Journal of Emergency Nursing最新文献

{"title":"The Relationship Between Violence Tendency Levels and Intolerance of Uncertainty in Adults Presenting to the Emergency Department.","authors":"Canan Demir Barutcu, Hale Turhan Damar","doi":"10.1016/j.jen.2025.04.018","DOIUrl":"https://doi.org/10.1016/j.jen.2025.04.018","url":null,"abstract":"<p><strong>Introduction: </strong>This study aimed to investigate the relationship between the tendency toward violence and intolerance of uncertainty levels in patients presenting to emergency departments and associated factors.</p><p><strong>Methods: </strong>The study was a descriptive, cross-sectional design. The research sample consisted of 315 patients who had presented to the emergency department. Data were collected using the patient descriptive characteristics form, the Intolerance of Uncertainty Scale-12, and the violence tendency scale.</p><p><strong>Results: </strong>The average age of the patients was 35.52 (SD = 17.2) years. Of the sample, 56.8% were male, 57.5% were single, and 37.8% were high school graduates. Multiple regression analysis identified significant predictors of violence tendency, including being single (β = .135; P = .012), lower educational status (β = -.199; P < .001), lower satisfaction with emergency services (β = -.133; P = .015), higher prospective anxiety (β = .175; P = .004), and higher inhibitory anxiety (β = .130; P = .029).</p><p><strong>Discussion: </strong>This study highlights the importance of understanding violence tendency in emergency departments from the patient's perspective, revealing key factors such as intolerance of uncertainty, satisfaction with care, and sociodemographic characteristics. It is recommended that health managers take measures to increase patient satisfaction as well as raise social awareness and develop strategies to prevent violence against health care workers.</p>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210183","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":"Patient-Reported Symptoms of Acute Coronary Syndrome in the Prehospital Period in a Prospective Study: Implications for Emergency Nurse Triage, Diagnosis, and Clinical Outcomes.","authors":"Jessica K Zègre-Hemsey, Eugenia Wong, Jamie Crandell, Wayne Rosamond, Kevin Chronowski, Kyle Ronn, Jane H Brice, Joseph Grover, Victoria Vaughan Dickson, Debra K Moser, Holli A DeVon","doi":"10.1016/j.jen.2025.04.016","DOIUrl":"10.1016/j.jen.2025.04.016","url":null,"abstract":"<p><strong>Introduction: </strong>Improving the prompt recognition of acute coronary syndrome symptoms in the prehospital period may reduce total ischemic time and improve patient outcomes. This study aimed to evaluate the occurrence, severity, and changes in patient-reported symptoms between the prehospital period and the emergency department and determine whether symptoms predicted an acute coronary syndrome diagnosis and/or adverse patient outcomes (eg, death).</p><p><strong>Methods: </strong>Individuals who were ≥21 years old and transported by emergency medical services with nontraumatic chest pain or anginal equivalent symptoms were eligible. Patients completed the Acute Coronary Syndrome Symptom Checklist in the ambulance and on arrival to the emergency department. Chi-square, t tests, and logistic regression were used, adjusting for age, sex, and race, to estimate associations between symptoms and acute coronary syndrome diagnoses and adverse events within 30 days.</p><p><strong>Results: </strong>The sample included 206 individuals. Chest pain was the chief complaint at T1 and T2. Participants reporting chest pressure, shoulder pain, palpitations, lightheadedness, and chest pain were significantly younger than participants without these symptoms. Sweating at T1 was associated with increased odds of an acute coronary syndrome diagnosis (odds ratio, 3.24, P = .01). At T2, chest discomfort and unusual fatigue were predictive of acute coronary syndrome diagnosis (odds ratio, 2.59 and 2.98; P < .045 and P < .03, respectively). Patients experiencing shortness of breath at either T1 or T2 had significantly increased odds of adverse events (odds ratio, 3.96 and 3.26, respectively; P = .02 and P = .04). Six symptoms decreased by ED arrival.</p><p><strong>Discussion: </strong>Chest symptoms, sweating, fatigue, and shortness of breath should trigger concern for acute coronary syndrome in clinicians. Results indicate the importance of calling emergency medical service, which was associated with a prehospital reduction in symptoms.</p>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12353431/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200693","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":"A Qualitative Analysis of Patient Beliefs and Acceptability of Social Risk Screening in the Emergency Department.","authors":"Kaytlena Stillman, Bianca Luna-Lupercio, Antonina Caudill, Susan Jackman, Joel Geiderman, Sam Torbati, Celina H Shirazipour","doi":"10.1016/j.jen.2025.04.009","DOIUrl":"https://doi.org/10.1016/j.jen.2025.04.009","url":null,"abstract":"<p><strong>Introduction: </strong>The emergency department is an appropriate location to screen for social risks because it serves as a safety net for some of the most vulnerable patients. Several institutions nationwide have adopted this practice, but little is known about patient attitudes toward such screening. The objective of this study was to qualitatively assess patient experience and acceptability of social risk screening in the emergency department.</p><p><strong>Methods: </strong>This was a qualitative study conducted in the emergency department at an urban quaternary hospital. Semistructured interviews were conducted at the bedside with 17 patients who had undergone social risk screening. Reflexive thematic analysis was conducted to explore participants' experiences and attitudes toward social risks and the screening process.</p><p><strong>Results: </strong>Patients were able to appreciate the ways in which social risks in their own lives affect their physical health. Despite the general perception that patients may find questions about social risks too sensitive, participants in this study overwhelmingly expressed feeling comfortable answering the screening questions. Four themes were identified encompassing these perspectives: (1) social risks affect physical health, (2) social risk screening benefits vulnerable patients, (3) patients feel comfortable answering social risk questions, and (4) screening questions are comprehensive. Patients identified previous health care experience as a missing component that was not evaluated by the screener despite this not traditionally being considered a social need.</p><p><strong>Discussion: </strong>The findings from this study provide insight into patient attitudes and perspectives on social risk screening in the emergency department. Further work is needed to understand how questions about previous health care experience may contribute to the screening process.</p>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144163837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Family Experience in Making the Decision to Be Present With the Child During Invasive Procedures and/or Cardiopulmonary Resuscitation: A Qualitative Systematic Review","authors":"Cristiana Araújo Guiller Ferreira PhD, RN,&nbsp;Vilanice Alves de Araújo Püschel PhD, RN,&nbsp;Maria Magda Ferreira Gomes Balieiro PhD, RN,&nbsp;Myriam Aparecida Mandetta PhD, RN","doi":"10.1016/j.jen.2025.04.011","DOIUrl":"10.1016/j.jen.2025.04.011","url":null,"abstract":"<div><h3>Introduction</h3><div>Family presence during invasive procedures<span><span> and cardiopulmonary resuscitation has been studied, emphasizing the benefits for children, families, and the health care team. Therefore, there are several aspects that need deeper understanding such as values, beliefs, long-term effects, and relevant information for the family’s decision-making process. The aim was to understand the family’s decision-making process regarding whether or not to be present with the child during invasive procedures and cardiopulmonary resuscitation in the neonatal and </span>pediatric<span> inpatient and emergency departments.</span></span></div></div><div><h3>Methods</h3><div><span>A qualitative systematic review<span> was conducted according to the JBI evidence synthesis manual. The databases MEDLINE, CINAHL, </span></span>Embase<span>, PsycINFO<span>, Web of Science Core Collection, LILACS, and Scopus were searched. Studies were grouped using the JBI meta-aggregation method. The emerging themes were reviewed using the ConQual approach to establish confidence in the results.</span></span></div></div><div><h3>Results</h3><div>Ten studies were included in the review. Data analysis revealed 5 synthesized findings: vulnerability, choice, beliefs, family’s needs to support their decision, and resolution, which shows the family’s preference to be with or not with the child at all times and in all circumstances, motivated by their desire to care for the child and fulfill their moral duty.</div></div><div><h3>Discussion</h3><div>The family’s decision-making process is characterized by a commitment to the child’s well-being, taking into account the family’s moral obligation to care for the child in all circumstances. Institutional policies ought to encompass provisions for family presence during cardiopulmonary resuscitation and invasive procedures, thereby ensuring the preservation of family autonomy in decision making.</div></div>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"51 5","pages":"Pages 879-891"},"PeriodicalIF":2.3,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144151749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Using Thermomechanical Stimulation and Virtual Reality Glasses During Peripheral Intravenous Catheterization on Pain and Patient Satisfaction: A Randomized Controlled Trial","authors":"Zuleyha Setenay Serin MSN, RN,&nbsp;Ebru Erek Kazan PhD, RN","doi":"10.1016/j.jen.2025.04.005","DOIUrl":"10.1016/j.jen.2025.04.005","url":null,"abstract":"<div><h3>Introduction</h3><div>Peripheral intravenous catheterization<span> is a painful procedure that can be uncomfortable for patients. This study was conducted to determine the effects of using a thermomechanical stimulation device and virtual reality glasses on pain and patient satisfaction during peripheral intravenous catheterization procedure in adult patients.</span></div></div><div><h3>Methods</h3><div><span>The research was conducted as a randomized controlled experimental study between June 2021 and February 2022. The sample consisted of 126 voluntarily participating patients. Patients were randomized homogeneously according to sex into the thermomechanical stimulation group, the virtual reality glasses group, or the control group. During peripheral intravenous catheterization procedures, patients in the thermomechanical stimulation group were treated with a cold vibrating device and patients in the virtual reality glasses group were shown a nature video. Data were collected using a baseline demographics form and a visual analog scale<span>. The pain visual analog scale ranges from 0 to 10, with 0 being the best, and the satisfaction visual analog scale ranges from 0 to 10, with 10 being the best. The study was conducted based on Consolidated Standards of Reporting Trials guidelines, and the </span></span><span><span>ClinicalTrials.gov</span><svg><path></path></svg></span> ID number of the study is <span><span>NCT05422287</span><svg><path></path></svg></span>.</div></div><div><h3>Results</h3><div>Visual analog scale pain scores with mean (SD) for the virtual reality glasses, thermomechanical stimulation, and control groups were 2.71 (SD 1.45) 2.66 (SD 1.22), and 4.85 SD (1.71), respectively. Visual analog scale satisfaction scores with mean (SD) for the virtual reality glasses, thermomechanical stimulation, and control groups were 8.19 (SD 1.40), 8.30 (SD 1.52), and 6.11 (SD 1.31), respectively. Thus, the pain scores of patients in both experimental groups were statistically and clinically significantly lower than those in the control group and their satisfaction scores increased (<em>P</em>&lt;.05). Reductions in pain and increases in patient satisfaction did not differ statistically between the thermomechanical stimulation and virtual reality glasses groups (<em>P</em>&gt;.05).</div></div><div><h3>Discussion</h3><div>Thermomechanical stimulation and virtual reality glasses were found to reduce pain and increase patient satisfaction during peripheral intravenous catheterization insertion in adult patients. It is recommended that nurses use thermomechanical stimulation or virtual reality glasses during peripheral intravenous catheterization procedures.</div></div>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"51 5","pages":"Pages 925-935"},"PeriodicalIF":2.3,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Oral Syringe Versus Drug Pacifier for Delivery of Oral Antipyretic Medication: A Randomized Controlled Trial","authors":"Sermin Dinç PhD, MSc, RN ,&nbsp;Duygu Gözen PhD, MSc, RN","doi":"10.1016/j.jen.2025.04.006","DOIUrl":"10.1016/j.jen.2025.04.006","url":null,"abstract":"<div><h3>Introduction</h3><div>Fever is 1 of the most common symptoms in children, and oral paracetamol<span><span> is 1 of the most preferred antipyretic and analgesic agents for treating fever. Administering the full dose is key to effectively managing symptoms, which necessitates a method to prevent dose loss. This study compared 2 different drug delivery methods used for oral </span>paracetamol administration in terms of clinical efficacy.</span></div></div><div><h3>Methods</h3><div><span>After obtaining ethical approval, the study was conducted with 100 eligible children aged 0 to 24 months who presented to a university hospital pediatrics<span> department between January 2021 and February 2022. The children were randomly assigned to the drug pacifier (n = 50) and oral syringe groups (n = 50). Data were collected using a patient information form and the Face, Legs, Activity, Cry, and Consolability pain scale. Vital signs were recorded before and 15, 30, 45, and 60 minutes after drug administration. In addition, Face, Legs, Activity, Cry, and Consolability pain scores were recorded by a parent, researcher, and nurse observer at the same time points. The observer nurse also noted any spillage of the drug during oral administration by the nurse to the children in both groups. (Clinical Trial Registry: </span></span><span><span>NCT05366049</span><svg><path></path></svg></span>)</div></div><div><h3>Results</h3><div>There was no significant difference between the groups in terms of body temperature before or after drug administration (<em>P</em>&gt;.05). Heart rate and respiratory rate were significantly lower in the drug pacifier group starting at minute 30 (<em>P</em><span>&lt;.05). Oxygen saturation was significantly higher in the drug pacifier group from minute 45 (</span><em>P</em> = .001). In pain comparisons, there was no significant difference between the groups in the mean scores given by the parent, nurse observer, and researcher before drug administration, whereas the drug pacifier group had statistically significantly lower pain scores than the oral syringe group at all post-drug administration time points (15, 30, 45, and 60 minutes) (<em>P</em>&lt;.05). Interobserver agreement was high at all measurement times.</div></div><div><h3>Discussion</h3><div>Using a drug pacifier for paracetamol, drug administration was more effective in delivering the target drug dose. Given the higher dose accuracy and positive effect on vital signs, we recommend using the drug pacifier in very young children.</div></div>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"51 5","pages":"Pages 913-924"},"PeriodicalIF":2.3,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Integrative Review of Factors Contributing to Workplace Violence Against Nurses in Thai Emergency Departments","authors":"Aekkachai Fatai MSN, RN,&nbsp;Wannachart Talerd MSN, RN,&nbsp;Sittipong Siriprathum MSN, RN,&nbsp;Anusorn Karaket MSN, RN","doi":"10.1016/j.jen.2025.04.007","DOIUrl":"10.1016/j.jen.2025.04.007","url":null,"abstract":"<div><h3>Introduction</h3><div>Workplace violence in health care settings, especially in emergency departments, is a significant concern worldwide. Both physical and psychological violence affect emergency nurses as frontliners. This integrative review aimed to synthesize the literature on the factors contributing to workplace violence in Thai emergency departments.</div></div><div><h3>Methods</h3><div><span>This study was conducted using Whittemore and Knafl’s framework. A search strategy used 7 databases, including PubMed, CINAHL, ERIC, </span>PsycINFO, MEDLINE, Google Scholar, and ThaiJo, covering articles from 2014 to 2024. Eleven studies were included in the final review. Data were extracted into individual, patient, environmental, organizational, and Thai cultural factors.</div></div><div><h3>Results</h3><div>The results suggested that nurses with less than 10 years of experience had a high risk of workplace violence. Patient-related factors, such as substance abuse and mental health conditions such as schizophrenia, bipolar disorder, and severe depression, were significant contributors to violence. Environmental factors such as overcrowding, understaffing, and a lack of security measures exacerbated the risk. Organizational issues, such as insufficient procedures and reporting systems, increased the violence, given that the lack of reporting mechanisms allowed violence to go unaddressed, worsening workplace safety. Cultural factors in Thailand, such as a lack of understanding of patient screening severity, contribute to the complexity of workplace violence.</div></div><div><h3>Discussion</h3><div>Addressing workplace violence in Thai emergency departments requires a multifaceted approach, including policy reforms, staff training, improved security, and cultural sensitivity. Effective interventions can lead to safer working environments for nurses and improved patient care.</div></div>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"51 5","pages":"Pages 961-971"},"PeriodicalIF":2.3,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recognizing Clues Associated With Angioedema of the Small Intestine: A Case Report","authors":"Tressa Pedroff PhD, RN, CNE,&nbsp;Romuald Delacroix DNP, APRN, FNP-C","doi":"10.1016/j.jen.2025.04.012","DOIUrl":"10.1016/j.jen.2025.04.012","url":null,"abstract":"<div><div>Angiotensin-converting enzyme inhibitors are commonly prescribed for managing cardiovascular conditions<span><span><span>, but they can cause adverse reactions, such as dry persistent </span>cough, </span>hyperkalemia<span><span><span>, and the serious side effect<span><span> of angioedema affecting the face, mouth, and </span>tongue<span>. In some cases, angiotensin-converting enzyme inhibitors may also cause angioedema of the </span></span></span>small intestine<span>. A case report highlights the diagnostic journey of a 39-year-old female who presented with several months of afebrile, nonspecific gastrointestinal symptoms<span>, including severe abdominal pain, bloating, nausea, and diarrhea. Despite multiple visits to the emergency department and extensive testing, including abdominal </span></span></span>computed tomography scans, the underlying cause of her symptoms was not immediately identified.</span></span></div><div>The case report underscores the challenges health care providers face in diagnosing visceral angioedema and the crucial role of emergency nurses in recognizing key warning signs such as nonspecific abdominal complaints in patients on angiotensin-converting enzyme inhibitor therapy. Early identification of this condition can prevent unnecessary procedures, prevent prolonged symptoms, and improve patient outcomes. This case emphasizes the need for increased awareness about angiotensin-converting enzyme inhibitor–induced angioedema of the small intestine. Health care providers should consider it in the differential diagnosis, particularly in patients prescribed angiotensin-converting enzyme inhibitors presenting with abdominal symptoms.</div></div>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"51 5","pages":"Pages 808-815"},"PeriodicalIF":2.3,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beyond Nurse Efficiency: A Multilevel Analysis of Nurse, Contextual, and Patient-Related Factors in Triage Duration","authors":"Arian Zaboli RN, MSN,&nbsp;Francesco Brigo MD,&nbsp;Gloria Brigiari MD,&nbsp;Magdalena Massar MSc,&nbsp;Norbert Pfeifer MD,&nbsp;Gianni Turcato MD","doi":"10.1016/j.jen.2025.04.008","DOIUrl":"10.1016/j.jen.2025.04.008","url":null,"abstract":"<div><h3>Introduction</h3><div>This study aimed to investigate the factors influencing triage duration in emergency departments, comparing the impact of individual nurse characteristics with contextual and patient-related variables.</div></div><div><h3>Methods</h3><div>This monocentric retrospective observational design, conducted from January 1, 2016, to December 31, 2022, analyzed 382,027 triage events at Merano Hospital. Data from periods affected by the coronavirus disease 2019 pandemic were excluded to ensure analysis under standard emergency conditions. Triage durations were evaluated using statistical models, including random effects, to capture both individual and systemic influences.</div></div><div><h3>Results</h3><div>A total of 51 nurses performed triage, with a median time of 1.9 minutes (interquartile range, 1.1-3.7). Nurse-related factors accounted for only 11.5% of the variability, whereas patient and contextual factors had greater influence. Older patients had longer triage times (+0.0079 min/y; <em>P</em>&lt;.001). Arrival by ambulance increased triage time by 0.287 minutes compared with independent arrivals (<em>P</em>&lt;.001). Higher priority levels were linked to shorter triage times, with priority 1 patients assessed 0.604 minutes faster (<em>P</em>&lt;.001). Night admissions reduced triage times by 2.137 minutes (<em>P</em>&lt;.001), whereas increased emergency department workload prolonged them (+0.692 minutes per additional patient; <em>P</em>&lt;.001).</div></div><div><h3>Discussion</h3><div>Triage models should incorporate a broader range of contextual and patient-related factors rather than focusing predominantly on nurse efficiency. Further research is needed to comprehensively identify the determinants of triage performance, with the goal of optimizing both speed and quality in emergency care.</div></div>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"51 5","pages":"Pages 816-825.e2"},"PeriodicalIF":2.3,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigation of Emergency Nurses in Detecting Foreign Bodies in Soft Tissues With Ultrasonography: A Manikin Study","authors":"Turgay Yılmaz Kilic MD,&nbsp;Caner Saglam MD,&nbsp;Hasan Idil MD,&nbsp;Ejder Saylav Bora MD,&nbsp;Birdal Güllüpınar MD,&nbsp;Yesim Eyler MD,&nbsp;Huriye Akay MD,&nbsp;Gamze Şıracı EN","doi":"10.1016/j.jen.2025.04.010","DOIUrl":"10.1016/j.jen.2025.04.010","url":null,"abstract":"<div><h3>Introduction</h3><div><span>Foreign bodies in the soft tissue are a critical clinical condition after </span>traumatic injuries<span><span>. Physical examination is unreliable, and plain radiographs cannot detect radiolucent foreign bodies. In our study, we investigated emergency nurses’ foreign body detecting skills on soft tissue with focused </span>ultrasonography.</span></div></div><div><h3>Methods</h3><div>This study was planned prospectively with 8 emergency nurses. Emergency nurses underwent 3 hours of theoretical and practical training in imaging foreign bodies with ultrasonography. Chicken thighs were used as foreign body manikins. Metal, wood, and glass materials were used as foreign bodies. After the investigations of manikins, emergency nurses stated whether or not foreign bodies were detected.</div></div><div><h3>Results</h3><div>Eight emergency nurses performed 384 sonographic examinations. Median postgraduate years of emergency nurses were 6.5 years (interquartile range, 4.5; minimum, 3; maximum, 11). This study showed that foreign body detection with ultrasonography had 87.5% (95% CI, 81.5-92.1) sensitivity, 77.4% (95% CI, 70.3-83.5) specificity, 79.5% (95% CI, 74.1-83.7) positive predictive value, 86.1% (95% CI, 80.5-90.3) negative predictive value, and 82.4% (95% CI, 78-86.4) accuracy.</div></div><div><h3>Discussion</h3><div>Ultrasonography has good sensitivity and moderate specificity for detecting foreign bodies in the soft tissue by emergency nurses.</div></div>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"51 5","pages":"Pages 835-839"},"PeriodicalIF":2.3,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}