International Emergency Nursing最新文献

{"title":"Perceived involvement in emergency department care: An observational study of nurse-led bedside shift handover","authors":"M.C. (Christien) Van Der Linden ,&nbsp;R. (Roukayya) Oueslati ,&nbsp;A.R. (Rianne) C. Lam ,&nbsp;H. (Helma) Krapels ,&nbsp;S. (Sanne) Van Vliet ,&nbsp;A. Aimee De Graaf ,&nbsp;N. (Naomi) Van Der Linden","doi":"10.1016/j.ienj.2025.101739","DOIUrl":"10.1016/j.ienj.2025.101739","url":null,"abstract":"<div><h3>Background</h3><div>Involving patients in their care is an important aspect of quality emergency nursing, but remains difficult to achieve in busy and time-pressured settings. Bedside shift handover (BSH), where nurses exchange information in the patient’s presence, may support engagement, yet evidence from emergency departments (EDs) is limited.</div></div><div><h3>Aim</h3><div>To explore how patients perceived their involvement in communication and care during their ED stay, and whether exposure to nurse-led BSH, structured using the Situation-Background-Assessment-Recommendation (SBAR) format, was associated with higher perceived involvement.</div></div><div><h3>Methods</h3><div>A cross-sectional telephone survey was conducted among 104 recently discharged ED patients. Perceived involvement was assessed with the three-item CollaboRATE questionnaire. Additional data included patient and visit characteristics, crowding levels, and BSH exposure based on nursing documentation.</div></div><div><h3>Results</h3><div>Patients reported moderate-to-high perceived involvement (mean CollaboRATE 21.8 of 27), though only 11.5 % gave top scores across all items. BSH was documented in 36 % of eligible cases. No significant association was observed between documented BSH and perceived involvement (p = 0.81), nor between crowding and involvement (r = –.05, p = 0.59).</div></div><div><h3>Conclusion</h3><div>Most patients felt involved, yet optimal engagement was uncommon. No association was found between BSH and perceived involvement, likely reflecting variation in implementation. Consistent and inclusive handover practices may help support patient engagement, but this requires further study.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"84 ","pages":"Article 101739"},"PeriodicalIF":1.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145919020","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":"Development of a core competency assessment framework for frontline nurses responding to infectious disease emergencies: A three-year initiative at a regional medical center","authors":"Shen-Ting Xu ,&nbsp;Rui-Lan Li ,&nbsp;Jian-Feng Zhang ,&nbsp;Jian-Qin Chen ,&nbsp;Qin-Fang Chen ,&nbsp;Jian-Ying Zhou ,&nbsp;Zhen-Juan Dai","doi":"10.1016/j.ienj.2025.101703","DOIUrl":"10.1016/j.ienj.2025.101703","url":null,"abstract":"<div><h3>Objective</h3><div>The aim of this study was to develop a scientifically grounded core competency assessment framework for frontline nurses engaged in infectious disease emergency response.</div></div><div><h3>Methods</h3><div>An initial index system for evaluating core competencies was formulated through a comprehensive review of the literature and structured group discussions. The Delphi method was used to conduct two rounds of expert consultation between August and November 2024, involving 18 experts in the field.</div></div><div><h3>Results</h3><div>The expert response rate was 100% in both consultation rounds. The authority coefficients for the experts were 0.886 and 0.953 for the first and second rounds, respectively. Coefficients of variation ranged from 0 to 0.357 in the first round and from 0 to 0.115 in the second. The Kendall’s concordance coefficients for the first to fourth-level indicators were 0.222, 0.210, 0.330, and 0.339 in the first round, and 0.325, 0.307, 0.389, and 0.374 in the second round. The finalized framework consisted of 3 first-level indicators, 13 second-level indicators, 42 third-level indicators, and 106 fourth-level indicators.</div></div><div><h3>Conclusion</h3><div>The resulting core competency assessment framework demonstrates scientific rigor and comprehensiveness. It offers a practical reference for the selection and training of primary care nursing personnel during infectious disease emergencies and supports the development of emergency nursing teams coordinated by regional medical centers.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"83 ","pages":"Article 101703"},"PeriodicalIF":1.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145416385","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 impact of person-centered care on pain control and experiences of trauma patients in the emergency department: a clinical trial study","authors":"Nesa Khademi ,&nbsp;Mohammad Gholami ,&nbsp;Behzad Moradi ,&nbsp;Ayat Ghasemi ,&nbsp;Yaser Mokhayeri ,&nbsp;Hamid Taheri","doi":"10.1016/j.ienj.2025.101685","DOIUrl":"10.1016/j.ienj.2025.101685","url":null,"abstract":"<div><h3>Background</h3><div>Although person-centered care is a fundamental aspect of nursing, its effective implementation in acute healthcare settings remains challenging. The current study aimed to determine the impact of person-centered care on pain control and the experiences of trauma patients in the emergency department (ED).</div></div><div><h3>Methods</h3><div>This randomized clinical trial included 88 trauma patients admitted to the ED, who were allocated via block randomization into two groups: the intervention group (n = 44) and the control group (n = 44). The intervention group received person-centered care focusing on two components: 1) pain management and 2) therapeutic communication/trauma-informed care. The control group received routine emergency care. Outcomes were measured using the Numerical Rating Scale (NRS) for pain, the Pain Management Satisfaction Scale (PMSS), and the Accident and Emergency Department Questionnaire (AEDQ). Data were analyzed using STATA-14 software, with Repeated Measure and paired t-tests applied for statistical analysis.</div></div><div><h3>Results</h3><div>The results showed no statistically significant difference in pain intensity during triage between the two groups (P = 0.091). However, upon discharge from the ED, the mean scores for pain management satisfaction and patient experiences were significantly higher in the intervention group (22.61 and 20.88, respectively) compared to the control group (8.40 and 39.99, respectively) (P &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>The findings suggest that incorporating principles of person-centered care such as patient participation, attention to preferences, and nurse-led pain management during triage, can enhance satisfaction and foster positive experiences among trauma patients in the ED.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"83 ","pages":"Article 101685"},"PeriodicalIF":1.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145159416","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":"Nasal high flow therapy in the emergency department – A prospective study","authors":"Esra Türe","doi":"10.1016/j.ienj.2025.101699","DOIUrl":"10.1016/j.ienj.2025.101699","url":null,"abstract":"","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"83 ","pages":"Article 101699"},"PeriodicalIF":1.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233998","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":"Pediatric emergency nurses’ knowledge, competence, and barriers in trauma-informed care: A cross-sectional study","authors":"Amina Elzeiny ,&nbsp;Ahmed Loutfy ,&nbsp;Sameer A. Alkubati ,&nbsp;Mohamed Ali Zoromba ,&nbsp;Ahmed Hashem El-Monshed ,&nbsp;Ahmed Salah Ali ,&nbsp;Fatma Sayed Abdelaziz Mohamed","doi":"10.1016/j.ienj.2025.101714","DOIUrl":"10.1016/j.ienj.2025.101714","url":null,"abstract":"<div><h3>Background</h3><div>pediatric emergency nurses play a critical role in caring for children who have experienced traumatic events in the emergency departments. Trauma-informed care (TIC) is an essential approach that considers the psychological, behavioral, and social implications of trauma. This study aims to assess pediatric emergency nurses’ knowledge, perceived competence, and barriers related to TIC in emergency departments (EDs).</div></div><div><h3>Methods</h3><div>A cross-sectional design was conducted with 106 pediatric emergency nurses working in the pediatric emergency departments of three public hospitals in Egypt. Data was collected through an interview questionnaire with permission using the TIC Provider Survey Version 2.0 – Pediatric Survey. Descriptive statistics and multiple regression analysis were used to analyze the data.</div></div><div><h3>Results</h3><div>Most pediatric emergency nurses in emergency departments were female (69.8 %). Their mean knowledge score was 39.16 (SD = 9.03), and they expressed favorable opinions about TIC with a mean score of 22.37 (SD = 4.26) (range: 9 to 28). Self-rated competence in specific TIC aspects varied, but providers demonstrated favorable views toward incorporating TIC into their practice overall. The top three significant barriers to TIC implementation were: (1) “Confusing or unclear information on TIC” (67 %), (2) “Scope of practice constraints” (46.2 %), and (3) “Lack of training” (66 %).</div></div><div><h3>Conclusions</h3><div>Although pediatric emergency nurses in emergency departments demonstrated limited knowledge, with only 4 out of 13 items answered correctly by more than 50% of participants, their overall mean score suggests moderate awareness TIC. However, their practical application emained deficient. Prioritizing enhanced education and training can improve recognition and management of psychosocial and behavioral consequences, positively impacting children’s and parents’ outcomes while fostering a trauma-sensitive culture among pediatric emergency nurses.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"83 ","pages":"Article 101714"},"PeriodicalIF":1.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145543533","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 use of machine learning in predicting clinical outcomes in emergency pre-examination triage: A systematic review of the literature","authors":"Yao Jiang ,&nbsp;Jing Zhao ,&nbsp;Hu Juan","doi":"10.1016/j.ienj.2025.101705","DOIUrl":"10.1016/j.ienj.2025.101705","url":null,"abstract":"<div><h3>Objective</h3><div>To investigate the application status of machine learning model in the prediction of clinical outcomes in emergency pre-examination and triage, and to analyze its characteristics, advantages and disadvantages, so as to add an objective tool for medical staff to predict the clinical outcome of patients in the process of pre-examination and triage.</div></div><div><h3>Methods</h3><div>The literature review method was used to search PubMed, Web of Science, Embase, Cochrane Library, China Biomedical Literature Database, CNKI, Wanfang, VIP and other databases, and the literature that met the inclusion criteria was screened and the specific information of the machine learning model in the literature was extracted.</div></div><div><h3>Results</h3><div>A total of 12 articles that met the criteria were included, including 5 machine learning models, which were mainly used in clinical outcomes such as hospital admission, death, intensive care unit admission, hospital transfer, and home.</div></div><div><h3>Conclusion</h3><div>The overall sensitivity of the machine learning model is high, but there are few literature studies on the prediction of clinical outcomes for pre-test triage, so relevant large-sample studies should be carried out in clinical practice to achieve the combination of subjective and objective evaluation tools to improve the accuracy of prediction and ensure patient safety.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"83 ","pages":"Article 101705"},"PeriodicalIF":1.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145393544","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 AI-assisted ESI triage on accuracy and selected outcomes in emergency nursing: A systematic review","authors":"Aekkachai Fatai ,&nbsp;Chakrit Sattayarom ,&nbsp;Wiwat Laochai ,&nbsp;Ekkalak Faksook","doi":"10.1016/j.ienj.2025.101680","DOIUrl":"10.1016/j.ienj.2025.101680","url":null,"abstract":"<div><h3>Aims</h3><div>To evaluate the effectiveness of artificial intelligence (AI) assisted Emergency Severity Index (ESI) triage systems in improving triage accuracy, selected outcomes including under-triage and over-triage, waiting time and patient workflow, and barriers to implementation in emergency nursing.</div></div><div><h3>Design</h3><div>Systematic review.</div></div><div><h3>Methods</h3><div>A narrative synthesis was used to evaluate findings from eligible studies. The Mixed Methods Appraisal Tool (MMAT) was applied for quality assessment. Studies were included if they examined AI-assisted ESI triage systems involving emergency nurses and reported on triage performance and implementation challenges.</div></div><div><h3>Data Sources</h3><div>Search was performed in CINAHL, Medline, PsycINFO, PubMed, and Google Scholar for English-language articles published between 2018 and 2025.</div></div><div><h3>Results</h3><div>Ten studies met the inclusion criteria. AI-assisted ESI triage systems improved accuracy, demonstrating higher AUC, F1 score, sensitivity, and specificity compared to traditional triage nursing. These systems also reduced rates of over-triage and under-triage, minimized long waiting times, and enhanced patient flow. However, barriers included reliance on retrospective data, the need for model validation, and potential resistance from nurses.</div></div><div><h3>Conclusion</h3><div>AI-assisted ESI triage systems demonstrate promising benefits in enhancing triage accuracy and efficiency in emergency nursing. While AI can be a valuable decision-support tool, it should complement rather than replace clinical judgment. Integrating AI into emergency triage may streamline workflows, reduce workload, and improve the accuracy of patient assessments.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"83 ","pages":"Article 101680"},"PeriodicalIF":1.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145097130","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":"Artificial intelligence for improved decision-making in diabetic emergency survival: A cross-sectional study","authors":"Lintang Arum Nikentari ,&nbsp;Heri Kristianto ,&nbsp;Laily Yuliatun ,&nbsp;Ali Haedar ,&nbsp;Paulus Lucky Tirma Irawan","doi":"10.1016/j.ienj.2025.101700","DOIUrl":"10.1016/j.ienj.2025.101700","url":null,"abstract":"<div><h3>Aims</h3><div>This study aims to develop and validate an artificial intelligence -driven survival prediction model using the Random Forest algorithm to support clinical decision-making in diabetic emergency cases. The model is designed to assist emergency nurses in triage prioritization and resource allocation to improve patient outcomes.</div></div><div><h3>Methods</h3><div>A retrospective cross-sectional study was conducted using medical records of 1,047 diabetic emergency patients treated at regional hospital in Indonesia, from 2019 to 2024. Key clinical variables, including age, gender, blood glucose levels, Glasgow Coma Scale, triage classification, and insulin use, were analyzed. Logistic regression identified significant survival predictors, and random forest model was developed for survival prediction. Model performance was evaluated using accuracy, sensitivity, specificity, and the area under the receiver operating characteristic AUC (Area Under Curve).</div></div><div><h3>Results</h3><div>The random forest model identified GCS and triage classification as the most significant predictors of survival. Patients with higher GCS scores and immediate triage classification (P1) had a greater likelihood of survival. The model demonstrated high predictive performance, achieving an accuracy of 94.9 %, sensitivity of 95.6 %, specificity of 93.7 %, and an AUC of 0.96.</div></div><div><h3>Conclusion</h3><div>The AI-based random forest model demonstrated excellent predictive accuracy, supporting its integration into emergency nursing workflows. Implementing AI-driven decision-support systems in emergency departments may enhance triage accuracy, to improve survival outcomes in diabetic emergencies, future studies should focus on external validation and the integration of additional clinical parameters to further refine model performance.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"83 ","pages":"Article 101700"},"PeriodicalIF":1.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145220937","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 nurses and the care of people who have self-harmed: A meta-ethnography","authors":"Luke Molloy ,&nbsp;Hadwan Aldahmashi ,&nbsp;Tammy Tran Merrick ,&nbsp;Kelly Lewer ,&nbsp;Faisal Khalaf Alanazi ,&nbsp;Louise Doyle ,&nbsp;Brian Keogh ,&nbsp;Timothy Wand","doi":"10.1016/j.ienj.2025.101682","DOIUrl":"10.1016/j.ienj.2025.101682","url":null,"abstract":"<div><h3>Background</h3><div>Self-harm is a significant public health issue and a key focus of health policies globally. Emergency departments (EDs) often see self-harm cases, with emergency nurses playing a crucial role. However, care is inconsistent and substandard due to a lack of evidence-based practices and mixed attitudes among nurses.</div></div><div><h3>Objective</h3><div>To understand the social context of emergency nurses’ practice with self-harm patients by synthesising qualitative research findings.</div></div><div><h3>Method</h3><div>Noblit and Hare’s <em>meta</em>-ethnography method was used to synthesise qualitative studies. Three databases (PsychINFO, CINAHL, and MEDLINE) were searched for relevant studies over the period October 2013 to July 2025. Five studies with rich qualitative data were included.</div></div><div><h3>Results</h3><div>Nurses often feel discomfort and uncertainty when caring for self-harm patients due to a lack of knowledge and confidence. Emotional responses like frustration and anger can negatively impact care quality. Service barriers, including time constraints, lack of privacy, and inadequate guidelines, further hinder optimal care. However, with experience and education, nurses develop greater comfort and skills. The presence of mental health specialists in EDs enhances nurses’ confidence and care quality. Focused education and training are crucial for changing attitudes and improving care for self-harm patients.</div></div><div><h3>Conclusion</h3><div>The <em>meta</em>-ethnography highlights the need for improved education and training for ED nurses in mental health care. Enhancing the physical environment of EDs and fostering a culture of shared responsibility for mental health care can improve service users’ outcomes and professional satisfaction for nurses.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"83 ","pages":"Article 101682"},"PeriodicalIF":1.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145220938","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":"Barriers and enablers to evidence-based practice for the initial management of women with early pregnancy bleeding in the Emergency Department","authors":"Baylie Trostian ,&nbsp;Kate Curtis ,&nbsp;Sameer Dikshit ,&nbsp;Simon Binks ,&nbsp;Anne Smith ,&nbsp;Belinda Munroe ,&nbsp;Geoff Hicks ,&nbsp;Andrea McCloughen","doi":"10.1016/j.ienj.2025.101693","DOIUrl":"10.1016/j.ienj.2025.101693","url":null,"abstract":"<div><h3>Background</h3><div>Women with early pregnancy bleeding experience care variations. We developed a guideline based on best available evidence to guide Emergency Department (ED) management.</div></div><div><h3>Aim</h3><div>To identify the barriers and enablers to the use of an evidence-based guideline for initial management of women with early pregnancy bleeding in the ED.</div></div><div><h3>Methods</h3><div>A mixed methods survey was distributed to 476 staff from four EDs and one Urgent Care Centre, across a health district. Quantitative data were analysed using jamovi (version 2.3.28) and qualitative data were coded and grouped into subcategories and categories. Enablers and barriers were identified, and quantitative and qualitative results were integrated.</div></div><div><h3>Findings</h3><div>One hundred and four staff completed the survey (response rate 21.8%). Two barriers to evidence-based practice were identified: knowledge and training gap; and ED resources and workload. Two enablers: ED clinician belief about appropriateness of care; and women are willing to stay, wait and/or request care. Two functioned as both enablers and barriers: guideline is available, however elements are absent or not applicable; and ED clinicians are confident in some but not all aspects of care.</div></div><div><h3>Conclusion</h3><div>Multiple enablers and barriers were identified that may affect the implementation of evidence-based practice for the management of early pregnancy bleeding.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"83 ","pages":"Article 101693"},"PeriodicalIF":1.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145313921","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}