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Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association最新文献

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Improving outcomes for older adults in the emergency department: challenges, enablers and evidence-based solutions. 改善急诊科老年人的预后：挑战、推动因素和基于证据的解决方案。
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2025-09-15 DOI: 10.7748/en.2025.e2244
Tiago Horta Reis da Silva
{"title":"Improving outcomes for older adults in the emergency department: challenges, enablers and evidence-based solutions.","authors":"Tiago Horta Reis da Silva","doi":"10.7748/en.2025.e2244","DOIUrl":"https://doi.org/10.7748/en.2025.e2244","url":null,"abstract":"<p><p>Emergency departments (EDs) are increasingly at the front line of care for older adults, a demographic experiencing rapid global growth. This patient group often presents with complex health conditions, polypharmacy, frailty and cognitive impairment, factors which challenge traditional acute care models. This article explores the clinical, organisational and educational challenges in delivering effective, person-centred emergency care for older adults. It presents evidence-based strategies to improve outcomes, drawing on current frameworks such as geriatric EDs and comprehensive geriatric assessment (CGA). Key challenges identified include overcrowding, limited specialist training among staff, suboptimal environmental design, delayed diagnosis and fragmented communication. Evidence-based solutions include the integration of CGA, development of geriatric emergency nursing roles, interdisciplinary collaboration, targeted workforce education and training, and ED environmental adaptations. Enhancing emergency care for older adults requires a system-wide shift towards age-appropriate, interdisciplinary, person-centred models of care. Policy alignment, workforce capacity building and organisational leadership are essential to delivering safe, effective and compassionate emergency care for this population.</p>","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145067148","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}
引用次数: 0
Exploring the effects of delivering CPR on nurses' mental health and well-being. 探讨实施心肺复苏术对护士心理健康和幸福感的影响。
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2025-09-02 Epub Date: 2025-04-23 DOI: 10.7748/en.2025.e2231
Gillian Fitzpatrick
{"title":"Exploring the effects of delivering CPR on nurses' mental health and well-being.","authors":"Gillian Fitzpatrick","doi":"10.7748/en.2025.e2231","DOIUrl":"10.7748/en.2025.e2231","url":null,"abstract":"<p><p>Nurses are often first responders to patients in cardiac arrest and therefore have a critical role in delivering cardiopulmonary resuscitation (CPR), which can be physically, emotionally and ethically demanding and highly stressful. The stress of being involved in patient resuscitation is widely acknowledged, but there is limited research on how nurses cope during and after delivering CPR. This qualitative literature review aimed to develop an understanding of the effects of delivering CPR on nurses' mental health and well-being. The thematic synthesis of the 15 studies reviewed identified three main themes: work-related stress, burnout, and psychiatric morbidity. These all adversely affect nurses' mental health and well-being, and potentially the effectiveness of their delivery of CPR, and are implicated in nurse attrition. There is a need for stress-reduction programmes and strategies to enhance nurses' coping skills and for the provision of multidisciplinary training that supports effective teamwork and nurses' delivery of CPR.</p>","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":" ","pages":"22-27"},"PeriodicalIF":0.0,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144004439","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}
引用次数: 0
Staff and patient experiences of crowding, corridor care and boarding: a rapid review. 工作人员和病人对拥挤、走廊护理和寄宿的体验：快速审查。
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2025-09-02 Epub Date: 2024-12-18 DOI: 10.7748/en.2024.e2215
Steve Robertson, Tony Ryan, Ashfaque Talpur
{"title":"Staff and patient experiences of crowding, corridor care and boarding: a rapid review.","authors":"Steve Robertson, Tony Ryan, Ashfaque Talpur","doi":"10.7748/en.2024.e2215","DOIUrl":"10.7748/en.2024.e2215","url":null,"abstract":"<p><p>The increasing use of healthcare services is leading to issues with hospital overcrowding and this is particularly apparent in emergency departments (EDs). Consequently, patients are being cared for in areas that were not designed for that purpose, such as waiting areas and corridors. This negatively affects nurses' and patients' experiences of care. This article provides a rapid review of the evidence on nurses' and patients' experiences of crowding, corridor care and boarding. The findings highlight three main elements experienced by staff and patients when caring or being cared for in such contexts: stress and frustration; dissatisfaction with care; and safety and coping mechanisms. Enhancing nurse autonomy and improving communication with patients could mitigate some of these negative experiences and thereby improve staff retention, reduce staff-patient conflict and reduce the likelihood of patients leaving the ED without being seen.</p>","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":" ","pages":"15-21"},"PeriodicalIF":0.0,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848745","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}
引用次数: 0
Quality of work life and job satisfaction among emergency nurses and the mediating role of clinical empathy. 急诊护士工作生活质量、工作满意度及临床共情的中介作用。
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2025-09-02 Epub Date: 2025-02-25 DOI: 10.7748/en.2025.e2218
Hasan Sepahvand, Sanaz Eyni, Mehdi Zemestani
{"title":"Quality of work life and job satisfaction among emergency nurses and the mediating role of clinical empathy.","authors":"Hasan Sepahvand, Sanaz Eyni, Mehdi Zemestani","doi":"10.7748/en.2025.e2218","DOIUrl":"10.7748/en.2025.e2218","url":null,"abstract":"<p><strong>Background: </strong>Nurses' job satisfaction affects how they feel about their work, their commitment, their relationships with patients and colleagues and ultimately the quality of care they provide. Beyond the many aspects of quality of work life, another factor that is likely to affect nurses' job satisfaction is clinical empathy.</p><p><strong>Aim: </strong>To investigate the direct and indirect effects of quality of work life on nurses' job satisfaction, with clinical empathy as a mediating factor.</p><p><strong>Methods: </strong>This was a quantitative cross-sectional study using a descriptive research design along with path analysis. The study population included all nurses working in the emergency departments of hospitals in Sanandaj, Iran. The short form of the Minnesota Satisfaction Questionnaire, the Quality of Work Life questionnaire and the health professional version of the Jefferson Scale of Physician Empathy were used to collect data. A total of 480 nurses were approached, 430 questionnaires were received, and 400 complete questionnaires were included in the data analysis.</p><p><strong>Results: </strong>The results showed that participants' quality of work life had a direct and significant effect on their job satisfaction. In addition to its direct effect on job satisfaction, quality of work life also affected participants' job satisfaction indirectly through the mediation of clinical empathy.</p><p><strong>Conclusion: </strong>Paying attention to the factors that affect nurses' quality of work life and promoting high levels of clinical empathy among nurses can increase their job satisfaction and therefore the quality of care they provide.</p>","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":" ","pages":"36-41"},"PeriodicalIF":0.0,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143495148","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}
引用次数: 0
Seven-day unplanned re-attendance rate for patients seen in the ED by advanced clinical practitioners: a service evaluation. 高级临床医生在急诊科看到的患者7天非计划再出勤率：一项服务评估。
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2025-08-26 DOI: 10.7748/en.2025.e2238
Rob Fenwick, Aimee Wright, Susan Dorrian, Mustafa Sajeel
{"title":"Seven-day unplanned re-attendance rate for patients seen in the ED by advanced clinical practitioners: a service evaluation.","authors":"Rob Fenwick, Aimee Wright, Susan Dorrian, Mustafa Sajeel","doi":"10.7748/en.2025.e2238","DOIUrl":"https://doi.org/10.7748/en.2025.e2238","url":null,"abstract":"<p><p>Advanced clinical practitioners (ACPs) have become an established part of the emergency medicine workforce in the UK. However, despite increasing numbers of ACPs working in emergency medicine, there is little evidence regarding their impact on care in this area and a lack of metrics available to assess their performance. To inform national benchmarking and comparisons between organisations, the authors of this article calculated the seven-day unplanned re-attendance rate for patients seen by ACPs at two emergency departments (EDs) in the UK and compared it with the rate for patients seen locally by all other clinicians and with the overall rate in England. Over a 12-month period, the seven-day unplanned re-attendance rate for ACPs was 5.9%, versus 6.7% for all other clinicians and 8.2% nationally. As a measurable and meaningful indicator of the quality of care, the seven-day unplanned re-attendance rate could be integrated into routine data collection and used constructively in the appraisal process and professional development of ACPs.</p>","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144984860","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}
引用次数: 0
Improving the documentation of safeguarding information at triage using the CWILTED tool. 使用CWILTED工具改进在分诊时保护信息的文档。
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2025-08-01 DOI: 10.7748/en.2025.e2235
Leah Hughes, Chelsea Barney, Emily Bryant, Christine Gildenhuy, Kerry Paterson, Tanya Morphew
{"title":"Improving the documentation of safeguarding information at triage using the CWILTED tool.","authors":"Leah Hughes, Chelsea Barney, Emily Bryant, Christine Gildenhuy, Kerry Paterson, Tanya Morphew","doi":"10.7748/en.2025.e2235","DOIUrl":"https://doi.org/10.7748/en.2025.e2235","url":null,"abstract":"<p><p>The emergency department (ED) may be the first place where a child and young person who has been subject to abuse or neglect comes into contact with healthcare professionals. CWILTED ('concern', 'witness', 'incident', 'location', 'time', 'escort', 'demeanour') is a tool designed to enhance the quality of information relevant to safeguarding that is documented by triage nurses about children and young people attending the ED. In 2024, CWILTED was introduced at an ED in Dorset, England, following an audit which had shown that there was room for improvement in the documentation of safeguarding information. A second audit was then conducted, which showed that the introduction of the tool had had positive effects. This article reports on the second audit's findings, making comparisons with previous data where possible. It discusses human factors that influence triage and stresses the need to communicate information about a child's ED attendance to the GP to ensure that no safeguarding issues are missed.</p>","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144791194","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}
引用次数: 0
Reducing length of stay in the emergency department for patients with mental health conditions: a service evaluation. 缩短精神病患者在急诊科的住院时间：一项服务评估。
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2025-07-22 DOI: 10.7748/en.2025.e2228
Jan Kruczynski, Alan Simpson
{"title":"Reducing length of stay in the emergency department for patients with mental health conditions: a service evaluation.","authors":"Jan Kruczynski, Alan Simpson","doi":"10.7748/en.2025.e2228","DOIUrl":"https://doi.org/10.7748/en.2025.e2228","url":null,"abstract":"<p><p>People with mental health conditions frequently experience prolonged stays in the emergency department (ED) while awaiting specialist care or an inpatient bed. This article reports the findings of a service evaluation that explored the effectiveness of a daily 'huddle' between ED staff and the liaison psychiatric service (LPS) team in one ED in England in reducing length of stay for this patient population. The evaluation used a convergent mixed-methods design involving the collection and analysis of quantitative data on four key performance indicators (KPIs) (overall length of stay, time to psychiatric assessment, time to psychiatric referral and time to medical assessment) and qualitative data from a focus group discussion with staff. The findings suggest that ED staff should be provided with comprehensive training, including on de-escalation techniques and on recognising and understanding mental health issues, and that a cultural shift is required within EDs to achieve parity of esteem between mental health and physical health.</p>","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144683968","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}
引用次数: 0
How to provide effective safety netting in the emergency department. 如何在急诊科提供有效的安全网。
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2025-07-08 DOI: 10.7748/en.2025.e2237
Hugh Gorick
{"title":"How to provide effective safety netting in the emergency department.","authors":"Hugh Gorick","doi":"10.7748/en.2025.e2237","DOIUrl":"https://doi.org/10.7748/en.2025.e2237","url":null,"abstract":"<p><strong>Rationale and key points: </strong>Safety netting in the emergency department (ED) is provided to patients when their presenting complaint has not completely resolved but they can be safely discharged home. Safety netting involves providing patients, and/or their parents, family members or carers, with verbal and written information about where to go and/or who to contact should they develop any concerning signs and symptoms or if their condition does not resolve as expected. Nurses providing safety netting must ensure they have the knowledge and skills to do so and work within the limits of their competence. • Safety netting should cover the patient's current health status, the expected course of their condition, concerning signs and symptoms, and how and where to seek further medical advice if needed. • Effective safety netting can help to ensure that the patient is equipped to safely monitor their condition at home and act appropriately if it deteriorates. • Nurses should summarise the advice and information discussed and check that the patient has understood them, for example by using the teach-back method. • Online and digital resources are increasingly used to support safety netting and nurses must ascertain that the patient has the required equipment and digital literacy before signposting them to such resources. REFLECTIVE ACTIVITY: 'How to' articles can help to update your practice and ensure it remains evidence-based. Apply this article to your practice. Reflect on and write a short account of: • How this article might improve your practice when providing safety netting in the emergency department. • How you could use this information to educate nursing students or your colleagues on the appropriate procedure and evidence base for providing safety netting in the emergency department.</p>","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144586052","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}
引用次数: 0
Evaluating emergency nurses' use of and satisfaction with a web-based patient triage app. 评估急诊护士对基于网络的患者分诊应用程序的使用和满意度。
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2025-07-01 Epub Date: 2024-12-10 DOI: 10.7748/en.2024.e2213
Chatkhane Pearkao, Sitthichai Khongpirun
{"title":"Evaluating emergency nurses' use of and satisfaction with a web-based patient triage app.","authors":"Chatkhane Pearkao, Sitthichai Khongpirun","doi":"10.7748/en.2024.e2213","DOIUrl":"10.7748/en.2024.e2213","url":null,"abstract":"<p><p>Evidence suggests that using a standardised triage system that categorises patients into levels of severity or acuity to prioritise their care can provide the greatest levels of patient safety. The use of a web-based app to record patient triage data can support operational decision-making, reduce the risk of errors and standardise the time it takes to record the data required for accurate triage. This article details one aspect of a three-stage research project undertaken in Thailand which aimed to improve the quality of nurse triage, reduce errors in triage decisions and decrease the time spent on triage through implementation of a patient triage app. The patient information input into the app at initial triage is automatically uploaded into the electronic patient record. The authors report the results of the third stage of the project, which aimed to analyse the feasibility of using the app by evaluating completion of patient records and user satisfaction levels.</p>","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":" ","pages":"32-35"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803194","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}
引用次数: 0
Managing ankle fracture-dislocation injury in the emergency department: a case study. 急诊科处理踝关节骨折脱位损伤：病例研究。
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2025-07-01 Epub Date: 2024-11-26 DOI: 10.7748/en.2024.e2216
Barry McBrien, Aoife Feeney, Martin Duignan
{"title":"Managing ankle fracture-dislocation injury in the emergency department: a case study.","authors":"Barry McBrien, Aoife Feeney, Martin Duignan","doi":"10.7748/en.2024.e2216","DOIUrl":"10.7748/en.2024.e2216","url":null,"abstract":"<p><p>Ankle fracture-dislocation is a serious injury that requires prompt and appropriate management. The proximity of various neurovascular structures around the ankle joint means there is a risk of nerve or blood vessel damage. Initial management in the emergency department (ED), therefore, includes the realignment and repositioning of the dislocated joint to its normal anatomical position, referred to as reduction. This article details a case study of a 42-year-old woman who presented to an ED in Ireland with a suspected ankle fracture-dislocation following a fall while playing sport. Following triage and initial pain management, the patient's care was managed by an advanced nurse practitioner, in collaboration with medical colleagues, which involved history taking and physical assessment, reduction of the dislocation and splinting of the ankle under procedural sedation, monitoring during and after procedural sedation, and radiological imaging.</p>","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":" ","pages":"26-31"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142718054","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}
引用次数: 0
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