Journal of Emergency Nursing最新文献

{"title":"Subcutaneous Insulin in Diabetic Ketoacidosis (SQuID): A Nursing-Led Protocol Implementation","authors":"Ryan Schneider MSN, APRN, ACNP-BC, CPPS, CPHQ, Richard T. Griffey MD, MPH, Laura Frawley BSN, RN, TNS, CEN, TCRN, Kristin Knobloch DNP, APRN-CNS, CCNS, Julianne Yeary PharmD, BCCCP, BCEMP","doi":"10.1016/j.jen.2025.04.004","DOIUrl":"10.1016/j.jen.2025.04.004","url":null,"abstract":"","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"51 5","pages":"Pages 796-804"},"PeriodicalIF":2.3,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144903971","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":"Determining Whether You Should Change Practice Based on Research Results: Statistical Significance Versus Clinical Significance","authors":"Lisa Wolf PhD, RN, CEN, FAEN, FAAN, Claire Simon ScD, DNP, RN, Altair Delao MPH, Christian N. Burchill PhD, MSN, RN, CEN, Francine M. Jodelka BS, Hadley, MA","doi":"10.1016/j.jen.2025.05.012","DOIUrl":"10.1016/j.jen.2025.05.012","url":null,"abstract":"","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"51 5","pages":"Pages 805-807"},"PeriodicalIF":2.3,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144903998","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":"Information for Readers","authors":"","doi":"10.1016/S0099-1767(25)00281-8","DOIUrl":"10.1016/S0099-1767(25)00281-8","url":null,"abstract":"","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"51 5","pages":"Page A12"},"PeriodicalIF":2.3,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144903576","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":"Sharing What Works: The Role of Evidence-Based Practice in Emergency Nursing","authors":"Madeleine Whalen MSN/MPH, RN, CEN, NPD-BC","doi":"10.1016/j.jen.2025.06.001","DOIUrl":"10.1016/j.jen.2025.06.001","url":null,"abstract":"","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"51 5","pages":"Pages 767-769"},"PeriodicalIF":2.3,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144903578","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 Reply to: “Concerns and Recommendations Regarding ‘Pediatric Respiratory Score in the Triage Form’”","authors":"","doi":"10.1016/j.jen.2025.05.001","DOIUrl":"10.1016/j.jen.2025.05.001","url":null,"abstract":"","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"51 5","pages":"Pages 777-778"},"PeriodicalIF":2.3,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144903581","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":"Psychiatric Nursing Attitudes in Emergency Departments: An Explorative Study Among Italian Nurses.","authors":"Yun-Chen Chang, Rocco Mea, Wen-Yu Hu, Elsa Vitale","doi":"10.1016/j.jen.2025.07.010","DOIUrl":"https://doi.org/10.1016/j.jen.2025.07.010","url":null,"abstract":"<p><strong>Background: </strong>In emergency settings, nurses should have knowledge and skills to manage both physical and psychological diseases, including psychiatric disorders. This study aimed to explore the perceived level of knowledge among nurses regarding key topics in the training and management of psychiatric emergencies and, specifically, to determine any associations between the education level and work experience of nurses and their self-perceived competence in managing psychiatric emergencies and examine their knowledge of these areas, with a particular focus on topics considered most critical in the contemporary literature.</p><p><strong>Methods: </strong>An observational, cohort, cross-sectional, and multicenter study was conducted from August to September 2022 to all registered nurses who were employed both in private and public emergency departments, using the \"Snowball sampling\" technique.</p><p><strong>Results: </strong>A total of 413 Italian nurses were surveyed. Significant differences were reported in item no. 2 (P = .016), \"How do you assess your current knowledge of issues relevant to emergency psychiatry?\" according to work experience; item no. 5 (P = .001), \"Have you ever been a victim of assault by the psychiatric patient during his shift?\" according to work experience; and item no. 9 \"How often do you resort to the use of counseling/hospitalization in psychiatry wards?\" according to nursing education (P = .008). Several arguments were identified as important for in-depth knowledge in psychiatric emergencies.</p><p><strong>Discussion: </strong>Given the rising prevalence and complexity of mental health crises presenting in emergency settings, there is an urgent need to integrate targeted psychiatric emergency training into both undergraduate nursing curricula and ongoing professional development programs.</p>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976587","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":"Assessing Handover Quality in the Emergency Department: Evaluating Communication Between EMS and Triage Nurses Using the Handoff CEX Italian Scale.","authors":"Flavio Gheri, Clarissa Presti, Fabio Donnarumma, Domenica Petta","doi":"10.1016/j.jen.2025.07.009","DOIUrl":"https://doi.org/10.1016/j.jen.2025.07.009","url":null,"abstract":"<p><strong>Introduction: </strong>Patient handover is a crucial process that ensures the transfer of essential patient information from prehospital teams to hospital staff. Although these risks are widely recognized, significant variability persists in handover practices in health care settings. This highlights the need for robust, evidence-based strategies to standardize the process.</p><p><strong>Methods: </strong>A prospective and descriptive study of a single-center design was implemented to evaluate the quality of handover between emergency medical personnel and clinical nurses within the emergency department using the validated Handoff Clinical Evaluation Exercise (CEX) Italian scale. The study used this scale in evaluating 6 distinct domains: organization/efficiency, mnemonic structures employed by health care professionals, communication skills, completeness of clinical information, treatments performed, and professional qualities manifested during handover.</p><p><strong>Results: </strong>A total of 112 health care professionals participated in the study: 51 triage nurses and 62 emergency personnel, including physicians and nurses. Of 154 handover transactions, 84 interruptions (54.5%) occurred: 38.3% caused by health care professionals and 16.2% by others, such as patients, family members, administrative staff, etc. The results highlighted statistically significant differences in information transfer between emergency medical services personnel and triage nurses, with the latter generally receiving higher evaluations. The receiver group obtained better evaluations in all the variables analyzed than the providers.</p><p><strong>Discussion: </strong>This study provides a significant contribution to understanding a crucial communication process in critical patient management, laying the foundations for future studies that can explore strategies to improve handover in similar settings.</p>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977769","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":"Evaluating Clinical Decision Tools for Intensive Care Unit Admission Prediction in Patients With Coronavirus Disease 2019.","authors":"Sarah Stuer, Cedric Dua, Eva Janssens, Philip Verdonck, Sabine Lemoyne, Ken Dewitte, Koenraad G Monsieurs, Filip Haegdorens","doi":"10.1016/j.jen.2025.07.002","DOIUrl":"https://doi.org/10.1016/j.jen.2025.07.002","url":null,"abstract":"<p><strong>Introduction: </strong>During the coronavirus disease 2019 pandemic, several clinical decision rules were promulgated to support triage and optimize resource allocation, particularly regarding intensive care unit admissions. This retrospective cohort study aimed to validate and compare the predictive performance of 3 such systems: the National Early Warning Score 2, the Pandemic Respiratory Infection Emergency System Triage score, and the American College of Emergency Physicians coronavirus disease 2019 severity classification. The primary outcome was intensive care unit admission within 24 hours after ED presentation.</p><p><strong>Methods: </strong>Data were collected from unvaccinated patients with coronavirus disease 2019 presenting to the emergency department of Antwerp University Hospital between March 1, 2020 and June 27, 2021. The National Early Warning Score 2 was calculated during routine care, and the Pandemic Respiratory Infection Emergency System Triage and American College of Emergency Physicians coronavirus disease 2019 severity classification scores were calculated retrospectively. Diagnostic performance was assessed using the area under the receiver operating characteristic curve (AUC), positive likelihood ratio, and negative likelihood ratio.</p><p><strong>Results: </strong>Among 490 patients, optimal cutoff values were National Early Warning Score 2 of ≥3, Pandemic Respiratory Infection Emergency System Triage score of ≥8, and American College of Emergency Physicians coronavirus disease 2019 severity classification of moderate severity. All scores demonstrated good discrimination: areas under the receiver operating characteristic curve were 0.885 (National Early Warning Score 2), 0.851 (Pandemic Respiratory Infection Emergency System Triage), and 0.892 (American College of Emergency Physicians coronavirus disease 2019 severity classification), with no significant differences. The American College of Emergency Physicians coronavirus disease 2019 severity classification had the highest positive likelihood ratio (3.79), significantly higher than the National Early Warning Score 2 (2.48; P<.001). The National Early Warning Score 2 had the lowest negative likelihood ratio (0.04), although differences were not statistically significant.</p><p><strong>Discussion: </strong>Although the American College of Emergency Physicians coronavirus disease 2019 severity classification demonstrated superior rule-in characteristics, the National Early Warning Score 2 offered the best rule-out characteristics. Given its simplicity, widespread use, and rule-out potential, the National Early Warning Score 2 may offer the greatest practical value to predict intensive care unit admission 24 hours after ED presentation of unvaccinated patients with coronavirus disease 2019, particularly in a pandemic context.</p>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876706","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":"Understanding the Lived Experiences of Nurses and Care Attendants in a Pediatric Hospital Who Experience Patient Aggression.","authors":"Stephanie Benning, Marlene Walden, Amy Ramick, Austin Lovenstein, Greg Adams, Amy Decker","doi":"10.1016/j.jen.2025.06.010","DOIUrl":"https://doi.org/10.1016/j.jen.2025.06.010","url":null,"abstract":"<p><strong>Introduction: </strong>This phenomenological research study aimed to describe the lived experiences of nurses and care attendants in a pediatric hospital who experience patient aggression.</p><p><strong>Methods: </strong>Purposive sampling was used to identify nurses and care attendants who worked in the emergency department and a medical-surgical unit. Interviews were conducted, and Husserl's descriptive (eidetic) phenomenology was used to explore, analyze, and describe the lived experiences of staff who experience patient aggression. Data were audited according to the 7 steps of Colaizzi's method for descriptive research.</p><p><strong>Results: </strong>Eleven participants shared their lived experiences, which resulted in 6 primary themes: (1) complex phenomenon of pediatric patient aggression, (2) physical and psychological impact of patient aggression on staff, (3) perceptions of acceptance of patient aggression, (4) staff's perception of efforts to address patient aggression, (5) influence of education and experience on the management of patient aggression, and (6) organizational implications of managing patient aggression.</p><p><strong>Discussion: </strong>Patient aggression has a significant physical and psychological impact on nurses and care attendants in pediatric hospital settings. The complexity of this type of aggression requires organizations to have an intentional and comprehensive approach to ensure patient and staff safety. Effectively addressing patient aggression requires a comprehensive approach that includes collaboration among community and provider stakeholders, engaged and supportive leaders, effective policies, staff experienced in de-escalation, education that translates into clinical practice, and purposeful strategies to address perceptions of acceptance of patient aggression.</p>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876707","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":"\"I Feel Like My Child's Health Is Hanging by a Thread\": A Grounded Theory of Experiences of Parents of Children With Cancer During Emergency Department Visits.","authors":"Meltem Gürcan, Sevcan Atay Turan, Emine Efe, Ayşegül İşler","doi":"10.1016/j.jen.2025.06.007","DOIUrl":"10.1016/j.jen.2025.06.007","url":null,"abstract":"<p><strong>Introduction: </strong>This study aimed to generate an explanatory framework to obtain a more detailed understanding of the experiences of parents of children with cancer during ED visits.</p><p><strong>Methods: </strong>A grounded theory approach was used for the present study. Semistructured format interviews were conducted with 12 parents of children with cancer. Data collection and generation were managed simultaneously for analysis. The qualitative data were analyzed using open, axial, and selective coding.</p><p><strong>Results: </strong>The core category summarizes parents' concerns and fears about their child's health. The core category was identified as \"I feel like my child's health is hanging by a thread.\" Four main categories with related subcategories were developed that revealed the experiences of parents of children with cancer: \"Focusing on the specific conditions of childhood cancer,\" \"Expectation of healing care behaviors,\" \"Reflections of the ED visit on the parents and children,\" and \"Implementing family-centered emergency care.\"</p><p><strong>Discussion: </strong>The study developed a grounded theory that provides a guideline for the pediatric emergency team on the priority issues in the care of pediatric oncology patients and the importance of the care approach for parents. Parents emphasized that their children's health was vulnerable, and they needed resources created by the supportive care practice to create an optimal healing environment in the pediatric emergency department.</p>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876705","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}