Journal of Emergency Nursing最新文献

{"title":"Beneath the Personal Protective Equipment: Perspectives on Infection Prevention and Control From Emergency Department Health Care Personnel.","authors":"Laya Dasari, Eileen F Searle, Julio Ma Shum, Samantha L Pellicane, Amy Courtney, Molly L Paras, Erica S Shenoy, Paul D Biddinger","doi":"10.1016/j.jen.2025.09.007","DOIUrl":"https://doi.org/10.1016/j.jen.2025.09.007","url":null,"abstract":"<p><strong>Introduction: </strong>Optimally following infection prevention and control practices in the emergency department can be challenging owing to patient crowding, high acuity of illness, and the presentation of patients with a wide range of undifferentiated illnesses, among other factors. Understanding how health care personnel in the emergency department perceive infection prevention and control challenges may help inform improvements in infection prevention and control practices.</p><p><strong>Methods: </strong>Between August and November 2023, interviews focused on infection prevention and control were conducted with ED health care personnel. Sites were identified using a convenience sample from a larger group of United States emergency departments selected for variety in geography, volume, and practice type. Interviews solicited voluntary participation from health care personnel and were recorded, transcribed, and coded by 2 raters. Codes were categorized as either facilitators or barriers to effective infection prevention and control practice. Content analysis was used to quantify the frequency of the identified codes, and responses were stratified by role group.</p><p><strong>Results: </strong>A total of 25 interviews across 4 role groups and 9 facilities were conducted. Barriers identified to effective infection prevention and control practice included constraints on time (25 of 25; 100%), attention (23 of 25; 92%), and environment of care (23 of 25; 92%), as well as perceptions of infection prevention and control importance, including risk (23 of 25; 92%). Promoters included culture supporting infection prevention and control (24 of 25; 96%) and interpersonal dynamics (23 of 25; 92%). Stratified analyses demonstrated variations among roles, with nursing and nonclinical health care personnel emphasizing communication concerns, whereas providers emphasized competing priorities.</p><p><strong>Discussion: </strong>The main barriers to effective infection prevention and control perceived by ED health care personnel included limited time and personal perceptions of risk and safety. A strong culture that promotes infection prevention and control practices and cohesive team dynamics were the primary infection prevention and control facilitators reported, suggesting potential targets for future interventions.</p>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145310111","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":"Heatstroke: The Nurse's Pivotal Role in the Emergency Department.","authors":"Beth Tremblay, Lynn Wiles, Janice E Hawkins","doi":"10.1016/j.jen.2025.08.017","DOIUrl":"https://doi.org/10.1016/j.jen.2025.08.017","url":null,"abstract":"<p><p>With record-setting temperature increases, emergency nurses must rapidly recognize and manage life-threatening heat illnesses such as heatstroke. Reaching the core temperature cooling target of 39 °C (102.2 °F) within 30 minutes of heatstroke recognition is critical and directly affects morbidity and mortality. Sequelae of heatstroke may include neurologic and vital organ damage, particularly in cases of delayed cooling. This article summarizes evidence-based strategies and nursing considerations for heatstroke, including recommendations for total body immersion without the need for specialized equipment. Emergency nurses should work collaboratively to ensure that up-to-date protocols are in place and engage in training to identify and treat individuals with heatstroke rapidly.</p>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145239985","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":"Balancing Cure and Care for Geriatric Patients With Frailty in Emergency Care: A Qualitative Study.","authors":"Dorien Venema, Nienke Bleijenberg, Mariëlle Emmelot-Vonk, Lisette Schoonhoven, Wietske H W Blom-Ham","doi":"10.1016/j.jen.2025.08.016","DOIUrl":"https://doi.org/10.1016/j.jen.2025.08.016","url":null,"abstract":"<p><strong>Introduction: </strong>With age, people often develop multiple health problems, chronic illnesses, and frailty. For geriatric adults with frailty, there is a complex interplay of medical, psychological, cognitive, functional, and social issues. As a result, even a minor medical event can disrupt the delicate balance of their condition, often leading to admission to the emergency department. However, frailty can lead to an unpredictable course of symptoms and treatment. Emergency care professionals, including emergency medical services providers and ED staff, are the first to interact with and assess these patients. Therefore, this study aimed to explore the challenges that emergency medical services and ED professionals encounter when caring for geriatric patients with frailty and how they experience these challenges.</p><p><strong>Methods: </strong>A multicenter qualitative study was conducted. Twenty-two emergency care professionals working in emergency medical services and ED settings were interviewed. The reflexive thematic analysis method, as developed by Braun and Clarke, was used for the analysis. Data collection and analysis were iteratively performed.</p><p><strong>Results: </strong>The analysis revealed the overarching theme of balancing cure and care, which is explained by the subthemes: the complexity of care, a protocol-driven approach vs a holistic approach, and frustration when care needs exceed system capabilities and protocols.</p><p><strong>Discussion: </strong>Emergency care professionals experience challenges balancing cure and care for geriatric patients with frailty owing to the fast-paced, diagnosis-focused culture of emergency care. Frustration arises when they are unable to provide the quality of care they believe patients need. Empowering emergency care professionals to take a leading role in delivering holistic care, providing specialized geriatric education, and developing tools to assess and treat patients with frailty more effectively can contribute to better care. Transitioning toward geriatric-friendly emergency departments and implementing geriatric emergency medicine programs could help improve care quality and reduce provider frustration.</p>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145239956","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":"Sources of Discomfort and Treatment Strategies for Trauma Patients in the Pre-Hospital Setting-A Scoping Review.","authors":"Filipe Melo, Margarida Reis Santos, Miguel Castelo-Branco Sousa, Cátia Mota, Mauro Mota","doi":"10.1016/j.jen.2025.08.014","DOIUrl":"https://doi.org/10.1016/j.jen.2025.08.014","url":null,"abstract":"<p><strong>Introduction: </strong>Trauma remains a leading cause of mortality and long-term disability worldwide, often causing significant discomfort during prehospital care. Addressing these discomforts effectively is crucial for improving patient outcomes. This scoping review aimed to identify and categorize the types of discomforts experienced by adult trauma victims in prehospital settings and map the pharmacologic and nonpharmacologic interventions used to mitigate them.</p><p><strong>Methods: </strong>This scoping review followed the Joanna Briggs Institute framework and Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews guidelines. A comprehensive search was performed in databases including MEDLINE, CINAHL, Scopus, Embase, PsycINFO, Joanna Briggs Institute Evidence Synthesis, Cochrane Database, and relevant gray literature sources. Studies involving adult trauma patients (≥18 years) in prehospital care that reported on discomfort and interventions were included without restrictions on publication date.</p><p><strong>Results: </strong>Seventeen studies met the inclusion criteria, covering various international contexts. Acute pain was the most frequently reported discomfort, followed by anxiety, fear, cold-induced discomfort, and discomfort caused by immobilization. Pharmacologic interventions predominantly included opioids, nonsteroidal anti-inflammatory drugs, paracetamol, ketamine, and methoxyflurane, whereas nonpharmacologic interventions comprised acupressure, transcutaneous electrical nerve stimulation, cryotherapy, warming measures, communication strategies, and emotional support. Nonpharmacologic interventions, especially acupressure and communication techniques, showed promising results in reducing pain and anxiety.</p><p><strong>Discussion: </strong>The findings underline the multidimensional nature of discomfort in prehospital trauma care and highlight effective interventions, including pharmacologic and complementary nonpharmacologic strategies. However, significant gaps remain regarding standardized assessment tools for non-pain-related discomforts and combined interventions. This review underscores the necessity for comprehensive management protocols and further research to optimize patient comfort and care outcomes in trauma settings.</p>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145226307","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":"Moral Resilience and Its Association With Predictors in Emergency Nurses: A Latent Profile Analysis.","authors":"Shirong Wu, Zhipeng Zhong, Huanmei Li, Yurong Xiong, Liying Li, Banghan Ding, Qiuying Deng","doi":"10.1016/j.jen.2025.08.018","DOIUrl":"https://doi.org/10.1016/j.jen.2025.08.018","url":null,"abstract":"<p><strong>Introduction: </strong>Emergency nurses require strong moral resilience to maintain professional ethics and provide quality care, even when facing challenges and work-related stress. This study sought to investigate the factors influencing moral resilience profiles among emergency nurses and provide recommendations to nursing managers for their enhancement.</p><p><strong>Methods: </strong>In January to April 2024, a total of 543 emergency nurses from 28 tertiary hospitals in Guangdong Province were surveyed. The measurements included the General Demographic Questionnaire, Rushton Moral Resilience Scale, Simplified Coping Style Questionnaire, and Hospital Ethical Climate Survey. Data analysis was conducted using Mplus 8.3 to examine different moral resilience profiles. Multiple logistic regression was used to explore each profile's influencing factors.</p><p><strong>Results: </strong>The participating emergency nurses were categorized into 4 groups: low moral resilience group (25.6%), moral resilience potential group (31.0%), moral adversity challenge group (17.5%), and high moral resilience group (25.9%). Compared with the low moral resilience group, sex, professional title, physical health, hospital's ethical climate, and negative coping style were common influencing factors for the other 3 groups (P<.05). Supportive friends affected the moral resilience potential group and moral adversity challenge group (P<.05). Monthly income and positive coping style affected the moral adversity challenge group (P<.05). The average monthly night shifts, participation in hospital ethics courses, marital status, and positive coping style affected the high moral resilience group (P<.05).</p><p><strong>Discussion: </strong>Nursing managers can use the study's findings to develop targeted strategies to help emergency nurses enhance moral resilience, reduce work pressure, and improve emergency care quality.</p>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208270","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":"Patients' and Family Members' Perspectives on Family Presence During Adult Resuscitation in Asian Hospital Settings: A Scoping Review.","authors":"Mohammad Syafar Sangkala, Diane Chamberlain, Nina Sivertsen, Mulhaeriah Mulhaeriah","doi":"10.1016/j.jen.2025.08.019","DOIUrl":"https://doi.org/10.1016/j.jen.2025.08.019","url":null,"abstract":"<p><strong>Introduction: </strong>Family presence during resuscitation has been examined for more than 4 decades. Although many studies describe potential benefits, debate persists regarding its effects on patients, family members, and clinicians. Effective implementation also hinges on cultural and religious norms and contextual features of care settings, which require careful consideration and further study. This scoping review maps the evidence and identifies family presence during resuscitation knowledge gaps in Asian hospital contexts, focusing on studies that enrolled patients and their family members.</p><p><strong>Methods: </strong>This scoping review adhered to the JBI methodology and is reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews guidelines. In August 2024, a total of 11 databases were systematically searched for primary studies conducted in Asian hospital settings. Eligible studies were published in English or Indonesian, which included adult patients and/or family members aged 18 years or older.</p><p><strong>Results: </strong>Twenty-three articles met the inclusion criteria and were included in the review: 1 focused on patients, and 22 involved family members. Findings from the family member studies were synthesized into 5 themes: support for family presence during resuscitation, neutrality or opposition toward family presence during resuscitation, cultural and spiritual matters, family members' needs during resuscitation, and recommendations for family presence during resuscitation implementation.</p><p><strong>Discussion: </strong>Overall, the analysis of reviewed articles found that most family members support family presence during resuscitation. However, patient-derived evidence remains limited, underscoring the need for further research centered on patients' perspectives.</p>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208230","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 and Implementation of the Modified Pediatric Emergency Department Overcrowding Scale in Two Large Academic Pediatric Centers.","authors":"Nathan Timm, Laura Kemp, Benjamin Kerrey, Megan Elam, Kevin M Overmann, Christina Lillich, Amanda Thorne, Jennell Collins, Melody Siska, Michael Ponti-Zins, Elena Duma, Jessica Revet, Samuel Snell, Aralola Ajiboye, Daniel Imler","doi":"10.1016/j.jen.2025.08.008","DOIUrl":"https://doi.org/10.1016/j.jen.2025.08.008","url":null,"abstract":"<p><p>Emergency department crowding is a chronic problem within health care systems. The consequences of crowding are well documented with negative impacts on patient outcomes, patient/family satisfaction, staff stress, and medical errors. This study describes the implementation of the Pediatric Emergency Department Overcrowding Scale in 2 emergency departments, a 45-bed and a 22-bed, within a large pediatric academic medical center. Initial work revealed the scale worked well at a 45-bed emergency department but significantly underreported crowding at the 22-bed emergency department. A bed capacity correction factor was developed and incorporated in the Pediatric Emergency Department Overcrowding Scale formula, thus standardizing the view of crowding in each emergency department. The modified Pediatric Emergency Department Overcrowding Scale provided real-time visualization of crowding in both emergency departments and health care system capacity management systems. The modified Pediatric Emergency Department Overcrowding Scale was shared with a pediatric emergency department within another large academic pediatric medical center. Implementation of the bed capacity correction factor into their system resulted in a similarly improved demonstration of emergency department crowding through the Pediatric Emergency Department Overcrowding Scale.</p>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208286","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":"Enhancing Patient Care: Venous Thromboembolism Prophylaxis in the Emergency Department.","authors":"Meredith Scannell, Sandi Mackey, Caroline Boudrow, Deborah Sullivan, Chaitan K Narsule","doi":"10.1016/j.jen.2025.08.009","DOIUrl":"https://doi.org/10.1016/j.jen.2025.08.009","url":null,"abstract":"<p><p>Venous thromboembolism is a serious risk for hospitalized patients, especially those with long emergency department stays, yet preventive measures are often delayed. This review examines effective medication therapies and nursing interventions for venous thromboembolism prophylaxis in the emergency department. Accurate risk assessment, timely medication administration, and patient education are crucial. Medication prophylaxis, primarily with low-molecular-weight heparin, is preferred over mechanical methods. Barriers such as limited knowledge, unclear guidelines, patient refusal, and staffing shortages hinder optimal implementation. Strategies to improve prophylaxis include standardized protocols and nurse-driven initiatives. Emergency nurses are the first to care for patients in the healthcare setting and are in a key position to initiate risk assessments and additional prophylaxis but often lack the knowledge and resources. Healthcare institutions should prioritize education and address systemic barriers. Future research should focus on tailored guidelines for specific patient populations and evaluate prevention strategies. A multidisciplinary approach, incorporating evidence-based practices and patient input, is crucial for optimizing venous thromboembolism prevention and improving patient outcomes.</p>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208288","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":"Characteristics of an Urban Emergency Department Callback System for the Treatment of Sexually Transmitted Infections.","authors":"Matteo F Pieri, William Huang, Aditya Loganathan, Ryan Heidish, Andrew C Meltzer","doi":"10.1016/j.jen.2025.07.008","DOIUrl":"https://doi.org/10.1016/j.jen.2025.07.008","url":null,"abstract":"<p><strong>Introduction: </strong>Patient callbacks after discharge from the emergency department are critical for communicating diagnostic test results, especially for sexually transmitted infections such as gonorrhea and chlamydia. Although these callbacks are essential for timely treatment and patient education, they can be time consuming and administratively burdensome. This quality improvement initiative evaluates the volume, success rate, and primary reasons for emergency department callbacks over 6 years, focusing on patient notification, education, and treatment during their emergency department visit.</p><p><strong>Methods: </strong>A retrospective analysis was conducted using an administrative data set of 3615 visits that required a callback to patients treated at an urban community emergency department in southeast Washington, DC, between March 2018 and June 2024. Data on callback attempts, reasons for callbacks, and patient follow-ups were extracted and analyzed. Descriptive statistics characterized the frequency and outcomes of these callbacks.</p><p><strong>Results: </strong>Of the 3615 visits with at least 1 callback attempt, 21.2% of initial attempts failed to reach patients. Chlamydia and gonorrhea were the primary reasons for callbacks, accounting for 46.4% and 45.1% of ED cases requiring a callback, respectively. A notable 9.5% of visits requiring a callback required at least 3 attempts to reach the patient. In addition to gonorrhea and chlamydia, reasons for callbacks included positive results for herpes simplex virus, Trichomonas vaginalis, and various cultures. Limitations included missing data and free-text entries.</p><p><strong>Discussion: </strong>The high volume of callbacks and the failure rate of initial attempts highlight inefficiencies in the current system. These findings suggest a need for improved technology and workflows to enhance timely treatment and reduce the burden on nursing and physician staff. Future studies should examine the impact of such interventions on treatment outcomes and workflow efficiencies.</p><p><strong>Conclusions: </strong>Improving callback systems and incorporating rapid sexually transmitted infection testing could streamline ED operations, ensure timely patient treatment, and mitigate the spread of sexually transmitted infections. Further research is needed to validate these approaches and explore their broader implications for public health and clinical practice.</p>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145202010","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 Physicians' Attitudes Toward Patients With Chronic Pain and Staff-Patient Relationship Levels.","authors":"Emre Bülbül, Ali Kaplan","doi":"10.1016/j.jen.2025.08.015","DOIUrl":"https://doi.org/10.1016/j.jen.2025.08.015","url":null,"abstract":"<p><strong>Introduction: </strong>Chronic pain often brings patients to emergency departments. Management of chronic pain is influenced by health care providers' attitudes. The first aim of the study was to measure the attitudes of emergency nurses and physicians toward patients with chronic pain in relation to the nurses' and physicians' individual and professional characteristics. The second aim was to measure the differences in attitudes between emergency nurses and physicians at varying levels of interaction with patients.</p><p><strong>Methods: </strong>This descriptive and cross-sectional study was conducted with 201 nurses and 140 physicians employed in the emergency department of public and private hospitals in Turkey. Data were collected using a descriptive characteristics form, the Health Personnel-Patient Relationship Survey, and the Attitudes Toward Patients With Chronic Pain Scale.</p><p><strong>Results: </strong>Nurses demonstrated significantly more positive attitudes toward patients with chronic pain than did physicians. Nurses and physicians who reported job satisfaction in the emergency department had significantly higher scores in both their attitudes toward patients with chronic conditions and the staff-patient relationship levels. Among nurses, sex and willingness to work in the emergency department were significantly associated with attitude scores, whereas, among physicians, weekly working hours were a significant factor. A strong positive correlation was observed between the 2 scales in nurses (r = 0.615) and a moderate correlation in physicians (r = 0.543) (P < .001).</p><p><strong>Discussion: </strong>Emergency nurses and physicians demonstrated attitudes and staff-patient interaction levels that were slightly above average. Positive attitudes of emergency nurses and physicians were associated with better interactions with patients. Factors such as job satisfaction and work conditions influenced the attitudes and interactions of emergency nurses and physicians. Enhancing these attitudes and interactions among providers may improve chronic pain care in emergency settings.</p>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145202120","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}