Journal of Emergency Nursing最新文献

{"title":"A Qualitative Analysis of Patient Beliefs and Acceptability of Social Risk Screening in the Emergency Department.","authors":"Kaytlena Stillman, Bianca Luna-Lupercio, Antonina Caudill, Susan Jackman, Joel Geiderman, Sam Torbati, Celina H Shirazipour","doi":"10.1016/j.jen.2025.04.009","DOIUrl":"https://doi.org/10.1016/j.jen.2025.04.009","url":null,"abstract":"<p><strong>Introduction: </strong>The emergency department is an appropriate location to screen for social risks because it serves as a safety net for some of the most vulnerable patients. Several institutions nationwide have adopted this practice, but little is known about patient attitudes toward such screening. The objective of this study was to qualitatively assess patient experience and acceptability of social risk screening in the emergency department.</p><p><strong>Methods: </strong>This was a qualitative study conducted in the emergency department at an urban quaternary hospital. Semistructured interviews were conducted at the bedside with 17 patients who had undergone social risk screening. Reflexive thematic analysis was conducted to explore participants' experiences and attitudes toward social risks and the screening process.</p><p><strong>Results: </strong>Patients were able to appreciate the ways in which social risks in their own lives affect their physical health. Despite the general perception that patients may find questions about social risks too sensitive, participants in this study overwhelmingly expressed feeling comfortable answering the screening questions. Four themes were identified encompassing these perspectives: (1) social risks affect physical health, (2) social risk screening benefits vulnerable patients, (3) patients feel comfortable answering social risk questions, and (4) screening questions are comprehensive. Patients identified previous health care experience as a missing component that was not evaluated by the screener despite this not traditionally being considered a social need.</p><p><strong>Discussion: </strong>The findings from this study provide insight into patient attitudes and perspectives on social risk screening in the emergency department. Further work is needed to understand how questions about previous health care experience may contribute to the screening process.</p>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144163837","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":"Family Experience in Making the Decision to Be Present With the Child During Invasive Procedures and/or Cardiopulmonary Resuscitation: A Qualitative Systematic Review.","authors":"Cristiana Araújo Guiller Ferreira, Vilanice Alves de Araújo Püschel, Maria Magda Ferreira Gomes Balieiro, Myriam Aparecida Mandetta","doi":"10.1016/j.jen.2025.04.011","DOIUrl":"https://doi.org/10.1016/j.jen.2025.04.011","url":null,"abstract":"<p><strong>Introduction: </strong>Family presence during invasive procedures and cardiopulmonary resuscitation has been studied, emphasizing the benefits for children, families, and the health care team. Therefore, there are several aspects that need deeper understanding such as values, beliefs, long-term effects, and relevant information for the family's decision-making process. The aim was to understand the family's decision-making process regarding whether or not to be present with the child during invasive procedures and cardiopulmonary resuscitation in the neonatal and pediatric inpatient and emergency departments.</p><p><strong>Methods: </strong>A qualitative systematic review was conducted according to the JBI evidence synthesis manual. The databases MEDLINE, CINAHL, Embase, PsycINFO, Web of Science Core Collection, LILACS, and Scopus were searched. Studies were grouped using the JBI meta-aggregation method. The emerging themes were reviewed using the ConQual approach to establish confidence in the results.</p><p><strong>Results: </strong>Ten studies were included in the review. Data analysis revealed 5 synthesized findings: vulnerability, choice, beliefs, family's needs to support their decision, and resolution, which shows the family's preference to be with or not with the child at all times and in all circumstances, motivated by their desire to care for the child and fulfill their moral duty.</p><p><strong>Discussion: </strong>The family's decision-making process is characterized by a commitment to the child's well-being, taking into account the family's moral obligation to care for the child in all circumstances. Institutional policies ought to encompass provisions for family presence during cardiopulmonary resuscitation and invasive procedures, thereby ensuring the preservation of family autonomy in decision making.</p>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144151749","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 Using Thermomechanical Stimulation and Virtual Reality Glasses During Peripheral Intravenous Catheterization on Pain and Patient Satisfaction: A Randomized Controlled Trial.","authors":"Zuleyha Setenay Serin, Ebru Erek Kazan","doi":"10.1016/j.jen.2025.04.005","DOIUrl":"https://doi.org/10.1016/j.jen.2025.04.005","url":null,"abstract":"<p><strong>Introduction: </strong>Peripheral intravenous catheterization is a painful procedure that can be uncomfortable for patients. This study was conducted to determine the effects of using a thermomechanical stimulation device and virtual reality glasses on pain and patient satisfaction during peripheral intravenous catheterization procedure in adult patients.</p><p><strong>Methods: </strong>The research was conducted as a randomized controlled experimental study between June 2021 and February 2022. The sample consisted of 126 voluntarily participating patients. Patients were randomized homogeneously according to sex into the thermomechanical stimulation group, the virtual reality glasses group, or the control group. During peripheral intravenous catheterization procedures, patients in the thermomechanical stimulation group were treated with a cold vibrating device and patients in the virtual reality glasses group were shown a nature video. Data were collected using a baseline demographics form and a visual analog scale. The pain visual analog scale ranges from 0 to 10, with 0 being the best, and the satisfaction visual analog scale ranges from 0 to 10, with 10 being the best. The study was conducted based on Consolidated Standards of Reporting Trials guidelines, and the ClinicalTrials.gov ID number of the study is NCT05422287.</p><p><strong>Results: </strong>Visual analog scale pain scores with mean (SD) for the virtual reality glasses, thermomechanical stimulation, and control groups were 2.71 (SD 1.45) 2.66 (SD 1.22), and 4.85 SD (1.71), respectively. Visual analog scale satisfaction scores with mean (SD) for the virtual reality glasses, thermomechanical stimulation, and control groups were 8.19 (SD 1.40), 8.30 (SD 1.52), and 6.11 (SD 1.31), respectively. Thus, the pain scores of patients in both experimental groups were statistically and clinically significantly lower than those in the control group and their satisfaction scores increased (P<.05). Reductions in pain and increases in patient satisfaction did not differ statistically between the thermomechanical stimulation and virtual reality glasses groups (P>.05).</p><p><strong>Discussion: </strong>Thermomechanical stimulation and virtual reality glasses were found to reduce pain and increase patient satisfaction during peripheral intravenous catheterization insertion in adult patients. It is recommended that nurses use thermomechanical stimulation or virtual reality glasses during peripheral intravenous catheterization procedures.</p>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144275","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":"An Integrative Review of Factors Contributing to Workplace Violence Against Nurses in Thai Emergency Departments.","authors":"Aekkachai Fatai, Wannachart Talerd, Sittipong Siriprathum, Anusorn Karaket","doi":"10.1016/j.jen.2025.04.007","DOIUrl":"https://doi.org/10.1016/j.jen.2025.04.007","url":null,"abstract":"<p><strong>Introduction: </strong>Workplace violence in health care settings, especially in emergency departments, is a significant concern worldwide. Both physical and psychological violence affect emergency nurses as frontliners. This integrative review aimed to synthesize the literature on the factors contributing to workplace violence in Thai emergency departments.</p><p><strong>Methods: </strong>This study was conducted using Whittemore and Knafl's framework. A search strategy used 7 databases, including PubMed, CINAHL, ERIC, PsycINFO, MEDLINE, Google Scholar, and ThaiJo, covering articles from 2014 to 2024. Eleven studies were included in the final review. Data were extracted into individual, patient, environmental, organizational, and Thai cultural factors.</p><p><strong>Results: </strong>The results suggested that nurses with less than 10 years of experience had a high risk of workplace violence. Patient-related factors, such as substance abuse and mental health conditions such as schizophrenia, bipolar disorder, and severe depression, were significant contributors to violence. Environmental factors such as overcrowding, understaffing, and a lack of security measures exacerbated the risk. Organizational issues, such as insufficient procedures and reporting systems, increased the violence, given that the lack of reporting mechanisms allowed violence to go unaddressed, worsening workplace safety. Cultural factors in Thailand, such as a lack of understanding of patient screening severity, contribute to the complexity of workplace violence.</p><p><strong>Discussion: </strong>Addressing workplace violence in Thai emergency departments requires a multifaceted approach, including policy reforms, staff training, improved security, and cultural sensitivity. Effective interventions can lead to safer working environments for nurses and improved patient care.</p>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129586","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":"Oral Syringe Versus Drug Pacifier for Delivery of Oral Antipyretic Medication: A Randomized Controlled Trial.","authors":"Sermin Dinç, Duygu Gözen","doi":"10.1016/j.jen.2025.04.006","DOIUrl":"https://doi.org/10.1016/j.jen.2025.04.006","url":null,"abstract":"<p><strong>Introduction: </strong>Fever is 1 of the most common symptoms in children, and oral paracetamol is 1 of the most preferred antipyretic and analgesic agents for treating fever. Administering the full dose is key to effectively managing symptoms, which necessitates a method to prevent dose loss. This study compared 2 different drug delivery methods used for oral paracetamol administration in terms of clinical efficacy.</p><p><strong>Methods: </strong>After obtaining ethical approval, the study was conducted with 100 eligible children aged 0 to 24 months who presented to a university hospital pediatrics department between January 2021 and February 2022. The children were randomly assigned to the drug pacifier (n = 50) and oral syringe groups (n = 50). Data were collected using a patient information form and the Face, Legs, Activity, Cry, and Consolability pain scale. Vital signs were recorded before and 15, 30, 45, and 60 minutes after drug administration. In addition, Face, Legs, Activity, Cry, and Consolability pain scores were recorded by a parent, researcher, and nurse observer at the same time points. The observer nurse also noted any spillage of the drug during oral administration by the nurse to the children in both groups. (Clinical Trial Registry: NCT05366049) RESULTS: There was no significant difference between the groups in terms of body temperature before or after drug administration (P>.05). Heart rate and respiratory rate were significantly lower in the drug pacifier group starting at minute 30 (P<.05). Oxygen saturation was significantly higher in the drug pacifier group from minute 45 (P = .001). In pain comparisons, there was no significant difference between the groups in the mean scores given by the parent, nurse observer, and researcher before drug administration, whereas the drug pacifier group had statistically significantly lower pain scores than the oral syringe group at all post-drug administration time points (15, 30, 45, and 60 minutes) (P<.05). Interobserver agreement was high at all measurement times.</p><p><strong>Discussion: </strong>Using a drug pacifier for paracetamol, drug administration was more effective in delivering the target drug dose. Given the higher dose accuracy and positive effect on vital signs, we recommend using the drug pacifier in very young children.</p>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129587","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":"Recognizing Clues Associated With Angioedema of the Small Intestine: A Case Report.","authors":"Tressa Pedroff, Romuald Delacroix","doi":"10.1016/j.jen.2025.04.012","DOIUrl":"https://doi.org/10.1016/j.jen.2025.04.012","url":null,"abstract":"<p><p>Angiotensin-converting enzyme inhibitors are commonly prescribed for managing cardiovascular conditions, but they can cause adverse reactions, such as dry persistent cough, hyperkalemia, and the serious side effect of angioedema affecting the face, mouth, and tongue. In some cases, angiotensin-converting enzyme inhibitors may also cause angioedema of the small intestine. A case report highlights the diagnostic journey of a 39-year-old female who presented with several months of afebrile, nonspecific gastrointestinal symptoms, including severe abdominal pain, bloating, nausea, and diarrhea. Despite multiple visits to the emergency department and extensive testing, including abdominal computed tomography scans, the underlying cause of her symptoms was not immediately identified. The case report underscores the challenges health care providers face in diagnosing visceral angioedema and the crucial role of emergency nurses in recognizing key warning signs such as nonspecific abdominal complaints in patients on angiotensin-converting enzyme inhibitor therapy. Early identification of this condition can prevent unnecessary procedures, prevent prolonged symptoms, and improve patient outcomes. This case emphasizes the need for increased awareness about angiotensin-converting enzyme inhibitor-induced angioedema of the small intestine. Health care providers should consider it in the differential diagnosis, particularly in patients prescribed angiotensin-converting enzyme inhibitors presenting with abdominal symptoms.</p>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121489","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":"Beyond Nurse Efficiency: A Multilevel Analysis of Nurse, Contextual, and Patient-Related Factors in Triage Duration.","authors":"Arian Zaboli, Francesco Brigo, Gloria Brigiari, Magdalena Massar, Norbert Pfeifer, Gianni Turcato","doi":"10.1016/j.jen.2025.04.008","DOIUrl":"https://doi.org/10.1016/j.jen.2025.04.008","url":null,"abstract":"<p><strong>Introduction: </strong>This study aimed to investigate the factors influencing triage duration in emergency departments, comparing the impact of individual nurse characteristics with contextual and patient-related variables.</p><p><strong>Methods: </strong>This monocentric retrospective observational design, conducted from January 1, 2016, to December 31, 2022, analyzed 382,027 triage events at Merano Hospital. Data from periods affected by the coronavirus disease 2019 pandemic were excluded to ensure analysis under standard emergency conditions. Triage durations were evaluated using statistical models, including random effects, to capture both individual and systemic influences.</p><p><strong>Results: </strong>A total of 51 nurses performed triage, with a median time of 1.9 minutes (interquartile range, 1.1-3.7). Nurse-related factors accounted for only 11.5% of the variability, whereas patient and contextual factors had greater influence. Older patients had longer triage times (+0.0079 min/y; P<.001). Arrival by ambulance increased triage time by 0.287 minutes compared with independent arrivals (P<.001). Higher priority levels were linked to shorter triage times, with priority 1 patients assessed 0.604 minutes faster (P<.001). Night admissions reduced triage times by 2.137 minutes (P<.001), whereas increased emergency department workload prolonged them (+0.692 minutes per additional patient; P<.001).</p><p><strong>Discussion: </strong>Triage models should incorporate a broader range of contextual and patient-related factors rather than focusing predominantly on nurse efficiency. Further research is needed to comprehensively identify the determinants of triage performance, with the goal of optimizing both speed and quality in emergency care.</p>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095631","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":"Investigation of Emergency Nurses in Detecting Foreign Bodies in Soft Tissues With Ultrasonography: A Manikin Study.","authors":"Turgay Yılmaz Kilic, Caner Saglam, Hasan Idil, Ejder Saylav Bora, Birdal Güllüpınar, Yesim Eyler, Huriye Akay, Gamze Şıracı","doi":"10.1016/j.jen.2025.04.010","DOIUrl":"https://doi.org/10.1016/j.jen.2025.04.010","url":null,"abstract":"<p><strong>Introduction: </strong>Foreign bodies in the soft tissue are a critical clinical condition after traumatic injuries. Physical examination is unreliable, and plain radiographs cannot detect radiolucent foreign bodies. In our study, we investigated emergency nurses' foreign body detecting skills on soft tissue with focused ultrasonography.</p><p><strong>Methods: </strong>This study was planned prospectively with 8 emergency nurses. Emergency nurses underwent 3 hours of theoretical and practical training in imaging foreign bodies with ultrasonography. Chicken thighs were used as foreign body manikins. Metal, wood, and glass materials were used as foreign bodies. After the investigations of manikins, emergency nurses stated whether or not foreign bodies were detected.</p><p><strong>Results: </strong>Eight emergency nurses performed 384 sonographic examinations. Median postgraduate years of emergency nurses were 6.5 years (interquartile range, 4.5; minimum, 3; maximum, 11). This study showed that foreign body detection with ultrasonography had 87.5% (95% CI, 81.5-92.1) sensitivity, 77.4% (95% CI, 70.3-83.5) specificity, 79.5% (95% CI, 74.1-83.7) positive predictive value, 86.1% (95% CI, 80.5-90.3) negative predictive value, and 82.4% (95% CI, 78-86.4) accuracy.</p><p><strong>Discussion: </strong>Ultrasonography has good sensitivity and moderate specificity for detecting foreign bodies in the soft tissue by emergency nurses.</p>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112723","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":"Nurse-Initiated X-Ray Requests for Extremity Trauma in the Emergency Department: A Single-Center, Prospective, Before-and-After Cohort Study.","authors":"Vincent Garrouste, Laury Malcuit, Grégoire Muller, Romain Jouffroy, Thierry Boulain","doi":"10.1016/j.jen.2025.03.019","DOIUrl":"https://doi.org/10.1016/j.jen.2025.03.019","url":null,"abstract":"<p><strong>Background: </strong>Emergency department overcrowding and prolonged stays are critical issues in health care. Nurse-initiated X-ray requests for isolated extremity trauma may streamline patient care.</p><p><strong>Objective: </strong>This study aimed to assess the impact of nurse-initiated X-ray requests on patient care duration and overall management time in the emergency department.</p><p><strong>Methods: </strong>This single-center, prospective, before-and-after cohort study included 400 patients at the University Hospital of Orléans, France, between January and June 2023. During the first period, X-rays were ordered by physicians. In the second period, triage nurses, trained through a comprehensive program, were authorized to order X-rays. The primary outcome was the duration of medical management from initial physician contact to the end of care. Secondary outcomes included overall emergency department management time and additional X-rays ordered after evaluation.</p><p><strong>Results: </strong>Each period included 200 patients. The duration of medical care was significantly shorter in the second period (median, 21 minutes [interquartile rage, 9-56]) than the first period (median, 47 minutes [interquartile rage, 25-106]), with a median difference of -26 minutes (95% CI, -43 to -16; P<.001). The overall duration of patient management did not differ significantly between periods. Exploratory analyses suggested that a higher percentage of included patients on a given day correlated with shorter care durations for all attending patients.</p><p><strong>Conclusion: </strong>The implementation of nurse-initiated X-ray requests was significantly associated with a reduction of approximately half an hour for patients with isolated limb trauma, although it did not affect the total duration of patient management. Further research is needed to evaluate the broader effectiveness of nurse-initiated X-ray requests in reducing emergency department management times.</p>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081837","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":"Virtual Reality Glasses Reduce Patients' Anxiety During Emergency Surgical Procedures Under Local Anesthesia: A Randomized Controlled Clinical Study.","authors":"Merve İcat, Gülay Altun Uğraş","doi":"10.1016/j.jen.2025.04.001","DOIUrl":"https://doi.org/10.1016/j.jen.2025.04.001","url":null,"abstract":"<p><strong>Introduction: </strong>In the emergency department patients experience high levels of anxiety during suturing because they are conscious, feel pain, are suffering owing to trauma, and believe they will experience pain during the suturing. This study aimed to evaluate the effect of virtual reality glasses on patients' anxiety during the suturing under local anesthesia in the emergency department.</p><p><strong>Methods: </strong>This prospective, parallel 2-arm, randomized controlled clinical study involved 138 patients admitted to the emergency department of a public hospital in Mersin, Turkey. The virtual reality glasses group (n = 69) watched videos through virtual reality glasses during the suturing, and the control group (n = 69) received routine practice. Patients' anxiety level was assessed using the State Anxiety Inventory and measured via physiological responses to anxiety, such as changes in systolic blood pressure, diastolic blood pressure, heart rate, respiratory rate, and peripheral oxygen saturation, before and after suturing.</p><p><strong>Results: </strong>Watching videos through virtual reality glasses resulted in significantly lower State Anxiety Inventory scores and different systolic blood pressure, diastolic blood pressure, respiratory rate, and peripheral oxygen saturation, but not heart rate, in the virtual reality glasses group than the control group after suturing (P < 0.05).</p><p><strong>Discussion: </strong>The study results suggest that virtual reality glasses attenuate psychological and physiological responses to anxiety in patients during emergency suturing under local anesthesia, positively affecting all examined physiological parameters except heart rate. Therefore, nurses can use virtual reality glasses to reduce anxiety in patients undergoing suturing in the emergency department.</p>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144038302","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}