Australasian Emergency Care最新文献_第10页

Factors influencing emergency nurses’ infection control practices related to coronavirus disease 2019 in Korea 2019年韩国影响急诊护士感染控制实践的因素

IF 1.8 4区医学

Australasian Emergency Care Pub Date : 2023-03-01 DOI: 10.1016/j.auec.2022.07.004

Sang Ok Kim , Kon Hee Kim

{"title":"Factors influencing emergency nurses’ infection control practices related to coronavirus disease 2019 in Korea","authors":"Sang Ok Kim , Kon Hee Kim","doi":"10.1016/j.auec.2022.07.004","DOIUrl":"10.1016/j.auec.2022.07.004","url":null,"abstract":"<div><h3>Background</h3><p>When an infectious disease breaks out, emergency nurses are the front-line specialists. Infection control by emergency nurses is important to minimize the risk of infectious disease and to improve the infection control practices of emergency nurses. Therefore, it is crucial to identify the factors influencing infection control practice related to COVID-19.</p></div><div><h3>Methods</h3><p>For this cross-sectional study design used survey methods for data collection, a questionnaire survey was conducted with 161 emergency nurses working in five hospitals selected through convenience sampling. Data were collected from November 10 to November 26 in 2020.</p></div><div><h3>Results</h3><p>Infection control practice related to COVID-19 was affected by the infection prevention environment (β = 0.24, <em>p = .</em>002), monitoring of wearing Personal Protective Equipment (β = 0.19, <em>p = .</em>006), knowledge about COVID-19 (β = 0.18, <em>p = .</em>009), perceived severity related to COVID-19 (β = 0.18, <em>p = .</em>010), and perceived barrier related to COVID-19 (β = −0.15, <em>p = .</em>033).</p></div><div><h3>Conclusion</h3><p>Creating safe infection prevention measures and revitalizing personal protective equipment monitoring are necessary to improve infection control practices. A systematic infection control education program is needed to improve knowledge about COVID-19, emphasize its perceived severity, and identify and eliminate perceived barriers.</p></div>","PeriodicalId":55979,"journal":{"name":"Australasian Emergency Care","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9271496/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10829541","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}

引用次数: 1

Air ambulance retrievals of patients with suspected appendicitis and acute abdominal pain: The patients’ journeys, referral pathways and appendectomy outcomes using linked data in Central Queensland, Australia 疑似阑尾炎和急性腹痛患者的空中救护检索:患者的旅程，转诊途径和阑尾切除术结果使用澳大利亚昆士兰州中部的相关数据

IF 1.8 4区医学

Australasian Emergency Care Pub Date : 2023-03-01 DOI: 10.1016/j.auec.2022.07.002

Kristin H. Edwards , Mark T. Edwards , Richard C. Franklin , Sankalp Khanna , Petra M. Kuhnert , Rhondda Jones

{"title":"Air ambulance retrievals of patients with suspected appendicitis and acute abdominal pain: The patients’ journeys, referral pathways and appendectomy outcomes using linked data in Central Queensland, Australia","authors":"Kristin H. Edwards , Mark T. Edwards , Richard C. Franklin , Sankalp Khanna , Petra M. Kuhnert , Rhondda Jones","doi":"10.1016/j.auec.2022.07.002","DOIUrl":"10.1016/j.auec.2022.07.002","url":null,"abstract":"<div><h3>Introduction</h3><p>Acute appendicitis<span><span> is the most common cause of acute abdominal pain presentations to the </span>ED<span><span> and common air ambulance transfer. Aims: describe how linked data can be used to explore patients’ journeys, referral pathways and request-to-activation responsiveness of patients’ </span>appendectomy outcomes (minor vs major complexity).</span></span></p></div><div><h3>Methods</h3><p>Data sources were linked: aeromedical, hospital and death. Request-to-activation intervals showed strong right-tailed skewness. Quantile regression examined whether the longest request-to-activation intervals were associated with appendicitis complexity in patients who underwent an appendectomy.</p></div><div><h3>Results</h3><p>There were 684 patients in three referral pathways based on hospital capability levels. In total, 5.6 % patients were discharged from ED. 83.3 % of all rural origins entered via the ED. 3.8 % of appendicitis patients were triaged to tertiary hospitals. Appendectomy patients with major complexity outcomes were less likely to have longer request-to-activation wait times & had longer lengths of stay than patients with minor complexity outcomes.</p></div><div><h3>Conclusions</h3><p>Linked data highlighted four aspects of a functioning referral system: appendectomy outcomes of major complexity were less likely to have longer request-to-activation intervals compared to minor (sicker patients were identified); few were discharged from EDs (validated transfer); few were triaged to tertiary hospitals (appropriate level for need), and no deaths relating to appendectomy.</p></div>","PeriodicalId":55979,"journal":{"name":"Australasian Emergency Care","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10785430","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: 2

A scoping review of metaverse in emergency medicine 急诊医学中元verse的范围综述

IF 1.8 4区医学

Australasian Emergency Care Pub Date : 2023-03-01 DOI: 10.1016/j.auec.2022.08.002

Tzu-Chi Wu , Chien-Ta Bruce Ho

{"title":"A scoping review of metaverse in emergency medicine","authors":"Tzu-Chi Wu , Chien-Ta Bruce Ho","doi":"10.1016/j.auec.2022.08.002","DOIUrl":"10.1016/j.auec.2022.08.002","url":null,"abstract":"<div><h3>Background</h3><p>Interest in the metaverse has been growing worldwide as the virtual environment provides opportunities for highly immersive and interactive experiences. Metaverse has gradually gained acceptance in the medical field with the advancement of technologies such as big data, the Internet of Things, and 5 G mobile networks. The demand for and development of metaverse are different in diverse subspecialties owing to patients with varying degrees of clinical disease. Hence, we aim to explore the application of metaverse in acute medicine by reviewing published studies and the clinical management of patients.</p></div><div><h3>Method</h3><p>Our review examined the published articles about the concept of metaverse roadmap, and four additional domains were extracted: education, prehospital and disaster medicine, diagnosis and treatment application, and administrative affairs.</p></div><div><h3>Results</h3><p>Augmented reality (AR) and virtual reality (VR) integration have broad applications in education and clinical training. VR-related studies surpassed AR-related studies in the emergency medicine field. The metaverse roadmap revealed that lifelogging and mirror world are still developing fields of the metaverse.</p></div><div><h3>Conclusion</h3><p>Our findings provide insight into the features, application, development, and potential of a metaverse in emergency medicine. This study will enable emergency care systems to be better equipped to face future challenges.</p></div>","PeriodicalId":55979,"journal":{"name":"Australasian Emergency Care","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9360619","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

Inter-rater reliability of the occupational violence risk assessment tool for emergency departments 急诊科职业暴力风险评估工具的信度分析

IF 1.8 4区医学

Australasian Emergency Care Pub Date : 2023-03-01 DOI: 10.1016/j.auec.2022.07.007

C.J. Cabilan , Robert Eley , Centaine Snoswell , Andrew T. Jones , Amy N.B. Johnston

{"title":"Inter-rater reliability of the occupational violence risk assessment tool for emergency departments","authors":"C.J. Cabilan , Robert Eley , Centaine Snoswell , Andrew T. Jones , Amy N.B. Johnston","doi":"10.1016/j.auec.2022.07.007","DOIUrl":"10.1016/j.auec.2022.07.007","url":null,"abstract":"<div><h3>Background</h3><p>The three-item occupational violence (OV) risk assessment tool was developed and validated for use in emergency departments (EDs). It prompts review of each patient’s aggression history, behaviours, and clinical presentation. However, confidence around representativeness and generalisability are needed before widescale adoption; hence we measured the inter-rater reliability of the tool among a large group of emergency nurses.</p></div><div><h3>Methods</h3><p>A cross-sectional study was conducted between Sep 2021 and Jan 2022. Nurses were directed to a website that hosted an e-learning module about the tool. They were asked to apply the tool to two video scenarios of typical patient presentations. Demographic data, including years of emergency experience, were collected to contextualise their responses. Gwet’s Agreement Coefficients (AC1) were calculated to determine inter-rater reliability.</p></div><div><h3>Results</h3><p>There were 135 participants: typically female, under the age of 40 years, with more than 3 years of emergency nursing experience. Overall, there was excellent inter-rater agreement (AC1 =0.752, p = 0.001). This was consistent when years of ED experience was stratified: 0–2 years, AC1 = 0.764, p = 0.002; 3–5 years, AC1 = 0.826, p = 0.001; 6–10 years, AC1 = 0.751, p < 0.001; 11–15 years, AC1 = 0.659, p = 0.004; ≥ 16 years, AC1 = 0.799, p < 0.001.</p></div><div><h3>Conclusion</h3><p>The three-item OV risk assessment tool has excellent inter-rater reliability across a large sample of emergency nurses.</p></div>","PeriodicalId":55979,"journal":{"name":"Australasian Emergency Care","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10803183","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: 3

Barriers to, and enablers of, paramedics responding to suspected or confirmed COVID-19 cases: An integrative review 护理人员应对疑似或确诊COVID-19病例的障碍和推动因素:综合综述

IF 1.8 4区医学

Australasian Emergency Care Pub Date : 2023-03-01 DOI: 10.1016/j.auec.2022.08.001

Ursula Howarth , Peta-Anne Zimmerman , Thea van de Mortel , Nigel Barr

{"title":"Barriers to, and enablers of, paramedics responding to suspected or confirmed COVID-19 cases: An integrative review","authors":"Ursula Howarth , Peta-Anne Zimmerman , Thea van de Mortel , Nigel Barr","doi":"10.1016/j.auec.2022.08.001","DOIUrl":"10.1016/j.auec.2022.08.001","url":null,"abstract":"<div><h3>Background</h3><p>The coronavirus pandemic (COVID-19) has focused attention on healthcare workers’ concerns about working during a pandemic, yet research on the effect of the pandemic specifically on paramedics is lacking. This literature review aims to critically examine the current knowledge of paramedics’ experience of barriers to, and enablers of, responding to suspected or confirmed COVID-19 cases.</p></div><div><h3>Methods</h3><p>An integrative review was undertaken using articles found by a systematic search of four research databases. Inclusion criteria included paramedics or emergency medical technicians who had experience of barriers or enablers responding to patients during the coronavirus pandemic.</p></div><div><h3>Results</h3><p>Nine articles met the inclusion and exclusion criteria. Barriers included communication and poor leadership, fear of infection to self and family, frequent changes in guidelines and inconsistencies across agencies, stress/burnout, and concerns with personal protective equipment. Enablers included job security, perceived social support, solidarity with other paramedics, and use of modern technologies for communication.</p></div><div><h3>Conclusions</h3><p>There are unique experiences of working during the COVID-19 pandemic in the prehospital environment. Particular challenges occurred with leadership, communication within the organisation and between agencies, and working in an unpredictable environment.</p></div>","PeriodicalId":55979,"journal":{"name":"Australasian Emergency Care","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9359508/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9285296","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}

引用次数: 3

Challenges to recognising patients at risk of out-of-hospital clinical deterioration 识别有院外临床恶化风险的患者的挑战

IF 1.8 4区医学

Australasian Emergency Care Pub Date : 2023-03-01 DOI: 10.1016/j.auec.2022.07.003

Emma Bourke-Matas , Emma Bosley , Karen Smith , Ben Meadley , Kelly-Ann Bowles

{"title":"Challenges to recognising patients at risk of out-of-hospital clinical deterioration","authors":"Emma Bourke-Matas , Emma Bosley , Karen Smith , Ben Meadley , Kelly-Ann Bowles","doi":"10.1016/j.auec.2022.07.003","DOIUrl":"10.1016/j.auec.2022.07.003","url":null,"abstract":"<div><h3>Background</h3><p>The acute derangement of physiological function is a time-critical medical emergency requiring prompt recognition. As autonomous practitioners in resource scarce, high-risk environments, clinical deterioration can impose complex and increased clinical demands on paramedics. Early recognition is imperative to facilitating proactive responses to mitigate adverse effects. This study aimed to determine if clinicians can meet consensus regarding meaningful clinical factors for recognising to out-of-hospital (OOH) clinical deterioration risk.</p></div><div><h3>Methods</h3><p>A three-round electronic Delphi study was conducted between June 2020 and January 2021. The expert panel was composed of 30 clinicians, including paramedics and emergency physicians. Participants were presented with eight clinically diverse case vignettes addressing various clinical factors related to OOH clinical deterioration.</p></div><div><h3>Results</h3><p>Participants identified various challenges related to the recognition of OOH clinical deterioration. Although participants were able to meet consensus on most clinical factors related to deterioration, consensus was not achieved where cases had a combination of factors including: medical aetiology, subtle vital sign changes, non-specific complaints, age-extreme patients, and presence of co-morbidities.</p></div><div><h3>Conclusions</h3><p>This study demonstrated that clinicians face various challenges to recognising clinical deterioration in the OOH setting. Better understanding these challenging patient cohorts could assist to increase awareness and improve early recognition of OOH clinical deterioration.</p></div>","PeriodicalId":55979,"journal":{"name":"Australasian Emergency Care","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9344362","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: 2

Can degrading information about patient symptoms in vignettes alter clinical reasoning in paramedics and paramedic students? An experimental application of fuzzy trace theory 小插曲中关于患者症状的有辱人格的信息会改变护理人员和护理学生的临床推理吗？模糊轨迹理论的实验应用。

IF 1.8 4区医学

Australasian Emergency Care Pub Date : 2023-02-13 DOI: 10.1016/j.auec.2023.02.002

Toby Keene , Eryn Newman , Kristen Pammer

{"title":"Can degrading information about patient symptoms in vignettes alter clinical reasoning in paramedics and paramedic students? An experimental application of fuzzy trace theory","authors":"Toby Keene , Eryn Newman , Kristen Pammer","doi":"10.1016/j.auec.2023.02.002","DOIUrl":"10.1016/j.auec.2023.02.002","url":null,"abstract":"<div><h3>Background</h3><p>Research has shown paramedics form rapid intuitive impressions on first, meeting a patient and these impressions subsequently affected their clinical reasoning. We report an experiment where theory-based interventions are developed with the goal of reducing reliance on intuitive reasoning by paramedics and paramedic students in simulated patients.</p></div><div><h3>Method</h3><p>Australian paramedics (n = 213; 49% female) and paramedicine students (n = 83; 55% female) attending paramedic conferences completed a 2 × 2 fully between participants experiment. They saw a written clinical vignette designed to be representative of Acute Coronary Syndrome (ACS) in which key clinical information was precise or degraded (stimulus), they then either chose the single most likely diagnosis from a list, or ranked competing diagnoses (response). Outcome variables were diagnostic rate and response time.</p></div><div><h3>Results</h3><p>There were no differences in the proportion of participants choosing ACS across the four stimulus-response conditions (0.75 [0.65, 0.84] vs 0.79 [0.68, 0.87] vs, 0.78 [0.65, 0.87] vs 0.72 [0.59, 0.82], p = 0.42)</p></div><div><h3>Conclusion</h3><p>This is the first study attempting to experimentally examine clinical reasoning in paramedics using a theory-based intervention. Neither of the interventions tested succeeded in altering measures of clinical reasoning. Similar to previous research on physicians, paramedic reasoning appears robust to manipulation.</p></div>","PeriodicalId":55979,"journal":{"name":"Australasian Emergency Care","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9281752","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

The impact of an educational video about the role of an emergency nurse, viewed by emergency nurses’ support systems, on emergency nurses’ wellbeing 由急诊护士支持系统观看的关于急诊护士角色的教育视频对急诊护士福祉的影响

IF 1.8 4区医学

Australasian Emergency Care Pub Date : 2022-12-01 DOI: 10.1016/j.auec.2022.01.005

Alexandra Nevill , Kathryn Pristupa , Gerard O’Reilly

{"title":"The impact of an educational video about the role of an emergency nurse, viewed by emergency nurses’ support systems, on emergency nurses’ wellbeing","authors":"Alexandra Nevill , Kathryn Pristupa , Gerard O’Reilly","doi":"10.1016/j.auec.2022.01.005","DOIUrl":"10.1016/j.auec.2022.01.005","url":null,"abstract":"<div><h3>Background</h3><p>High stress daily events contribute to burnout in emergency nurses. Strong and informed support systems are essential in ensuring emergency nurses are actively dealing with their workplace-generated stress, through informal social support.</p></div><div><h3>Methods</h3><p>A pre and post intervention design over a 6-month period in a single ED<span>. A video was created by emergency nurses to orientate their support system to their role and work environment. Its impact on nurse well-being was assessed.</span></p></div><div><h3>Results</h3><p>More than half of the participants considered their spouse/partner to be their main support system (n = 52, 58%). The majority of participants found their support system: (i) had a greater understanding of their everyday work (n = 79, 88%), (ii) were more engaged when talking about work (n = 72, 80%), (iii) asked more questions about work (n = 63, 70%), and (iv) reported they had an improved ability to debrief with their support system (n = 67, 74%). The median total World Health Organization wellbeing score improved by two points (7%, p < 0.001).</p></div><div><h3>Conclusion</h3><p>Emergency nurses’ support systems had a greater understanding of the emergency nurse's role and work environment following exposure to the video. This in turn improved the emergency nurses' ability to debrief at home, experience of support, and ultimately their wellbeing.</p></div>","PeriodicalId":55979,"journal":{"name":"Australasian Emergency Care","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39935391","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

The effect of 20 minutes of cool running water first aid within three hours of thermal burn injury on patient outcomes: A systematic review and meta-analysis 热烧伤后3小时内20分钟冷水急救对患者预后的影响:一项系统回顾和荟萃分析。

IF 1.8 4区医学

Australasian Emergency Care Pub Date : 2022-12-01 DOI: 10.1016/j.auec.2022.05.004

Bronwyn Griffin , C.J. Cabilan , Bassel Ayoub , Hui (Grace) Xu , Tina Palmieri , Roy Kimble , Yvonne Singer

{"title":"The effect of 20 minutes of cool running water first aid within three hours of thermal burn injury on patient outcomes: A systematic review and meta-analysis","authors":"Bronwyn Griffin , C.J. Cabilan , Bassel Ayoub , Hui (Grace) Xu , Tina Palmieri , Roy Kimble , Yvonne Singer","doi":"10.1016/j.auec.2022.05.004","DOIUrl":"10.1016/j.auec.2022.05.004","url":null,"abstract":"<div><h3>Background</h3><p><span>Burn injuries are a leading cause of morbidity that can result in devastating disability and poor quality of life for survivors. This </span>systematic review aimed to synthesise evidence regarding the effect of 20 minutes of cool running water (CRW) within three hours of injury on outcomes of patients with thermal burn injuries.</p></div><div><h3>Methods</h3><p>This systematic review was conducted in reference to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Multiple databases (PubMed, EMBASE, CENTRAL, CINAHL<span> Complete via EBSCO, PROQUEST Dissertations and Theses), and the Australia New Zealand Clinical Trial Registry were searched for eligible studies published in English and Chinese, without date restriction. Meta-analyses were undertaken Methodological quality of studies was assessed by using Downs and Black Checklist.</span></p></div><div><h3>Results</h3><p>Of 323 records, seven studies were included. The majority (67%) of studies were conducted in Australia and New Zealand. The methodological quality was ranked between ‘fair’ and ‘good’. Twenty minutes of CRW within the first three hours of burn injury significantly decreased the odds of patients requiring skin grafting and surgical intervention for wound management.</p></div><div><h3>Conclusions</h3><p>There is considerable evidence suggesting the application of 20 min of CRW within the first three hours of injury improves outcomes for patients with burn injury. Consensus between burn organisations and collaborative efforts to translate evidence into practice are needed to optimise burn first aid care which can improve patient outcomes globally.</p></div>","PeriodicalId":55979,"journal":{"name":"Australasian Emergency Care","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44333890","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: 6

Charge nurses’ perceived experience in managing daily work and major incidents in emergency departments: A qualitative study 急诊科主管护士对日常工作和重大事件管理的感知经验:一项定性研究

IF 1.8 4区医学

Australasian Emergency Care Pub Date : 2022-12-01 DOI: 10.1016/j.auec.2022.02.003

Cecilia Holmgren , Susanne Jussèn , Magnus Andersson Hagiwara , Monica Rådestad

{"title":"Charge nurses’ perceived experience in managing daily work and major incidents in emergency departments: A qualitative study","authors":"Cecilia Holmgren , Susanne Jussèn , Magnus Andersson Hagiwara , Monica Rådestad","doi":"10.1016/j.auec.2022.02.003","DOIUrl":"10.1016/j.auec.2022.02.003","url":null,"abstract":"<div><h3>Background</h3><p>Emergency department charge nurses are expected to oversee the quality of patient care, direct work, and the allocation of resources. The charge nurse is the unit’s frontline leader, and he/she must have proper leadership training and support to carry out duties effectively. This study explores how charge nurses perceive their role in managing daily work and major incidents at the emergency department.</p></div><div><h3>Methods</h3><p>A qualitative study based on focus group discussions using a semi-structured interview. Participants were 12 charge nurses from four Swedish emergency departments.</p></div><div><h3>Results</h3><p>For data analysis, a systematic text condensation method was used. The analysis of data generated four categories: (1) Coping with chaos; (2) Need for further training; (3) Feeling of inadequacy; and (4) Lack of strategies.</p></div><div><h3>Conclusions</h3><p>The study concluded that the emergency department charge nurse has frontline duties that are diverse, multifaceted, require good leadership qualities, and lack detailed job description. Charge nurses confront many challenges in their daily work, often with little training or the opportunity to develop in their professional. This study provides understanding of the concerns charge nurses hold about working as frontline leaders and that departmental heads must support the education and training of their charge nurses.</p></div>","PeriodicalId":55979,"journal":{"name":"Australasian Emergency Care","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2588994X22000227/pdfft?md5=67154cc6b4c163205c1752613720c193&pid=1-s2.0-S2588994X22000227-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41529675","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}

引用次数: 3