International Emergency Nursing最新文献

{"title":"Effects of a theoretical and workshop-based educational intervention on emergency department nurses’ knowledge and attitudes towards pain management","authors":"Yi Shi ,&nbsp;Ying Wang ,&nbsp;Feifei Duan,&nbsp;Jing Liu,&nbsp;Na Wei","doi":"10.1016/j.ienj.2025.101606","DOIUrl":"10.1016/j.ienj.2025.101606","url":null,"abstract":"<div><h3>Background</h3><div>Patients have a fundamental right to freedom from pain, and proper pain assessment and management are prerequisites for pain relief. However, most emergency department nurses lack knowledge of pain management.</div></div><div><h3>Purpose</h3><div>This study aims to assess the impact of a pain management education program on emergency department nurses’ knowledge and attitudes regarding pain assessment and management.</div></div><div><h3>Methods</h3><div>This was a quasi-experimental study in which 120 nurses were recruited from the emergency department to participate in the study for an 8-week educational intervention, and pain knowledge levels were assessed pre- and post-intervention using the Knowledge and Attitude Survey regarding Pain (KASRP) questionnaire.</div></div><div><h3>Results</h3><div>The mean score of pain knowledge and attitude (21.87 ± 6.523) after the intervention was significantly higher than the mean score before the intervention (18.59 ± 4.118).</div></div><div><h3>Conclusion</h3><div>The theory-based and workshop-based educational intervention significantly improved emergency department nurses’ knowledge and attitudes toward pain management (p &lt; 0.001). The findings suggest that implementing evidence-based continuing education programs for emergency department nurses on pain management could enhance patient care quality. Therefore, it is recommended that hospital managers develop and evaluate feasible training programs to ensure their effectiveness and sustainability.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"80 ","pages":"Article 101606"},"PeriodicalIF":1.8,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143843777","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 affecting patient length of stay in the emergency unit: A scoping review","authors":"Firman Firman ,&nbsp;Andi Masyitha Irwan ,&nbsp;Amy Buckenmeyer","doi":"10.1016/j.ienj.2025.101607","DOIUrl":"10.1016/j.ienj.2025.101607","url":null,"abstract":"<div><h3>Background</h3><div>Despite the recommendation that patients should spend no more than six hours in the emergency department, crowding remains a persistent global health challenge. Extended patient wait times in emergency departments pose a barrier to timely medical care delivery. This scoping review aims to identify the variables increasing patients’ length of stay (LOS) in emergency department.</div></div><div><h3>Method</h3><div>This scoping review was conducted by searching PubMed, ScienceDirect, Wiley, Cochrane Library, Global Index Medicus, GARUDA, and Google Scholar, as well as additional secondary searches from 2013 to 2022 and in accordance with the Arksey and O’Malley methodological framework for scoping reviews. Studies were retained if they included primary, qualitative, or quantitative data and reported on patients admitted to the emergency department with their respective LOS.</div></div><div><h3>Results</h3><div>Of the 914 articles reviewed, 23 met the inclusion criteria. The results of the scoping review identified three main categories of contributory factors for LOS in emergency department: patient, diagnostic tests, and organizational factors.</div></div><div><h3>Conclusion</h3><div>The scoping review identified mitigatable factors to decrease LOS in the emergency department. These insights can help hospitals improve emergency department services by reducing the LOS.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"80 ","pages":"Article 101607"},"PeriodicalIF":1.8,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143843778","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":"Association between the practice environment and missed nursing care in the emergency room","authors":"Larissa Tabata Viana Santana ,&nbsp;Camila Fernandes Pollo ,&nbsp;José Fausto de Morais ,&nbsp;Aniele Fernanda Deplacido de Leo ,&nbsp;Juliana Pierami de Freitas ,&nbsp;Cesar de Oliveira ,&nbsp;Silmara Meneguin","doi":"10.1016/j.ienj.2025.101609","DOIUrl":"10.1016/j.ienj.2025.101609","url":null,"abstract":"<div><h3>Background</h3><div>The demanding and intricate practice environment affects the nursing care provided in the emergency room.</div></div><div><h3>Objective</h3><div>To investigate the relationship between the practice environment and missed nursing care in the emergency room while identifying the impact of sociodemographic and work-related factors.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted involving 102 emergency room nursing staff at a public hospital in São Paulo state, Brazil. Data collection included administering the Misscare-Brazil survey and the Practice Environment Scale.</div></div><div><h3>Results</h3><div>The sample consisted of 28 nurses and 74 nursing technicians. Most were women (n = 89; 87.3 %); the largest segment had a high school education (n = 48; 47.1 %). The mean score on the Practice Environment Scale was 2.17 (±0.60). The multivariate analysis indicated that the practice environment was influenced by workload (p &lt; 0.001), experience in the profession (p = 0.013), experience in the sector (p = 0.029), extra hours (p = 0.005), adequate employee numbers (p = 0.001), job satisfaction (p = 0.033), satisfaction with the profession (p = 0.016), and Part A of the Misscare-Brazil survey (p &lt; 0.001). The mean number of care omissions was 2.64 (± 0.77). It was independently associated with education level (p = 0.040), workload (p &lt; 0.001), extra hours (p = 0.005), number of patients under care (p = 0.004), number of discharges (p = 0.010), and satisfaction with the profession (p = 0.037).</div></div><div><h3>Conclusion</h3><div>The perception of an unfavourable practice environment impacted personal and work-related factors and was linked to missed nursing care in the emergency room.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"80 ","pages":"Article 101609"},"PeriodicalIF":1.8,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143834388","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":"A bibliometric overview of research on emergency nursing and burnout","authors":"Senay Karadag Arli","doi":"10.1016/j.ienj.2025.101605","DOIUrl":"10.1016/j.ienj.2025.101605","url":null,"abstract":"<div><h3>Introduction</h3><div>Burnout is a serious issue for caregivers, patients, and healthcare institutions. It is considered a significant problem among nurses, with emergency nurses being particularly affected. This study aims to examine the studies conducted on emergency nursing and burnout using bibliometric analysis and scientific mapping methods.</div></div><div><h3>Methods</h3><div>This study employs bibliometric analysis and scientific mapping methods. The data were obtained through a search conducted in the Web of Science (WoS) database. During the search, the keywords “emergency nursing” and “burnout” were used. A total of 145 studies indexed in the SSCI and SCI-EXPANDED categories were identified. Due to the continuous influx of scientific publications in the database, the search was conducted on a single day, October 23, 2024.</div></div><div><h3>Results</h3><div>The research identified a total of 145 studies. The highest number of publications related to emergency nursing and burnout (16 %, n = 23) was recorded in 2022. The journals with the most publications were <em>International Emergency Nursing</em> (32.9 %, n = 46) and <em>Journal of Emergency Nursing</em> (29 %, n = 42). The most frequently used keyword in the studies was “burnout,” which was commonly associated with all other keywords. The United States emerged as the country with the highest number of publications on the subject. Additionally, the majority of the studies were published in English (98 %, n = 142). The most-cited publication, with 446 citations, was authored by Adriaenssens, De Gucht, and Maes.</div></div><div><h3>Discussion</h3><div>This study aims to comprehensively address the current state of research on emergency nursing and burnout, highlighting its prevalence in the literature. The findings indicate that burnout and its associated challenges among emergency nurses warrant increasing attention. This research emphasizes the importance of developing more effective strategies to combat burnout and underscores the need for ongoing awareness and research to safeguard the well-being of nurses.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"80 ","pages":"Article 101605"},"PeriodicalIF":1.8,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143817474","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":"Evaluating the National Early Warning Score (NEWS) in triage: A machine learning perspective","authors":"Arian Zaboli ,&nbsp;Francesco Brigo ,&nbsp;Serena Sibilio ,&nbsp;Magdalena Massar ,&nbsp;Gabriele Magnarelli ,&nbsp;Gloria Brigiari ,&nbsp;Gianni Turcato","doi":"10.1016/j.ienj.2025.101602","DOIUrl":"10.1016/j.ienj.2025.101602","url":null,"abstract":"<div><h3>Background</h3><div>The National Early Warning Score is widely used in Emergency Departments for triage, primarily to predict mortality. However, its effectiveness in assessing additional clinical outcomes relevant to triage, such as patient urgency and severity, remains unclear and warrants further investigation.</div></div><div><h3>Methods</h3><div>This prospective observational study was conducted from June to December 2023 at the Merano Emergency Department, enrolling 1,270 patients. The National Early Warning Score was categorized into three risk groups: low (0–4), intermediate (5–6), and high (≥7). Outcomes assessed included 30-day mortality, Intensive Care Unit hospitalization, general hospitalization, physician-defined urgency, and physician-defined severity. A decision tree analysis identified the most significant predictors for each outcome. Receiver Operating Characteristic (ROC) curve analysis evaluated the predictive performance of the National Early Warning Score across these outcomes.</div></div><div><h3>Results</h3><div>Among the enrolled patients, 88.7 % had a National Early Warning Score of 0–4, 6.1 % had 5–6, and 5.2 % had ≥ 7. The National Early Warning Score demonstrated good predictive ability for 30-day mortality (ROC = 0.82) and Intensive Care Unit hospitalization (ROC = 0.72). Decision tree analysis identified the score as the strongest predictor for mortality and Intensive Care Unit admissions. However, for physician-defined urgency and severity, it was less reliable, often misclassifying seriously ill patients into lower-risk categories.</div></div><div><h3>Conclusions</h3><div>The National Early Warning Score proves valuable in triage for predicting mortality and Intensive Care Unit admissions. However, its limitations in evaluating broader clinical outcomes, as revealed by decision tree analysis, suggests that it should be complemented rather than replace traditional triage assessments.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"80 ","pages":"Article 101602"},"PeriodicalIF":1.8,"publicationDate":"2025-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143735199","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 vital signs criteria with low sensitivity may need to be revised in the Pediatric Emergency Severity Index","authors":"Amir Mirhaghi","doi":"10.1016/j.ienj.2025.101604","DOIUrl":"10.1016/j.ienj.2025.101604","url":null,"abstract":"","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"80 ","pages":"Article 101604"},"PeriodicalIF":1.8,"publicationDate":"2025-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143735200","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":"How artificial intelligence might affect the way an emergency department works","authors":"Mansoureh Fatahi ,&nbsp;Marziye Ranjbar Tavakoli","doi":"10.1016/j.ienj.2025.101603","DOIUrl":"10.1016/j.ienj.2025.101603","url":null,"abstract":"","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"80 ","pages":"Article 101603"},"PeriodicalIF":1.8,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144147082","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":"Implementing a re-structured response to behavioural disturbance in the emergency Department – A mixed methods evaluation","authors":"Jennifer Davids ,&nbsp;Nicole Bohlken ,&nbsp;Martin Brown ,&nbsp;Margaret Murphy","doi":"10.1016/j.ienj.2025.101600","DOIUrl":"10.1016/j.ienj.2025.101600","url":null,"abstract":"<div><h3>Background</h3><div>The increasing prevalence of violence in Emergency Departments (EDs) globally emphasises that the early detection of behavioural disturbance, the skilful application of de-escalation techniques and as a last resort, patient restraint, are vital to the safety and wellbeing of staff and patients.</div><div>The findings from our previous research led four EDs across three sites to form a working party consisting of clinicians, educators, IT specialists, researchers, and security officers to design and implement a restructured approach to managing behavioural emergencies.</div></div><div><h3>Methods</h3><div>This mixed methods study used surveys and interviews and the Theoretical Domains Framework (TDF) to evaluate the barriers and facilitators to implementing an intervention designed to manage behavioural emergencies. We collected 61 surveys and conducted 12 interviews with nurses, physicians and security staff.</div></div><div><h3>Results</h3><div>The qualitative and quantitative data collected using the TDF pinpointed six facilitators and nine barriers for the implementation of the Code Black intervention. We were able to identify environmental, systemic and cultural factors that inhibited its implementation. Staff felt confident in their ability to apply the Code Black knowledge and skills and appreciative of efforts being made to improve safety. However, some remain unconvinced that behavioural change of staff will lead to safer outcomes.</div></div><div><h3>Conclusion</h3><div>The restructured approach is an effective containment of escalating aggression which ensures greater safety of patients and staff. However, the implementation of interventions in emergency care settings is complex. EDs have unique characteristics that influence sustainability and that need to be explored further to ensure the ongoing uptake of new practices. This paper demonstrates how to identify facilitators and barriers to change and provide evidence that may be used to drive implementation in the emergency care setting.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"80 ","pages":"Article 101600"},"PeriodicalIF":1.8,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143704657","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 effect of disaster management training program on emergency nurses’ knowledge, skills, and personal preparedness in Palestine","authors":"Rihab Issa Sa’d ,&nbsp;Malakeh.Z. Malak","doi":"10.1016/j.ienj.2025.101601","DOIUrl":"10.1016/j.ienj.2025.101601","url":null,"abstract":"<div><h3>Purpose</h3><div>Healthcare professionals including nurses have a crucial role in reducing the impact of severe crises, also emergency nurses are the majority of healthcare professionals who directly work with catastrophe victims. Thus, they should be prepared well to cope with such situations and they need to have appropriate knowledge, skills, and competencies to manage their tasks during disasters. Thus, this study aimed to assess the effect of a training program for disaster management on knowledge, skills, and personal preparedness among emergency nurses in Palestine.</div></div><div><h3>Methods</h3><div>A one-group pretest-post-test design was used. The data were collected from 64 emergency nurses from governmental and non-governmental hospitals in Palestine by distributing the Disaster Preparedness Evaluation Tool before and after the educational program. Nursing Triage Observation Checklist (NTOC) was used to assess the nurses’ skills in the emergency departments.</div></div><div><h3>Results</h3><div>The findings demonstrated that emergency nurses’ knowledge, skills, and personal readiness for disaster preparedness before the training program were moderate. There were significant increases in nurses’ knowledge after a training program (pre [M = 3.83, SD = 0.82]; post [M = 5.15, SD = 0.29]), skills (pre [M = 3.70, SD = 0.87]; post [M = 5.04, SD = 0.27]), and personal preparedness (pre [M = 3.85, SD = 0.83]; post [M = 5.12, SD = 0.27]). After the training program, nurses demonstrated strong knowledge, skills, and personal preparedness. There were significant differences in nurses’ knowledge, skills, and personal preparedness before and after the disaster training program (t = -13.326; p &lt; 0.001; t = -12.539; p &lt; 0.001, t = -12.256; p &lt; 0.001, respectively). The observation of nurses’ skills pre-intervention indicated that 51 (79.6 %) nurses of the participants had good skills in triage and observation of nurses’ skills one-month post-intervention program indicated that all nurses (100 %) showed good skills in triage.</div></div><div><h3>Conclusions</h3><div>The results proved the effectiveness of a disaster training program in improving emergency nurses’ knowledge, skills, and personal preparedness for disaster management. Therefore, policymakers and healthcare professionals must ensure that disaster preparedness training for emergency nurses is continuously updated to incorporate new developments in the field. This will equip nurses to respond effectively, mitigate risks, and deliver high-quality care during disasters.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"80 ","pages":"Article 101601"},"PeriodicalIF":1.8,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143619534","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 department patients’ self-perceived medical severity and urgency of care: The role of health literacy, stress and coping","authors":"Amanda McIntyre ,&nbsp;Richard Booth ,&nbsp;Lisa Shepherd ,&nbsp;Mickey Kerr","doi":"10.1016/j.ienj.2025.101599","DOIUrl":"10.1016/j.ienj.2025.101599","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to (1) compare the agreement between triage acuity and emergency department (ED) patients’ self-perceived medical severity and urgency, and (2) examine how health literacy, stress, and coping relate to patients’ perceptions of medical need and urgency.</div></div><div><h3>Methods</h3><div>In this cross-sectional, observational study, 171 patients from a large acute care teaching hospital in Southwestern Ontario were recruited in autumn 2020. English-speaking adults (18 + years) with Canadian Triage Acuity Scale (CTAS) scores from 2 (emergent) to 5 (non-urgent) were included. Patients completed surveys on stress (Perceived Stress Scale), coping (Brief Coping with Problems Experienced), and health literacy (Health Literacy Questionnaire). Electronic medical records linked ED utilization data with patient-reported data. Agreement between CTAS and patients’ self-assessed severity and urgency was analyzed using crosstabs and Cohen’s kappa.</div></div><div><h3>Results</h3><div>A total of 171 patients were recruited. There were no significant differences between ED patients with varying triage acuities and stress, coping, or health literacy levels. Cohen’s kappa statistics showed poor agreement between triage nurse-assigned scores and patients’ self-perceived medical severity and urgency of care. Those who overestimated were younger, single, had low medical acuity (CTAS 4/5), and lower understanding of how to navigate the health care system. Conversely, those who underestimated were older, married, and had high medical acuity (CTAS 2).</div></div><div><h3>Conclusions</h3><div>Future studies should focus on exploring the underlying factors (e.g., sociodemographic variables, clinical health information, and other personal attributes) contributing to discrepancies between patient-perceived severity and triage assessments in a larger, more representative sample.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"80 ","pages":"Article 101599"},"PeriodicalIF":1.8,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143592797","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}