj.2025.101657","DOIUrl":"10.1016/j.ienj.2025.101657","url":null,"abstract":"<div><h3>Introduction</h3><div>Frequent use of the term ’pain’ in clinical settings has been associated with the nocebo effect, potentially leading to increased pain perception and unnecessary analgesic use. This study aimed to explore the impact of cognitive reframing, employing comfort scores (CS) instead of pain scores (PS), on analgesic desire and usage in adults presenting to the emergency department (ED) with abdominal pain.</div></div><div><h3>Methods</h3><div>In this randomized controlled trial, ED patients with abdominal pain were assigned to either the PS group (assessing pain using a pain score) or CS group (assessing comfort using an inverted pain score). In the CS group, explicit references to ’pain’ or ’discomfort’ were avoided. Desire for and use of analgesia were assessed at triage, 1 h post-entry, and at ED discharge. Statistical analyses included the Mann-Whitney <em>U</em> test for CS vs. PS and the Chi-squared test for analgesia desire and patient satisfaction.</div></div><div><h3>Results</h3><div>Among the 496 included patients (36 % male, median age 52 (IQR 31–67) years), CS and PS groups showed similar characteristics and prehospital analgesic use. The PS group required slightly less morphine in dosage (PS: 0.05 mg/kg (0.03–0.07) vs. CS: 0.07 mg/kg (0.04–0.10), p = 0.03). CS scores were lower than PS scores, but only significant at 1 h post-entry (CS median (IQR): 5 (4–6) vs. PS 6 (4–7), p = 0.03). Baseline analgesic desire was lower in the CS group (45 % vs. 54 %, p = 0.06), with no differences in administered analgesic types. Treatment satisfaction did not differ between groups.</div></div><div><h3>Conclusion</h3><div>In this study using CS as opposed to PS did not affect the desire for or the use of opioids or other analgesia in adult patients with abdominal pain presenting at the ED. Although CS may be potentially useful, using it instead of PS as a tool for cognitive reframing is currently not supported in the uncontrolled clinical setting of the ED.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"82 ","pages":"Article 101657"},"PeriodicalIF":1.8,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144611854","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 efficacy of nursing interventions in reducing infection rates among emergency department patients","authors":"Haijuan Cui,&nbsp;Haitang Wang","doi":"10.1016/j.ienj.2025.101650","DOIUrl":"10.1016/j.ienj.2025.101650","url":null,"abstract":"<div><h3>Background</h3><div>Healthcare-associated infections (HAIs) are a significant concern in emergency departments (EDs), where high patient volumes, rapid decision-making, and frequent invasive procedures increase infection risks. Despite existing infection prevention measures, the effectiveness of nursing interventions in reducing HAIs in ED settings remains underexplored.</div></div><div><h3>Objective</h3><div>This study evaluates the efficacy of nursing interventions in reducing HAIs among ED patients through a systematic review and <em>meta</em>-analysis, identifying the most effective strategies and providing evidence-based recommendations for infection control.</div></div><div><h3>Methods</h3><div>A systematic review and <em>meta</em>-analysis were conducted following PRISMA guidelines. A comprehensive search of PubMed, Cochrane Library, Scopus, and Web of Science was performed to identify relevant studies assessing nursing-led interventions for infection prevention in EDs. Eligible studies included randomized controlled trials (RCTs), quasi-experimental studies, and observational research reporting infection rates as primary outcomes. A random-effects model was used to estimate pooled effect sizes, and subgroup analyses explored the relative effectiveness of different intervention types (hygiene protocols, care bundles, patient education, environmental cleaning). Heterogeneity was assessed using I2 statistics, and publication bias was examined using funnel plots and Egger’s test.</div></div><div><h3>Results</h3><div>Ten high-quality studies involving 5,500 patients were included. The pooled odds ratio (OR) for nursing interventions in reducing HAIs was 0.69 (95 % CI: 0.65–0.74, p &lt; 0.001), indicating a 31 % reduction in infection odds. Hygiene protocols demonstrated the greatest efficacy (OR = 0.62, 95 % CI: 0.57–0.68, p &lt; 0.001), followed by care bundles (OR = 0.68, 95 % CI: 0.61–0.75, p &lt; 0.001) and environmental cleaning (OR = 0.75, 95 % CI: 0.68–0.82, p &lt; 0.001). Heterogeneity was moderate (I2 = 40 %), with higher variability in care bundles and environmental cleaning interventions. Sensitivity analyses confirmed the robustness of findings, and publication bias was minimal (Egger’s test, p = 0.18).</div></div><div><h3>Conclusion</h3><div>Nursing interventions significantly reduce HAIs in EDs, with hygiene protocols and care bundles being the most effective. Standardizing infection prevention protocols, integrating evidence-based nursing interventions, and ensuring adherence to best practices can enhance patient safety. Future research should explore the long-term sustainability of these interventions, the impact of multifaceted approaches, and their effectiveness across diverse patient populations.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"82 ","pages":"Article 101650"},"PeriodicalIF":1.8,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144595477","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":"“We Are Not Robots”: Understanding the psychosocial support needs of emergency department nurses – A qualitative study","authors":"Servet Cihan ,&nbsp;Dilara Sert Kasım ,&nbsp;Cennet Kara Özçalık ,&nbsp;Asım Kalkan","doi":"10.1016/j.ienj.2025.101644","DOIUrl":"10.1016/j.ienj.2025.101644","url":null,"abstract":"<div><h3>Introduction</h3><div>Emergency department (ED) nurses face a range of emotionally challenging and critical occupational stressors. As a vital part of the healthcare workforce, providing psychosocial support and empowerment to nurses is essential. This requires identifying factors that mitigate the demanding and traumatic aspects of emergency nursing and understanding the current support systems. Therefore, this study explored emergency department nurses’ perceptions of psychosocial support, existing psychosocial support systems, and their feelings, thoughts, and experiences related to their psychosocial support needs.</div></div><div><h3>Methods</h3><div>This study employed a qualitative descriptive design. Participants were selected through purposeful sampling, and semi-structured focus group interviews were conducted with 16 emergency department nurses. Data were analyzed using Graneheim and Lundman’s content analysis method. The Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist was followed to ensure rigorous reporting.</div></div><div><h3>Results</h3><div>Qualitative data analysis revealed three main themes and seven sub-themes. The three primary themes identified were perceived psychosocial support, psychosocial support services, and “we are not robots.”</div></div><div><h3>Conclusion</h3><div>The findings of this study highlight emergency department nurses’ perceptions of psychosocial support, the state of existing support systems, and their unmet needs. Given the negative impact of inadequate services and insufficient support, a multidisciplinary, comprehensive, and easily accessible approach is recommended to establish and provide psychosocial support tailored to emergency nursing.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"81 ","pages":"Article 101644"},"PeriodicalIF":1.8,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144570159","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":"Paramedics’ attitudes and self-assessed competencies for acute pain management: A cross-sectional study","authors":"Ida-Maria Rantala ,&nbsp;Elisa Nikander ,&nbsp;Päivi Kankkunen ,&nbsp;Jenni Hämäläinen","doi":"10.1016/j.ienj.2025.101649","DOIUrl":"10.1016/j.ienj.2025.101649","url":null,"abstract":"<div><h3>Introduction</h3><div>The management of acute pain in prehospital care is inadequate worldwide, despite the prevalence of pain among prehospital patients. Studies have indicated that the attitudes and competencies of paramedics are linked to effective pain management. This study aims to describe the attitudes and self-assessed competencies of paramedics and to identify the relationships between these factors and various background variables.</div></div><div><h3>Methods</h3><div>The data for this descriptive cross-sectional study were collected through an electronic survey distributed to paramedics via social media. The sample included basic-level paramedics, advanced-level paramedics, and emergency medical service field supervisors working in Finland. A total of 156 participants were recruited using convenience sampling. The data were analyzed using descriptive statistics and non-parametric tests.</div></div><div><h3>Results</h3><div>Most paramedics had not received updated education in pain management. Lack of continuing education was associated with more negative attitudes toward the treatment of long-term pain compared to those who had received ongoing training (p &lt; 0.05). A correlation was identified between patient-centered pain management and the educational level of paramedics (p &lt; 0.05). Attitudes toward patients’ self-assessment of pain were generally rather negative, regardless of the paramedics’ background variables.</div></div><div><h3>Conclusions</h3><div>The study highlights the deficiencies in acute pain assessment within prehospital care, due to prevailing attitudes. Paramedics exhibit rather negative attitudes toward patients’ self-reports of pain, despite generally maintaining a positive outlook on pain management. Cognitively healthy patients should have the opportunity to receive pain management that prioritizes their self-reports of pain. Improved education could potentially foster positive attitudes.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"81 ","pages":"Article 101649"},"PeriodicalIF":1.8,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144556588","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":"Impact of COVID-19 and the hospital disaster response on nurses working in a Fijian emergency department","authors":"Keshni Singh ,&nbsp;Mamatuki Sosefo ,&nbsp;Antony Robinson ,&nbsp;Chris Rossiter ,&nbsp;Di Brown","doi":"10.1016/j.ienj.2025.101638","DOIUrl":"10.1016/j.ienj.2025.101638","url":null,"abstract":"<div><h3>Objective</h3><div>This research examined the impact of the COVID-19 pandemic on Registered Nurses working in the Emergency Department (ED) of a major Fijian hospital. It explored the role of formal disaster response and highlighted lessons that can be learned for future disasters, especially in low-resource settings.</div></div><div><h3>Methods</h3><div>This exploratory qualitative study reports the perspectives of 16 Registered Nurses working in the ED during the 2021 COVID-19 outbreak.</div></div><div><h3>Results</h3><div>The implementation of disaster plans helped staff feel supported. Rapid deployment of tents provided much-needed extra space but increased challenges due to heat and shortages of human and material resources. High-volume mortality meant extended delays in adequately managing the deceased. Absence from family for patients and staff led to mental stress; this experience was ameliorated for nurses by support from the ED manager and clinical colleagues.</div></div><div><h3>Conclusion</h3><div>Planning and training are crucial prior to any disaster. In future, surge capacity and emergency response must be implemented by including clinicians in planning and delivery. It is crucial that provision of extra space is matched with sufficient extra staff. Adequate and early management of dead bodies is also vital.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"81 ","pages":"Article 101638"},"PeriodicalIF":1.8,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144563295","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}