International Emergency Nursing最新文献_第5页

Enhancing emergency competencies in healthcare professionals via murder mystery games: Comment 通过谋杀谜题游戏提高医疗专业人员的应急能力：评论。

IF 1.8 4区医学

International Emergency Nursing Pub Date : 2025-02-01 DOI: 10.1016/j.ienj.2024.101566

Amnuay Kleebayoon, Viroj Wiwanitkit

引用次数: 0

The effectiveness of using animal-themed vacutainers to reduce pain and fear in children during bloodletting 使用动物主题的真空容器减少儿童在放血过程中的疼痛和恐惧的有效性。

IF 1.8 4区医学

International Emergency Nursing Pub Date : 2025-02-01 DOI: 10.1016/j.ienj.2024.101549

Nejla Canbulat Sahiner , Selda Ates Besirik , Alper Yusuf Koroglu , Seda Dilay

{"title":"The effectiveness of using animal-themed vacutainers to reduce pain and fear in children during bloodletting","authors":"Nejla Canbulat Sahiner , Selda Ates Besirik , Alper Yusuf Koroglu , 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 < 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}

引用次数: 0

Video and booklet discharge instructions for mothers for childhood fever in pediatric emergency department: A randomized controlled trial 儿童急诊科发热母亲出院指导视频和小册子：一项随机对照试验。

IF 1.8 4区医学

International Emergency Nursing Pub Date : 2025-02-01 DOI: 10.1016/j.ienj.2024.101546

Aylin Kurt, Fatma Dinç, Emine Güneş Şan

{"title":"Video and booklet discharge instructions for mothers for childhood fever in pediatric emergency department: A randomized controlled trial","authors":"Aylin Kurt, Fatma Dinç, Emine Güneş Şan","doi":"10.1016/j.ienj.2024.101546","DOIUrl":"10.1016/j.ienj.2024.101546","url":null,"abstract":"<div><h3>Background</h3><div>Due to lack of knowledge and misunderstanding, parents may mismanage a fever and seek unnecessary medical attention.</div></div><div><h3>Aim</h3><div>The study aimed to determine the effectiveness of video and booklet discharge instructions for childhood fever in the pediatric emergency department.</div></div><div><h3>Methods</h3><div>This randomized controlled trial (NCT05929131) consisted of three groups: video (n = 48), booklet (n = 48), and verbal (n = 48) discharge instructions. Data were collected using the Introductory Information Form, Parent’s Childhood Fever Management, Post-Discharge Coping Difficulties Scale for Parents, and Post-Discharge Information Form.</div></div><div><h3>Results</h3><div>Within the first 3 days after receiving discharge instructions, parents in the video group had lower scores on the Parents’ Fever Management Scale (video: 20.29 ± 1.99, booklet: 20.65 ± 2.07, verbal: 28.41 ± 1.51; p < 0.05) and the Post-Discharge Coping Difficulties Scale for Parents (video: 39.44 ± 3.91, verbal: 54.03 ± 9.12; p = 0.019) compared to the verbal group. After discharge, the number of hospital readmissions was lower in the video group of parents compared to the verbal group (video: 1.12 ± 0.44, verbal: 1.54 ± 0.96, p = 0.015).</div></div><div><h3>Conclusion</h3><div>Visual discharge instructions, such as booklets and videos to support discharge instructions, have been shown to be effective in improving mothers’ fever management skills and reducing their return to the emergency department.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"78 ","pages":"Article 101546"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142786789","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}

引用次数: 0

Emergency department crowding: An assessment of the potential impact of the See-and-Treat protocol for patient flow management at an Italian hospital 急诊科拥挤：对意大利一家医院病人流程管理的就诊和治疗方案潜在影响的评估。

IF 1.8 4区医学

International Emergency Nursing Pub Date : 2025-02-01 DOI: 10.1016/j.ienj.2024.101569

Pietro Verzelloni , Giorgia Adani , Alessandro Longo , Silvio Di Tella , Anna Laura Santunione , Marco Vinceti , Tommaso Filippini

{"title":"Emergency department crowding: An assessment of the potential impact of the See-and-Treat protocol for patient flow management at an Italian hospital","authors":"Pietro Verzelloni , Giorgia Adani , Alessandro Longo , Silvio Di Tella , Anna Laura Santunione , Marco Vinceti , Tommaso Filippini","doi":"10.1016/j.ienj.2024.101569","DOIUrl":"10.1016/j.ienj.2024.101569","url":null,"abstract":"<div><h3>Background</h3><div>Crowding and patient flow management are among the most relevant issues for emergency departments (EDs). This results in delayed treatment, adverse outcomes and increased costs. For these reasons, nurse-independent treatment protocols were developed aimed at managing non-emergency patients outside EDs thus improving patient flow. Our objective was to assess the potential impact of the implementation of the “<em>See-and-Treat</em>” protocol on eligible patients and related healthcare costs at an Italian ED.</div></div><div><h3>Methods</h3><div>We selected all minor access codes from 2022 at the ED of Sassuolo Hospital in Northern Italy. We only included subjects discharged to home, while we excluded those who required specialized medical care or had received “Fast-Track” treatment. We identify a list of medical conditions to identify subjects eligible for inclusion in the <em>See-and-Treat</em> protocol and calculate the related healthcare costs.</div></div><div><h3>Results</h3><div>Of 40,906 individual ED admissions, 2,607 (6.4%) qualified for <em>See-and-Treat</em> management. Limb injuries and pain were the leading conditions at presentation. Through cost analysis, we found that implementation of the <em>See-and-Treat</em> protocol may result in savings over €100,000/year at Sassuolo Hospital, and over €7 million if projected to the entire Emilia-Romagna Region.</div></div><div><h3>Conclusions</h3><div>Despite some limitations affecting protocol implementation, especially availability of highly-specialized and specifically-trained nurses, the study provided a foundation for a more comprehensive understanding of the implementation of the <em>See-and-Treat</em> protocol as a possible valid model with a view to both human and economic healthcare resources.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"78 ","pages":"Article 101569"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967147","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}

引用次数: 0

Factors correlating work engagement among Palestinian emergency nurses during Gaza war in the West Bank 西岸加沙战争期间巴勒斯坦急救护士工作投入的相关因素。

IF 1.8 4区医学

International Emergency Nursing Pub Date : 2025-02-01 DOI: 10.1016/j.ienj.2024.101567

Malakeh.Z. Malak , Hisham Zahran , Abdelrahman Swalmeh , Haya Albana

{"title":"Factors correlating work engagement among Palestinian emergency nurses during Gaza war in the West Bank","authors":"Malakeh.Z. Malak , Hisham Zahran , Abdelrahman Swalmeh , Haya Albana","doi":"10.1016/j.ienj.2024.101567","DOIUrl":"10.1016/j.ienj.2024.101567","url":null,"abstract":"<div><h3>Purpose</h3><div>Work engagement among emergency nurses is a critical issue that adversely affects the quality of patient care and productivity. Psychological reactions (e.g., stress, anxiety, and depression) and resilience correlated with work engagement. This study addresses the gap in understanding the factors correlating work engagement among.</div><div>emergency nurses in the West Bank during the Gaza War.</div></div><div><h3>Methods</h3><div>A descriptive correlational design was used. The data were collected from 378 emergency nurses from governmental and private hospitals in the West Bank using a self-reported questionnaire from December 2023 to February 2024. Depression Anxiety Stress Scales-21 (DASS-21), the Connor-Davidson Resilience Scale (CD-RISC), and the Utrecht Work Engagement Scale (UWES) were used to assess the study variables.</div></div><div><h3>Results</h3><div>The findings demonstrated that 71.7 %, 52.9 %, 42.5 %, 55.6 %, and 40.0 % of the emergency nurses reported severe to extremely severe stress, moderate to extremely severe levels of anxiety, severe to extremely severe levels of depression, low resilience, and low to extremely low levels of job engagement, respectively. A positive relationship existed between work engagement and age (r = 0.407, p < 0.01), years of experience (r = 0.385, p < 0.01), and resilience (r = 0.419, p < 0.01). While, work engagement negatively correlated with stress (r = -0.486, p < 0.01), anxiety (r = -0.616, p < 0.01), and depression (r = -0.632, p < 0.01).</div></div><div><h3>Conclusions</h3><div>The findings indicated that policymakers and healthcare professionals should promote initiatives that enhance nurses’ resilience and mitigate psychological responses to improve work engagement. Therapeutic programs should consider the situational variations of Palestinian society, encompassing resilience, coping mechanisms, and psychological management approaches.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"78 ","pages":"Article 101567"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967152","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}

引用次数: 0

Workforce research priorities for emergency nurses in Australia 澳大利亚急诊护士的劳动力研究重点。

IF 1.8 4区医学

International Emergency Nursing Pub Date : 2025-02-01 DOI: 10.1016/j.ienj.2024.101539

Nicholas McIntyre , Julia Crilly , Grace Xu , Julia Morphet , Bronwyn Griffin , Jaimi Greenslade , Elizabeth Elder

{"title":"Workforce research priorities for emergency nurses in Australia","authors":"Nicholas McIntyre , Julia Crilly , Grace Xu , Julia Morphet , Bronwyn Griffin , Jaimi Greenslade , Elizabeth Elder","doi":"10.1016/j.ienj.2024.101539","DOIUrl":"10.1016/j.ienj.2024.101539","url":null,"abstract":"<div><h3>Background</h3><div>The current nursing shortage is a critical issue facing healthcare systems. Workforce research priorities foremergency nurses are limited.This study aimed to identify, collate, and prioritise areas of workforce research for emergency nursing in Australia.</div></div><div><h3>Methods</h3><div>This priority-setting study was conducted with ED nurses from September 2022 to August 2023 and comprised: i) an initial survey, ii) face-to-face group discussions, and iii) a prioritisation survey.</div></div><div><h3>Results</h3><div>A total of 318 ED nurses responded to the initial survey. Staffing (<em>n</em> = 245), workload (<em>n</em> = 112), access block (<em>n</em> = 63) and burnout (<em>n</em> = 54) were nominated as workforce concerns. Responses were grouped into three overarching categories: person, department, and organisation. These categories informed the face-to-face group discussions. A total of 30 ED nurses participated in one of three face-to-face group discussions. Sub-themes, including resilience, workload, and well-being emerged. From the prioritisation survey completed by 163 ED nurses, the highest-ranked workforce research priorities pertained to turnover and retention.</div></div><div><h3>Conclusions</h3><div>The research priorities identified reflect important and contemporary workforce issues for emergency nurses. Efforts to progress research in these priority workforce areas should be encouraged and supported.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"78 ","pages":"Article 101539"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830564","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}

引用次数: 0

Parents’ perspective on unplanned return visits to the pediatric emergency department: A cross-sectional study 父母对儿科急诊科意外回访的看法：一项横断面研究。

IF 1.8 4区医学

International Emergency Nursing Pub Date : 2025-02-01 DOI: 10.1016/j.ienj.2024.101568

Fatma Dinç , Aylin Kurt , Dilek Yıldız

{"title":"Parents’ perspective on unplanned return visits to the pediatric emergency department: A cross-sectional study","authors":"Fatma Dinç , Aylin Kurt , Dilek Yıldız","doi":"10.1016/j.ienj.2024.101568","DOIUrl":"10.1016/j.ienj.2024.101568","url":null,"abstract":"<div><h3>Background</h3><div>The aim of this study was to investigate the factors leading to more than one time visit to the pediatric emergency department within 72 h, parental wishes and experiences with emergency nurses from the parents’ perspective.</div></div><div><h3>Material and methods</h3><div>A cross-sectional study was conducted between April 15, 2023 and April 14, 2024 with 596 parents of children aged between 0 and 18 years who had return visits to the pediatric emergency department of a gynaecology and pediatrics hospital in the Western Black Sea Region of Türkiye within 72 h after the first visit. Following the acquisition of written informed consent from the parents, the data were collected using the Descriptive Characteristics of Children and Experiences of Parents Information Form.</div></div><div><h3>Results</h3><div>From the perspective of the parents, the most common reasons for an unplanned return visit to the pediatric emergency department were that the child’s health had deteriorated (24.1%), the child required further tests (23.8%), and the child had developed a different health condition (18.7%). During the first visit to the pediatric emergency department, parents most frequently wished to be allowed to be with the child (24.2%), to touch the child during the procedures (20.5%), to receive up-to-date information about the child’s condition (20.2%).</div></div><div><h3>Conclusions</h3><div>In line with these results, it is thought that the frequency of unplanned return visits to pediatric emergency departments can be reduced by implementing adequate, accurate and effective planned discharge training in pediatric emergency departments. Pediatric emergency nurses can benefit from the perspectives of parents in their professional practices to improve the quality of care and reduce the number of unplanned return visits to the emergency department.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"78 ","pages":"Article 101568"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142957190","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}

引用次数: 0

A descriptive study on patient satisfaction with waiting time in emergency departments: Insights from hospitals in the Northern Emirates 一项关于病人对急诊科等待时间满意度的描述性研究：来自北阿联酋医院的见解。

IF 1.8 4区医学

International Emergency Nursing Pub Date : 2025-02-01 DOI: 10.1016/j.ienj.2024.101564

Sultan M. Mosleh , Aisha R. Alsereidi , Aisha A. Aldhanhani , Hessa M. Alnaqbi , Rayan S. Alhouti , Shamma S. Alshehhi

{"title":"A descriptive study on patient satisfaction with waiting time in emergency departments: Insights from hospitals in the Northern Emirates","authors":"Sultan M. Mosleh , Aisha R. Alsereidi , Aisha A. Aldhanhani , Hessa M. Alnaqbi , Rayan S. Alhouti , Shamma S. Alshehhi","doi":"10.1016/j.ienj.2024.101564","DOIUrl":"10.1016/j.ienj.2024.101564","url":null,"abstract":"<div><h3>Background</h3><div>Long waiting times in emergency departments (EDs) are a major challenge for healthcare systems worldwide. These extended delays can have a profound negative impact on patient quality of life, leading to increased stress, anxiety, and even deterioration in health conditions.</div></div><div><h3>Purpose</h3><div>identify factors that contribute to low satisfaction levels and long waiting times in EDs in the United Arab Emirates (UAE).</div></div><div><h3>Methods</h3><div>A retrospective cross-sectional study was conducted. Patients who visited the ER at public and private hospitals in the Northern Emirates, including Sharjah, Fujairah, Khorfakkan, and Kalba, were asked to complete an online questionnaire.</div></div><div><h3>Results</h3><div>A total of 394 patients participated in the study, with an overall satisfaction rate of 6.82 (SD ± 2.62) on a scale of 0 to 10. Medication information received the highest satisfaction score (78.6 %), followed by discharge information and doctor care. Waiting time was a significant area of dissatisfaction, with nearly 63.3 % of participants expressing dissatisfaction. Patients who visited private hospitals reported significantly higher satisfaction levels than those who visited public hospitals. There was a negative association between waiting time and patient satisfaction.</div><div>The four most frequently indicated barriers to long waiting times were reliance on computer systems and digital recording (46%), crowded waiting lounges (42.7%), understaffing, including doctors (38.1%), and an inadequate number of examination/consultation rooms (37.3%).Conclusion: Patient satisfaction is significantly impacted by waiting times in EDs. To improve patient satisfaction, hospital management should address the barriers to long waiting times that were identified in this study.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"78 ","pages":"Article 101564"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142910962","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}

引用次数: 0

“I want him to know that I’m on his side…” understanding the nature of suicide care from the perspectives of emergency department nurses “我想让他知道我是站在他这边的……”从急诊科护士的角度理解自杀护理的本质。

IF 1.8 4区医学

International Emergency Nursing Pub Date : 2025-02-01 DOI: 10.1016/j.ienj.2024.101563

Figen Şengün İnan , Erkan Ünsal , Tuğba Bolak

{"title":"“I want him to know that I’m on his side…” understanding the nature of suicide care from the perspectives of emergency department nurses","authors":"Figen Şengün İnan , Erkan Ünsal , Tuğba Bolak","doi":"10.1016/j.ienj.2024.101563","DOIUrl":"10.1016/j.ienj.2024.101563","url":null,"abstract":"<div><h3>Introduction</h3><div>This study was aimed at understanding emergency department (ED) nurses’ experiences of caring for people who attempted suicide. ED nurses provide care to a great number of patients who have attempted suicide. EDs are accepted as an important environment to prevent repeat suicidal behavior and the importance of initiating interventions to prevent repeated attempts is emphasized.</div></div><div><h3>Method</h3><div>This study was a descriptive qualitative study. The study was conducted with 15 ED nurses who provided care to individuals who attempted suicide in two university hospitals in Turkey. Data were collected through face-to-face, semi-structured in-depth interviews. The data were analyzed using content analysis. Consolidated criteria for reporting qualitative studies (COREQ) were used to ensure the comprehensive reporting of this qualitative study protocol.</div></div><div><h3>Results</h3><div>The data were categorized under the following four themes: elements of current care, barriers to effective care, dimensions that should be improved in providing care, and needs.</div></div><div><h3>Conclusion</h3><div>Biomedical approaches constitute the basic elements of nurses’ care provided to a suicidal patient, and nurses have difficulty in providing emotional support. Caring for a suicidal patient creates an emotional burden for nurses. Nurses stated that they were faced with barriers related to emotional burden, stigma, lack of time, knowledge gaps, and unsuitable physical environment.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"78 ","pages":"Article 101563"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142872639","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}

引用次数: 0

Concordance with routine Clinical Frailty Scale screening in the frailty in European emergency departments (FEED) study 欧洲急诊科（FEED）研究中衰弱与常规临床衰弱量表筛查的一致性

IF 1.8 4区医学

International Emergency Nursing Pub Date : 2025-02-01 DOI: 10.1016/j.ienj.2024.101565

Georgia Eagleton , Ramazan Güven , Thordis Thorsteinsdóttir , Evgeny Mirkes , James D. van Oppen , On behalf of the European Taskforce on Geriatric Emergency Medicine collaborators

{"title":"Concordance with routine Clinical Frailty Scale screening in the frailty in European emergency departments (FEED) study","authors":"Georgia Eagleton , Ramazan Güven , Thordis Thorsteinsdóttir , Evgeny Mirkes , James D. van Oppen , On behalf of the European Taskforce on Geriatric Emergency Medicine collaborators","doi":"10.1016/j.ienj.2024.101565","DOIUrl":"10.1016/j.ienj.2024.101565","url":null,"abstract":"<div><h3>Background</h3><div>Frailty screening determines who receive geriatric emergency medicine interventions that are of high importance for patient outcomes. However, post-implementation evaluations show around 50% older Emergency Department (ED) attenders to receive screening. Why and who are omitted from screening remains largely unstudied. This study gave opportunity to compare normal screening status to data from a targeted screening study.</div></div><div><h3>Methods</h3><div>The parent Frailty in European Emergency Departments (FEED) study administered the Clinical Frailty Scale (CFS) to consecutive ED attenders on 04 July 2023. This present study considered a subset of sites which provided retrievable CFS data from a “normal day” two weeks prior. Symmetry and dependency of missing CFS entries with observed variables were assessed. The frailty distribution was then compared with the parent FEED study data.</div></div><div><h3>Results</h3><div>A minority of sites (5/62) recorded CFS in retrievable format. 55 % “normal day” CFS entries were missing compared with 14 % consecutive attenders during the parent FEED study. While no pattern was evident in the FEED cohort, “normal day” CFS entries were more frequently missing with non-white ethnic group (76 %, vs 52 % with white group), self-presentation (68 %), and discharge home from ED (59 %). CFS distributions differed between the routine and research day datasets (p = 0.009).</div></div><div><h3>Conclusion</h3><div>Our findings suggest systematic, non-random omission of CFS in normal screening practice, disproportionately affecting people with non-white ethnic group and self-presentation. This raises concern for limitations when routine CFS data are analysed and prompts study and improvement of concordance with screening.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"78 ","pages":"Article 101565"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899611","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}

引用次数: 0