Journal of Emergency Nursing最新文献

{"title":"Nurse Pediatric Competency, Certification, and Continuing Education: Impact on EDs' Pediatric Readiness.","authors":"Lisa Hill, Robin Goodman, Lisa Gray, Michelle Moegling, Rachel Crady, Joanna Saucedo, Hilary A Hewes","doi":"10.1016/j.jen.2025.03.007","DOIUrl":"https://doi.org/10.1016/j.jen.2025.03.007","url":null,"abstract":"<p><strong>Introduction: </strong>Children present to emergency departments regardless of their readiness to care for pediatric patients. The National Pediatric Readiness Project is an initiative to improve pediatric emergency care. Increased National Pediatric Readiness Project scores have been associated with decreased mortality. The purpose of this study is to examine the association between nurse pediatric competency, certification, and/or continuing education and weighted pediatric readiness scores.</p><p><strong>Methods: </strong>A sub-analysis of the 2021 National Pediatric Readiness Project Assessment examining nurse pediatric competencies and overall pediatric readiness scores of emergency department of United States includes descriptive statistics, testing for the association between hospital characteristics and pediatric patient volume using Fisher's tests and Kruskal-Wallis tests, and Wilcoxon rank-sum tests of score and nurse pediatric competencies.</p><p><strong>Results: </strong>The majority (89%) of emergency departments require some nurse competency evaluations. Only 20.1% of emergency departments require nurse specialty certification. Most emergency departments have a hospital-specific nurse competency evaluation policy (91.7%) and nurse continuing education policies (98.3%). Having policies for competencies is significantly associated with increased median weighted pediatric readiness scores above the national median: nursing continuing education policy weighted pediatric readiness scores 71.3 (P = .030), nurse specialty certification policy weighted pediatric readiness scores 83.5 (P<.001), and nurse hospital-specific competency evaluation policy weighted pediatric readiness scores 72.3 (P<.001).</p><p><strong>Discussion: </strong>Most emergency departments have a requirement for nurse pediatric-specific competency evaluations, and having nursing competency requirements is associated with higher weighted pediatric readiness scores. This highlights the importance of emergency nurse pediatric competency, certification, and continuing education on pediatric readiness scores, and therefore, the potential reduction in pediatric mortality.</p>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144007964","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 Nursing and Staff Experiences With Visitation Restrictions During the Coronavirus Disease 2019 Pandemic: A Qualitative Descriptive Study.","authors":"Regina Wilder Urban, Robert Bobby Winters","doi":"10.1016/j.jen.2025.03.010","DOIUrl":"https://doi.org/10.1016/j.jen.2025.03.010","url":null,"abstract":"<p><strong>Introduction: </strong>At the onset of the coronavirus disease 2019 pandemic, visitors were prohibited in the emergency department, leaving patients bereft of their companionship and advocacy. However, little was known about the conflicts and distress of emergency department staff related to this policy. This study aimed to qualitatively explore emergency nursing and staff experiences regarding the no-visitor policy.</p><p><strong>Methods: </strong>A qualitative descriptive approach explored short answers to 1 open-ended question. Emergency nurses and assistive personnel (patient care technicians and emergency medical technicians/paramedics) were recruited from 11 participating emergency departments, using convenience sampling and a web-based survey. We followed the 6-step process of reflexive thematic analysis to identify patterns in the data and develop themes that describe the results.</p><p><strong>Results: </strong>Of 180 respondents, 69 (38%) answered our qualitative question. Participants were typically female (78.3%), White (82.6%), and mostly registered nurses (79.7%), with an average age of 39 years and an average of 10 years' ED experience. Participants offered complex, heartfelt responses, resulting in 3 themes: (1) exposure and risk, (2) experiencing patient and family reactions; and (3) policy enforcement challenges.</p><p><strong>Discussion: </strong>Although many respondents concluded that the policy was protective against pandemic risk, some saw it as ineffective. They believed exceptions must be made for imminent death. Participants felt that patients/visitors understood, but did not always like, restrictions. Adherence to policy left respondents conflicted, leading to inconsistent enforcement. Visitation policies for patients with infectious diseases must consider patient/visitor needs, moral distress of ED staff, and pragmatic enforcement strategies.</p>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049028","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":"Pediatric Respiratory Score in the Triage Form.","authors":"Joanne N Brunson, Carolyn Greely, Suzanna Fitzpatrick","doi":"10.1016/j.jen.2025.03.011","DOIUrl":"https://doi.org/10.1016/j.jen.2025.03.011","url":null,"abstract":"<p><strong>Introduction: </strong>Respiratory distress is a common pediatric presentation in emergency departments requiring prompt treatment to avoid poor outcomes. A retrospective chart review at a large community hospital pediatric emergency department revealed that 22% of walk-in patients 0 to 12 years old, who were transferred to a pediatric intensive care unit for a respiratory-related complaint, were undertriaged with an emergency severity index score of 3 or 4. The transferred patients from the hospital's pediatric emergency department with emergency severity index scores of 3 or 4 had an average wait of 1 hour and 15 minutes to see a provider compared with those with an emergency severity index level 1 or 2 who had an average wait of 43 minutes. Implementation of a pediatric respiratory score in emergency department triage formed the basis of a 15-week quality improvement initiative. The aim was to reduce wait times for pediatric patients requiring pediatric intensive care unit care owing to respiratory distress and to decrease door-to-provider and door-to-transfer times.</p><p><strong>Methods: </strong>Staff were trained over 1 week on respiratory score use. Weekly data were collected on nurse respiratory score utilization for all pediatric respiratory patients, percentage of respiratory patients transferred to a pediatric intensive care unit with the correct emergency severity index level of 1 or 2, and average door-to-provider and door-to-transport times.</p><p><strong>Results: </strong>A total of 59 patients were transferred for respiratory distress; 86.5% of these were correctly triaged with an emergency severity index level 1 or 2, which was an improvement from 78% the previous year. Average door-to-provider time was 15 minutes for transferred patients with a respiratory score and 20 minutes for those without. Average door-to-transport time was less than 10 hours for both groups.</p><p><strong>Discussion: </strong>The pediatric respiratory score can improve patient assessment at the point of triage. Since implementing the pediatric respiratory score, wait times have improved for patients transferred to a pediatric intensive care unit with a respiratory complaint.</p>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052489","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":"Interventions for Reducing Mental Health-Related Stigma in Emergency Medicine: An Integrative Review.","authors":"Geurt Van de Glind, Niek Galenkamp, Bart Schut, Lisette Schoonhoven, Floortje E Scheepers, Rachel Muir, David Baden, Lente Werner, Mark van Veen, Julia Crilly, Wietske H W Ham","doi":"10.1016/j.jen.2025.02.013","DOIUrl":"10.1016/j.jen.2025.02.013","url":null,"abstract":"<p><strong>Introduction: </strong>The prevalence and impact of mental health disorders are increasing worldwide. A growing number of people with mental health problems require ambulance and emergency department care, many of whom face stigmatization from health care professionals in these environments. Interpersonal stigma comprises insufficient knowledge (ignorance or misinformation), negative attitudes (negative emotional reactions, such as prejudice), and negative behaviors (such as avoidance or rejection).</p><p><strong>Methods: </strong>An integrative review was conducted to assess the current landscape of interventions aimed at reducing stigmatization among health care professionals in ambulance and emergency department settings.</p><p><strong>Results: </strong>Of the 18 publications included, 1 targeted stigma reduction. Although 2 additional studies examined interventions not specifically aimed at reducing stigma, these studies have examined the impact of interventions on stigma. The other included studies reported measures of attitudes. One study involved patients evaluating the intervention, whereas the rest relied on assessments by health care professionals. Four studies mentioned patient involvement in the development of interventions. The predominant approach in these studies involved educational and training interventions associated with improvements in knowledge levels and attitudes. However, the direct impact of these changes on reducing stigmatizing behavior remains unclear. It is concerning that national practice guidelines in ambulance and emergency care hardly address mental health-related stigma despite longstanding awareness of this issue.</p><p><strong>Discussion: </strong>The findings underscore the urgent need for concerted efforts in practice, research, and policy within ambulance and emergency department settings to address and combat stigmatizing behaviors toward patients with mental health challenges by enhancing knowledge and reshaping attitudes.</p>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058144","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":"Comprehensive Analysis of Heart Failure Subtypes Presenting at Emergency Department for Acute Heart Failure Management.","authors":"Sunita Pokhrel Bhattarai, Dillon J Dzikowicz, Ying Xue, Robert Block, Rebecca G Tucker, Mary G Carey","doi":"10.1016/j.jen.2025.03.002","DOIUrl":"https://doi.org/10.1016/j.jen.2025.03.002","url":null,"abstract":"<p><strong>Introduction: </strong>Despite advances in echocardiography and biomarkers, the pathophysiological complexities among heart failure categories remain incompletely understood. This study analyzed patients' characteristics across heart failure with reduced ejection fraction, heart failure with midrange ejection fraction, and heart failure with preserved ejection fraction presenting at the emergency department.</p><p><strong>Methods: </strong>This is a retrospective analysis of 954 patients with acute heart failure (2016-2023) using electronic health records. Data were collected from patient triage and the emergency department and during hospitalization. Survival analysis was performed using Kaplan-Meier estimates, and an elastic net model was used to handle multicollinearity and high dimensionality in predictor variables.</p><p><strong>Results: </strong>Patients (median age, 71 years) were categorized as heart failure with reduced ejection fraction (n = 363), heart failure with midrange ejection fraction (n = 131), and heart failure with preserved ejection fraction (n = 460). Patients with heart failure with preserved ejection fraction were older (80 vs 77 vs 74 years; P < .001). Heart failure with reduced ejection fraction showed higher prevalence of cardiomegaly, pleural effusion, and orthopnea (34% and 51%; P < .001), elevated diastolic blood pressure (P < .001), creatinine, N-terminal pro-B-type natriuretic peptide (P < .001), and hematocrit differences (P < .05) than heart failure with preserved ejection fraction. Echocardiographic measures differed significantly across subtypes. In-hospital prediction models achieved an area under the curve of 0.84 (91% sensitivity, 50% specificity); 30-day models had an area under the curve of 0.80 (98% sensitivity, 50% specificity).</p><p><strong>Discussion: </strong>HF subtypes exhibit distinct clinical and biomarker profiles. Emergency nurses' recognition of these differences during initial assessment may enhance risk stratification and tailored interventions (eg, prioritizing diuretics in heart failure with reduced ejection fraction, managing comorbidities in heart failure with preserved ejection fraction), improving outcomes. Integrating subtype-specific data into protocols could optimize emergency department care, particularly during prolonged boarding.</p>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755700","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":"Improving the Care of Transgender/Gender-Nonconforming Patients in the Emergency Department Through Quality Improvement: An Educational Intervention for Emergency Clinicians.","authors":"Brian E Martinez, Darleen Williams","doi":"10.1016/j.jen.2025.02.010","DOIUrl":"https://doi.org/10.1016/j.jen.2025.02.010","url":null,"abstract":"<p><strong>Background: </strong>There is a significant gap in the provision of care for transgender or gender-nonconforming patients. This population experiences a multitude of disparate health outcomes. Studies have demonstrated a clear knowledge gap among ED clinicians regarding the care for transgender or gender-nonconforming patients.</p><p><strong>Context: </strong>A significant number of ED clinicians reported caring for transgender or gender-nonconforming patients during their careers. Currently, many ED clinicians report receiving minimal or no training in the care of transgender or gender-nonconforming patients. This lack of competency contributes to ED care avoidance in this population.</p><p><strong>Methods: </strong>This quality improvement project aimed to evaluate the effectiveness of improving clinicians' knowledge and skills, openness and support, and oppression awareness in transgender or gender-nonconforming patients through a targeted educational intervention. This study included 4 community hospital-based emergency departments. Performance in the domains of knowledge and skill, openness and support, and oppression awareness was measured using the Ally Identity Measure questionnaire and a paired t test analysis of scored results.</p><p><strong>Intervention: </strong>The intervention for this quality improvement project was a synchronous, in-person education session delivered once in each of the respective hospital-based emergency departments that addressed key components of understanding transgender or gender-nonconforming patient care. These topics include relevant terminology, assessment recommendations, common gender-affirming therapies, and local resources for follow-up. It also incorporated audio/video testimonies of transgender or gender-nonconforming patients and a case study.</p><p><strong>Results: </strong>Improvement was demonstrated in all 3 domains when comparing the pre- and postintervention Ally Identity Measure scores. Knowledge and skills demonstrated the most significant increase from pre- (mean, 25.3) to postintervention (mean, 34.6). Openness and support and oppression awareness demonstrated almost equal improvement when comparing pre- (openness and support mean, 27.0; oppression awareness mean, 16.9) and postintervention performance (openness and support mean, 29.2; oppression awareness mean, 18.4).</p><p><strong>Conclusion: </strong>Transgender or gender-nonconforming patients represent a unique clinical cohort that requires specialized knowledge to provide competent patient care. ED clinicians demonstrated knowledge deficits regarding transgender or gender-nonconforming patient care. These findings support the need for formalized training in the care of transgender or gender-nonconforming patients and its effectiveness in addressing the existing ED clinician education gap.</p>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607115","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 Departmental Barriers to Caring for Mental Health Boarders.","authors":"Rachel Keslar, Cindy Bacon, Audrey Snyder, Denise Rhew, Crystal Epstein","doi":"10.1016/j.jen.2025.01.009","DOIUrl":"https://doi.org/10.1016/j.jen.2025.01.009","url":null,"abstract":"<p><strong>Introduction: </strong>Patients often seek care for mental health conditions through the emergency department, however, there are many concerns with the provision of mental health care in the emergency department. This includes workflow issues at odds with mental health care needs, a challenging environment, staffing issues, and long waits for definitive mental health care in a practice known as boarding. While there are several articles on emergency nurses' perceptions of caring for mental health patients in general, there is little research on non-mental health aspects of emergency department care for mental health boarders.</p><p><strong>Methods: </strong>This qualitative descriptive study aimed to explore bedside emergency nurses' perceptions on non-mental health aspects of emergency department care that impact the care of mental health boarders. A purposive sample of current bedside emergency registered nurses in the United States was used. Data collection occurred via 1-on-1 semi-structured interviews with an interview guide informed by the Theory of Planned Behavior.</p><p><strong>Results: </strong>Eighteen emergency nurses participated in this study. Four themes were discovered: emergency department workflow and overcrowding, emergency department physical environment, activities of daily living, and lack of distractions.</p><p><strong>Discussion: </strong>Adequate resources including staffing and supportive workflows are needed to provide quality care to mental health boarders. Safe, calming environments are needed to prevent deterioration, which may require structural changes to emergency departments or the use of spaces outside the emergency department.</p>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568700","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 PhD, RN,&nbsp;Nathaniel O’Connell PhD,&nbsp;Carolyn Huffman PhD, WHNP,&nbsp;Stephanie McDonald MSL, BSN, RN, NEA-BC,&nbsp;Michael Gibbs MD,&nbsp;Chadwick Miller MD, MS,&nbsp;Suzanne C. Danhauer PhD,&nbsp;Michelle Reed DNP, RN, NEA-BC,&nbsp;Leslie Mason PhD, RN,&nbsp;Kristie L. Foley PhD, MS,&nbsp;Jason Stopyra MD, MS,&nbsp;Sabina B. Gesell PhD","doi":"10.1016/j.jen.2024.10.007","DOIUrl":"10.1016/j.jen.2024.10.007","url":null,"abstract":"<div><h3>Introduction</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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 (<em>P</em>&lt;.05) and increased work engagement (<em>P</em>&lt;.05). Perceptions of adequate compensation were inversely associated with burnout (<em>P</em>&lt;.01). Workplace violence from patients (<em>P</em>&lt;.01) and peers (<em>P</em>&lt;.001) was associated with higher levels of burnout, and workplace violence from peers was associated with lower levels of work engagement (<em>P</em>&lt;.05). Recognition (<em>P</em>&lt;.05) and well-being support from the organization (<em>P</em>&lt;.01) were associated with higher levels of work engagement.</div></div><div><h3>Discussion</h3><div>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.</div></div>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"51 2","pages":"Pages 249-260"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","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":"OA","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 PhD, MSN, RN, FFNMRCSI ,&nbsp;Rocco Gennaro PhD, MSN, RN, FAAN ,&nbsp;Sara Carrodano RN, MSN ,&nbsp;Daniela Romano RN, MSN ,&nbsp;Marzia Lommi PhD, MSN, RN ,&nbsp;Dhurata Ivziku PhD, MSN, RN ,&nbsp;Alessandro Stievano PhD, MSN, RN, FAAN, FFNMRCSI","doi":"10.1016/j.jen.2024.10.006","DOIUrl":"10.1016/j.jen.2024.10.006","url":null,"abstract":"<div><h3>Introduction</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Discussion</h3><div>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.</div></div>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"51 2","pages":"Pages 305-329"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","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":"Factors Influencing the Intention of Family Members of Patients Admitted to Emergency Departments to Commit Violence Against Health Care Professionals: A Multicenter Cross-Sectional Study","authors":"Aynur Koyuncu,&nbsp;Uğur Akman,&nbsp;Ayla Yava,&nbsp;İslam Elagöz","doi":"10.1016/j.jen.2024.10.020","DOIUrl":"10.1016/j.jen.2024.10.020","url":null,"abstract":"<div><h3>Introduction</h3><div>Information regarding the factors influencing the intention of family members of patients admitted to the emergency department to commit violence against health care professionals is limited. This study aimed to determine the factors affecting the intention of family members of patients admitted to the emergency department to commit violence against health care professionals.</div></div><div><h3>Methods</h3><div>This multicenter cross-sectional study, conducted in 3 Turkish hospitals from December 2023 to May 2024, involved 872 family members of emergency department patients. Ethical approval was obtained (approval no: 2023/83). Data were collected through face-to-face surveys using the Intention to Commit Violence Against Healthcare Workers Scale and the Healthcare Access Experience Form. Analysis was performed with SPSS 22.0 using both parametric and nonparametric tests, with significance set at <em>P</em>&lt;.05.</div></div><div><h3>Results</h3><div>The participants’ average age was 35.60 SD = 10.89, with 56.8% male and 61.5% having completed secondary education. Significant factors increasing the intention to commit violence included younger age (<em>P</em> = .001), lower education (<em>P</em> = .001), unemployment (<em>P</em> = .001), and being single (<em>P</em> = .001). Although the overall intention to commit violence was low, negative perceptions regarding health care access, such as lack of information about their relative’s condition (<em>P</em> = .001), inability to see their relative during treatment (<em>P</em> = .001), and exclusion from care (<em>P</em> = .001), significantly heightened this intention.</div></div><div><h3>Discussion</h3><div>This study reveals that the strongest factors influencing the intention to commit violence among family members of patients admitted to the emergency department are the lack of information about their relative and inadequate communication.</div></div>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"51 2","pages":"Pages 294-304"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142734406","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}