Tahani Khalil , Andaleeb M. Abu Kamel , Alaa Saad , Hani al-Najjar , Ahmad R. Al-Qudimat , Mohammad Alrahahleh , Abdulqadir J. Nashwan
{"title":"The impact of an educational program on emergency nurses’ preparedness to care for domestic violence women victims","authors":"Tahani Khalil , Andaleeb M. Abu Kamel , Alaa Saad , Hani al-Najjar , Ahmad R. Al-Qudimat , Mohammad Alrahahleh , Abdulqadir J. Nashwan","doi":"10.1016/j.ienj.2025.101715","DOIUrl":"10.1016/j.ienj.2025.101715","url":null,"abstract":"<div><h3>Background</h3><div>Domestic Violence (DV) is a worldwide problem that negatively impacts women’s health, family, and community. For that, improving emergency nurses’ competencies and preparedness regarding the care of Domestic Violence (DV) victims is crucial in nursing education. The purpose of the study was to investigate the effect of an educational program on the emergency nurses’ preparedness, perceived preparation and knowledge, actual knowledge, attitude, and practice regarding caring for DV women victims.</div></div><div><h3>Methods</h3><div>A quasi-experimental pretest-posttest one-group design was used, and the data were collected from 43 emergency nurses working in two private hospitals in Amman. The participants filled out the DV Preparedness Questionnaire (DVPQ) as a pre-test, then enrolled in a one-day educational program regarding the DV nurse’s preparedness program, and finally, again, participants filled out the DVPQ as a post-test.</div></div><div><h3>Results</h3><div>A total number of 43 nurses from two private hospitals were invited to participate in this study. All the invited nurses attended the educational program. Therefore, the response rate was 100%, and there were no attrition or withdrawal cases during the study. The results of this study showed that emergency nurses’ mean scores of DVPQ subscales regarding care of DV women victims improved after attending an educational program about DV preparedness. A significant difference in the score pre-test and post-test for emergency nurses’ DVPQ subscales was reported; this result revealed that when an educational program applies, it effectively improves emergency nurses’ care of DV victims.</div></div><div><h3>Conclusion</h3><div>There was a significant improvement in nurses’ perceived preparation and knowledge, actual knowledge, and attitude regarding caring for DV Women Victims.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"84 ","pages":"Article 101715"},"PeriodicalIF":1.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145790189","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":"Letter to the editor regarding “The effect on intra-hospital transfer success of checklist in the pediatric emergency department: An interventional observational study”","authors":"Ahmet Kağan Özkaya , Elif Nur İldeş","doi":"10.1016/j.ienj.2025.101717","DOIUrl":"10.1016/j.ienj.2025.101717","url":null,"abstract":"","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"84 ","pages":"Article 101717"},"PeriodicalIF":1.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145570994","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}
Christina Østervang , Geurt van de Glind , Niek Galenkamp , Petra Brysiewicz , Joan Carlini , Lente Werner , Camilla Lykke Møller , Rachel Muir
{"title":"Lessons learnt from patient and public involvement in emergency care research: Emerging insights from three research projects in Denmark, the Netherlands and Australia","authors":"Christina Østervang , Geurt van de Glind , Niek Galenkamp , Petra Brysiewicz , Joan Carlini , Lente Werner , Camilla Lykke Møller , Rachel Muir","doi":"10.1016/j.ienj.2025.101738","DOIUrl":"10.1016/j.ienj.2025.101738","url":null,"abstract":"","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"84 ","pages":"Article 101738"},"PeriodicalIF":1.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146037178","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}
Weiwei Zhang , Weisi Peng , Xiufen Yang , Rui Sun , Jiaxiu Deng , Yueming Peng , Di Huang
{"title":"Team collaboration and caring ability as reciprocal predictors of missed nursing care: A cross-sectional study among emergency nurses in China","authors":"Weiwei Zhang , Weisi Peng , Xiufen Yang , Rui Sun , Jiaxiu Deng , Yueming Peng , Di Huang","doi":"10.1016/j.ienj.2026.101747","DOIUrl":"10.1016/j.ienj.2026.101747","url":null,"abstract":"<div><h3>Background</h3><div>Missed nursing care remains a major patient safety concern in emergency departments, where high workloads and limited staffing frequently lead to omissions in fundamental care. Yet the impact of nurses’ caring ability and team collaboration on missed care has received limited empirical attention.</div></div><div><h3>Aim</h3><div>To examine the independent and interactive effects of nurses’ caring ability and team collaboration on missed nursing care in emergency departments, and to assess potential bidirectional mediation mechanisms.</div></div><div><h3>Method</h3><div>A cross-sectional study was conducted among 643 emergency nurses in five tertiary hospitals in Guangdong Province, China. Participants completed the Missed Nursing Care Scale, the Nursing Teamwork Survey, and the Caring Ability Inventory. Data were analysed using descriptive statistics, Pearson’s correlation, multiple linear regression, and structural equation modelling.</div></div><div><h3>Results</h3><div>Both nurses’ caring ability and team collaboration were significantly associated with reduced missed nursing care. Trust, support, courage, and cognition were identified as protective factors. Mediation modelling revealed a bidirectional mechanism in which each factor partially mediated the effect of the other on missed care.</div></div><div><h3>Conclusion</h3><div>This study highlights the reciprocal relationship between interpersonal competencies and missed nursing care. Interventions targeting both individual and team-level capacities may enhance care quality and patient safety in high-intensity emergency settings.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"84 ","pages":"Article 101747"},"PeriodicalIF":1.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145960575","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}
Ariel Braverman , Amit Frenkel , Dan Schwarzfuchs , Eli Jaffe , Yuval Bitan
{"title":"Verbal and visual information exchange in EMS-to-ED patient handovers: An observational and attitudinal study","authors":"Ariel Braverman , Amit Frenkel , Dan Schwarzfuchs , Eli Jaffe , Yuval Bitan","doi":"10.1016/j.ienj.2025.101735","DOIUrl":"10.1016/j.ienj.2025.101735","url":null,"abstract":"<div><h3>Background</h3><div>Although effective information exchange during emergency medical services (EMS)-to-emergency department (ED) patient handovers is critical for care continuity and patient safety, handover communication patterns and information gaps remain poorly characterized.</div></div><div><h3>Objective</h3><div>To characterize verbal and visual information exchange patterns in EMS-to-ED handovers while comparing EMS and ED staff perceptions of handover quality.</div></div><div><h3>Methods</h3><div>This was a dual-methods study conducted at a tertiary medical center in Israel (June–November 2024) in which 83 EMS-to-ED handovers [35 advanced life support (ALS), 48 basic life support (BLS)] were directly observed. We documented information elements, duration, and communication patterns via a structured checklist. In addition, an electronic survey (Qualtrics) of 103 participants (62 EMS, 41 ED staff) was used to assess perceptions with 6-point Likert scales. Statistical analyses utilized Mann-Whitney U tests, effect sizes (Cohen’s d), and 95 % confidence intervals (CIs).</div></div><div><h3>Results</h3><div>The handovers were dominated by verbal communication (97.6 %, 95 % CI: 91.6–99.3 %) of brief duration [ALS: Median = 40 s, interquartile range (IQR) 35–45; BLS: Median = 25 s, IQR 25–35]. Significant information gaps included: pre-hospital treatment details, which were absent in 36.1 % of the handovers (95 % CI: 26.6–46.9 %), allergy details in 55.4 %, and demographic details in 61.4 %. The ALS teams provided more complete information than did BLS teams (treatment: 94 % vs. 46 %, p < 0.001; allergies: 60 % vs. 33 %, p = 0.02). EMS documentation was available in only 7.2 % of handovers (95 % CI: 3.4–14.9 %). Patient background documents were valued more by ED staff than by EMS personnel (Median = 4.84 vs. 3.44, p < 0.001, d = 0.98), and they reported higher confidence in using received information (Median = 4.12 vs. 3.15, p < 0.001, d = 0.78).</div></div><div><h3>Conclusions</h3><div>Because EMS-to-ED handovers rely almost exclusively on brief verbal communication, they are vulnerable to information loss. Critical safety-relevant information (allergies, medications) is frequently omitted, with BLS teams showing greater gaps than ALS teams. Structured handover protocols may improve information completeness and continuity of care by incorporating digital tools to complement verbal communication.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"84 ","pages":"Article 101735"},"PeriodicalIF":1.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145769677","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":"An examination of how nurses’ use of the Broselow tape affects patient safety during peripheral intravenous catheterization","authors":"Aslı Alaca , Hatice Yıldırım Sarı","doi":"10.1016/j.ienj.2025.101712","DOIUrl":"10.1016/j.ienj.2025.101712","url":null,"abstract":"<div><h3>Background</h3><div>Peripheral intravenous catheter insertion is one of the most common procedures in pediatric emergency departments. Inappropriate placement of a peripheral intravenous catheter and the associated management can lead to patient harm, which is considered a patient safety issue. The patient’s safety could be compromised if a peripheral intravenous catheter is not properly placed and managed.</div></div><div><h3>Purpose</h3><div>This study was conducted to examine how nurses’ use of the Broselow tape affects patient safety during peripheral intravenous catheterization.</div></div><div><h3>Materials and methods</h3><div>In this study, the selection of peripheral intravenous catheters was based on a randomized controlled trial. The study was registered on <span><span>ClinicalTrials.gov</span><svg><path></path></svg></span> under the registration number NCT06165003. Using the Stepped Wedge design, data from the control group were collected first, followed by data from the experimental group. The two groups were compared on a variety of criteria, including the number of attempts, extravasation, accidental dislodgement, dwell time of catheter, and reasons for removal of catheter.</div></div><div><h3>Results</h3><div>The study found no significant difference between the experimental and control groups in terms of “the nurses’ success in performing the procedure” and “catheter dwell time” during peripheral intravenous catheterization. The patients’ estimated weights in the experimental group were found to be consistent with both the Broselow tape estimates and parents’ weight estimates.</div></div><div><h3>Conclusions</h3><div>The study indicates that using the Broselow tape for cannula selection during peripheral intravenous catheterization could serve as a novel alternative method.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"84 ","pages":"Article 101712"},"PeriodicalIF":1.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145616634","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 quality and efficiency: The impact of patient experience officers on teamwork and staff experience in Australian emergency departments","authors":"Jodie Brabin , Sharon Laver , Rosemary Phillips , Rachel Rossiter , Samantha Jakimowicz","doi":"10.1016/j.ienj.2025.101718","DOIUrl":"10.1016/j.ienj.2025.101718","url":null,"abstract":"<div><h3>Background</h3><div>The Patient Experience Officer (PEO) position was implemented into Emergency Department (ED) waiting rooms to address increased rates of occupational aggression and improve patient experience.</div><div>Rising ED presentations have lengthened patient wait times, increased risk of clinical deterioration and aggression and violence towards ED staff.</div></div><div><h3>Methods</h3><div>This study used a mixed-methods approach including staff surveys, focus groups and semi-structured interviews with a range of ED staff. Data was analysed using content analysis and descriptive statistics.</div></div><div><h3>Results</h3><div>Staff benefit from the PEO’s presence in the waiting room through improved communication with patients, fewer disruptions and humanising the atmosphere within the traditionally chaotic ED environment.</div><div>Workflow and teamwork is improved through preparing patients for treatment, supporting ED clinicians in managing the waiting room and streamlining processes.</div><div>The PEO position improves patient safety for those in the waiting room through proactive escalation of possible deterioration and early communication with patients, which decreases aggression and anxiety.</div></div><div><h3>Conclusion</h3><div>Based on this evaluation, the PEO position contributes to improving the safety of staff and patients by providing an important point of contact, a calming presence for patients and, supporting ED staff through improved communication, and escalation of care needs.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"84 ","pages":"Article 101718"},"PeriodicalIF":1.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145726700","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}
Seungwon Kim , Jinkyung Park , Jihye Shin , Ye-ji Shin , Bo-Gyeong Seo , Do-Won Ha , Sun-Hee Moon
{"title":"Development of the mixed reality-based Korean advanced life support leadership training module","authors":"Seungwon Kim , Jinkyung Park , Jihye Shin , Ye-ji Shin , Bo-Gyeong Seo , Do-Won Ha , Sun-Hee Moon","doi":"10.1016/j.ienj.2025.101734","DOIUrl":"10.1016/j.ienj.2025.101734","url":null,"abstract":"","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"84 ","pages":"Article 101734"},"PeriodicalIF":1.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146037183","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}
Şadiye Dur , Özge Eda Karadağ Aytemiz , Sermin Dinç
{"title":"Comparative effectiveness of the Buzzy®, ShotBlocker® and Helfer skin tap technique in reducing pain and fear during pediatric intramuscular injections: A randomized controlled trial","authors":"Şadiye Dur , Özge Eda Karadağ Aytemiz , Sermin Dinç","doi":"10.1016/j.ienj.2026.101744","DOIUrl":"10.1016/j.ienj.2026.101744","url":null,"abstract":"<div><h3>Aim</h3><div>This randomized controlled trial aimed to compare the effectiveness of three non-pharmacological methods—the Helfer Skin Tap technique (HST), ShotBlocker®, and Buzzy®—in reducing pain and fear in children aged 4–12 years during intramuscular (IM) injections in a pediatric emergency unit.</div></div><div><h3>Methods</h3><div>Conducted between January and October 2024, the study included 90 children aged 4–12 years. Participants were randomly assigned to the HST (n = 30), ShotBlocker® (n = 30), or Buzzy® (n = 30) group. Each child received an IM ceftriaxone injection using the designated technique. Pain and fear were assessed by the child, parent, and observer nurse one minute before and after the procedure using the Wong–Baker FACES Pain Rating Scale, Faces Pain Scale-Revised, and Child Fear Scale.</div></div><div><h3>Results</h3><div>The mean age was 7.91 ± 2.71 years. Pain and fear scores were comparable between the groups before the procedure (p > 0.05). After injection, pain and fear scores were lowest in the Buzzy® group, followed by the ShotBlocker® and HST groups.</div></div><div><h3>Conclusion</h3><div>All three methods effectively reduced pain and fear during IM injections, with Buzzy® being the most effective. These simple, low-cost techniques are suitable to enhance comfort and reduce fear in pediatric emergency units.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"84 ","pages":"Article 101744"},"PeriodicalIF":1.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145924838","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}