International Emergency Nursing最新文献

{"title":"Nurses’ perspectives on providing analgesia in the Italian prehospital emergency setting: A phenomenological study","authors":"Francesca Sandroni ,&nbsp;Martina Pia Pugliese ,&nbsp;Silvia Magagna ,&nbsp;Stefano Sebastiani ,&nbsp;Boaz Gedaliahu Samolsky Dekel ,&nbsp;Guglielmo Imbriaco","doi":"10.1016/j.ienj.2025.101696","DOIUrl":"10.1016/j.ienj.2025.101696","url":null,"abstract":"<div><h3>Background</h3><div>Effective pain management is a fundamental aspect of prehospital emergency care. However, numerous barriers, including inconsistent protocols, limited pharmacological options, and documentation gaps, hinder optimal pain relief. Emergency medical services (EMS) nurses play a crucial role in assessing and managing pain, yet their perspectives on prehospital analgesia remain underexplored.</div></div><div><h3>Objective</h3><div>This study aims to explore the experiences and perceptions of Italian EMS nurses regarding prehospital pain management, identifying key challenges and potential improvements.</div></div><div><h3>Methods</h3><div>A qualitative study was conducted using an interpretative phenomenological approach. Semi-structured interviews were performed with 14 EMS nurses from various Italian regions. Data was analyzed through thematic analysis, identifying recurring themes related to pain assessment, treatment, and documentation.</div></div><div><h3>Results</h3><div>Five main themes emerged: (1) variability in analgesia protocols and pharmacological options, (2) inconsistent pain assessment and documentation, (3) challenges in pain management related to specific patient populations or environmental and logistical factors, (4) nurses’ personal experiences shaping their approach to pain management, and (5) interprofessional collaboration challenges. While nurses emphasized the importance of systematic pain evaluation, barriers such as legal restrictions, inconsistent protocols, and limited pharmacological options were frequently reported.</div></div><div><h3>Conclusion</h3><div>Prehospital pain management by EMS nurses in Italy faces significant challenges. Expanding protocol-approved pharmacological options, improving documentation practices, and enhancing training for pain management in vulnerable populations could improve care. A standardized, evidence-based national framework is needed to optimize pain relief and ensure equitable patient outcomes.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"83 ","pages":"Article 101696"},"PeriodicalIF":1.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245568","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’ experiences of caring for critically ill patients requiring intensive care in the emergency department","authors":"Duygu Akbaş Uysal ,&nbsp;Ebru Ekiz","doi":"10.1016/j.ienj.2025.101697","DOIUrl":"10.1016/j.ienj.2025.101697","url":null,"abstract":"<div><h3>Background</h3><div>Emergency departments’ red zones are complex clinical environments requiring both emergency interventions and intensive care-level services, representing a critical area of focus in this special issue on emergency critical care. Nurses working in these settings face multifaceted challenges, including role ambiguity, time constraints, and limited resources. However, few studies have explored these experiences through theoretical models.</div></div><div><h3>Objective</h3><div>This study aims to provide an in-depth exploration of nurses’ experiences delivering intensive care-level care to critically ill patients in the red zones of emergency departments, within a theoretical framework.</div></div><div><h3>Method</h3><div>Using a phenomenological qualitative approach, semi-structured interviews were conducted with 21 emergency nurses from various regions in Turkey. Data were analyzed using Braun and Clarke’s six-step thematic analysis, and findings were conceptually interpreted through Meleis’s Transition Theory and Tanner’s Clinical Judgment Model.</div></div><div><h3>Findings</h3><div>Four main themes and eleven subthemes emerged, including challenges in clinical judgment, role incompatibilities, and systemic shortages. Guided by Meleis’s framework, findings indicate that adherence to intensive care standards and clinical education enhances competence, confidence, and reflective practice, informing nursing practice and policy.</div></div><div><h3>Conclusion</h3><div>Nurses in emergency department red zones face multifaceted challenges, including the demands of multitasking, complexities in decision-making, and structural limitations in providing care for critically ill patients. The study emphasizes that clinical judgment is shaped not only by individual competencies but also by the availability of systemic support. These results underscore the necessity of establishing clear clinical guidelines, implementing structured team-based care models, and developing practice-oriented training programs to facilitate nurses’ transition between emergency and intensive care settings.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"83 ","pages":"Article 101697"},"PeriodicalIF":1.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245614","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":"Evaluation of an advanced nurse practitioner led emergency rapid assessment and treatment service","authors":"Doireann Deay ,&nbsp;Orla O’Keefe ,&nbsp;Mary Byrne ,&nbsp;Barry McBrien ,&nbsp;Aileen McCabe","doi":"10.1016/j.ienj.2025.101684","DOIUrl":"10.1016/j.ienj.2025.101684","url":null,"abstract":"<div><h3>Background</h3><div>Emergency Departments (EDs) globally face persistent challenges, including overcrowding and workforce shortages, which negatively impact care quality and efficiency. Advanced Nurse Practitioners (ANPs) have demonstrated value in improving patient satisfaction, reducing wait times, and delivering cost-effective care. In Ireland, the ANP role is well-defined and regulated, supporting autonomous clinical practice.</div></div><div><h3>Local problem</h3><div>At Tallaght University Hospital (TUH), a significant proportion of ED presentations—abdominal pain, and chest pain was found to consume disproportionate clinical hours. A new ANP-led Emergency Rapid Assessment and Treatment (ERAT) service was introduced to target these low-acuity, high-contact-hour cohorts and alleviate ED pressures.</div></div><div><h3>Method</h3><div>This service evaluation, conducted between September 2022 and April 2025, assessed ERAT’s feasibility, safety, impact on ED process times, and patient satisfaction.</div></div><div><h3>Results</h3><div>ERAT managed 2,518 patients, with no major adverse events or in-hospital deaths. Most patients (1,766, 74.8 %) were safely discharged. While overall ED length of stay did not differ, ERAT patients had significantly shorter clinician-to-discharge times (5.9 vs. 8.9 h, p &lt; 0.05). Of the 56 abdominopelvic CT scans ordered, 42 scans (75 %) showed acute pathology. Eighty of the 85 (94.1 %) patients who completed a patient satisfaction questionnaire reported strong agreement that care met their expectations.</div></div><div><h3>Conclusion</h3><div>The ERAT service is a feasible, safe, and patient-centred model for managing targeted ED presentations. Findings support ANP-led services as an effective strategy to enhance ED efficiency, optimize care delivery, and improve patient satisfaction in acute care settings.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"83 ","pages":"Article 101684"},"PeriodicalIF":1.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145159418","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":"Determining healthy lifestyle beliefs of adolescents presenting to the pediatric emergency department: A cross-sectional study","authors":"Sibel Girginer ,&nbsp;İlknur Yıldız","doi":"10.1016/j.ienj.2025.101713","DOIUrl":"10.1016/j.ienj.2025.101713","url":null,"abstract":"<div><h3>Introduction</h3><div>Adolescence is a critical developmental period in which healthy lifestyle beliefs are shaped. Existing studies in the literature have generally been conducted on adolescents without any health problems. This study aims to determine the healthy lifestyle beliefs of adolescents who present to the pediatric emergency department, thus filling an important gap in the literature.</div></div><div><h3>Method</h3><div>This descriptive cross-sectional study was conducted with 389 adolescents who presented to the Pediatric Emergency Department of a public hospital in Turkey between 01 February 2023 and 31 July 2023. Data were collected using the Introductory Information Form and the Healthy Lifestyle Belief Scale for Adolescents (HLBSA), and were evaluated using descriptive statistics, independent samples <em>t</em>-test, and ANOVA variance analysis.</div></div><div><h3>Results</h3><div>The average age of the adolescents was 16.17 ± 0.81, and 61.4 % were female. 15.2 % of the adolescents had a chronic illness, and 51.4 % had been hospitalized previously. The mean total score of the Healthy Lifestyle Belief Scale was 62.03 ± 11.25; the Health Belief subscale was 27.36 ± 5.70, the Physical Activity subscale was 20.59 ± 4.00, and the Nutrition subscale was 14.07 ± 3.70. A significant difference was found between the adolescents’ academic achievement, peer relationships, nutritional habits, physical activity levels, happiness status, interest in health issues, and their mean total healthy lifestyle belief scores (p &lt; 0.05).</div></div><div><h3>Conclusion</h3><div>The healthy lifestyle beliefs of adolescents presenting to the pediatric emergency department are at a high level. Considering individual and environmental factors that shape health beliefs and behaviors is of great importance in protecting and improving adolescent health.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"83 ","pages":"Article 101713"},"PeriodicalIF":1.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145558142","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":"Patterns of pediatric emergency department visits in a tertiary women’s and children’s hospital in China: A 2021 retrospective analysis","authors":"Jing Zhao ,&nbsp;Juan Hu ,&nbsp;Liqing He","doi":"10.1016/j.ienj.2025.101690","DOIUrl":"10.1016/j.ienj.2025.101690","url":null,"abstract":"<div><h3>Background</h3><div>This study aimed to evaluate the pediatric ED visits in a hospital in China.</div></div><div><h3>Methods</h3><div>This was a retrospective cross-sectional study of 198,628 pediatric ED visits to a women’s and children’s hospital in China from January 1 to December 31, 2021. Data concerning patient name, gender, age, registration number, home address, chief complaints, medical history, date of visit, time of visit, triage levels, wait time for treatment, physician name, diagnosis, and disposition were obtained from the hospital information system.</div></div><div><h3>Results</h3><div>There were more male patients (55.128 %) than female patients (44.872 %). The patients aged ≥3 years but &lt;6 years accounted for the largest proportion (33.235 %). The numbers of patients triaged to levels 1, 2, 3, and 4 were 128 (0.06 %), 1164 (0.59 %), 14,560 (7.33 %), and 182,776 (92.02 %), respectively. Patients with diseases of the respiratory system accounted for 66.45 %. Pediatric diseases originating in the perinatal period were the primary ones in patients triaged to levels 1, 2, and 3.</div></div><div><h3>Conclusions</h3><div>Non-urgent patients accounted for a large proportion of pediatric ED patients. Dissemination of information concerning the prevention and treatment of common symptoms of pediatric diseases should be strengthened.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"83 ","pages":"Article 101690"},"PeriodicalIF":1.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145159419","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":"South African emergency nurses’ perceptions and experiences of workplace violence: A qualitative study","authors":"Khutso Brian MAIMELA ,&nbsp;Alhassan Sibdow ABUKARI ,&nbsp;Emmanuel Kwame KORSAH ,&nbsp;Shelley SCHMOLLGRUBER","doi":"10.1016/j.ienj.2025.101694","DOIUrl":"10.1016/j.ienj.2025.101694","url":null,"abstract":"<div><h3>Background</h3><div>Workplace violence (WPV) is a persistent challenge<!--> <!-->in emergency departments (EDs), exacerbated by complex sociocultural dynamics, institutional shortcomings, and insufficient support systems. Emergency healthcare providers in South Africa work in high-pressure environments, frequently encountering aggression from patients and families who misunderstand the nature of emergency care.</div></div><div><h3>Aim</h3><div>To explore nurses’ perceptions and experiences of workplace violence in the emergency departments in South Africa.</div></div><div><h3>Methods</h3><div>This study used a qualitative descriptive design. Five semi-structured focus group discussions with 20 emergency nurses in South Africa. Data were analysed using thematic analysis. The study followed the COREQ guidelines.</div></div><div><h3>Findings</h3><div>Three themes emerged: contributors to violence, barriers to reporting workplace violence, and environmental and institutional challenges. Contributors to violence were frequently fuelled by public misconceptions about emergency care procedures, particularly unrealistic triage expectations and staff confrontational behaviours. Barriers to reporting were evidenced by unclear reporting protocols, fear of retaliation or futility, and a culture of managerial indifference. The identified environmental and institutional challenges included insufficient security presence, hazardous physical environments, and a lack of structured support mechanisms.</div></div><div><h3>Conclusion</h3><div>In South African EDs, WPV is exacerbated by socio-cultural misunderstandings, managerial complacency, and structural weaknesses. Addressing these issues will necessitate comprehensive strategies, such as improved institutional leadership, formalised reporting systems, and proactive safety interventions.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"83 ","pages":"Article 101694"},"PeriodicalIF":1.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253299","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":"When do emergencies happen? Exploring circadian, weekly, and seasonal trends in ambulance calls in Cyprus","authors":"Andreas Protopapas ,&nbsp;Ioannis Mamais ,&nbsp;Riana Constantinou ,&nbsp;Stelios Iordanou ,&nbsp;Maria Prodromou ,&nbsp;Stelios Mappouras ,&nbsp;Efthyvoulos Kyriacou","doi":"10.1016/j.ienj.2025.101686","DOIUrl":"10.1016/j.ienj.2025.101686","url":null,"abstract":"<div><h3>Objectives</h3><div>The demand for ambulances has steadily risen over the past few decades, straining Emergency Medical Services (EMS) and emergency departments (EDs). Understanding the temporal patterns of emergency calls can improve ED patient flow. The aim of this study was to analyze the overall demand for emergency ambulance calls in Cyprus focusing on call reasons, time of day, day of the week, and year season.</div></div><div><h3>Method</h3><div>This retrospective descriptive study analyzed emergency call data from the Cyprus Ambulance Service (2018–2022). Descriptive statistics summarized emergency call distributions by priority level, year season, weekday, and time of day. Frequencies and percentages were reported, and chi-square tests assessed differences (p &lt; 0.05). Statistical analysis was performed using STATA v14, with results presented in tables and figures.</div></div><div><h3>Results</h3><div>A total of 148,043 emergency calls were analyzed, with RED (32.5 %) (high priority) and BLACK (11.1 %) (lowest priority – dead patient) cases peaking in winter (27.9 %), followed by spring (27.7 %). Monday recorded the highest overall demand (14.9 %), while RED emergencies peaked on Fridays and Sundays (14.7 %). The highest call volume occurred between 8 am and 12 pm (25.1 %), reflecting increased daytime activity. The most common emergency categories were unwell patients (25 %), falls (11 %), respiratory problems (10 %), and road traffic accidents (9 %), with their frequency varying throughout the day. Notably, traffic accidents were most frequent between 1 pm and 7 pm, particularly on Mondays and Fridays, while other medical emergencies exhibited peak demand in the late morning and early evening hours.</div></div><div><h3>Conclusion</h3><div>Emergency ambulance calls in Cyprus peaked in winter, especially severe cases (despite the fact that Cyprus population is more than double during summer due to tourism). Weekly trends showed highest demand on Mondays, while life-threatening cases increased on Fridays and Sundays. The most frequent call reasons displayed distinct daily and weekly patterns.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"83 ","pages":"Article 101686"},"PeriodicalIF":1.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145159417","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":"Audit and re-audit regarding the current practice of ABCDE approach in the emergency department at selected university hospitals in Syria","authors":"Ahmad Batieh ,&nbsp;Nagham Alsaid Abdullah Altwer ,&nbsp;Abdulkader Mehli ,&nbsp;Mohamed Amsha ,&nbsp;Batoul Al Zoubi ,&nbsp;Zafer Hadaki ,&nbsp;Bayan Alsaid","doi":"10.1016/j.ienj.2025.101691","DOIUrl":"10.1016/j.ienj.2025.101691","url":null,"abstract":"<div><h3>Background</h3><div>The ABCDE approach (Airway, Breathing, Circulation, Disability, Exposure) is crucial for the initial assessment and treatment of critically ill patients. However, previous studies have shown suboptimal adherence to this protocol, highlighting the need for clinical audits.</div></div><div><h3>Aim</h3><div>To evaluate the extent of application of the ABCDE approach and to discover the obstacles that prevent them from being applied in internal emergency Department at selected university hospitals in Syria.</div></div><div><h3>Methods</h3><div>A clinical audit was conducted over two cycles at two university hospitals (hospital A and B), involving 160 patients. The first cycle took place from November 6 to November 19, 2023, and the second one from March 31 to April 9, 2024. Twenty-nine criteria based on World Health Organization guidelines were assessed using a checklist completed by a data collection group. The snapshot sampling method was used in determining the sample size and the convenient method to select patients. After the first cycle, findings were presented locally, leading to formulated recommendations.</div></div><div><h3>Results</h3><div>Both Hospitals showed improvement in compliance rates over the second cycle. Hospital A achieved 17.2% in the second cycle, while hospital B reached 20.6%. Hospital B had fewer declines and more criteria met, indicating a more favourable trend in patient care standards overall.</div></div><div><h3>Conclusion</h3><div>The audit also identified barriers to adherence, such as issues related to wearing gloves and ensuring patient privacy. The study concluded that regular clinical audits enhance the application of the ABCDE approach and improve healthcare delivery, emphasizing the need for ongoing research in this area.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"83 ","pages":"Article 101691"},"PeriodicalIF":1.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145201454","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":"Evaluation of the effect of Z-track technique training on emergency nurses: A single-group pretest–posttest study","authors":"Nadiye Barış Eren","doi":"10.1016/j.ienj.2025.101683","DOIUrl":"10.1016/j.ienj.2025.101683","url":null,"abstract":"<div><h3>Aim</h3><div>This quasi-experimental single-group pretest–posttest study aimed to evaluate the effect of Z-track technique training on emergency nurses.</div></div><div><h3>Methods</h3><div>The study was conducted among 75 nurses working at a state hospital in Türkiye from July to October 2023. Participants completed a descriptive characteristics form, a knowledge suggestions form, a Z-track technique skill checklist, and a Z-track technique usage frequency form. Descriptive statistics and within-group changes in repeated measurements were analyzed using a dependent-samples <em>t</em>-test. The significance level was set at p &lt; 0.05.</div></div><div><h3>Results</h3><div>Prior to training, the participants’ mean knowledge suggestions score was 5.720, which increased to 11.880 after training (p &lt; 0.001). The mean Z-track technique skill checklist score also increased from 1.960 pre-training to 7.520 post-training (p &lt; 0.001). In addition, the mean Z-track technique usage frequency increased from 0.150 before training to 3.670 1 month after training (p &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>This study demonstrated that training improved the nurses’ knowledge and skills related to the Z-track technique, leading to increased usage frequency 1 month later. Retention of knowledge and skills was supported by applying the technique in clinical practice. Since theoretical and practical training is often forgotten without regular application, implementing evidence-based standard procedures and in-service training programmes is essential to keep nurses’ competencies up to date. These programmes should focus on critical steps for safe injection practices, include hands-on training, and utilize positive reinforcements to enhance professional competence and ensure patient safety.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"83 ","pages":"Article 101683"},"PeriodicalIF":1.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145109322","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":"Reasons for hospital admissions in children with chronic diseases during the COVID-19 pandemic: A retrospective study","authors":"Zehra Çapa ,&nbsp;Gülendam Karadağ","doi":"10.1016/j.ienj.2025.101689","DOIUrl":"10.1016/j.ienj.2025.101689","url":null,"abstract":"<div><h3>Background</h3><div>This study was conducted to investigate the reasons for hospital admissions in children with chronic diseases during the COVID-19 pandemic.</div></div><div><h3>Objective</h3><div>A descriptive and retrospective study design was employed.</div></div><div><h3>Methods</h3><div>The study included the records of children (1,018 children) who had been diagnosed with chronic diseases and had presented to the pediatric polyclinics, pandemic polyclinics, and emergency departments of a state hospital between April 1, 2020 and March 31, 2021. For the disease diagnoses of the children, the ICD 10 codes entered into the system for the most common diseases seen in children, like epilepsy, asthma, and cerebral palsy, were searched. Descriptive statistical methods (frequencies and percentages) were used to analyze the data; no statistical significance testing or group comparisons were conducted.</div></div><div><h3>Results</h3><div>The mean age was 8.74 ± 4.63 years. It was found that 32.58 % of the children with epilepsy and 19.77 % with asthma had presented to the pediatric emergency department with fever and 26.32 % of those with cerebral palsy had presented with nausea and vomiting. A total of 212 PCR samples had been taken from children, and PCR test results of 15.57 % were positive. The procedures applied to the children during outpatient clinic presentations were ‘examination’ for girls (38.88 %) and boys (37.41 %) with epilepsy, ‘examination and test requests’ for girls with asthma (23.35 %), and ‘examination and prescription’ for boys with asthma (22.35 %), and ‘examination’ for both girls (39.18 %) and boys (33.90 %) with cerebral palsy.</div></div><div><h3>Conclusion</h3><div>It was found that the majority of children diagnosed with epilepsy had presented to pediatric neurology, those with asthma to pediatric allergy, and those with cerebral palsy to pediatric neurology departments. The most frequently performed procedures in children with epilepsy, asthma, and cerebral palsy were physical examination, test requests, prescription issuance, disability report issuance, and preparation of medication reports.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"83 ","pages":"Article 101689"},"PeriodicalIF":1.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145159364","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}