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Journal of Emergency Nursing最新文献

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Use of the Dynamic Appraisal of Situational Aggression Tool to Predict Violence in the Emergency Department and Other Acute Care Settings. 使用情境攻击的动态评估工具来预测急诊科和其他急症护理环境中的暴力行为。
IF 2.3 4区 医学
Journal of Emergency Nursing Pub Date : 2025-08-28 DOI: 10.1016/j.jen.2025.07.003
Kiran McCloskey, Gari Leigh Adams, Paula Bird, Keith Murphy
{"title":"Use of the Dynamic Appraisal of Situational Aggression Tool to Predict Violence in the Emergency Department and Other Acute Care Settings.","authors":"Kiran McCloskey, Gari Leigh Adams, Paula Bird, Keith Murphy","doi":"10.1016/j.jen.2025.07.003","DOIUrl":"https://doi.org/10.1016/j.jen.2025.07.003","url":null,"abstract":"<p><strong>Introduction: </strong>Few violence risk assessment instruments have been validated for use among the general population in the emergency department or subsequent acute care settings. This study evaluated the predictive validity of the Dynamic Appraisal of Situational Aggression tool for use with the general population in these settings.</p><p><strong>Method: </strong>The Dynamic Appraisal of Situational Aggression was implemented for all emergency department and acute care admissions within a large health care system in North Carolina in July 2022. A retrospective analysis was conducted with all encounters with individuals aged 18 years or older who were discharged from March 1, 2023 to May 31, 2023. Area under the curve scores from a receiver operating characteristic curve were used to assess the validity of the Dynamic Appraisal of Situational Aggression in predicting the risk of future aggressive incidents.</p><p><strong>Results: </strong>A total of 91,951 encounters were included for analysis, of which 90.57% initially presented to the emergency department. The area under the curve of the Dynamic Appraisal of Situational Aggression in predicting an aggressive incident was .63.</p><p><strong>Discussion: </strong>The Dynamic Appraisal of Situational Aggression had moderate predictive validity for future incidents of violence when used for the general population in the emergency department and other acute care settings. Future research might assess whether reduced clinical variation may increase the validity of the Dynamic Appraisal of Situational Aggression for these settings. Presently, hospitals should consider alternative tools for reducing the incidence of violence in the emergency department.</p>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976903","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}
引用次数: 0
Response to: "Exploring Staff Perceptions Regarding Alarm Fatigue and Practices Among Nurses: A Multicenter Study in the Northern Emirates" 回应：“探索护士对警报疲劳的看法和做法：一项在阿联酋北部的多中心研究”
IF 2.3 4区 医学
Journal of Emergency Nursing Pub Date : 2025-08-26 DOI: 10.1016/j.jen.2025.05.008
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引用次数: 0
Board of Directors 董事会
IF 2.3 4区 医学
Journal of Emergency Nursing Pub Date : 2025-08-26 DOI: 10.1016/S0099-1767(25)00280-6
{"title":"Board of Directors","authors":"","doi":"10.1016/S0099-1767(25)00280-6","DOIUrl":"10.1016/S0099-1767(25)00280-6","url":null,"abstract":"","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"51 5","pages":"Page A10"},"PeriodicalIF":2.3,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144903575","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}
引用次数: 0
Concerns and Recommendations Regarding “Pediatric Respiratory Score in the Triage Form” 关于“儿科呼吸评分分诊表”的关注与建议
IF 2.3 4区 医学
Journal of Emergency Nursing Pub Date : 2025-08-26 DOI: 10.1016/j.jen.2025.04.014
{"title":"Concerns and Recommendations Regarding “Pediatric Respiratory Score in the Triage Form”","authors":"","doi":"10.1016/j.jen.2025.04.014","DOIUrl":"10.1016/j.jen.2025.04.014","url":null,"abstract":"","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"51 5","pages":"Page 777"},"PeriodicalIF":2.3,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144903580","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}
引用次数: 0
When the Nurse Couldn’t Save Herself: Unseen, Unheard, Unrescued—Healing the Human Cost of Health Care’s Collapse 《当护士无法自救：看不见、听不见、无人救援——治愈医疗崩溃的人类成本》
IF 2.3 4区 医学
Journal of Emergency Nursing Pub Date : 2025-08-26 DOI: 10.1016/j.jen.2025.05.009
Kimberly Maurer BS, LPN
{"title":"When the Nurse Couldn’t Save Herself: Unseen, Unheard, Unrescued—Healing the Human Cost of Health Care’s Collapse","authors":"Kimberly Maurer BS, LPN","doi":"10.1016/j.jen.2025.05.009","DOIUrl":"10.1016/j.jen.2025.05.009","url":null,"abstract":"<div><div>Health care has long been viewed as a system built on science, skill, and trust, yet when a clinician becomes a patient, a stark reality emerges: the trust we assume is inherent can often be fractured by systemic disconnection, dehumanization, and a culture that prioritizes protocols over people.</div><div>In this narrative reflection, I share my personal journey as a nurse who became a patient during the coronavirus disease 2019 pandemic—an experience that exposed not only the failures of care but the heavy burdens placed on health care workers by a system designed to stretch them beyond human limits.</div><div>This story underscores the urgent need to reconnect with the humanity that lives at the heart of healing and to recognize that rebuilding trust begins not with blaming individuals but with transforming a broken culture.</div></div>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"51 5","pages":"Pages 781-783"},"PeriodicalIF":2.3,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144902036","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}
引用次数: 0
Charting the Course: Exploring the Dynamic Impact of Mentorship Programs on Nurse Practitioner Satisfaction and Health Care Outcomes. 绘制课程：探索指导计划对护士执业满意度和医疗保健结果的动态影响。
IF 2.3 4区 医学
Journal of Emergency Nursing Pub Date : 2025-08-26 DOI: 10.1016/j.jen.2025.07.014
Tiffany D Reabold, Veronica Quattrini
{"title":"Charting the Course: Exploring the Dynamic Impact of Mentorship Programs on Nurse Practitioner Satisfaction and Health Care Outcomes.","authors":"Tiffany D Reabold, Veronica Quattrini","doi":"10.1016/j.jen.2025.07.014","DOIUrl":"10.1016/j.jen.2025.07.014","url":null,"abstract":"<p><strong>Introduction: </strong>This project aimed to address high turnover rates among novice nurse practitioners in the emergency department, attributable to low job satisfaction. Dissatisfaction among nurse practitioner staff is linked to decreased engagement, productivity, and suboptimal patient outcomes and negatively affects both novice and seasoned staff morale. Low job satisfaction correlates with higher turnover rates, increased departmental costs, and a decline in the overall quality of patient care. Outcomes from this project confirmed that mentoring positively affects job satisfaction and the transition of novice nurse practitioners.</p><p><strong>Methods: </strong>Conducted in a large urban academic medical center, this project involved 7 novice nurse practitioner participants. Inspired by the National Association of Neonatal Nurse Practitioners Mentoring Toolkit, a 10-week Knowledge to Action Framework structured mentorship program was devised. It included an introductory session, individual mentor-protégé meetings, and a wrap-up session. Pre- and postintervention evaluations used the Misener Nurse Practitioner Job Satisfaction Scale.</p><p><strong>Results: </strong>Preintervention Misener Nurse Practitioner Job Satisfaction Scale scores averaged 176.3, increasing to 206.4 after the intervention, with a statistically significant improvement (T = -1.82; P = .046).</p><p><strong>Discussion: </strong>Mentorship programs offer significant benefits to nurse practitioners, contributing to improved clinical practice and more efficient health care systems by improving job satisfaction, reducing turnover rates, enhancing patient outcomes, and curbing costs. However, further research is needed to establish definitive evidence of their long-term impact.</p>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977764","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}
引用次数: 0
In Times of Turbulence, Emergency Nurses Are Tenacious and Ready to Answer the Call! 在动荡的时代，急救护士是顽强的，随时准备接听电话！
IF 2.3 4区 医学
Journal of Emergency Nursing Pub Date : 2025-08-26 DOI: 10.1016/j.jen.2025.07.005
Ryan Oglesby PhD, MHA, RN, CEN, CFRN, NEA-BC
{"title":"In Times of Turbulence, Emergency Nurses Are Tenacious and Ready to Answer the Call!","authors":"Ryan Oglesby PhD, MHA, RN, CEN, CFRN, NEA-BC","doi":"10.1016/j.jen.2025.07.005","DOIUrl":"10.1016/j.jen.2025.07.005","url":null,"abstract":"","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"51 5","pages":"Pages 765-766"},"PeriodicalIF":2.3,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144903577","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}
引用次数: 0
Emergency Nurses on the Frontline: Comprehensive Care for Sudden Births in Unconventional Settings 一线急救护士：非常规环境下突发性分娩的综合护理
IF 2.3 4区 医学
Journal of Emergency Nursing Pub Date : 2025-08-26 DOI: 10.1016/j.jen.2025.05.004
Eun K. Yang DNP, RN, FNP, NE-BC, RNC-OB, Elizabeth J. Winokur PhD, RN, CEN
{"title":"Emergency Nurses on the Frontline: Comprehensive Care for Sudden Births in Unconventional Settings","authors":"Eun K. Yang DNP, RN, FNP, NE-BC, RNC-OB,&nbsp;Elizabeth J. Winokur PhD, RN, CEN","doi":"10.1016/j.jen.2025.05.004","DOIUrl":"10.1016/j.jen.2025.05.004","url":null,"abstract":"","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"51 5","pages":"Pages 784-795"},"PeriodicalIF":2.3,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144902823","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}
引用次数: 0
Emergency Nurses Association Position Statement: Palliative and End-of-Life Care in the Emergency Setting 急诊护士协会立场声明：在紧急情况下的姑息治疗和临终关怀
IF 2.3 4区 医学
Journal of Emergency Nursing Pub Date : 2025-08-26 DOI: 10.1016/j.jen.2025.02.011
Nancy J. Denke DNP, ACNP-BC, FNP-BC, FAEN, CCRN, CEN
{"title":"Emergency Nurses Association Position Statement: Palliative and End-of-Life Care in the Emergency Setting","authors":"Nancy J. Denke DNP, ACNP-BC, FNP-BC, FAEN, CCRN, CEN","doi":"10.1016/j.jen.2025.02.011","DOIUrl":"10.1016/j.jen.2025.02.011","url":null,"abstract":"","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"51 5","pages":"Pages 770-776"},"PeriodicalIF":2.3,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144903579","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}
引用次数: 0
Emergency Nursing Review Questions: September 2025 急诊护理评论问题：2025年9月
IF 2.3 4区 医学
Journal of Emergency Nursing Pub Date : 2025-08-26 DOI: 10.1016/j.jen.2025.05.005
Benjamin E. Marett EdD, MSN, CEN, CCRN, COHN-S, NPD-C, NE-BC, TCRN, FAEN, FAHA, Sabrina Gast MSN, RN, F-ABMDI, SANE-A, AFN-C
{"title":"Emergency Nursing Review Questions: September 2025","authors":"Benjamin E. Marett EdD, MSN, CEN, CCRN, COHN-S, NPD-C, NE-BC, TCRN, FAEN, FAHA,&nbsp;Sabrina Gast MSN, RN, F-ABMDI, SANE-A, AFN-C","doi":"10.1016/j.jen.2025.05.005","DOIUrl":"10.1016/j.jen.2025.05.005","url":null,"abstract":"","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"51 5","pages":"Pages 997-1000"},"PeriodicalIF":2.3,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144903999","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}
引用次数: 0
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