Accident and emergency nursing最新文献

{"title":"The experiences of patients and relatives/significant others of overcrowding in accident and emergency in Ireland: A qualitative descriptive study","authors":"Michael Coughlan MEd, BNS, RNT (Lecturer),&nbsp;Margarita Corry MSc, Pg. diploma stats, BNS, RNT (Lecturer)","doi":"10.1016/j.aaen.2007.07.009","DOIUrl":"10.1016/j.aaen.2007.07.009","url":null,"abstract":"<div><p>Overcrowding in Accident and Emergency Departments (A&amp;E) in Ireland has reached crisis proportions since the dawning of the new millennium. Although this phenomenon is not unique to Ireland and many authors have suggested causes and management strategies to deal with these crises, little appears to have been written regarding the experiences of patients or their families waiting in the A&amp;E.</p><p>The aim of this qualitative descriptive study was to describe the experiences of patients and/or their relatives/significant others who had spent 12<!--> <!-->h or more in A&amp;E awaiting admission to hospital. Four patients and three relatives/significant others volunteered to participate in the study.</p><p>Participants described the A&amp;E departments as resembling a disaster zone or a hospital scene from a third world country. Descriptions portrayed an environment that was overcrowded, dirty and lacking in resources. Participants were generally positive in their attitudes towards the care they received, but some descriptions appeared to suggest that the quality of care was not always ideal.</p><p>Recommendations from participants included reduced waiting times with a maximum of 6<!--> <!-->h from admission to transfer or discharge; better communications systems with perhaps a liaison person who could advise them about the expected duration of stay in A&amp;E and what was happening regarding their care; and better privacy and security within the departments.</p></div>","PeriodicalId":79387,"journal":{"name":"Accident and emergency nursing","volume":"15 4","pages":"Pages 201-209"},"PeriodicalIF":0.0,"publicationDate":"2007-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aaen.2007.07.009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27034604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"","authors":"Craig Wood","doi":"10.1016/j.aaen.2007.09.003","DOIUrl":"10.1016/j.aaen.2007.09.003","url":null,"abstract":"","PeriodicalId":79387,"journal":{"name":"Accident and emergency nursing","volume":"15 4","pages":"Pages 183-184"},"PeriodicalIF":0.0,"publicationDate":"2007-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aaen.2007.09.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27055650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Poverty and emergency care","authors":"Heather McClelland (Editor)","doi":"10.1016/j.aaen.2007.10.001","DOIUrl":"10.1016/j.aaen.2007.10.001","url":null,"abstract":"","PeriodicalId":79387,"journal":{"name":"Accident and emergency nursing","volume":"15 4","pages":"Pages 181-182"},"PeriodicalIF":0.0,"publicationDate":"2007-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aaen.2007.10.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27055651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trends in childhood injury mortality in a developing country: United Arab Emirates","authors":"Abdulbari Bener PhD FFPH FRSS (Consultant and Head Department of Medical Statistics) ,&nbsp;Adnan A. Hyder MD MPH PhD ,&nbsp;Ellen Schenk (Research Assistant)","doi":"10.1016/j.aaen.2007.07.010","DOIUrl":"10.1016/j.aaen.2007.07.010","url":null,"abstract":"<div><h3>Objective</h3><p>To describe the epidemiology of a leading cause of childhood mortality in Al-Ain, United Arab Emirates (UAE) – injury. To examine trends across types of injury, as well as the mechanisms of injury leading to death, by age groups, gender, citizenship, and explore mortality rates and make global comparisons.</p></div><div><h3>Design</h3><p>This is a retrospective, descriptive, statistical analysis of unlinked hospital data.</p></div><div><h3>Setting</h3><p>Al-Ain and Tawam Hospitals, and Preventive Medicine Department, Al-Ain, United Arab Emirates.</p></div><div><h3>Subjects</h3><p>All cases that met the conditions established for the study: fell within the age group of 0 to 14 years, suffered from injuries, and were admitted to either Al-Ain or Tawam hospitals and subsequently died within the studied time period of 1 January 1995 to 31 December 2004.</p></div><div><h3>Results</h3><p>A total of 7204 deaths were reported in children below 15 years during the studied time period. Of these cases, 2150 children died due to injury, comprising 29.8% of total deaths. Further analysis showed that road traffic injuries were the most frequent cause of injury leading to death (68.3%). Overall injury death rates were higher in non-citizens (54.5%) than in citizens (45.5%); and males had a higher incidence, specifically a 2.1:1 ratio, than females. Children 5 to 14 years had the highest frequency of injury deaths. Overall, injury mortality rates exhibited a decreasing, though fluctuating, trend during the studied period at a rate that is comparable to those in other developed nations such as New Zealand and USA.</p></div><div><h3>Conclusion</h3><p>The present study reveals that the burden of injury deaths among children below 15 years is significant; and injuries exist in every form and affect every age group, and gender. The high burden of injuries on children in the UAE demands the attention of the health community, including policy makers. An understanding of the trends such as those presented in this study, for instance that injuries from road traffic are prominent, will assist in the development of interventions to address this growing concern. Furthermore, similarities in rates of UAE with other developed countries signify the potential for appropriate responses to lower the burden of injuries on children in the future.</p></div>","PeriodicalId":79387,"journal":{"name":"Accident and emergency nursing","volume":"15 4","pages":"Pages 228-233"},"PeriodicalIF":0.0,"publicationDate":"2007-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aaen.2007.07.010","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27034603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nurses and paramedics in partnership: Perceptions of a new response to low-priority ambulance calls","authors":"Ina Machen MA, BA (Hons), RGN, RHV (Research Fellow) ,&nbsp;Angela Dickinson PhD, MMedSci, BSc(Hons), RGN (Senior Research Fellow) ,&nbsp;Julia Williams PhD, BSc(Hons), RGN, PGCE (Principal Lecturer) ,&nbsp;Dono Widiatmoko MSc, BA (Senior Lecturer) ,&nbsp;Sally Kendall PhD, BSc(Hons), RHV, RGN (Professor of Nursing, Director of CRIPACC)","doi":"10.1016/j.aaen.2007.09.001","DOIUrl":"10.1016/j.aaen.2007.09.001","url":null,"abstract":"<div><h3>Aims</h3><p>To explore patients’ and staffs’ perceptions of a pilot service which dispatched a nurse and paramedic to low-priority ambulance calls. However, <em>Methods:</em> Patients’ opinions of both pilot and standard service groups were obtained through qualitative questionnaire data and individual interviews. Staffs’ perceptions were explored via two focus groups. Questionnaires were sent to a convenience sample of 128 patients attended by the pilot service and 128 patients receiving the standard service. Initially 19 questionnaire participants agreed to be interviewed. Focus group participants (<em>n</em> <!-->=<!--> <!-->11) included nurses and paramedics involved in the pilot service. <em>Results:</em> Sixty-four questionnaires were returned and 11 interviews were conducted. Patients receiving the pilot service were enthusiastic about opportunities for care to be provided in their home. Involvement in the pilot service was a positive experience for staff. They felt confident in managing calls effectively because of their combined knowledge and skills, and believed that the quality of patient care had been improved. They also experienced increased job satisfaction and skills development. <em>Conclusion:</em> Both patients and staff expressed positive views about the pilot service. Patients appreciated being treated at home and staff believed that working together provided more appropriate care for patients and enhanced interprofessional development.</p></div>","PeriodicalId":79387,"journal":{"name":"Accident and emergency nursing","volume":"15 4","pages":"Pages 185-192"},"PeriodicalIF":0.0,"publicationDate":"2007-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aaen.2007.09.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41024472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"","authors":"Tim Barr BA RN PGCE (Lecturer)","doi":"10.1016/j.aaen.2007.06.004","DOIUrl":"10.1016/j.aaen.2007.06.004","url":null,"abstract":"","PeriodicalId":79387,"journal":{"name":"Accident and emergency nursing","volume":"15 4","pages":"Pages 243-244"},"PeriodicalIF":0.0,"publicationDate":"2007-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aaen.2007.06.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"53912736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"","authors":"Rhian Davies,&nbsp;Caroline Williams","doi":"10.1016/j.aaen.2007.07.006","DOIUrl":"10.1016/j.aaen.2007.07.006","url":null,"abstract":"","PeriodicalId":79387,"journal":{"name":"Accident and emergency nursing","volume":"15 4","pages":"Page 246"},"PeriodicalIF":0.0,"publicationDate":"2007-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aaen.2007.07.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"53912781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical research 3: Sample selection","authors":"Ruth Endacott RN, DipN(Lond), MA, PhD ((Professor of Clinical Nursing)) ,&nbsp;Mari Botti RN, RM, BN, PhD, MRCNA ((Professor, School of Nursing))","doi":"10.1016/j.aaen.2006.12.006","DOIUrl":"10.1016/j.aaen.2006.12.006","url":null,"abstract":"<div><p>This research series is aimed at clinicians who wish to develop research skills, or who have a particular clinical problem that they think could be addressed through research. The series aims to provide insight into the decisions that researchers make in the course of their work and to also provide a foundation for decisions that nurses may make in applying the findings of a study to practice in their own Unit or Department. The series emphasises the practical issues encountered when undertaking research in critical care settings: readers are encouraged to source research methodology textbooks for more detailed guidance on specific aspects of the research process.</p></div>","PeriodicalId":79387,"journal":{"name":"Accident and emergency nursing","volume":"15 4","pages":"Pages 234-238"},"PeriodicalIF":0.0,"publicationDate":"2007-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aaen.2006.12.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26653534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A time for international standards?: Comparing the Emergency Nurse Practitioner role in the UK, Australia and New Zealand","authors":"Jane Currie RGN MSc BSc (Hons) QARANC (UK) (Nursing Officer, British Army) ,&nbsp;Liza Edwards RN MNsg (NP) PGrad Dip Adv Clin Nsg (Emerg) BHSc (Nsg) ,&nbsp;Margaret Colligan MN NP (NZ) ,&nbsp;Robert Crouch RN PhD FRCN FFEN (UK) (Consultant Nurse & Senior Lecturer)","doi":"10.1016/j.aaen.2007.07.007","DOIUrl":"10.1016/j.aaen.2007.07.007","url":null,"abstract":"<div><p>The aim of this paper is to compare the Emergency Nurse Practitioner (ENP) role in the UK, Australia and New Zealand. Whilst geographically distant, the role of the ENP within these three countries shares fundamental similarities, causing us to question, is this a time to implement international standards for the role? The ENP role in all three countries is gradually establishing itself, yet there are shared concerns over how the role is regulated and deficits in standardisation of scope of practice and educational level. Together these issues generate confusion over what the ENP role embodies. One method of demystifying the ENP role would be to progress towards international standards for regulation, education and core components of practice.</p></div>","PeriodicalId":79387,"journal":{"name":"Accident and emergency nursing","volume":"15 4","pages":"Pages 210-216"},"PeriodicalIF":0.0,"publicationDate":"2007-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aaen.2007.07.007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27048001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An audit of the NICE self-harm guidelines at a local accident and emergency department in North Wales","authors":"Russell Jones RMN, MSc (Liaison Psychiatry Manager) ,&nbsp;Alison Avies-Jones RMN, BSc (Primary Care Mental Health Practitioner)","doi":"10.1016/j.aaen.2007.09.004","DOIUrl":"10.1016/j.aaen.2007.09.004","url":null,"abstract":"<div><p>This paper reports the findings of a self-harm audit based on data collected at an A&amp;E department in North Wales. The National Institute for Clinical Excellence (NICE) guidelines on the short term physical and psychological management of self-harm were published in 2004 and the audit was based on technical criteria recommended in the guideline booklet, including standards of psychosocial assessment, staff training and patient satisfaction information.</p><p>The data in this study related to fifty consecutive self-harm attendances at the A&amp;E department Ysbyty Glan Clwyd in the Spring of 2007. The hospital serves a mixed rural/urban population of approximately 250,000.</p><p>Patient satisfaction questionnaires were made available to the group subsequently, whilst the staff training audit was distributed more widely to include emergency, medicine and mental health divisions of the Conwy &amp; Denbighshire NHS Trust. The results demonstrated generally high standards of care on psychosocial assessment, though information relating to initial ambulance involvement in treatment was often unclear. The response to the staff-training questionnaire was an encouraging 44% and indicated wide variations between staff groups and areas of work. The patient satisfaction returns demonstrated favourable responses, with several comments added to expand on tick box replies.</p><p>Service developments, as a result of the audit, include the proposal to provide mental health and self-harm training to all those staff likely to encounter the behaviour – not just to those who work in mental health. Patients, from the questionnaire, who express a willingness to become part of a mental health planning group are now provided details of the patient participation involvement (PPI) group, where their experiences can often inform service improvement. Meanwhile the case note audit has reinforced the need for a practical self-harm pathway which will ensure consistency.</p></div>","PeriodicalId":79387,"journal":{"name":"Accident and emergency nursing","volume":"15 4","pages":"Pages 217-222"},"PeriodicalIF":0.0,"publicationDate":"2007-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aaen.2007.09.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41040943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}