International Emergency Nursing最新文献

{"title":"The use of technology during sleep by emergency department nurses","authors":"Elizabeth Burgess Dowdell ,&nbsp;Daniel Wala ,&nbsp;Madison Matella ,&nbsp;Sue Ellen Alderman ,&nbsp;Paul W. Bernhardt","doi":"10.1016/j.ienj.2025.101645","DOIUrl":"10.1016/j.ienj.2025.101645","url":null,"abstract":"<div><h3>Introduction</h3><div>Sleep is increasingly recognized as fundamental to health across the lifespan. Nurses who experience compassion fatigue often report being sleep deprived, having poor sleep habits, and experiencing poor sleep quality. Increasingly, the use of technology is a factor associated with poor sleep.</div></div><div><h3>Methods</h3><div>This descriptive, correlational study used a convenience sample of registered nurses who worked full-time in a Level I trauma center emergency department. Nurses were asked about their sleep, technology use during sleep, and levels of compassion fatigue using the 30-question Professional Quality of Life Scale (ProQOL v5).</div></div><div><h3>Results</h3><div>Emergency nurses who recounted answering their cell phone during sleep were more likely to report being startled and having had intrusive, frightening thoughts. Quality of sleep showed a relationship with being preoccupied with people taken care of at work. Although only a small number of nurses reported texting in their sleep, those who did were more likely to be younger, report feeling worn out, and with high compassion fatigue scores.</div></div><div><h3>Discussion</h3><div>Many healthcare professionals experience a variety of sleep difficulties from technology use ranging from lack of sleep to poor sleep quality. Nurses and providers may underestimate the impact of chronic sleep loss on their job performance, especially those who practice ED settings and are experiencing compassion fatigue. Prioritizing sleep through the implementation and use of evidence-based strategies aimed at improving sleep quality is essential in managing sleep patterns by emergency nurses, providers, and staff.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"81 ","pages":"Article 101645"},"PeriodicalIF":1.8,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144563637","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":"Triage decision-making and its relationship with burnout among nurses in Iranian emergency departments","authors":"Kimia Mataei ,&nbsp;Salam Vatandost ,&nbsp;Namegh Dousti ,&nbsp;Kamal Salehi","doi":"10.1016/j.ienj.2025.101643","DOIUrl":"10.1016/j.ienj.2025.101643","url":null,"abstract":"<div><h3>Background</h3><div>Triage decision-making is a critical task for nurses in emergency departments, influenced by various factors, including burnout. This study aimed to explore the relationship between burnout and triage decision-making.</div></div><div><h3>Method</h3><div>A descriptive-analytical, cross-sectional study included 114 emergency nurses selected through total population sampling. Participants met criteria of voluntary participation, a nursing bachelor’s degree, and at least one year of emergency department experience. Data were gathered using a demographic form, the Maslach Burnout Inventory (MBI), and a triage decision-making questionnaire. Analysis was conducted in SPSS-22 using t-tests, ANOVA, and Pearson correlation, with significance set at P &lt; 0.05.</div></div><div><h3>Results</h3><div>Participants had an average age of 32 years and 5 years of work experience. Of the group, 60 % were married, 72 % were childless, and 91 % held bachelor’s degrees. The mean triage decision-making score was 122.73 ± 16.13. Burnout prevalence was 32.1 %, with 52.6 % reporting high emotional exhaustion, 48.2 % high depersonalization, and only 1 % experiencing reduced job accomplishment. Triage decision-making showed an inverse correlation with burnout (r = -0.361, P = 0.001).</div></div><div><h3>Conclusion</h3><div>Burnout adversely impacts triage decision-making. Efforts to mitigate burnout—such as reducing workload, shortening work hours, increasing staffing, and offering stress management programs—may enhance decision-making quality.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"81 ","pages":"Article 101643"},"PeriodicalIF":1.8,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144556587","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":"Corrigendum to “Telehealth Referral to Improve Outcomes (TRIO) Intervention for Asymptomatic Hypertension in the Emergency Department: A Randomized Pilot Feasibility Study” [Int. Emerg. Nurs. 81 (2025) 101622]","authors":"K. Souffront ,&nbsp;C. Shubeck ,&nbsp;G.T. Loo ,&nbsp;L.D. Richardson","doi":"10.1016/j.ienj.2025.101634","DOIUrl":"10.1016/j.ienj.2025.101634","url":null,"abstract":"","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"81 ","pages":"Article 101634"},"PeriodicalIF":1.8,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Variables affecting interpersonal relationship styles in the emergency department: Female male nurses difference in Turkey","authors":"Gülseren Keskin ,&nbsp;Süreyya Gümüşsoy ,&nbsp;Aysun Babacan Gümüş","doi":"10.1016/j.ienj.2025.101646","DOIUrl":"10.1016/j.ienj.2025.101646","url":null,"abstract":"<div><h3>Background</h3><div>The COVID-19 pandemic has affected not only people’s daily lives but also their interpersonal relationships.</div></div><div><h3>Aims</h3><div>It is aimed to evaluate the anxiety levels and ways of distress tolerance of female and male nurses in terms of their interpersonal relationship styles during the COVID-19 pandemic period.</div></div><div><h3>Methods</h3><div>This descriptive and comparative study was conducted with 525 nurses. Interpersonal Relationship Styles Scale (IRSS), Beck Anxiety Inventory (BAI) and Distress Tolerance Scale (DTS) were used to collect study data.</div></div><div><h3>Results</h3><div>A significant difference was found between male and female nurses in terms of BAI (p &gt; 0.05) and DTS (p &gt; 0.05) scale scores. A weak, positive and statistically significant relationship was found between IRSS, dominant, avoidant, insensitive, manipulative, belittling styles and BAI in women.</div></div><div><h3>Conclusion</h3><div>It was found that the anxiety scores of female nurses were higher than those of male nurses, while male nurses had higher distress tolerance scale scores than female nurses.</div></div><div><h3>Implications for nursing practice and policies</h3><div>Therapeutic and gender-sensitive interventions that strengthen nurses’ interpersonal relationship skills during crises can reduce distress and anxiety, improve team communication, and support emotional resilience in clinical settings.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"81 ","pages":"Article 101646"},"PeriodicalIF":1.8,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144556586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Can Patients’ characteristics influence triage Errors? A Quasi-Experimental study","authors":"Arian Zaboli ,&nbsp;Davide Battisti ,&nbsp;Marta Ziller ,&nbsp;Gianni Turcato ,&nbsp;Silvia Camporesi","doi":"10.1016/j.ienj.2025.101647","DOIUrl":"10.1016/j.ienj.2025.101647","url":null,"abstract":"<div><h3>Background</h3><div>Triage error rates in emergency departments (ED) range from 10% to 30%. Despite numerous studies, it remains unclear whether certain patient characteristics are associated with triage errors. To evaluate whether patient characteristics are associated with triage errors, and whether daily auditing reduces their impact.</div></div><div><h3>Methods</h3><div>A quasi-experimental study was conducted from June 2019 to June 2021 in an Italian ED. Patient characteristics were reconstructed and their association with triage errors was evaluated. Following an intervention period, during which serial audits were provided to triage nurses, the study analyzed whether patient-related variables remained associated with errors or if they changed.</div></div><div><h3>Results</h3><div>The study enrolled 1,773 patients, with 904 in the pre-intervention period and 869 in the post-intervention period. In the pre-intervention period, multinomial logistic regression showed age and being accompanied to the ED were associated with lower odds of over-triage. Post-intervention, only being a tourist was associated with under-triage, and none of the previously significant variables remained associated.</div></div><div><h3>Conclusions</h3><div>The study demonstrated that certain patient socio-demographic characteristics are associated with triage errors and highlighted the need for dedicated studies to evaluate which variables are linked to errors. Daily auditing emerges as a promising strategy to improve triage accuracy and promote equity in emergency care.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"81 ","pages":"Article 101647"},"PeriodicalIF":1.8,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144501091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship between parental stress levels and parenting self-efficacy in parents of preschool children admitted to the emergency department","authors":"Gülay Manav ,&nbsp;Gonca Karayağız Muslu ,&nbsp;Nihan Korkmaz ,&nbsp;Recep Kara ,&nbsp;Ayşe Sarıkaya","doi":"10.1016/j.ienj.2025.101641","DOIUrl":"10.1016/j.ienj.2025.101641","url":null,"abstract":"<div><h3>Aim</h3><div>This study aimed to examine the relationship between parental stress levels and parenting self-efficacy in parents of preschool-aged children admitted to the Pediatric Emergency Department.</div></div><div><h3>Method</h3><div>This cross-sectional and correlational study was conducted between January and June 2024, involving 257 parents of children aged 3 to 6 years. Data were collected using a Sociodemographic Information Form, the Parental Stress Scale, and the Revised Berkeley Parenting Self-Efficacy Scale (BPSE-R).</div></div><div><h3>Results</h3><div>Among the children, 26.5 % were three years old, 54.1 % were boys, 52.5 % were one of two siblings, and 56.4 % had a prior visit to the pediatric emergency department. The mothers’ mean age was 33.86 ± 4.92 years, while the fathers’ mean age was 37.05 ± 5.48 years. Parenting self-efficacy was significantly associated with the number of children (r = 0.172–.192, <em>p</em> &lt; 0.05), birth order (r = 0.168–.173, <em>p</em> &lt; 0.05), and parental education level—with the strongest effect observed for maternal education (r = 0.571–.578, <em>p</em> &lt; 0.01) and a moderate effect for paternal education (r = 0.289–.306, <em>p</em> &lt; 0.05). The mean total score on the Parental Stress Scale was 53.14 (±7.21), while the mean score for parenting self-efficacy was 88.55 (±17.21). A significant, positive, and moderate correlation was found between the total scores of the Parental Stress Scale and the BPSE-R (r = 0.499, <em>p</em> &lt; 0.01). Additionally, there was a statistically significant, positive, and moderate relationship between parental stress and the parenting strategies subscale (r = 0.521, <em>p</em> &lt; 0.01), as well as the child outcomes subscale (r = 0.443, <em>p</em> &lt; 0.01).</div></div><div><h3>Conclusion</h3><div>The findings indicate that parents presenting to the emergency department experience high levels of both parental stress and parenting self-efficacy. Furthermore, a positive association was found between parental stress and the parenting strategies dimension. These results may inform efforts to develop interventions aimed at reducing parental stress, strengthening parenting skills, and minimizing non-urgent visits to pediatric emergency services.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"81 ","pages":"Article 101641"},"PeriodicalIF":1.8,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144480724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Honduran nurses’ perceptions of advanced nursing care competencies for adults in emergency and critical care: a qualitative study","authors":"Merary Enid Pavón Rivera ,&nbsp;Oscar Fidel Antunez Martinez ,&nbsp;Perla Simons Morales","doi":"10.1016/j.ienj.2025.101640","DOIUrl":"10.1016/j.ienj.2025.101640","url":null,"abstract":"<div><h3>Background</h3><div>In Central America, the implementation of APN is still in its early stages, with limited regulatory support, or structured training for advanced nursing practice in critical care. The absence of these roles leaves significant gaps in critical and emergency care quality, further exacerbating health disparities which need to be explore deeply.</div></div><div><h3>Objective</h3><div>To explore the Honduran Nurses’ Perspectives on Advanced Nursing Care Competencies for Adults in Emergency and Critical Care.</div></div><div><h3>Method</h3><div>A qualitative design was employed, using in-depth interviews with 15 Honduran critical care and emergency nurses from a public hospital in northern Honduras. Data were analyzed through participants’ narratives, following Colaizzi’s steps.</div></div><div><h3>Findings</h3><div>Three central themes, and eight subthemes emerged. Firstly, the perspectives on APN in critical and emergency care indicate a lack of clarity among nurses about what constitutes APN, often confusing it with CNS; Secondly, essential competencies for APN in critical care, which highlight the critical procedural and cognitive skills necessary for effective nursing care. Lastly, the barriers to autonomy and advancement in critical care APN, and it underscore the challenges posed by inadequate training, limited resources, and insufficient legal support, which hinder nurses’ autonomy and professional growth.</div></div><div><h3>Conclusion</h3><div>The study reveals a fragmented understanding of APN roles, with participants recognizing the need for advanced competencies while highlighting the lack of formal recognition, certification, and institutional support. Participants emphasized the importance of postgraduate education, leadership, and procedural autonomy but noted that their clinical roles remain limited by systemic, educational, and regulatory barriers. These insights underscore the urgency of developing clear frameworks, training pathways, and policy support to promote APN as a viable and distinct professional roles.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"81 ","pages":"Article 101640"},"PeriodicalIF":1.8,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144365724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The relationship between clinical competence and psychological capital in nurses working in the emergency departments","authors":"Olia Jahani ,&nbsp;Mohammad Ali Heidari Gorji ,&nbsp;Masoumeh Bagheri Nesami ,&nbsp;Seyed Noureddin Mousavinasab ,&nbsp;Jamal A. Farooquie","doi":"10.1016/j.ienj.2025.101642","DOIUrl":"10.1016/j.ienj.2025.101642","url":null,"abstract":"<div><h3>Background</h3><div>Clinical competence is one of the key indicators in evaluating the performance of nurses and the quality of nursing care. Psychological capital has a positive impact on job performance. This study aimed to evaluate the relationship between clinical competence and psychological capital among nurses working in emergency departments.</div></div><div><h3>Method(s)</h3><div>This study employed a cross-sectional design. The sample consisted of 220 nurses who were randomly selected from the list of nurses working in the emergency departments of hospitals affiliated with Mazandaran University of Medical Sciences during the period of 2020–2021. Data were collected using the Competency Inventory for Registered Nurses and the Psychological Capital Questionnaire developed by Luthans et al. Finally, data analysis was performed using Pearson correlation and linear regression analysis.</div></div><div><h3>Results</h3><div>The results indicated that the average score for clinical competence among the nurses participating in this study was at a moderate level (163.81 ± 29.54), while psychological capital was at a high level (113.33 ± 15.76). The results of Pearson’s correlation coefficient analysis revealed a positive and significant relationship between clinical competence and its dimensions with psychological capital and its dimensions among nurses (P &lt; 0.01). Clinical competence had the highest regression effect on nurses’ psychological capital, with a standardized beta coefficient of 0.716.</div></div><div><h3>Conclusion(s)</h3><div>Enhancing nurses’ clinical competence can foster their psychological capital, which in turn promotes professional skills and personal growth. Consequently, clinical competence contributes to positive aspects of human life both scientifically and practically.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"81 ","pages":"Article 101642"},"PeriodicalIF":1.8,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144338821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patients’ experiences of community care after ambulance assessment: A scoping review’","authors":"Pepita Bowling ,&nbsp;Gideon de Jong","doi":"10.1016/j.ienj.2025.101635","DOIUrl":"10.1016/j.ienj.2025.101635","url":null,"abstract":"<div><h3>Introduction</h3><div>The changing role of ambulance clinicians has come with a focus on providing tailored care to patients within the community, thus preventing the need for transport to an emergency department.</div></div><div><h3>Aim</h3><div>The aim of this scoping review was to identify and analyse patient experiences of receiving community care following ambulance assessment.</div></div><div><h3>Methods</h3><div>A scoping literature review was conducted guided by the PRISMA Extension for Scoping Reviews. Four electronic databases were searched: MEDLINE, CINAHL, ProQuest, and Scopus. Thematic analysis was used for exploring key codes, themes, and sub-themes.</div></div><div><h3>Results</h3><div>The search led to an initial list of 930 articles of which ultimately 10 were selected for narrative analysis. Three key themes and eight subthemes were identified. First, the perceived benefits of community ambulance care which according to participants improved: health status and literacy; created a safety net; and provided holistic care. Second, ambulance professionals that were regarded as excellent clinicians due to: their interpersonal and communication skills; the importance they put on building rapport; and their ability to provide reassurance for vulnerable patients. Finally, participants preferred to be treated within the community instead of the hospital as such treatment provided: timely and accessible care in the home environment; and is better aligned with the principles of patient and family-centred care.</div></div><div><h3>Conclusion</h3><div>The patient-clinician bond allows for a trusting and collaborative relationship in ambulance services with both patients and family, as a unit of care, resulting in a more personalised, and functional approach to care provision.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"81 ","pages":"Article 101635"},"PeriodicalIF":1.8,"publicationDate":"2025-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144330383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Disaster preparedness among Jordanian nurses: An implications paper","authors":"Hasan Mohammad","doi":"10.1016/j.ienj.2025.101637","DOIUrl":"10.1016/j.ienj.2025.101637","url":null,"abstract":"","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"81 ","pages":"Article 101637"},"PeriodicalIF":1.8,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144596242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}