International Emergency Nursing最新文献

{"title":"Strategies to improve the quality of nurse triage in emergency departments: A systematic review","authors":"Simon Ouellet ,&nbsp;Maria Cécilia Gallani ,&nbsp;Guillaume Fontaine ,&nbsp;Éric Mercier ,&nbsp;Alexandra Lapierre ,&nbsp;Fabian Severino ,&nbsp;Céline Gélinas ,&nbsp;Mélanie Bérubé","doi":"10.1016/j.ienj.2025.101639","DOIUrl":"10.1016/j.ienj.2025.101639","url":null,"abstract":"<div><h3>Aim</h3><div>This systematic review aimed to assess the impact of implementation strategies for nursing triage on quality outcomes and to examine barriers and facilitators to their implementation in the emergency department (ED).</div></div><div><h3>Data sources</h3><div>Embase, PubMed, CINAHL, Cochrane Library, Web of Science, PsycINFO and ProQuest Dissertations &amp; Theses.</div></div><div><h3>Methods</h3><div>This systematic review included quantitative and qualitative studies published from January 1990 to April 2024 that evaluated strategies to improve ED triage. Study quality was assessed with the Mixed Methods Appraisal Tool (MMAT). The benefits of the strategies were reported using descriptive statistics (quantitative studies) and themes and subthemes (qualitative studies). Barriers and facilitators were identified using the Behavior Change Wheel framework.</div></div><div><h3>Result</h3><div>Three main implementation strategy categories to improve the quality of nursing triage were identified: education (64%), technology (30%), and audit and feedback (6%). All strategies demonstrated short-term benefits, including increased triage accuracy and improved triage knowledge and skills. The most frequently reported barriers were workload and overcrowding, while facilitators included nurses’ experience, interprofessional collaboration, and a culture of continuous improvement.</div></div><div><h3>Conclusion</h3><div>Comprehensive approaches, including education, technology, and regular audits with feedback, are associated with improved triage quality outcomes. Continuous training, active nurse participation in tool development, and the use of validated audit tools are essential. These measures could ensure rigorous nursing triage in EDs and enhance care safety by optimizing patient prioritization as they enter healthcare systems. This review underscores the need for further research on implementation strategies to enhance effective and safe patient prioritization in the ED.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"81 ","pages":"Article 101639"},"PeriodicalIF":1.8,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144298277","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 low-flow mask oxygen could be a more effective, comfortable, and easy-to-follow treatment for psychogenic hyperventilation syndrome: A double-blind, randomized controlled trial","authors":"Linhe Yang ,&nbsp;Dongmei Yuan ,&nbsp;Zhenyu Luo ,&nbsp;Yunying Li ,&nbsp;Xiuli Zhu","doi":"10.1016/j.ienj.2025.101636","DOIUrl":"10.1016/j.ienj.2025.101636","url":null,"abstract":"<div><h3>Objectives</h3><div>To compare the effect of low-flow mask oxygenation (LFMO) with breathing training (BT) for psychogenic hyperventilation syndrome (PHVS), providing more options and evidence for clinical treatment.</div></div><div><h3>Methods</h3><div>The randomized double-blinded controlled trial was prospectively registered in the Chinese Clinical Trial Registry on 1 June 2023 under the defined number (ChiCTR2300072044) and subsequently approved by the Ethics Committee (REDACT) (GYZXLL2023070). From 10 May 2024 to 23 November 2024, participants with PHVS were recruited and blindly randomized into the LFMO group and the BT group, then the LFMO group inhaled 3L/minute oxygen with the oxygen mask and breathed freely, while the BT group performed the breath training led by researchers face-to-face. The recovery length from PHVS, the Nijmegen Questionnaire score at fifteen minutes since the intervention, the Nijmegen Questionnaire score at the end of the intervention, and the comfort/tolerance score (participant rating via NRS) were collected as the primary outcome. The secondary outcome was measured by the mean breath rate during the recovery (Calculated by dividing the total number of breaths during the intervention by time) and laboratory results, including the PH, lactate, K+, Ca2+, PO₂, and PCo₂.</div></div><div><h3>Results</h3><div>Forty-five participants (all Asian) completed the study and were included in the analysis (21 for the LFMO group and 24 for the BT group), mainly female (75 %, n = 33). All demographic characteristics between the two groups are within the reasonable range and show no significant difference. However, significant differences were measured among the outcomes, including the oxygen index (480.22 ± 29.64, 311.01 ± 15.45, p &lt; 0.001), Mean breath rate during recovery (19.17 ± 1.74, 28.24 ± 2.53, p &lt; 0.001), and the LFMO group showed significant advantages in both the length of recovery (22.94 ± 2.81, p &lt; 0.001) and comfort/tolerance (5.86 ± 1.24, p &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>Compared to breath training therapy, the low-flow mask oxygenation could be a more effective, comfortable, and easy-to-follow treatment for PHVS.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"81 ","pages":"Article 101636"},"PeriodicalIF":1.8,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144298276","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":"Comment on “A systematic review on suction-based airway clearance devices for foreign body airway obstruction”","authors":"Shubham Kumar ,&nbsp;Rachana Mehta ,&nbsp;Ranjana Sah","doi":"10.1016/j.ienj.2025.101633","DOIUrl":"10.1016/j.ienj.2025.101633","url":null,"abstract":"","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"81 ","pages":"Article 101633"},"PeriodicalIF":1.8,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144223680","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 “Perceptions of alarm fatigue among nurses in Emergency Departments, Intensive Care Units, and Medical-Surgical Wards in the Northern Emirates”","authors":"Ruichao Yu,&nbsp;Guiying Li,&nbsp;Yingyue Tang","doi":"10.1016/j.ienj.2025.101625","DOIUrl":"10.1016/j.ienj.2025.101625","url":null,"abstract":"","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"81 ","pages":"Article 101625"},"PeriodicalIF":1.8,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144195172","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":"Factors associated with disposition of patients transferred to an emergency department in a district hospital in Botswana","authors":"Tebogo T. Mamalelala ,&nbsp;William Holzemer ,&nbsp;Mabona E. Maleho ,&nbsp;Ditebogo J. Mokone","doi":"10.1016/j.ienj.2025.101624","DOIUrl":"10.1016/j.ienj.2025.101624","url":null,"abstract":"<div><h3>Background</h3><div>The Emergency Department (ED) at the district hospital or primary hospital serves as a point of entry for patients with various medical needs from health posts and community clinics. A delayed or inaccurate disposition can result in a transfer to a lower level of care and a possible return to the health system. The study aimed to investigate the factors associated with disposition of patients from district hospital ED.</div></div><div><h3>Methods</h3><div>A retrospective descriptive study using 1,565 triage charts and admitting medical records was conducted for the period June through December 2020. A binomial logistic regression investigated patient and facility factors related to patient disposition. The moderated mediation model evaluated the effect of patients’ urgency on the disposition of the patients from the ED.</div></div><div><h3>Results</h3><div>Referring facility, HIV status, patient-level of acuity, length of stay in the ED, and the waiting time for the doctor were predictors of the disposition of the patients from the ED (p = 0000). Waiting time for a doctor’s consultation is positively and significantly associated with length of stay in the ED (p &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>The findings highlight the need for an efficient triage system, as delays in care can adversely affect patient outcomes. Addressing challenges related to prolonged length of stay (LOS) and doctors waiting time are also essential for optimizing patient flow. Enhancing triage processes and conducting further research are crucial for improving emergency care efficiency and safety.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"81 ","pages":"Article 101624"},"PeriodicalIF":1.8,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144154537","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":"Telehealth Referral to Improve Outcomes (TRIO) Intervention for Asymptomatic Hypertension in the Emergency Department: A Randomized Pilot Feasibility Study","authors":"K. Souffront ,&nbsp;C. Shubeck ,&nbsp;G.T. Loo ,&nbsp;L.D. Richardson","doi":"10.1016/j.ienj.2025.101622","DOIUrl":"10.1016/j.ienj.2025.101622","url":null,"abstract":"","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"81 ","pages":"Article 101622"},"PeriodicalIF":1.8,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144154679","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":"Strengthening healthcare readiness: Lessons from frontline nurses in a South African tertiary hospital for future pandemic preparedness","authors":"Sue Anne Bell ,&nbsp;Jennifer B. Inloes ,&nbsp;Petra Brysiewicz","doi":"10.1016/j.ienj.2025.101620","DOIUrl":"10.1016/j.ienj.2025.101620","url":null,"abstract":"<div><h3>Background</h3><div>The World Health Organization and the International Council of Nurses both support nurses’ involvement in health policymaking, including readiness planning for public health emergencies. South Africa’s frontline nurses often have limited involvement in healthcare policymaking, even though nurses comprise 56% of the country’s total public healthcare workforce and 87% of its skilled health professionals. This has implications for the quality and safety of nursing care provided during past and anticipated future pandemic events.</div></div><div><h3>Objective</h3><div>This purpose of this study was to evaluate frontline healthcare professionals’ perspectives on pandemic preparedness in South Africa to inform policy improvements.</div></div><div><h3>Methods</h3><div>Four focus groups with registered nurses (n = 11) and semi-structured interviews with disaster committee members (n = 4) were conducted. A review of existing disaster policies contextualized the findings, which were analyzed using qualitative content analysis guided by a health policy framework.</div></div><div><h3>Results</h3><div>Four key categories emerged that described barriers to working in a disaster context: working outside of role and scope, insufficient staffing, mental health impacts, and lack of training for disasters and pandemics, all of which contribute to challenges in pandemic preparedness.</div></div><div><h3>Conclusions</h3><div>Despite being the majority of the health workforce, South African nurses often lack influence in disaster planning. This study highlights how systemic challenges in a resource-limited hospital setting—such as chronic staffing shortages, insufficient inclusion of nurses in disaster policy development, and lack of tailored mental health support—compromised pandemic preparedness. Interventions such as peer-led mental health support, bedside microteaching, and nurse-informed policies could strengthen future pandemic readiness. These findings offer practical, scalable solutions for similar low-resource settings and underscore the importance of involving frontline nurses in disaster policymaking.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"80 ","pages":"Article 101620"},"PeriodicalIF":1.8,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144105600","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 intervention and transport times in pre-hospital emergency medical services and resuscitation success","authors":"Akın Turan,&nbsp;Ali Ekşi,&nbsp;Süreyya Gümüşsoy,&nbsp;Batuhan Tay,&nbsp;Elif Çamarası Bilgin","doi":"10.1016/j.ienj.2025.101623","DOIUrl":"10.1016/j.ienj.2025.101623","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to evaluate the relationship between pre-hospital emergency medical services’ intervention and transport times at the scene of cardiac arrest cases and resuscitation success.</div></div><div><h3>Method</h3><div>The study retrospectively analyzed six years of data from the Çanakkale Provincial Ambulance Service Chief Physician’s office between January 1, 2018, and December 31, 2023. Descriptive statistical methods were employed in the data analysis. The normality of the data distribution was tested, and for quantitative data comparison, an independent <em>t</em>-test was used for normally distributed data, while the Mann-Whitney <em>U</em> test was used for non-normally distributed data. A p-value of &lt;0.05 was considered statistically significant.</div></div><div><h3>Results</h3><div>In the study, 2,940 cases involving resuscitation in pre-hospital emergency medical services were evaluated. The EMS teams provided an average of 18.12 min of on-scene intervention for cardiac arrest cases, while the average duration of intervention during transport from the scene to the hospital was 11.23 min. Of these cases, 6.3 % (n = 186) involved witnessed sudden cardiac arrest. The rate of successful resuscitation was 21.5 % in witnessed sudden cardiac arrest cases, whereas it was 12.7 % in unwitnessed cases. No statistically significant difference was found between successful resuscitation outcomes and the durations of on-scene intervention or transport to the hospital (p &gt; 0.05).</div></div><div><h3>Conclusion</h3><div>In witnessed cardiac arrest cases receiving pre-hospital emergency medical services, the intervention and transport times generally did not show a significant difference compared to other cases, and interventions are typically completed within 20 min. This duration is also considered a threshold for good neurological recovery in cases of successful resuscitation. Further studies are needed to make clear recommendations regarding optimal time values for intervention in cardiac arrest cases at the scene.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"80 ","pages":"Article 101623"},"PeriodicalIF":1.8,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144116292","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":"Construction of emergency competency models for nurses in emerging high-consequence infectious disease outbreaks: Behavioural event interview approach","authors":"Shanshan Liu ,&nbsp;Yijing Li ,&nbsp;Chunfen Zhou ,&nbsp;Jing Zhao ,&nbsp;Juan Guo ,&nbsp;Li Luo ,&nbsp;Yan Jiang","doi":"10.1016/j.ienj.2025.101621","DOIUrl":"10.1016/j.ienj.2025.101621","url":null,"abstract":"<div><h3>Background</h3><div>Emerging high-consequence infectious disease outbreaks (EHCIDs) have significantly impacted healthcare systems worldwide. Nurses specialising in outbreak response nurses play an important role in the prevention and control of EHCIDs. However, the specific competencies required for these nurses remain undefined. This study aims to develop a competency model for nurses involved in managing EHCIDs, providing a foundation for the training and organisation of specialised nurse response teams.</div></div><div><h3>Methods</h3><div>We recruited a geographically stratified sample of nurses from tertiary hospitals in four representative regions of China (Eastern, Western, Northern, Southern) for this cross-sectional study, conducted from April 2021 to April 2023. Using the validated Behavioural Event Interview (BEI) methodology, we conducted qualitative research with 40 nurses from hospitals designated for COVID-19 treatment. Participants were asked to describe three successful scenarios and three challenging experiences they encountered during recent pandemic responses with semi-structured interviews. We analysed the qualitative data using an iterative constant comparison method, employing a three-phase coding process (open, axial, selective) facilitated by NVivo 12.0 software. This analysis culminated in an evidence-based competency model. To ensure the model’s reliability and validity, we performed categorical consistency checks and synchronous cross-validity testing‌.</div></div><div><h3>Results</h3><div>The study included 20 excellent nurses and 20 average nurses. We developed a tailored nursing competency model comprising 20 total competencies, categorised into core (6 competencies), critical (7 competencies), and foundational (7 competencies). Inter-coder reliability was robust, with Cohen’s κ ranging from 0.741 to 0.830, and an overall agreement of 0.773. Significant differences in competency scores (p &lt; 0.05) were noted between high-performing and adequately-performing nurses, particularly in core and critical competencies.</div></div><div><h3>Conclusions</h3><div>The competency model for outbreak response nursing is scientifically robust and practically applicable. It is particularly crucial for effective nursing management in the face of sudden and uncertain infectious disease outbreaks.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"80 ","pages":"Article 101621"},"PeriodicalIF":1.8,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144089157","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":"Nursing staff’s perceptions of and reasons for missed nursing care in patients with traumatic injuries","authors":"Andrea Lundin ,&nbsp;Maria Unbeck ,&nbsp;Ann- Christine Andersson ,&nbsp;Anders Enocson ,&nbsp;Lena M. Berg","doi":"10.1016/j.ienj.2025.101616","DOIUrl":"10.1016/j.ienj.2025.101616","url":null,"abstract":"<div><h3>Introduction</h3><div>Trauma causes nearly six million deaths annually and is the leading cause of death in the working-age population. Systematic, multidisciplinary, team-based initial care is vital. Trauma nursing addresses complex physical and psychological needs, enhancing patient outcomes and preventing complications. However, acute care settings have challenges, such as heavy workloads and high patient-to-nurse ratios.</div></div><div><h3>Aim</h3><div>This study aimed to explore nursing staff́s perceptions of reasons for missed nursing care for patients with traumatic injuries.</div></div><div><h3>Methods</h3><div>Four semi-structured group interviews were conducted with 22 registered and assistant nurses caring for trauma patients in a level one trauma center. The data were analyzed using thematic analysis and an inductive approach.</div></div><div><h3>Results</h3><div>The main findings revealed that complex organizational challenges hinder consistent nursing care. Factors such as patient characteristics and team composition necessitate prioritizing medical interventions over nursing care, leading to feelings of inadequacy among nurses when they are unable to provide timely care.</div></div><div><h3>Conclusion</h3><div>Our findings indicate that essential nursing care is frequently overlooked in the trauma ward, often taking a backseat to medical interventions. This trend arises from the intricate dynamics of patient characteristics, team composition, and the organizational environment.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"80 ","pages":"Article 101616"},"PeriodicalIF":1.8,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143943550","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}