Journal of Emergency Nursing最新文献

{"title":"Determining Correlations Between Emergency Department Health Care Workers and their Associated Burnout and Post-Traumatic Stress Disorder Scores: A Pilot Study.","authors":"Janey Kottler, Shaveta Khosla, Parsva Shah, David Dulce, Monica J Gingell, Mitchell Kordzikowski, Steven W Nevers, David Chestek, Katherine A Maki","doi":"10.1016/j.jen.2024.10.012","DOIUrl":"https://doi.org/10.1016/j.jen.2024.10.012","url":null,"abstract":"<p><strong>Introduction: </strong>Health care workers experience settings that can contribute to burnout and post-traumatic stress disorder. Early identification of health care workers at risk for burnout/post-traumatic stress disorder may allow for quicker implementation of mitigation strategies despite limited research. This pilot study explores associations between burnout and post-traumatic stress disorder with demographic and occupational factors in health care workers.</p><p><strong>Methods: </strong>This quantitative, cross-sectional study on burnout and post-traumatic stress disorder was conducted at a single-site urban academic emergency department from 2022 to 2023. Health care workers were split into provider versus non-provider for confidentiality. Burnout and post-traumatic stress disorder were operationalized using the Oldenburg Burnout Inventory and Post-Traumatic Stress Disorder checklist.</p><p><strong>Results: </strong>In this cohort (n = 72), many identified as non-Hispanic white (54%) females (74%), and were non-providers (75%) who worked 32 to 40 hours/week (75%). Although not significant, non-providers reported higher disengagement (14.8% vs 0%, P = .19). Females had higher exhaustion (64.2% vs 57.9%, P = .63) while males had higher disengagement (15.8% vs 9.4%, P = .43). Participants <40 had higher disengagement and exhaustion (15.8% vs 5.9%, P = .27; 68.4% vs 55.9%, P = .27), while a previous depression diagnosis led to increased moderate-to-severe disengagement, exhaustion, and burnout (26.7% vs 6.9%, P = .05; 80.0% vs 56.9%, P = .14; and 53.3% vs 37.9%, P = .28, respectively).</p><p><strong>Discussion: </strong>Though these results are not statistically significant, we demonstrate important associations that are clinically relevant. Non-providers under 40 showed higher disengagement, which may be related to competing responsibilities, while depression increased burnout severity across all domains. Importantly, future research with increased samples will allow relevant sub-group comparisons (ie, nurses vs other non-providers) and continued exploration of factors that influence elevated burnout in health care workers.</p>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683426","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":"Identifying Key Competencies for Ambulance Nurses in Italy: Findings from a Modified Delphi Study.","authors":"Ippolito Notarnicola, Rocco Gennaro, Sara Carrodano, Daniela Romano, Marzia Lommi, Dhurata Ivziku, Alessandro Stievano","doi":"10.1016/j.jen.2024.10.006","DOIUrl":"https://doi.org/10.1016/j.jen.2024.10.006","url":null,"abstract":"<p><strong>Introduction: </strong>Prehospital emergency nursing is a critical domain requiring specialized competencies and robust clinical preparation. Nurses in this sector manage high-complexity situations necessitating a broad range of competencies. This study aimed to identify and validate the essential competencies required for specialized ambulance nurses in Italy using a modified Delphi methodology.</p><p><strong>Methods: </strong>A Delphi study was conducted with a panel of 10 experts, including clinical practitioners and academic professionals. The study involved 2 rounds of questionnaires designed to gather and refine expert opinions on the competencies necessary for ambulance nurses.</p><p><strong>Results: </strong>The experts identified a comprehensive set of 77 competencies across various domains, emphasizing advanced clinical competencies, decision-making abilities, communication, interpersonal competencies, and leadership. The first round highlighted 31 competencies from clinical experts and 46 from academic experts, with significant overlaps and some divergences. The second round achieved high consensus on many competencies, though some areas, such as holistic and spiritual competencies, showed varied levels of agreement.</p><p><strong>Discussion: </strong>The identified competencies underscore the complexity and dynamic nature of prehospital emergency nursing. The results provide a framework for developing targeted training programs to prepare nurses for the demands of this field. Continuing education emerged as a crucial element for maintaining and enhancing competencies in the evolving landscape of emergency health care.</p>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142647757","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":"Revision and Application of the Simplified Chinese Version of the Critical Care Family Needs Inventory in the Emergency Department.","authors":"Xiaoshuang Yin, Zhen Jia, Jiayi Yang, Shanshan Guan, Xiaobo Li","doi":"10.1016/j.jen.2024.10.010","DOIUrl":"https://doi.org/10.1016/j.jen.2024.10.010","url":null,"abstract":"<p><strong>Introduction: </strong>The family members of patients are an important part of a patient's social support system. The needs of the family members of patients are critical factors that medical staff need to consider when formulating treatment plans. This study aimed to culturally adjust the traditional Chinese version of the Critical Care Family Needs Inventory in the Emergency Department to the simplified Chinese version for use with families in the emergency department of mainland China, test its reliability and validity, understand the needs and factors influencing scores, and to provide a reference for promoting patient and family-centered care.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted to collect data from family members of a tertiary hospital in northeast China. This study consisted of 2 phases. Phase Ⅰ: 258 questionnaires were collected in the scale revision phase for the assessment of construct validity using exploratory factor analysis. In addition, internal consistency reliability and content validity were used to evaluate the psychometric characteristics. Phase Ⅱ: 297 family members were recruited in the cross-sectional survey phase. The data were collected through the simplified Chinese version of Critical Care Family Needs Inventory in the Emergency Department and analyzed with SPSS 26.0 Statistics software.</p><p><strong>Results: </strong>In the scale revision phase of the study, the content validity index was 0.92, and the total Cronbach's alpha coefficient was 0.87. In the cross-sectional survey phase, the mean score of family members' needs was 109.2 ± 9.8 (95%CI 108.1, 110.4). Age (P = .019), residential address (P = .001), income (P = .004), and triage category (P = .001) are independent factors influencing total scores.</p><p><strong>Discussion: </strong>Our findings suggested that the Simplified Chinese version of Critical Care Family Needs Inventory in the Emergency Department is a valid and reliable scale for use within mainland China. The needs of family members are at a high level. Hence, emergency nurses need to acquire more knowledge about family needs to better consider and address their needs.</p>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142647822","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":"Bibliometric Analysis on Examining Triage and Digital Triage Results in Emergency Departments.","authors":"Fatma Azizoğlu, Banu Terzi, Duygu S Düzkaya","doi":"10.1016/j.jen.2024.10.009","DOIUrl":"https://doi.org/10.1016/j.jen.2024.10.009","url":null,"abstract":"<p><strong>Introduction: </strong>New technologies developed for triage systems can have positive effects on health care professionals. The research was conducted to identify and visualize the studies conducted between 2001 and 2024 on triage and digital triage systems in emergency departments and reveals global trends on this subject.</p><p><strong>Methods: </strong>The data were obtained from the \"Web of Science Core Collection\" database on February 8th, 2024. Performance analysis, scientific mapping, and bibliometric analyses were performed using the VOSviewer (1.6.15) software program. Data from 236 publications were analyzed in the study.</p><p><strong>Results: </strong>The most publications were by Alcock J (n = 3), the most publications by country were published in the USA (n = 114), Harvard University (n = 19) was the institution that published the most, the United States Department of Health Human Services (n = 25) supported publications among the funding institutions, and the most publications were published in the Emergency Medicinal Journal (n = 8).</p><p><strong>Discussion: </strong>The results obtained from the study reveal the triage and digital triage systems used in emergency services, provide a general perspective on the subject, and guide future research on this subject.</p>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640250","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":"Job-Related Factors Associated with Burnout and Work Engagement in Emergency Nurses: Evidence to Inform Systems-Focused Interventions.","authors":"Lindsay T Munn, Nathaniel O'Connell, Carolyn Huffman, Stephanie McDonald, Michael Gibbs, Chadwick Miller, Suzanne C Danhauer, Michelle Reed, Leslie Mason, Kristie L Foley, Jason Stopyra, Sabina B Gesell","doi":"10.1016/j.jen.2024.10.007","DOIUrl":"10.1016/j.jen.2024.10.007","url":null,"abstract":"<p><strong>Introduction: </strong>Nurses working in the emergency department experience high rates of burnout. The purpose of this study was to determine job-related factors affecting the well-being of emergency nurses.</p><p><strong>Methods: </strong>In this cross-sectional study data were collected through multiple methods. An anonymous survey was used to collect data on emergency nurses' perceptions of the work environment, self-reported outcomes of well-being, and demographic characteristics. Administrative and electronic health record data were used to collect team and ED-level variables. Descriptive statistics, linear models, and Lasso regression were used to analyze data.</p><p><strong>Results: </strong>Fifty-three percent (n = 175/337) of responding emergency nurses reported high burnout. High levels of psychological safety were linked to lower levels of burnout (P < .05) and increased work engagement (P < .05). Perceptions of adequate compensation were inversely associated with burnout (P < .01). Workplace violence from patients (P < .01) and peers (P <.001) was associated with higher levels of burnout, and workplace violence from peers was associated with lower levels of work engagement (P < .05). Recognition (P < .05) and well-being support from the organization (P < .01) were associated with higher levels of work engagement.</p><p><strong>Discussion: </strong>To improve emergency nurse well-being, systems-focused interventions should address nurse compensation, psychological safety among the ED team, workplace violence, and meaningful recognition of nurses and well-being support from the organization.</p>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631890","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":"Innovations in Emergency Nursing: Adapting Patient Flow Management to Emergency Department Overcrowding.","authors":"Ellen Benjamin","doi":"10.1016/j.jen.2024.10.002","DOIUrl":"https://doi.org/10.1016/j.jen.2024.10.002","url":null,"abstract":"<p><strong>Introduction: </strong>The coronavirus disease-2019 pandemic brought greater attention to nurses' innovation and adaptability. Emergency nurses continue to adjust their patient flow management strategies in response to high levels of overcrowding, but this work has been poorly described.</p><p><strong>Methods: </strong>This paper describes findings from a grounded theory study that included 29 focus groups and interviews with emergency nurses. Data was also collected through 64 hours of participant observation across 4 emergency departments.</p><p><strong>Results: </strong>Two themes emerged to capture how emergency nurses manage patient flow in overcrowded departments. First, emergency nurses creatively adapt their resource use, staffing roles, and patient care processes to expand patient care capacity and expedite throughput. Second, nurses demonstrate cognitive adaptability by modifying their attention and focus. As crowding increases, nurses become more highly engaged in the work of patient flow management until excessive overcrowding may lead to disengagement. Nurses also shift their focus away from proactive and retrospective patient flow management strategies to become more attentive to meeting current patient care needs.</p><p><strong>Discussion: </strong>The ability of emergency departments to care for high patient volumes depends upon nurses' cognitive and organizational labor. Innovation and adaptability are essential components of emergency nursing work. Although emergency nurses have demonstrated great ingenuity, more work is needed to ensure that emergency patient flow management strategies are evidence-based.</p>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631926","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":"Comparative Analysis of Frailty Scales in Emergency Department: Highlighting the Strengths of the Triage Frailty and Comorbidity Tool.","authors":"Arian Zaboli, Francesco Brigo, Gloria Brigiari, Magdalena Massar, Marta Ziller, Serena Sibilio, Gianni Turcato","doi":"10.1016/j.jen.2024.09.012","DOIUrl":"10.1016/j.jen.2024.09.012","url":null,"abstract":"<p><strong>Introduction: </strong>Currently, there is uncertainty about which frailty scale is most appropriate and valid for use in the emergency department. The objective of this study was to compare the most commonly used frailty scales in triage and evaluate their performance.</p><p><strong>Methods: </strong>This prospective, single-center observational study was conducted from June to December 2023. Data collection spanned 80 days, during which the triage nurse recorded frailty scales using the Clinical Frailty Scale, Identification of Seniors at Risk, Program of Research to Integrate the Service for the Maintenance of Autonomy 7 (PRISMA-7), and the Triage Frailty and Comorbidity tool. The Clinical Frailty Scale, Identification of Seniors at Risk, and PRISMA-7 were used for patients aged >65 years, whereas the Triage Frailty and Comorbidity tool was applied to all patients presenting to the emergency department. The scales were compared using the area under the receiver operating characteristic curve for 90-day mortality, 30-day mortality, and hospitalization.</p><p><strong>Results: </strong>A total of 1270 patients were enrolled during the study period. In comparing the receiver operating characteristic curves, the Triage Frailty and Comorbidity tool demonstrated a receiver operating characteristic curve of 0.894 (95% CI: 0.858-0.929), whereas the Clinical Frailty Scale had 0.826 (95% CI: 0.762-0.890), PRISMA-7 had 0.814 (95% CI: 0.751-0.876), and Identification of Seniors at Risk had 0.821 (95% CI: 0.759-0.882), with a comparison P value of 0.03. The Triage Frailty and Comorbidity tool also significantly outperformed the other scales for 90-day mortality, 30-day mortality, and hospitalization across the overall population. Considering only the population aged >65 years, it identifies frail patients equally well as the other tools.</p><p><strong>Discussion: </strong>The findings of this study suggest that the Triage Frailty and Comorbidity tool is a valid instrument for assessing frailty in the emergency department. Moreover, among the scales used, it is the only 1 that considers the entire adult population, not just those aged >65 years, making it more inclusive for a setting such as the emergency department.</p>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142585014","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":"Uncovering the Driving Forces of Emergency Nurses' Retention: Findings From a Grounded Theory Study.","authors":"Gilny Aileen Joan Rantung","doi":"10.1016/j.jen.2024.10.003","DOIUrl":"https://doi.org/10.1016/j.jen.2024.10.003","url":null,"abstract":"<p><strong>Introduction: </strong>Emergency nursing demands high levels of dedication and resilience. This study reports on the \"Driving Forces\" within a broader theoretical framework of \"Achieving Personal and Professional Sustainability in Emergency Nursing,\" highlighting the importance of understanding what motivates and retains emergency nurses to improve their performance and longevity.</p><p><strong>Methods: </strong>To explore how emergency nurses sustain themselves personally and professionally, this research used a constructivist grounded theory approach, involving 29 registered nurses from diverse backgrounds in the Indonesian emergency nursing context. Data were collected via in-depth semistructured interviews, which were recorded, transcribed, and analyzed systematically.</p><p><strong>Results: </strong>The study revealed 3 subcategories under the \"Driving Forces\" category: \"Inherent Inspiration,\" \"Extrinsic Motivations,\" and \"Professional Expectations.\" These subcategories highlight the significant impact of both intrinsic and extrinsic motivations, along with professional expectations, on the commitment and sustainability of emergency nurses.</p><p><strong>Discussion: </strong>This research underscores the impact of intrinsic and extrinsic motivations and professional expectations on emergency nurses' commitment in Indonesia, indicating potential applicability in enhancing nurse dedication and motivation in similar international contexts. Caution is recommended in global generalizations, emphasizing context-specific validations.</p>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142585021","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 Analysis of Psychological Capital and Influencing Factors Among Disaster Care Reservists.","authors":"Qianmei Zhong, Li Wan, Haiyan He, Dan Wen, Mei He","doi":"10.1016/j.jen.2024.10.005","DOIUrl":"https://doi.org/10.1016/j.jen.2024.10.005","url":null,"abstract":"<p><strong>Introduction: </strong>In recent years, with the frequent occurrence of public health emergencies, various infectious diseases and natural disasters (earthquakes, tsunamis, and fires have placed a burden on global public health and health care systems, especially on health care workers. This study aimed to investigate the current state of psychological capital among disaster care reservists and the factors influencing it.</p><p><strong>Methods: </strong>Between January and February 2024, a total of 330 members of the disaster nursing reserve team from 4 tertiary general hospitals in Mianyang, China, were surveyed using an online platform named Wenjuanxing to obtain information on general demographics, psychological capital, and job burnout.</p><p><strong>Results: </strong>The total score of psychological capital was 91.10 ± 16.15. Psychological capital was negatively correlated with emotional depletion dimension and depersonalization dimension scores (P < .01) and positively correlated with personal achievement dimension scores (P < .01). The results of multiple regression analysis revealed that the psychological capital of members in disaster nursing reserve teams was influenced by various factors such as their marital status, having children, work experience in the department, level of public recognition and respect, number of disaster relief trainings, participation in disaster relief activities, types of disaster relief activities, and level of job burnout (P < .05). This accounted for 48.9% of the total variation.</p><p><strong>Discussion: </strong>The psychological capital of disaster nursing reserve team members is affected by several aspects, which warrant great attention. Relevant management departments should adopt appropriate strategies to effectively mobilize their self-efficacy, improve their professional identity and sense of achievement, and enhance their psychological capital level.</p>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142585009","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":"Firearm Safety and Injury Prevention","authors":"Dawn Peta BN, RN, ENC (C),&nbsp;Sharon Vanairsdale-Carrasco DNP, APRN, ACNS-BC, NP-C, CEN, FAEN, FAAN, FNAP,&nbsp;Elizabeth Stone PhD, RN, CPEN, FAEN","doi":"10.1016/j.jen.2023.08.013","DOIUrl":"10.1016/j.jen.2023.08.013","url":null,"abstract":"","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"50 6","pages":"Pages 696-709"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632025","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}