Australasian Emergency Care最新文献_第8页

Education interventions and emergency nurses’ clinical practice behaviours: A scoping review 教育干预与急诊护士临床实践行为:范围综述。

IF 1.8 4区医学

Australasian Emergency Care Pub Date : 2023-11-18 DOI: 10.1016/j.auec.2023.10.004

Julie Considine , Ramon Z. Shaban , Margaret Fry , Kate Curtis

{"title":"Education interventions and emergency nurses’ clinical practice behaviours: A scoping review","authors":"Julie Considine , Ramon Z. Shaban , Margaret Fry , Kate Curtis","doi":"10.1016/j.auec.2023.10.004","DOIUrl":"10.1016/j.auec.2023.10.004","url":null,"abstract":"<div><h3>Background</h3><p>Many education interventions in emergency nursing are aimed at changing nurse behaviours. This scoping review describes and synthesises the published research education interventions and emergency nurses’ clinical practice behaviours.</p></div><div><h3>Methods</h3><p>Arksey and O’Malley’s methodological framework guided this review, which is reported according to Preferred Reporting Items for Systematic reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR). CINAHL, MEDLINE complete, ERIC, and Psycinfo were searched on 3 August 2023. Two pairs of researchers independently conducted all screening. Synthesis was guided by the Behaviour Change Wheel and Bloom’s Taxonomy of Educational Objectives.</p></div><div><h3>Results</h3><p>Twenty-five studies were included. Educational interventions had largely positive effects on emergency nurses’ clinical practice behaviours. Ten different interventions were identified, the most common was education sessions (n = 24). Seven studies reported underpinning theoretical frameworks. Of the essential elements of behaviour change, seven interventions addressed capability, four addressed motivation and one addressed opportunity. Mapping against Bloom’s taxonomy, thirteen studies addressed analysis, eleven studies addressed synthesis and two studies addressed evaluation.</p></div><div><h3>Conclusion</h3><p>Few studies addressed elements of behaviour change theory or targeted cognitive domains. Future studies should focus on controlled designs, and more rigorous reporting of the education intervention(s) tested, and theoretical underpinning for intervention(s) selected.</p></div>","PeriodicalId":55979,"journal":{"name":"Australasian Emergency Care","volume":"27 2","pages":"Pages 119-135"},"PeriodicalIF":1.8,"publicationDate":"2023-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2588994X23000866/pdfft?md5=ed8acfa38951748d5c065fd6b2e96372&pid=1-s2.0-S2588994X23000866-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138048891","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: 0

Assessment of inter-rater reliability of screening tools to identify patients at risk of medication-related problems across the emergency department continuum of care 评估筛查工具在急诊科持续护理过程中识别有用药相关问题风险的患者的相互可靠性

IF 1.8 4区医学

Australasian Emergency Care Pub Date : 2023-11-14 DOI: 10.1016/j.auec.2023.10.005

Jessica D’lima , Simone E. Taylor , Elise Mitri , Andrew Harding , Jerry Lai , Elizabeth Manias

{"title":"Assessment of inter-rater reliability of screening tools to identify patients at risk of medication-related problems across the emergency department continuum of care","authors":"Jessica D’lima , Simone E. Taylor , Elise Mitri , Andrew Harding , Jerry Lai , Elizabeth Manias","doi":"10.1016/j.auec.2023.10.005","DOIUrl":"10.1016/j.auec.2023.10.005","url":null,"abstract":"<div><h3>Background</h3><p>Following a national multicentre study, two emergency department (ED) screening tools were developed to determine risk of medication-related problems; one for use at ED presentation and another at ED discharge to the community. This study aimed to determine the inter-rater reliability amongst ED health professionals when applying these screening tools to a series of case scenarios.</p></div><div><h3>Methods</h3><p>A prospective, cross-sectional study was undertaken in the ED of a major metropolitan hospital. Twelve case scenarios were developed following ED observation of a range of patients, which were incorporated into a questionnaire and distributed to 50 health professionals. Inter-rater reliabilities of each explanatory variable of the screening tools and overall assessment were calculated using Fleiss’ multi-rater kappa.</p></div><div><h3>Results</h3><p>The questionnaire was completed by 15 doctors, 19 nurses and 16 pharmacists. Fleiss’ kappa showed an overall inter-rater reliability for the ED presentation tool of 0.83 (95% CI 0.83–0.84), indicating near perfect agreement. Fleiss’ kappa for the ED discharge tool was 0.83 (95% CI 0.83–0.85), which also showed near perfect agreement.</p></div><div><h3>Conclusions</h3><p>The screening tools produced favourable inter-rater reliability amongst ED health professionals. These results have important implications for ensuring consistency of ED decision-making in screening patients at risk of developing medication-related problems.</p></div>","PeriodicalId":55979,"journal":{"name":"Australasian Emergency Care","volume":"27 2","pages":"Pages 136-141"},"PeriodicalIF":1.8,"publicationDate":"2023-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2588994X23000878/pdfft?md5=a0bd8d5bacc1cd49c64d8a68684e306d&pid=1-s2.0-S2588994X23000878-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135763844","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: 0

Examining management plans for patients who frequently presented to the emergency department 检查经常到急诊科就诊的患者的管理计划。

IF 1.8 4区医学

Australasian Emergency Care Pub Date : 2023-11-01 DOI: 10.1016/j.auec.2023.10.003

Felicity Moon , Jonathan Knott , Siobhan Feely

{"title":"Examining management plans for patients who frequently presented to the emergency department","authors":"Felicity Moon , Jonathan Knott , Siobhan Feely","doi":"10.1016/j.auec.2023.10.003","DOIUrl":"10.1016/j.auec.2023.10.003","url":null,"abstract":"<div><h3>Background</h3><p>Patients who frequently present to Emergency Department (ED) experience complex health and social needs. While research has examined interventions that aim to decrease frequent ED attendances, there is a need to understand the types of interventions provided to patients by hospital clinicians during presentations.</p></div><div><h3>Methods</h3><p>Using qualitative content analysis, 82 management plans were evaluated to understand the scope and type of interventions provided by clinicians for patients frequently presenting to the ED at the Royal Melbourne Hospital, Australia.</p></div><div><h3>Results</h3><p>Patients often presented to the ED due to mental and psychological distress, substance use and physical health concerns alongside psychosocial vulnerabilities. The goals of care documented in plans focussed on management of health issues, aggression within the ED, and coordinating care with community services. Recommended interventions addressed presenting needs with multi-disciplinary approach to respond to distress and aggression. Finally, the plans provided insight into service coordination dynamics between the ED and community-based health and social care services.</p></div><div><h3>Conclusions</h3><p>The plans recommended interventions that sought to provide holistic care for patients in collaboration with relevant community-based services. The findings suggest that clinicians in the ED can provide appropriate and meaningful care for patients who experience frequent presentations.</p></div>","PeriodicalId":55979,"journal":{"name":"Australasian Emergency Care","volume":"27 2","pages":"Pages 114-118"},"PeriodicalIF":1.8,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71489358","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

Virtual emergency care in Victoria: Stakeholder perspectives of strengths, weaknesses, and barriers and facilitators of service scale-up 维多利亚州的虚拟急救：利益相关者对优势、劣势、障碍的看法以及扩大服务的推动者。

IF 1.8 4区医学

Australasian Emergency Care Pub Date : 2023-10-16 DOI: 10.1016/j.auec.2023.10.001

Dai Pu , Peter Cameron , Wendy Chapman , Louise Greenstock , Lena Sanci , Michele L. Callisaya , Terry Haines

{"title":"Virtual emergency care in Victoria: Stakeholder perspectives of strengths, weaknesses, and barriers and facilitators of service scale-up","authors":"Dai Pu , Peter Cameron , Wendy Chapman , Louise Greenstock , Lena Sanci , Michele L. Callisaya , Terry Haines","doi":"10.1016/j.auec.2023.10.001","DOIUrl":"10.1016/j.auec.2023.10.001","url":null,"abstract":"<div><h3>Background</h3><p>Virtual emergency services have been proposed as an alternative service model to conventional in-person emergency department attendance.</p></div><div><h3>Methods</h3><p>Twenty participants were interviewed: 10 emergency medicine physicians, 4 health care consumers, and 6 other health care professionals. Conventional content analysis was performed on the interview transcriptions to identify perceived strengths and weaknesses of the VED, and barriers and facilitators to scaling-up the VED.</p></div><div><h3>Results</h3><p>VEDs are perceived as a convenient approach to provide and receive emergency care while ensuring safety and quality of care, however some patients may still need to attend the ED in person for physical assessments. There is currently a lack of evidence, guidelines, and resources to support their implementation. Most of the potential and existing barriers and facilitators for scaling-up the VED were related to their effectiveness, reach and adoption. Broader public health contextual factors were viewed as barriers, while potential actions to address resources and costs could be facilitators.</p></div><div><h3>Conclusions</h3><p>VEDs were viewed as a convenient service model to provide care, can not replace all in-person visits. Current policies and guidelines are insufficient for wider implementation. Most of the barriers and facilitators for its scaling-up were related to VED effectiveness and delivery.</p></div>","PeriodicalId":55979,"journal":{"name":"Australasian Emergency Care","volume":"27 2","pages":"Pages 102-108"},"PeriodicalIF":1.8,"publicationDate":"2023-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2588994X23000726/pdfft?md5=a85023194abb64604a7e204cd40725f2&pid=1-s2.0-S2588994X23000726-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49685437","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: 0

The time-course of visual scanning behaviour of paramedicine students upon arrival at a simulated emergency call 护理专业学生在接到模拟紧急呼叫时的视觉扫描行为的时间过程。

IF 1.8 4区医学

Australasian Emergency Care Pub Date : 2023-10-13 DOI: 10.1016/j.auec.2023.10.002

Matthew J. Stainer , Alex J. MacQuarrie , Sean O’Loughlin , Andy Bell , Nick Abussi , Steve Whitfield , Elizabeth Cardell

{"title":"The time-course of visual scanning behaviour of paramedicine students upon arrival at a simulated emergency call","authors":"Matthew J. Stainer , Alex J. MacQuarrie , Sean O’Loughlin , Andy Bell , Nick Abussi , Steve Whitfield , Elizabeth Cardell","doi":"10.1016/j.auec.2023.10.002","DOIUrl":"10.1016/j.auec.2023.10.002","url":null,"abstract":"<div><h3>Background</h3><p>Limited knowledge exists regarding how paramedics acquire an understanding of the scene they encounter upon arrival, despite their need to quickly gather information for effective clinical decision-making. This study examined visual scanning behaviour during the early stages of simulated emergency calls.</p></div><div><h3>Methods</h3><p>Eye movements of 10 paramedicine students were recorded during simulated calls conducted in both a high-fidelity classroom setting and a full sensory immersion setting.</p></div><div><h3>Results</h3><p>Students focused on similar areas in both settings, with most time spent looking at the patient rather than distractors such as room features or other people. Analysis of gaze behaviour across the first five minutes revealed a more nuanced pattern: attention initially gravitated towards distractors but decreased as students became familiar with their surroundings and focused on the task at hand. This pattern was consistent across both simulation settings, indicating that information-seeking strategies may be independent of scene complexity.</p></div><div><h3>Conclusions</h3><p>Expertise relies on the ability to differentiate between relevant and irrelevant information. Given the unpredictable nature of their work, paramedics must continuously adapt their understanding of a scene from the moment they enter it. Understanding how this skill develops may help identify expert strategies to inform training of novice paramedics.</p></div>","PeriodicalId":55979,"journal":{"name":"Australasian Emergency Care","volume":"27 2","pages":"Pages 109-113"},"PeriodicalIF":1.8,"publicationDate":"2023-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41241243","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

Disaster preparedness among nurses in disaster-prone countries: A systematic review 灾害多发国家护士的备灾情况：一项系统综述。

IF 1.8 4区医学

Australasian Emergency Care Pub Date : 2023-09-29 DOI: 10.1016/j.auec.2023.09.002

Leodoro J. Labrague , Karen Hammad

{"title":"Disaster preparedness among nurses in disaster-prone countries: A systematic review","authors":"Leodoro J. Labrague , Karen Hammad","doi":"10.1016/j.auec.2023.09.002","DOIUrl":"10.1016/j.auec.2023.09.002","url":null,"abstract":"<div><h3>Background</h3><p>Disaster preparedness is crucial for mitigating the impact of disasters and saving lives. Ensuring preparedness for disaster response and management, particularly among nurses in disaster-prone countries, is essential due to the serious threats disasters pose to affected populations. This study was conducted to appraise and synthesize the literature examining preparedness for disaster management and response among nurses in countries with the highest disaster risks.</p></div><div><h3>Methods</h3><p>A systematic review<span><span> of the literature published from 2000 onwards was conducted using five databases: SCOPUS, PubMed, MEDLINE, PsychINFO, and </span>CINAHL. Twenty-one relevant articles were identified for this review.</span></p></div><div><h3>Results</h3><p>The findings revealed that nurses in countries at high risk of disasters had inadequate disaster knowledge and skills, leaving them ill-prepared to respond to such situations. Previous experience in disaster relief, disaster-related education and training, and higher academic qualifications were associated with increased readiness for disaster response and management.</p></div><div><h3>Conclusion</h3><p>The review's findings provide insight into the current state of disaster preparedness among nurses in disaster-prone nations. The review identified evidence highlighting the value of disaster-related education and training, as well as disaster response experience, in fostering preparedness among nurses. These results can inform policymakers, hospital administrators, and nurse administrators in developing strategies for promoting disaster preparedness in nurses through evidence-based training programs and interventions.</p></div>","PeriodicalId":55979,"journal":{"name":"Australasian Emergency Care","volume":"27 2","pages":"Pages 88-96"},"PeriodicalIF":1.8,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41174189","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

Support mechanisms that enable emergency nurses to cope with aggression and violence: Perspectives from New Zealand nurses 使急救护士能够应对侵略和暴力的支持机制：新西兰护士的观点。

IF 1.8 4区医学

Australasian Emergency Care Pub Date : 2023-09-22 DOI: 10.1016/j.auec.2023.09.003

Alice Martins Irvine , Willoughby Moloney , Stephen Jacobs , Natalie Elizabeth Anderson

{"title":"Support mechanisms that enable emergency nurses to cope with aggression and violence: Perspectives from New Zealand nurses","authors":"Alice Martins Irvine , Willoughby Moloney , Stephen Jacobs , Natalie Elizabeth Anderson","doi":"10.1016/j.auec.2023.09.003","DOIUrl":"10.1016/j.auec.2023.09.003","url":null,"abstract":"<div><h3>Background</h3><p>Although efforts to reduce aggression and violence in emergency departments are important, it is also critical to minimise harm and support staff where this occurs. This research describes support mechanisms emergency nurses value when they experience occupational aggression and violence.</p></div><div><h3>Methods</h3><p>A mixed-methods design including thematic analysis of six interviews and descriptive analysis of fifty-one surveys, with experienced emergency nurse participants and respondents from a single large urban emergency department.</p></div><div><h3>Results</h3><p>Four key themes summarised coping with aggression and violence: Minimising exacerbating factors (mental health, lack of understanding of zero tolerance in practice, and wait times); Support before violence (use of huddles and having experienced nurses on each shift); Support during violence (education including restraint, self-defence, de-escalation and legalities); and Support after violence (debriefing, incident reporting and a sense of ‘toughness’)</p></div><div><h3>Conclusion</h3><p>Emergency nurses need preparation and support to competently manage complex mental health presentations, understand legal rights, communicate effectively with patients, families and colleagues and access event debriefing. Security staff are valued team members but also need adequate resourcing and preparation.</p></div>","PeriodicalId":55979,"journal":{"name":"Australasian Emergency Care","volume":"27 2","pages":"Pages 97-101"},"PeriodicalIF":1.8,"publicationDate":"2023-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2588994X23000714/pdfft?md5=ea3d9bc653e9265140928dea8c914c53&pid=1-s2.0-S2588994X23000714-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41141328","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: 0

Characteristics of patients who return unplanned to the ED, and factors that contribute to their decision to return: Integrated results from an explanatory sequential mixed methods inquiry 非计划返回急诊室的患者的特征，以及促使他们决定返回的因素：解释性顺序混合方法调查的综合结果。

IF 1.8 4区医学

Australasian Emergency Care Pub Date : 2023-09-22 DOI: 10.1016/j.auec.2023.08.004

Claire L. Hutchinson , Kate Curtis , Andrea McCloughen

{"title":"Characteristics of patients who return unplanned to the ED, and factors that contribute to their decision to return: Integrated results from an explanatory sequential mixed methods inquiry","authors":"Claire L. Hutchinson , Kate Curtis , Andrea McCloughen","doi":"10.1016/j.auec.2023.08.004","DOIUrl":"10.1016/j.auec.2023.08.004","url":null,"abstract":"<div><h3>Aim</h3><p>To identify common characteristics of patients who return to the ED unplanned and factors that may contribute to their decision to return.</p></div><div><h3>Background</h3><p>Return visits to the Emergency Department (ED) have been associated with adverse events and deficits in initial care provided. There is increasing evidence to suggest that many return visits may be preventable.</p></div><div><h3>Methods</h3><p>The results of primary quantitative measures (QUAN) followed by qualitative measures (qual) were integrated to build on and explain the quantitative data found in the initial phase of the research.</p></div><div><h3>Results</h3><p>Integration of results produced three new findings. 1) Most return visits occurred beyond 48 hrs because patients intentionally delayed going back to the ED despite their persisting symptoms; 2) Clinical urgency and deterioration were rarely evident in patients who made return visits in patients and 3) Ineffective communication between the clinician and the patient at discharge may have contributed to patients making the decision to return to the ED.</p></div><div><h3>Conclusion</h3><p>The decision to return unplanned to the ED is not an immediate response for most patients, and several potentially avoidable factors may influence their decision-making process. Future research should focus on strategies which contribute to the avoidance of unplanned return visits.</p></div>","PeriodicalId":55979,"journal":{"name":"Australasian Emergency Care","volume":"27 1","pages":"Pages 71-77"},"PeriodicalIF":1.8,"publicationDate":"2023-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41161968","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 department assessment and management of children with gastroenteritis 儿童肠胃炎急诊科的评估和管理。

IF 1.8 4区医学

Australasian Emergency Care Pub Date : 2023-09-21 DOI: 10.1016/j.auec.2023.09.001

Kimberley Robson , Stéphane Bouchoucha , Julie Considine

{"title":"Emergency department assessment and management of children with gastroenteritis","authors":"Kimberley Robson , Stéphane Bouchoucha , Julie Considine","doi":"10.1016/j.auec.2023.09.001","DOIUrl":"10.1016/j.auec.2023.09.001","url":null,"abstract":"<div><h3>Background</h3><p>Acute gastroenteritis is a major cause of morbidity and mortality in children. The aim of this study was to explore assessment and management of children aged between 6 and 48 months presenting to the emergency department (ED) with acute gastroenteritis.</p></div><div><h3>Methods</h3><p>This retrospective cohort study included 340 children aged 6–48 months. Data were collected by medical record audit for children presenting between 1 January and 31 December 2019.</p></div><div><h3>Results</h3><p>General assessments were appropriate, specific dehydration assessment, blood pressure measurement and fluid balance chart documentation could be improved. Management of children with severe or no/mild dehydration was largely compliant with current recommendations: there was variability in management of children with moderate dehydration. There were no significant differences between Australian Aboriginal and non-Aboriginal children in terms of dehydration severity and pathology abnormalities, however there were differences in management strategies.</p></div><div><h3>Conclusions</h3><p>ED management of children with gastroenteritis was largely consistent with, or superior to, evidence-based recommendations. There was variability in the management of children with moderate dehydration and Australian Aboriginal children but it is unclear whether this is suboptimal or patient specific care. This study has highlighted areas for further research in this unique context.</p></div>","PeriodicalId":55979,"journal":{"name":"Australasian Emergency Care","volume":"27 2","pages":"Pages 81-87"},"PeriodicalIF":1.8,"publicationDate":"2023-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2588994X23000696/pdfft?md5=895a47fafd9df54a31baa597eaaaee88&pid=1-s2.0-S2588994X23000696-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41175485","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: 0

Australian emergency nurses' experiences of working with personal protective equipment during the COVID-19 pandemic. A qualitative study 澳大利亚急救护士在 COVID-19 大流行期间使用个人防护设备的经验。定性研究

IF 1.8 4区医学

Australasian Emergency Care Pub Date : 2023-09-09 DOI: 10.1016/j.auec.2023.08.003

Penelope Dempster , Ana Hutchinson , Elizabeth Oldland , Stéphane L. Bouchoucha

{"title":"Australian emergency nurses' experiences of working with personal protective equipment during the COVID-19 pandemic. A qualitative study","authors":"Penelope Dempster , Ana Hutchinson , Elizabeth Oldland , Stéphane L. Bouchoucha","doi":"10.1016/j.auec.2023.08.003","DOIUrl":"10.1016/j.auec.2023.08.003","url":null,"abstract":"<div><h3>Introduction</h3><p>The COVID-19 pandemic has exposed a need to understand the challenges associated with wearing Personal protective Equipment (PPE). The aim in this study was to explore emergency nurses’ experiences early in the COVID-19 pandemic in Australia and the impact of PPE use on their practice.</p></div><div><h3>Methods</h3><p>An explorative descriptive qualitative study was conducted between January 2022 and April 2022. Eighteen emergency nurses and six leaders participated. Semi-structured interviews (<em>n</em> = 21) and one focus group were conducted. Interview transcripts were analysed using Braun and Clarke’s framework.</p></div><div><h3>Results</h3><p>Two major themes were identified. The first theme was: (1) The shifting ground of the COVID-19 pandemic response. Associated sub-themes were: i) <em>What’s the go with PPE today?</em> ii) <em>In the beginning we were scrambling for masks</em>; iii) <em>Emergency is the true frontline</em>. The second theme was: (2) Physical and emotional impacts of emergency nursing work. Sub-themes were: (i) <em>Facing the fear of exposure</em>; (ii) <em>By the end of the shift I am just absolutely spent</em>; iii) <em>Discomfort of wearing PPE impacts on compliance</em>.</p></div><div><h3>Conclusions</h3><p>Healthcare leaders need to secure PPE supply chains and evaluate the effectiveness and side-effects of different PPE designs to minimise occupational harms associated with prolonged PPE use.</p></div>","PeriodicalId":55979,"journal":{"name":"Australasian Emergency Care","volume":"27 1","pages":"Pages 63-70"},"PeriodicalIF":1.8,"publicationDate":"2023-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2588994X23000568/pdfft?md5=e764dce4e27c7aabd86a68245a1e7c1a&pid=1-s2.0-S2588994X23000568-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10180048","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: 0