Journal of Emergency Nursing最新文献

{"title":"Beyond Necrosis: Early Recognition of Xylazine-Associated Wounds in Emergency Nursing Practice.","authors":"Alexis Skuras","doi":"10.1016/j.jen.2026.07.012","DOIUrl":"https://doi.org/10.1016/j.jen.2026.07.012","url":null,"abstract":"<p><p>Xylazine has emerged as a common adulterant in the illicit drug supply and is increasingly associated with severe skin and soft tissue complications. Existing literature has largely focused on advanced wound presentations characterized by extensive tissue necrosis, hospitalization, and surgical intervention. Although these presentations are clinically significant, they may not reflect the full spectrum of xylazine-associated wounds encountered in emergency nursing practice. Early-stage lesions may present as subtle findings, including superficial ulcerations, papules, pustules, bumps, or multifocal blistering, and may be identified incidentally during clinical encounters. Multiple factors may contribute to underrecognition of these early presentations, including limited clinician familiarity, competing priorities in high-acuity settings, and stigma experienced by individuals with substance use disorders. Delayed recognition may allow progression to more advanced tissue injury requiring intensive treatment. Emergency nurses are uniquely positioned to identify early wound manifestations through routine assessment, trauma-informed communication, and integration of harm reduction principles into care. Increased awareness of early wound characteristics may facilitate earlier recognition, patient education, wound management, and referral to ongoing services. This article reviews current literature on xylazine-associated wounds, highlights distinctions between early and advanced presentations, and discusses implications for emergency nursing practice.</p>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148765513","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":"Mixed Reality-Based Versus Nurse Practitioner-Delivered Wound Care Education in the Emergency Department: A Prospective Randomized Study.","authors":"Jack Yu-Shuo Lu, Tzu-Chi Wu","doi":"10.1016/j.jen.2026.06.025","DOIUrl":"https://doi.org/10.1016/j.jen.2026.06.025","url":null,"abstract":"<p><strong>Introduction: </strong>Virtual reality and related immersive technologies have been increasingly explored as patient education tools, but evidence supporting their role in emergency department--based patient education remains limited.</p><p><strong>Methods: </strong>This prospective, single-center randomized study included emergency department patients with traumatic wounds requiring suturing and/or their primary wound caregivers. Participants were assigned to mixed reality-based wound care education using Meta Quest 3 or conventional nurse practitioner-delivered education. Pretest and posttest knowledge scores and participant-reported outcomes were compared using nonparametric tests.</p><p><strong>Results: </strong>A total of 293 participants were analyzed, including 147 in the control group and 146 in the Meta Quest group. Baseline characteristics did not differ significantly between the groups. Knowledge scores improved significantly from pretest to posttest in both groups (both P < .001). The median score change was 1 in both groups, and the between-group difference did not reach statistical significance (P = .06). Participant-reported comprehension, satisfaction, and confidence were comparable between the groups (all P > .05).</p><p><strong>Discussion: </strong>Mixed reality-based wound-care education was associated with significant short-term improvement in knowledge scores; however, the magnitude of improvement and participant-reported outcomes were comparable to those observed with conventional health care professional-delivered education. These findings support the potential feasibility of mixed reality as an adjunctive modality for standardized wound-care education in the emergency department, although superiority over conventional education was not demonstrated.</p>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148766462","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 Service/Department as an (Un)Favorable Nursing Practice Environment.","authors":"Tânia Sofia Parra Alves, Ana Patrícia Santos Cardoso, José Joaquim Marques Alvarelhão, Pedro Miguel Garcez Sardo","doi":"10.1016/j.jen.2026.06.015","DOIUrl":"10.1016/j.jen.2026.06.015","url":null,"abstract":"<p><strong>Introduction: </strong>Emergency services/departments are complex environments, characterized by high nursing workload and unpredictable patient flow. National and International organizations recommend that health care institutions should develop strategies to promote favorable nursing practice environments. The Practice Environment Scale of the Nursing Work Index is a widely used assessment tool.</p><p><strong>Methods: </strong>Quantitative, cross-sectional study that aimed to evaluate nurses' perceptions of the nursing practice environment in a Portuguese emergency service/department using the Practice Environment Scale of the Nursing Work Index. Data were collected through an electronic form after Ethics Committee approval.</p><p><strong>Results: </strong>Data were obtained from 78 nurses. The nursing practice environment was perceived as a \"mixed environment.\" The dimensions \"nurse manager ability, leadership, and support of nurses,\" and \"collegial nurse-physician relations\" were perceived as \"favorable,\" whereas the dimension \"staffing and resource adequacy\" was perceived as \"unfavorable.\" The dimensions \"nurse participation in hospital affairs\" and \"nursing foundation for quality of care\" were perceived as neither \"unfavorable\" nor \"favorable.\" Nurses with postgraduate education had a less favorable perception of collegial nurse-physician relations when compared with those who only have a nursing degree.</p><p><strong>Discussion: </strong>The emergency service/department was perceived as a \"mixed environment.\" There are several items and dimensions assessed through the Portuguese version of the Practice Environment Scale of the Nursing Work Index that could, and should, be the targets of concrete interventions to optimize the nursing practice environment and improve health outcomes in this service and institution. This study may represent the first step toward significantly changing the emergency service/department environment and improve the nursing working conditions.</p>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148727881","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":"Effectiveness of the Bladder Stimulation Technique for Infant Urine Collection in the Pediatric Emergency Department: A Randomized Controlled Trial.","authors":"Nihan Korkmaz, Birsen Mutlu, Sinem Oral Cebeci","doi":"10.1016/j.jen.2026.06.022","DOIUrl":"https://doi.org/10.1016/j.jen.2026.06.022","url":null,"abstract":"<p><strong>Introduction: </strong>Collecting urine samples from nontoilet-trained infants is challenging and time-consuming, and current methods have notable limitations. This study aimed to evaluate the success rate, procedure duration, pain, and physiological effects of the bladder stimulation technique in infants aged 1 to 12 months.</p><p><strong>Methods: </strong>In this randomized controlled trial, 64 infants were assigned to either an experimental group receiving the bladder stimulation technique or a control group with standard positioning. Data were obtained using a structured form and the face, legs, activity, cry, and consolability (FLACC) pain scale. The procedure was considered successful if urine was collected within 3 minutes, and the procedure duration was measured as the time until urine collection. Heart rate, oxygen saturation, and FLACC scores were recorded at baseline and at the first and third minutes of the intervention.</p><p><strong>Results: </strong>The experimental group had a higher urine collection success rate than the control group (53.1% vs 25.0%; P = .021), with a relative risk of 2.13 (95% CI, 1.05-4.30) and an absolute risk difference of 28.1% (95% CI, 5.8%-50.4%). Median procedure duration did not differ significantly between the groups (46 vs 82.5 seconds; P = .38). FLACC scores increased over time in both groups (P < .001), with a rise from 2 to 3 points in the experimental group (P < .001) but not in the controls (P = .30). Heart rate increased and peripheral oxygen saturation decreased in both groups (P < .001), without between-group differences (P > .05).</p><p><strong>Discussion: </strong>The bladder stimulation technique increased the success of procedural urine collection within a predefined 3-minute window in infants aged 1 to 12 months. However, it did not significantly reduce the duration of the procedure. The technique was associated with mild discomfort and no clinically concerning physiological changes under standardized study conditions. Because contamination rates, urine culture validity, and subsequent urine collection procedures were not assessed, these findings support the short-term procedural feasibility rather than diagnostic adequacy.</p>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148698246","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 Prioritization of Emergency Waiting Room Patients: A Multisite Observational Study.","authors":"Ellen Benjamin, Lisa Wolf, Ellen Smithline","doi":"10.1016/j.jen.2026.06.021","DOIUrl":"https://doi.org/10.1016/j.jen.2026.06.021","url":null,"abstract":"<p><strong>Introduction: </strong>Research has established the accuracy and reliability of emergency nursing triage. However, little is known about how emergency nurses use assigned triage scores to determine the order of emergency bed assignments. We define acuity-arrival order as the prioritization of patients first by acuity and then by time of arrival.</p><p><strong>Methods: </strong>An observational study was conducted across 6 emergency departments. Participants were emergency nurses in roles responsible for determining emergency bed assignments. Data were collected using demographic questionnaires, a structured data collection tool, and narrative field notes. Analysis included inductive content analysis and descriptive statistics.</p><p><strong>Results: </strong>Overall, 18 observation sessions were completed, including 37 nurse participants. Among 524 patient encounters, 325 bed assignment decisions were observed, of which 57.8% deviated from acuity-arrival order. Prioritization decisions were shaped by variable institutional norms and processes. In small departments, triage scoring was completed inconsistently and did not play a significant role in determining bed assignment order. In large departments, patient prioritization was heavily impacted by the presence of patient streaming processes. Across all study sites, nurses expressed distrust in assigned triage scores and the belief that patient prioritization is a complex and holistic decision.</p><p><strong>Discussion: </strong>Waiting emergency patients do not systematically receive bed assignments according to their assigned triage score or wait time. Instead, patient prioritization is determined through complex considerations of clinical acuity, waiting room safety, patient flow management logistics, and operational expectations. Patient prioritization has been found to be subjective and inconsistent, raising concerns about the quality, safety, and ethics of current emergency practice.</p>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148681006","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":"Communication Cards for Chinese-Speaking Patients in the Emergency Department: Patient and Clinician Experiences.","authors":"Jiaojiao Wright, Simon Paul P Navarro, Sowmya Sanapala, Aaron Orlov, Taylor B Sewell, Paul Martin, Maxim Topaz, Meghan Reading Turchioe","doi":"10.1016/j.jen.2026.06.019","DOIUrl":"https://doi.org/10.1016/j.jen.2026.06.019","url":null,"abstract":"<p><strong>Introduction: </strong>Communication barriers between English-speaking health care professionals and Chinese-speaking patients are especially pronounced in the emergency department, where interpreter services are often inaccessible during rapid clinical interactions. This project aimed to determine the feasibility and acceptability of novel Chinese communication cards for improving communication with Chinese-speaking patients in the emergency department.</p><p><strong>Methods: </strong>A quality improvement project was conducted in an urban emergency department that serves a large Chinese-speaking patient population from December 2023 to July 2024. The intervention consisted of novel communication cards displaying common questions and requests in English and Chinese with accompanying illustrations. Both health care professionals and Chinese-speaking patients were surveyed regarding their use of the cards to inform future iterations. Quantitative and qualitative survey data were analyzed using descriptive statistics and content analysis, respectively.</p><p><strong>Results: </strong>The patient survey was completed voluntarily by 125 participants. Most participants (94%, n = 117) agreed or strongly agreed that the patient card improved communication with health care teams, improved their ED experience (92%, n = 115), and would recommend the patient card to others (95%, n = 119). Qualitative themes included high satisfaction, convenience, autonomy, and inclusivity. The clinician survey was completed anonymously by 75 participants, most of whom were nurses (57%, n = 43). Among the 62 clinicians who reported having used the card, most found it very helpful or extremely helpful (74%, n = 46) and were likely or extremely likely to continue using it (87%, n = 54). Qualitative themes included simplicity, functionality, and timeliness.</p><p><strong>Discussion: </strong>This low-cost intervention was a feasible and acceptable strategy for improving communication and satisfaction among Chinese-speaking patients and health care professionals in the emergency department.</p>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148671418","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":"Febrile Neutropenia as an Oncological Emergency: A Bibliometric Analysis of Nursing Care and Management Research Trends From 2000 to 2025.","authors":"Gürkan Özden, Rana Ceviz, Ahmet Ceviz, Fatma Tubay","doi":"10.1016/j.jen.2026.06.023","DOIUrl":"https://doi.org/10.1016/j.jen.2026.06.023","url":null,"abstract":"<p><strong>Introduction: </strong>Febrile neutropenia is a life-threatening oncologic emergency requiring rapid recognition and intervention. In emergency departments, nurses are central to patient assessment, triage, and care coordination, yet the extent and focus of nursing-led research remain unclear. This study aimed to map global research trends in the nursing care and management of febrile neutropenia over a 25-year period.</p><p><strong>Methods: </strong>A descriptive bibliometric analysis was conducted on 347 peer-reviewed articles published between 2000 and 2025, retrieved from the Web of Science Core Collection on October 5, 2025. Analyses in Bibliometrix (R/Biblioshiny) and VOSviewer examined publication trends, authorship, institutional output, international collaboration, keyword co-occurrence, and thematic evolution.</p><p><strong>Results: </strong>Scientific production increased steadily from 2000, peaking in 2021. The United States contributed the most publications, followed by China, South Korea, and the UK. Febrile neutropenia, chemotherapy, and neutropenia were dominant themes, whereas nursing care, emergency nursing, and evidence-based practice appeared less frequently and in peripheral positions. Only 8.1% of publications appeared in nursing-classified journals, 6% involved nursing-affiliated authors, 4.3% were nurse-led, and 2.6% described specific nursing interventions. Over time, the focus shifted from infection control and pharmacologic management toward outpatient care, guideline implementation, and risk-adapted pathways.</p><p><strong>Discussion: </strong>Although nursing practice is critical to the management of febrile neutropenia, nursing-led research remains underrepresented, with most studies embedded in multidisciplinary frameworks. Future research should prioritize nursing-sensitive outcomes, implementation science approaches, and nurse-led models that strengthen patient safety, triage precision, and continuity of care.</p>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148671339","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":"Implementing a Three-Dimensional-Printed Simulation Program to Improve Emergency Nurse Competence in Intraosseous Device Use: A Quality Improvement Initiative.","authors":"Currie Tighe, Chandra Norder-Brandli, Jason Brauninger, Steven Andrews, Jennifer Kennedy","doi":"10.1016/j.jen.2026.06.012","DOIUrl":"https://doi.org/10.1016/j.jen.2026.06.012","url":null,"abstract":"<p><strong>Introduction: </strong>Intraosseous access is a critical emergency procedure for rapid vascular access when peripheral intravenous insertion fails. Despite endorsement in emergency care guidelines, intraosseous use among clinicians remains limited, often due to inadequate exposure and procedural confidence. This quality improvement project evaluated the effectiveness of a low-cost, three-dimensional -printed simulation-based training intervention on emergency clinicians' intraosseous knowledge, technical proficiency, attitudes, and clinical utilization.</p><p><strong>Methods: </strong>A quasi-experimental, single-group pretest-posttest-follow-up design was implemented in a Midwestern community hospital. A total of 22 emergency clinicians completed a 3-phase \"Crawl-Walk-Run\" training program using anatomically realistic, three-dimensional-printed tibia/humerus intraosseous task trainers. Outcomes were assessed using the validated Intraosseous Training and Readiness Assessment in Nursing instrument and retrospective electronic medical record audits of nurse-initiated intraosseous insertions.</p><p><strong>Results: </strong>Statistically significant improvements were observed in intraosseous knowledge (P < .001, g = 1.31) and technical skills (P < .001, g = 1.23), with sustained gains at 3-month follow-up. Confidence increased immediately post-training (P < .001) but declined modestly over time (P = .43). Electronic medical record review identified 5 successful nurse-initiated IO insertions within 3 months following the intervention, all achieving first-pass success, compared with 0 in the previous year comparison period.</p><p><strong>Discussion: </strong>A low-cost, three-dimensional-printed simulation program significantly improved emergency clinicians' intraosseous knowledge, skill proficiency, and short-term clinical utilization. These findings support three-dimensional-printed simulation as a sustainable educational strategy to enhance readiness for high-acuity, low-occurrence procedures in emergency nursing practice.</p>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148654965","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":"Resilience of Emergency Nurses During Disasters: A Qualitative Study.","authors":"Yasemin Özhanlı, Şükriye Şahin, Ayşegül Güneş","doi":"10.1016/j.jen.2026.06.003","DOIUrl":"https://doi.org/10.1016/j.jen.2026.06.003","url":null,"abstract":"<p><strong>Introduction: </strong>Nurses working in emergency departments during disaster situations (eg, mass casualty incidents) must cope with intense and often traumatic experiences while providing rapid, lifesaving care. This challenging environment requires significant physical, psychological, and emotional resilience and exposes nurses to a variety of influences while fulfilling their professional roles. This study aimed to gain an in-depth understanding of resilience among emergency nurses in disaster contexts and the factors shaping their resilience, with the aim of informing strategies to support their coping mechanisms.</p><p><strong>Methods: </strong>This is a qualitative research study that aims to explore the disaster experiences of the participants. The data were collected between October and November 2025 at a hospital in Kocaeli province, Türkiye, using a semistructured interview form. In-depth interviews were conducted face-to-face with 20 nurses, and each interview lasted 45 minutes. The data obtained were evaluated using thematic analysis.</p><p><strong>Results: </strong>Three main themes were identified as a result of the analysis: factors that increase resilience, factors that decrease resilience, and long-term effects of disaster experience. Factors enhancing resilience included professional competence, previous disaster experience, effective teamwork, and psychosocial support. In contrast, exposure to intense emotional burden, inadequate resources, high workload, and fear for personal and family safety were found to undermine resilience. The long-term effects of disaster experience encompassed both negative outcomes, such as emotional exhaustion and psychological distress, and positive outcomes, including strengthened professional identity, increased preparedness, and enhanced coping capacity.</p><p><strong>Discussion: </strong>The findings indicate that nurses' resilience during disaster situations is shaped by a complex interaction of individual, professional, and organizational factors. Although professional experience, teamwork, and psychosocial support strengthen resilience, emotional burden, resource limitations, and prolonged exposure to disaster-related stressors may weaken it. Disaster experiences also have lasting effects on nurses, influencing both their psychological well-being and professional development. This study strongly emphasizes the need to develop institution-based policies and interventions that will support the sustainable resilience of emergency nurses during and after disasters.</p>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622458","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 Pediatric Assessment Triangle and Pediatric Early Warning Score Triage on Success in Patient Assessment in Pediatric Emergency Department.","authors":"Selin Salmak, Abdülkadir Utar, Ertuğrul Sunaç, Neslihan Zengin, Hüseyin Enes Belen, Alkan Bal","doi":"10.1016/j.jen.2026.06.007","DOIUrl":"https://doi.org/10.1016/j.jen.2026.06.007","url":null,"abstract":"<p><strong>Introduction: </strong>Effective pediatric triage requires a balance between rapid visual assessment and objective physiological monitoring; however, the comparative efficacy of the Pediatric Assessment Triangle and the Pediatric Early Warning Score in predicting critical clinical outcomes within real-world emergency settings is not yet fully established. This study aimed to evaluate and compare the effectiveness of the Pediatric Assessment Triangle and the Pediatric Early Warning Score used in the triage assessment of patients presenting to a pediatric emergency department.</p><p><strong>Methods: </strong>This descriptive-correlational study was conducted in the pediatric emergency department of a university hospital in July 2025 with 1964 patients. The Pediatric Assessment Triangle triage was performed by a nurse in the pediatric emergency department, and the physician triage was confirmed based on a physician's physical examination. The Pediatric Early Warning Score was used alongside the Pediatric Assessment Triangle for 1 month. The agreement between the Pediatric Assessment Triangle and the Pediatric Early Warning Score and the physician's triage results was analyzed.</p><p><strong>Results: </strong>Notably, 55.1% of the children were male, and the mean age was 6.10 ± 4.99 years; 95.2% of the children presented as outpatients, and the mean length of stay in the emergency department was 63.26 ± 96.96 minutes. The raw agreement level between the Pediatric Assessment Triangle and physician triage areas is 97.8% (kappa = 0.869). The Pediatric Early Warning Score was found to be significant in predicting hospitalization, and concordance with the physician triage result was 94.3%. Significant differences were found between the Pediatric Assessment Triangle and the Pediatric Early Warning Score in terms of hospitalization, length of stay in the emergency department, presentation, resource utilization, consciousness, and saturation levels (P < .001).</p><p><strong>Discussion: </strong>The findings demonstrate that the Pediatric Assessment Triangle and the Pediatric Early Warning Score are effective in patient triage in pediatric emergency departments and can be used together.</p>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622415","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}