International Emergency Nursing最新文献

{"title":"Nutritional risk screening by the emergency medical services: Agreement with in-hospital assessment","authors":"Eeva Saario ,&nbsp;Marja Mäkinen ,&nbsp;Esa Jämsen ,&nbsp;Maaret Castrén","doi":"10.1016/j.ienj.2024.101553","DOIUrl":"10.1016/j.ienj.2024.101553","url":null,"abstract":"<div><h3>Introduction</h3><div>Early recognition of nutritional risk is important to prevent the adverse consequences of malnutrition. However, nutritional risk screening is often disregarded in hospitals.</div></div><div><h3>Purpose</h3><div>To evaluate the agreement of nutritional risk screening results between screening performed by emergency medical services (EMS) and at the hospital ward.</div></div><div><h3>Methods</h3><div>The EMS used the Nutritional Risk Screening 2002 (NRS-2002) to screen the nutritional risk of community-dwelling patients aged ≥ 70 years transported to the emergency department of a large Finnish hospital. The NRS-2002 results from the EMS were compared to results obtained during hospitalization.</div></div><div><h3>Results</h3><div>The EMS screened 472 patients and recognized nutritional risk in 81 (17 %). NRS-2002 was repeated at hospital ward in 97 of the screened. In about two-thirds of the cases (69 %), the EMS and ward personnel agreed on whether the patient had nutritional risk or not, and one-third of patients (31/97, 32 %) had the exact same score. The EMS tended to give lower scores (mean difference 0.70 ± 1.29, p &lt; 0.001). Twenty-four patients considered not to be at nutritional risk according to the EMS were recognized as risk patients at the ward.</div></div><div><h3>Conclusion</h3><div>Nutritional risk screening by the EMS could help in identifying persons requiring more detailed assessment of nutritional status.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"78 ","pages":"Article 101553"},"PeriodicalIF":1.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142756761","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}

{"title":"Developing a trauma-informed care graphic narrative educational tool for emergency trauma nurses","authors":"Melissa Wholeben ,&nbsp;Robert McCreary ,&nbsp;Elvira Carrizal-Dukes ,&nbsp;Ronnie Dukes","doi":"10.1016/j.ienj.2024.101545","DOIUrl":"10.1016/j.ienj.2024.101545","url":null,"abstract":"<div><h3>Background</h3><div>In the emergency department, communicating therapeutically to optimize health outcomes is crucial when caring for trauma survivors. Graphic narratives are an innovative means of conveying critical nursing concepts to emergency trauma nurses that have the potential to promote enhanced application of trauma-informed care core values to clinical practice.</div></div><div><h3>Purpose</h3><div>The purpose of this manuscript is to describe the initial step of developing a graphic narrative educational tool depicting clinical scenarios in which trauma-informed care values are employed in an emergency department setting. Content validation by subject matter experts’ approach was taken to create a graphic narrative tool reflective of the core values of trauma-informed care.</div></div><div><h3>Methods</h3><div>A graphic narrative was created as an educational tool that included examples of nurses using core trauma-informed care values to provide nursing care to trauma survivors. Content Validation by subject matter experts’ approach was used to ensure that the core values of trauma-informed care were reflected in the script and visuals, or graphics, depicted in this tool.</div></div><div><h3>Results</h3><div>The development of a graphic narrative educational tool, compiled into a study guide, was designed to educate emergency trauma nurses in the specialized knowledge and TIC competencies needed to care for trauma survivors who have experienced acute trauma. The finalized four graphic narratives encompassing the six core values of TIC show nurse-patient interactions that demonstrate how the nurse would apply TIC in specific clinical situations.</div></div><div><h3>Conclusion</h3><div>The collaborative review process utilized in this study highlights a process of content validation by subject matter experts’ that can be useful for other nurse educators who collaborate with graphic artists to develop graphic narratives. Graphic narratives show through vivid imagery the powerful healing delivered to trauma survivors through trauma-informed care and can move nurses to employ this approach in every patient interaction.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"78 ","pages":"Article 101545"},"PeriodicalIF":1.8,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142746668","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":"Effectiveness of a training program for emergency nurses on pelvic binder application and patient care: A single-group pretest–posttest study","authors":"Perihan Şimşek ,&nbsp;İsmail Tayfur ,&nbsp;Abdülkadir Gunduz ,&nbsp;Burcu Bayramoglu","doi":"10.1016/j.ienj.2024.101528","DOIUrl":"10.1016/j.ienj.2024.101528","url":null,"abstract":"<div><h3>Aim</h3><div>Pelvic binder application is one of the life-saving interventions used in pelvic trauma. The aim of this study was to evaluate the effect of a pelvic binder training program on the knowledge, skills, attitudes and competence levels of emergency department nurses.</div></div><div><h3>Methods</h3><div>The study was conducted with 35 emergency department nurses using a one-group pretest–posttest design. The effectiveness of the training provided to the nurses was evaluated in four stages: immediately before the training, immediately after the training, 20 days after the training, and two months after the training, using forms developed by the researchers. The evaluation assessed knowledge, skills, attitudes, and perceived levels of competence related to the topic.</div></div><div><h3>Results</h3><div>Attitudes toward pelvic binder application and perceived competence levels in providing care for patients with pelvic binders were significantly higher in all post-training assessments compared to pre-training (p &lt; 0.001). Knowledge levels were significantly higher two months after training compared to other time periods (p &lt; 0.001). It was also found that pelvic binder application training for ED nurses significantly improved nurses’ skills (p &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>In conclusion, this study shows that the pelvic binder training program is effective in improving the knowledge, skills, attitudes, and competence levels of emergency department nurses. To improve patient care in critical situations such as pelvic trauma, the dissemination and continuity of such training programs will be an important step.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"78 ","pages":"Article 101528"},"PeriodicalIF":1.8,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142746667","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 compassion fatigue, conscience stress, and perceived quality of care in emergency nurses","authors":"Semra Kayacan ,&nbsp;Simge Coskun Palaz","doi":"10.1016/j.ienj.2024.101543","DOIUrl":"10.1016/j.ienj.2024.101543","url":null,"abstract":"<div><h3>Background</h3><div>Examining factors affecting nursing care is vital for enhancing practices, improving care quality, and achieving desired patient outcomes.</div></div><div><h3>Aim</h3><div>To explore emergency nurses’ perceptions of care quality, compassion fatigue and conscience stress levels; and evaluate the mediating role of conscience stress between compassion fatigue and perception of nursing care quality.</div></div><div><h3>Methods</h3><div>This cross-sectional and descriptive study was conducted between April 1 and September 1, 2022, with 384 nurses working in emergency departments across Turkey. “Sociodemographic Data Collection Form”, “Compassion Fatigue Scale”, “Stress of Conscience Scale” and “Caring Behaviors Scale” were used to collect data.</div></div><div><h3>Results</h3><div>The mean total scores for the Caring Behaviors Scale, Compassion Fatigue Scale, and Conscience Stress Scale among emergency nurses were 5.16 ± 0.67, 71.28 ± 25.19, and 100.48 ± 41.97, respectively. The study revealed a positive correlation between Conscience Stress Scale and Compassion Fatigue Scale scores, and no correlation between Caring Behaviors Scale scores. Additionally, a negative correlation was found between Compassion Fatigue Scale and Caring Behaviors Scale scores.</div></div><div><h3>Conclusion</h3><div>It was found that emergency nurses had high perceptions of care quality, moderate levels of compassion fatigue and stress of conscience, and that stress of conscience did not mediate the relationship between perception of care quality and compassion fatigue.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"78 ","pages":"Article 101543"},"PeriodicalIF":1.8,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142746663","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":"Determination of the relationship between competencies in disaster nursing management and perceived stress: The intermediary role of resilience","authors":"Gülnur Akkaya ,&nbsp;Yeliz Akkuş ,&nbsp;Ayşe Gül Parlak ,&nbsp;Yasemin Karacan","doi":"10.1016/j.ienj.2024.101530","DOIUrl":"10.1016/j.ienj.2024.101530","url":null,"abstract":"<div><h3>Background</h3><div>Türkiye encounters various natural disasters, foremost earthquakes, and, nurses’ resilience, ability to cope with stress and disaster competence play a significant role in disasters.</div></div><div><h3>Objective</h3><div>The objective of this study is to establish the intermediary role of resilience in the relation between nurses’ competencies in disaster management and perceived stress.</div></div><div><h3>Method</h3><div>The sampling of this descriptive and cross-sectional study included 240 nurses from across Türkiye. The socio-demographic characteristics questionnaire, Competencies for Disaster Nursing Management Questionnaire, Brief Resilience Scale, Perceived Stress Scale were utilized in order to collect data. Among the continuous variables of the research, Pearson correlation analysis, linear regression and hierarchical regression analyses regarding the intermediary effect were performed by using PROCESS Model.</div></div><div><h3>Findings</h3><div>The mean scale scores of nurses were detected to be “CDNMQ” 6.300 ± 2.771 (medium), “BRS” 18.463 ± 4.308 (medium), and “PS” 21.038 ± 6.759 (low), respectively. The relationship between CDNMQ and PS (path c; ß = −0.534) descends in case BRS is added to the model (path c’; ß = −0.429) (p &lt; 0.05). In light of this finding, BRS was determined to be a partial intervening variable between CDNMQ and PS.</div></div><div><h3>Conclusion</h3><div>In accordance with this study, it is recommended to plan studies to enhance disaster nursing competence, prioritize resilience, and reproduce this study in various nurse groups.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"78 ","pages":"Article 101530"},"PeriodicalIF":1.8,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142702066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Emergency medical service nurses’ experiences and perspectives on a protocol change of pre-hospital preventive immobilization of spinal injuries after trauma: A qualitative study","authors":"Otto J. van de Breevaart ,&nbsp;Nancy E.E. Van Loey ,&nbsp;Luke P.H. Leenen ,&nbsp;Lisette Schoonhoven ,&nbsp;Wietske H.W. Ham","doi":"10.1016/j.ienj.2024.101533","DOIUrl":"10.1016/j.ienj.2024.101533","url":null,"abstract":"<div><h3>Objective</h3><div>In 2016, a selective preventive spinal immobilization protocol for emergency medical service (EMS) nurses was introduced in the Netherlands. This protocol leaves more room for autonomous decision-making in the pre-hospital phase regarding preventive spinal immobilization (PSI), compared to the previous strict protocol. In this study, we explored the experiences and perspectives of EMS nurses on decisionmaking about PSI after the change from a strict to a selective PSI protocol. Methods: We used a qualitative design with semi-structured face-to-face interviews. Thematic analysis was applied. The capability-opportunity-motivation-behavior-model was used to interpret the experiences and perspectives. Results: Thirteen EMS nurses from three emergency medical services were interviewed. Respondents appreciated autonomous decision-making as there was more room for patient-centered informed decision-making. However, autonomous decision-making required optimized knowledge and skills and elicited the need to receive feedback on their decision not to apply PSI. When nurses anticipated resistance to selective PSI from receiving hospitals, they were doubtful to apply it. Conclusion: Nurses appreciate the increased autonomy in decision-making, encouraging them to focus on patient-centered care. Increased autonomy also places higher demands on knowledge and skills, calling for training and feedback. Anticipated resistance to receiving hospitals based on mutual protocol discrepancies could lead to PSI application by EMS nurses while not deemed necessary. Recommendations: To enhance PSI procedures, optimizing the knowledge and skills of EMS nurses that facilitate on-scene decision-making may be indicated. A learning loop for feedback between the EMS nurses and the involved hospitals may add to their professional performance. More efforts are needed to create support for the changed Emergency Medical Services strategy in PSI to prevent unnecessary PSI and practice variation.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"78 ","pages":"Article 101533"},"PeriodicalIF":1.8,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142696047","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}

{"title":"Decreasing hemolysis rates through phlebotomy education","authors":"Mariolina Bartolomeo,&nbsp;Christina Tedesco,&nbsp;LuAnn Etcher","doi":"10.1016/j.ienj.2024.101534","DOIUrl":"10.1016/j.ienj.2024.101534","url":null,"abstract":"","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"78 ","pages":"Article 101534"},"PeriodicalIF":1.8,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142688858","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":"What is the optimal outcome for evaluating the triage Systems? Insights from a prospective observational study","authors":"Arian Zaboli ,&nbsp;Francesco Brigo ,&nbsp;Serena Sibilio ,&nbsp;Gloria Brigiari ,&nbsp;Magdalena Massar ,&nbsp;Marta Parodi ,&nbsp;Michael Mian ,&nbsp;Norbert Pfeifer ,&nbsp;Gianni Turcato","doi":"10.1016/j.ienj.2024.101540","DOIUrl":"10.1016/j.ienj.2024.101540","url":null,"abstract":"<div><h3>Background</h3><div>Currently, there is no universally accepted gold standard outcome for assessing the effectiveness of the Triage Systems. This study aimed to comprehensively evaluate and compare various outcomes utilized in triage studies.</div></div><div><h3>Methods</h3><div>A prospective observational study was conducted at the Emergency Department (ED) of Merano Hospital from June 1 to December 31, 2023. We assessed the predictive capability of the Manchester Triage System (MTS) across multiple outcomes using areas under the receiver operating characteristic curve (AUROC), along with their corresponding 95% confidence intervals (95% CI), and frequency distributions.</div></div><div><h3>Results</h3><div>The MTS demonstrated strong performance concerning the most objective outcomes, such as mortality (at 72 h: AUROC 0.914; 95 %CI: 0.815–1; at 7 days: 0.845; 95 %CI: 0.729–0.965; at 30 days: 0.794; 95 %CI: 0.706–0.881), admission to the intensive care unit (0.831; 95 %CI: 0.763–0.899), and need for life-saving interventions (0.870; 95 %CI: 0.806–0.934). Additionally, outcomes such as urgency status and clinical priority, as judged by physicians, exhibited excellent performance and optimal frequency distribution.</div></div><div><h3>Conclusions</h3><div>The performance of the MTS varied significantly depending on the specific outcome under evaluation. Currently, no single outcome appears superior to others, nor does any seem poised to serve as a potential gold standard for the assessment of triage systems. It is advisable for dedicated working groups to convene and reach a consensus on the most effective outcomes for evaluating the performance of MTS and other triage systems. This should be accomplished through a systematic, standardized, and transparent approach, grounded in the best available evidence.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"78 ","pages":"Article 101540"},"PeriodicalIF":1.8,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683221","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 Multinational Association for Supportive Care in cancer criteria. An Evaluation and recommendations for the management of neutropenia in the emergency department","authors":"Anas Alsharawneh","doi":"10.1016/j.ienj.2024.101542","DOIUrl":"10.1016/j.ienj.2024.101542","url":null,"abstract":"<div><h3>Objectives</h3><div>We aimed to evaluate the reproducibility, accuracy, feasibility, and effect of the Multinational Association for Supportive Care in Cancer (MASCC) criteria on emergency clinical decisions, treatment, and health outcomes.</div></div><div><h3>Methods</h3><div>A retrospective cohort design was used.</div></div><div><h3>Results</h3><div>The MASCC score was better at correctly detecting the high urgency (70 % of patients with a high urgency were identified as high risk) than the low urgency (only 30 % of patients with a low urgency were identified as low risk). The examination of the MASCC score as a continuous variable could have been more valuable and indicated inferior validity. The likelihood ratios were far from good, which is better for ruling out the high urgency. The observed likelihood ratio of the MASCC range 17 to 20 provided no information for the goodness of the scale (equal to one). The results from multiple linear regression analyses identified that the MASCC original categorization (high vs. low risk) and the investigated new one (multiple ranges of MASCC score) were significantly associated with time to reassessment, time to be seen, time to decide on admission, boarding time until disposition, and length of stay. However, the original categorization nor the new one was predictive of the admission site. Still, both were significantly associated with hospital disposition (mortality) (<em>p</em> &lt; 0.05).</div></div><div><h3>Conclusion</h3><div>Even though the MASCC score determines the neutropenia treatment pathway, the sensitivity and specificity analysis identified that the scale did not perform well in detecting real clinical urgency.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"78 ","pages":"Article 101542"},"PeriodicalIF":1.8,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683219","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":"“It’s about making a difference”: Interplay of professional value formation and sense of coherence in newly graduated Finnish paramedics","authors":"Christoffer R Ericsson ,&nbsp;Veronica Lindström ,&nbsp;Ann Rudman ,&nbsp;Hilla Nordquist","doi":"10.1016/j.ienj.2024.101541","DOIUrl":"10.1016/j.ienj.2024.101541","url":null,"abstract":"","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"77 ","pages":"Article 101541"},"PeriodicalIF":1.8,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677518","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}