Journal of Emergency Nursing最新文献

{"title":"Information for Readers","authors":"","doi":"10.1016/S0099-1767(26)00122-4","DOIUrl":"10.1016/S0099-1767(26)00122-4","url":null,"abstract":"","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"52 3","pages":"Page A12"},"PeriodicalIF":2.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147755805","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":"Associations Among Workplace Bullying, Workplace Social Capital, and Turnover Intention Among Iranian Emergency Nurses: A Cross-Sectional Study","authors":"Iraj Arminpor MSN,&nbsp;Marzieh Khatooni PhD,&nbsp;Farnoosh Rashvand PhD,&nbsp;Maryam Momeni PhD","doi":"10.1016/j.jen.2025.09.008","DOIUrl":"10.1016/j.jen.2025.09.008","url":null,"abstract":"<div><h3>Introduction</h3><div>Emergency nurse turnover is troublesome and can affect the quality of patient care. Identifying factors contributing to nurse turnover is considered a key strategy to improve retention in the profession. This study aimed to determine the association among workplace bullying, workplace social capital, and turnover intention among Iranian emergency nurses.</div></div><div><h3>Methods</h3><div>This multicenter cross-sectional study was conducted with 241 nurses working in the emergency departments of teaching hospitals in the northwest province of Iran. Convenience sampling was used for participant recruitment. Data were collected using the demographic form, the anticipated turnover scale, the Negative Acts Questionnaire–Revised, and the short-form workplace social capital questionnaire. Data analysis was performed using univariate and multiple linear regression models using SPSS V. 26.</div></div><div><h3>Results</h3><div>A total of 67.6% of the nurses reported turnover intention. Turnover intention was greater among male nurses (β = 0.130; <em>P</em> = .035), who had more work experience in the emergency department (β = 0.136; <em>P</em> = .044). Workplace bullying was positively associated with nurse turnover intention (β = 0.148; <em>P</em> = .032), whereas workplace social capital was negatively associated with turnover intention (β = −0.197; <em>P</em> = .019).</div></div><div><h3>Discussion</h3><div>Minimizing workplace bullying integrated to improve workplace social capital may lead to emergency nurses’ retention. Providing training programs and policies to reduce workplace bullying and increase workplace social capital is suggested.</div></div>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"52 3","pages":"Pages 731-741"},"PeriodicalIF":2.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145349820","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":"Comparison of Adolescent, Parent, Nurse and Physician Pain Assessment in Pediatric Emergency Departments","authors":"Dilek Menekşe PhD,&nbsp;Faruk Kabul MSc,&nbsp;Nursan Çınar PhD,&nbsp;Bahri Elmas MD","doi":"10.1016/j.jen.2025.10.008","DOIUrl":"10.1016/j.jen.2025.10.008","url":null,"abstract":"<div><h3>Introduction</h3><div>The accurate and consistent assessment of pain in adolescents is very important for appropriate treatment and care. This study aimed to compare the pain assessment by parents, physicians, nurses, and adolescents in pediatric patients admitted to the emergency department for evaluation.</div></div><div><h3>Methods</h3><div>This cross-sectional study was conducted with 352 adolescents aged 11 to 18 years who complained of pain, their parents, and caring physicians and nurses. Data were collected between January 2023 and February 2024 using the Descriptive Information Form and the visual analog scale for adolescents, parents, physicians, and nurses.</div></div><div><h3>Results</h3><div>The visual analog scale pain score was 6.79 (1.73) in adolescents’ self-assessment of pain. Parents evaluated adolescents’ pain as 6.73 (SD 1.87), physicians as 4.38 (SD 1.90), and nurses as 4.19 (SD 1.78). The overall adolescent-parent agreement was low (Cohen’s weighted κ = 0.201), and there was a discrepancy between adolescent–nurse (κ = −0.008) and adolescent–physician agreement (κ = 0.005). Pain assessment reliability between adolescents and parents was good (intraclass correlation coefficient, 0.772; 95% CI, 0.719-0.815), whereas it was moderate between adolescents and nurses (intraclass correlation coefficient, 0.591; 95% CI, 0.496-0.669) and weak between adolescents and physicians (intraclass correlation coefficient, 0.353; 95% CI, −0.157 to 0.627).</div></div><div><h3>Discussion</h3><div>The reliability of pain assessment between adolescents and parents was good. The pain assessment scores of physicians and nurses were lower than adolescents themselves and their parents. Parents’ assessment of pain should be taken into account when adolescents’ self-reports are unavailable.</div></div>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"52 3","pages":"Pages 675-685"},"PeriodicalIF":2.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145551596","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":"Nursing-Led Quality Improvement Project Achieves 30-Minute Door-to-Needle Time","authors":"Kayla Powell MSN, RN,&nbsp;Abigail Hebb DNP, RN, NE-BC, CMSRN,&nbsp;Christopher T. Hackett MA","doi":"10.1016/j.jen.2025.10.013","DOIUrl":"10.1016/j.jen.2025.10.013","url":null,"abstract":"<div><h3>Introduction</h3><div>Despite efforts made within the emergency department, delays in intravenous thrombolytic time via telestroke remain.</div></div><div><h3>Methods</h3><div>A quality improvement project streamlined stroke care, focusing on workflow optimization, education, improved communication, and real-time feedback, aiming to reduce door-to-needle time.</div></div><div><h3>Results</h3><div>A retrospective analysis revealed a reduction in door-to-needle time of 18.05 minutes (95% CI, 7.70-28.41; <em>P</em> = .001) was achieved. Achievement of door-to-needle time goals (30, 45, and 60 minutes) was met after implementation (adjusted <em>P</em> &lt; .005). A higher proportion of intravenous thrombolytic rates occurred after implementation (45 [14.0%] vs 79 [8.1%]; adjusted odds ratio, 1.91; 95% CI, 1.29-2.84; <em>P</em> = .001).</div></div><div><h3>Discussion</h3><div>A telestroke-enabled primary stroke center consistently achieved &lt;30-minute door-to-needle time through a nurse-led workflow emphasizing early stroke alert and computed tomography.</div></div>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"52 3","pages":"Pages 642-648"},"PeriodicalIF":2.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145566284","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 Innovative Online Approach to Certification Success","authors":"Lori Christine Price BSN, RN, TCRN,&nbsp;Ellen M. Harvey DNP, APRN, ACNS-BC, CCRN, TCRN, SCRN, FCNS, FCCM FAAN,&nbsp;Kimberly Ferren Carter PhD, RN","doi":"10.1016/j.jen.2025.11.015","DOIUrl":"10.1016/j.jen.2025.11.015","url":null,"abstract":"<div><div>Certification is an important aspect of nursing practice, contributing to clinical nursing performance, satisfaction, and improved health care outcomes. Emergency, trauma, and transport nurses seek certification to validate and advance their professional practice. Despite its importance, traditional certification preparation interventions can be resource and time intensive. This paper presents an innovative online strategy successfully implemented and replicated to increase trauma certified registered nurse (TCRN) and critical care registered nurse (CCRN®) rates in a regional level 1 trauma center in the mid-Atlantic. Developed by a frontline nurse, with a focus on accessibility and flexibility, an online platform promoted virtual collaboration, facilitated quick communication, and enabled access to numerous resources in one place. Led by local subject matter experts, 1-hour live and recorded study group sessions were held every other week reviewing key examination blueprint content. The content presentation was followed by group study question practice and case study discussions. The certification strategy initially resulted in 12 inpatient nurses earning TCRN and 18 inpatient nurses earning CCRN®. The program was replicated for trauma certified registered nurse certification review across a 6-hospital health system. The program was awarded the Board of Certification for Emergency Nursing National Certification Champion Award – Large Healthcare Organization category in 2023. The success of this approach demonstrates its potential for broader applications across various health care settings. Organizations seeking to enhance their certification rates may benefit from adopting this toolkit, which offers a structured and supportive pathway for nurses to achieve professional growth and improve outcomes.</div></div>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"52 3","pages":"Pages 625-633"},"PeriodicalIF":2.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145935912","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":"Best Practices of Emergency Department Triage Training: A Systematic Review and Meta-Analysis Protocol","authors":"Thanakrit Jeamjitvibool MSN, RN,&nbsp;Krisada Suamchaiyaphum MSN, RN,&nbsp;Sasithorn Tomon MSN, RN,&nbsp;Siripan Naknoi PhD, MSN, RN","doi":"10.1016/j.jen.2025.10.001","DOIUrl":"10.1016/j.jen.2025.10.001","url":null,"abstract":"<div><h3>Introduction</h3><div>Accurate triage in emergency departments is critical to patient safety and resource management. Despite the widespread use of validated triage tools, decision-making inconsistencies remain, often owing to inadequate or variable training. Previous research suggests that structured training interventions can improve triage performance, but there is no consolidated evidence to guide best practices in training design.</div></div><div><h3>Objective</h3><div>This protocol outlines a systematic review and meta-analysis to synthesize quantitative evidence on the effectiveness of triage training interventions for emergency nurses. The review aims to identify which training modalities are most effective in improving triage accuracy and related outcomes.</div></div><div><h3>Methods</h3><div>The review will follow the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. A comprehensive search will be conducted in PubMed, Cumulative Index to Nursing and Allied Health Literature, Embase, Scopus, and Web of Science using both Medical Subject Headings terms and free-text keywords. Eligible studies will include randomized controlled trials, quasi-experimental, and pre-post intervention studies involving emergency nurses and reporting accurate triage rate performance outcomes. Two independent reviewers will conduct study selection, data extraction, and quality appraisal using the Joanna Briggs Institute critical appraisal tools. A meta-analysis will be performed depending on whether random-effects or fixed effects are used for heterogeneity. Systematic synthesis will be conducted if meta-analysis is not feasible. This protocol is registered in PROSPERO (registration no: CRD42025115681).</div></div><div><h3>Discussion</h3><div>Findings from this review will inform evidence-based triage education, supporting ED leaders and nurse educators in implementing effective training programs to improve decision making and patient safety.</div></div>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"52 3","pages":"Pages 655-660.e1"},"PeriodicalIF":2.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145446469","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":"Author Response to Letter on \"Attitudes and Barriers of Emergency Nurses and Physicians Toward Family Presence During Resuscitation in Iran\" Article","authors":"Mehdi Mohammadian Amiri MD,&nbsp;Murat Yıldırım PhD,&nbsp;Zohreh Hosseini Marznaki MSc","doi":"10.1016/j.jen.2025.11.012","DOIUrl":"10.1016/j.jen.2025.11.012","url":null,"abstract":"","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"52 3","pages":"Page 538"},"PeriodicalIF":2.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147755440","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":"Moving From Debate to Action: Adaptive and Family-Centered Strategies for Safe Family Presence During Resuscitation","authors":"Iman Nurjaman S.Kep, Ners., M.Kep., CWCCA, CSI,&nbsp;Winasari Dewi S.Kep, Ners., M.Kep.,&nbsp;Santi Rinjani S.Kep, Ners, M.Kep.,&nbsp;Yani Annisa Fauziah Bastian S.Kep, Ners., M.Kep,&nbsp;Yusni Ainurrahmah S.Kep., Ners., M.Si","doi":"10.1016/j.jen.2025.10.020","DOIUrl":"10.1016/j.jen.2025.10.020","url":null,"abstract":"","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"52 3","pages":"Pages 538-540"},"PeriodicalIF":2.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147755445","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":"Empowering Emergency Nursing Leaders: An Innovative Nursing Leadership Retreat","authors":"Cathlyn Robinson MSc(A), RN, CEN, TCRN","doi":"10.1016/j.jen.2025.08.012","DOIUrl":"10.1016/j.jen.2025.08.012","url":null,"abstract":"<div><div>As key members of emergency department teams, nurse leaders require innovative and targeted educational opportunities to promote learning, professional growth, and colleagueship. A nursing leadership retreat, designed to meet the needs of 25 ED Directors of Nursing from a large academic health care system in the northeastern United States, will be described.</div></div>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"52 3","pages":"Pages 568-572"},"PeriodicalIF":2.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147755449","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":"Recognition and Management of Pregnancy-Associated Venous Thromboembolism","authors":"John Ramos MMS, PA-C, CAQ-EM","doi":"10.1016/j.jen.2025.10.022","DOIUrl":"10.1016/j.jen.2025.10.022","url":null,"abstract":"<div><div>Pregnancy-associated venous thromboembolism is a leading cause of maternal mortality, particularly in the postpartum period. Thrombotic risk is heightened by physiological adaptations of pregnancy, including hypercoagulability, venous stasis, and vascular compression. Clinical signs and symptoms of pregnancy-associated venous thromboembolism such as edema and shortness of breath are frequently normal findings in pregnancy. Given the overlap of pathology and physiology, there is a low threshold for evaluation in the emergency department. Computed tomography is the gold standard for diagnosing pulmonary embolism. Noninvasive testing strategies use ultrasound and D-dimer testing to avoid chest imaging in patients with a low pretest probability for pregnancy-associated pulmonary embolism. Advanced emergency clinicians can influence maternal and fetal outcomes through evidence-based test selection and treatment.</div><div>Management of pregnancy-associated pulmonary embolism is guided by hemodynamic status. Patients with a low risk of short-term mortality are typically managed with anticoagulation for a minimum of 3 months and through 6 weeks postpartum. Hemorrhagic complications occur in less than one-third of patients treated with anticoagulation. The presence of hypotension, hypoxemia, and/or right ventricular dysfunction may necessitate urgent reperfusion. Reperfusion strategies include catheter-directed thrombolysis, mechanical or surgical thrombectomy, or, less frequently, systemic thrombolysis or extracorporeal membrane oxygenation. Early nonpharmacologic reperfusion should be considered for those who are at a higher risk of hemorrhagic complications.</div></div>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"52 3","pages":"Pages 583-592"},"PeriodicalIF":2.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147755451","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}