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

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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
CPD focus: Enhancing the care of patients attending the emergency department following suicidal behaviour. 持续专业进修重点：加强对有自杀行为的急诊科病人的护理。
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2025-07-01 Epub Date: 2025-04-08 DOI: 10.7748/en.2025.e2224
David Lee Anderson, Phil Hill
{"title":"CPD focus: Enhancing the care of patients attending the emergency department following suicidal behaviour.","authors":"David Lee Anderson, Phil Hill","doi":"10.7748/en.2025.e2224","DOIUrl":"10.7748/en.2025.e2224","url":null,"abstract":"<p><p>Nurses and other clinical staff working in emergency departments (EDs) are frequently required to care for patients who attend following suicidal behaviour, but ED staff often feel unequipped to do so. Many of these patients also report negative experiences of care. This article reviews and discusses patients' lived experiences under four themes: conflicting feelings around death and dying; feelings of shame and stigma; feelings of hopelessness; and the impact of person-centred moments. The authors also provide suggestions that nurses can consider to enhance their professional practice and the care they provide to this patient group.</p>","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":" ","pages":"37-41"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143805226","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 psychosocial assessment of children and young people in the emergency department: a service evaluation. 改善急诊科儿童和青少年的社会心理评估：服务评估。
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2025-07-01 Epub Date: 2024-11-10 DOI: 10.7748/en.2024.e2214
Hannah Lisbeth Doherty
{"title":"Improving psychosocial assessment of children and young people in the emergency department: a service evaluation.","authors":"Hannah Lisbeth Doherty","doi":"10.7748/en.2024.e2214","DOIUrl":"10.7748/en.2024.e2214","url":null,"abstract":"<p><p>Referrals to mental health services, and mental health-related presentations to emergency departments (EDs), among children and young people (CYP) have increased over the last decade. In the UK, national guidelines and standards recommend that CYP who present to an ED with mental health issues should receive a psychosocial assessment, while evidence suggests that the use of a psychosocial assessment tool can enhance the management of this patient cohort. However, it can be challenging for ED healthcare professionals to undertake a formal psychosocial assessment due to a range of factors. This article reports the results of a service evaluation, undertaken in two children's EDs in a large NHS trust in England. The evaluation involved a review of 308 ED clinical records of CYP who presented to the EDs with mental health issues, to assess the extent to which this cohort was receiving a structured psychosocial assessment. The results showed that only a small proportion (34%, n=104) of the clinical records contained evidence of some form of psychosocial assessment, while the use of a psychosocial assessment tool was documented in only 22 (7%) of these 104 clinical records. The results have informed a wider quality improvement project to enhance practice in this area.</p>","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":" ","pages":"19-25"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669897","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
Identifying, managing and preventing nurse burnout in the emergency department. 识别、管理和预防急诊科护士职业倦怠。
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2025-06-18 DOI: 10.7748/en.2025.e2234
Ella Brennan
{"title":"Identifying, managing and preventing nurse burnout in the emergency department.","authors":"Ella Brennan","doi":"10.7748/en.2025.e2234","DOIUrl":"https://doi.org/10.7748/en.2025.e2234","url":null,"abstract":"<p><p>Burnout is a prevalent and escalating issue in emergency nursing, driven by factors such as increased patient demand, overcrowding, staffing shortages, workplace violence and critical incident exposure. This article explores the systemic, environmental and psychological causes of burnout, and examines its detrimental effects on nurses' well-being and patient safety. Strategies for identifying, managing and preventing burnout are discussed, including recognising early symptoms, managing the emotional effect of trauma, supporting personal resilience and the importance of organisational measures such as improved staffing, leadership support and workplace safety initiatives. Practical interventions to develop resilience, enhance emotional regulation and mitigate the effect of shiftwork are explored. The article emphasises that while individual strategies are valuable, systemic changes are essential to address the root causes of burnout. By implementing multilevel approaches, emergency nurses and healthcare organisations can protect staff well-being and sustain the delivery of safe, high-quality care.</p>","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144319116","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
Patient presentations at large-scale events: a thematic analysis of the literature. 患者在大型活动中的表现：文献的专题分析。
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2025-05-07 DOI: 10.7748/en.2025.e2229
Robert Shelswell
{"title":"Patient presentations at large-scale events: a thematic analysis of the literature.","authors":"Robert Shelswell","doi":"10.7748/en.2025.e2229","DOIUrl":"https://doi.org/10.7748/en.2025.e2229","url":null,"abstract":"<p><p>Music festivals, football matches and other sporting events, agricultural shows and state fairs, and religious festivals are large-scale events where people present with medical or care needs in the pre-hospital setting. The author undertook a literature review on patient presentations at large-scale events to provide insight to nurses working at such events about the presentations they are likely to encounter and the skills they need to manage them. This article discusses patient presentations from lower-limb injury to drug intoxication, influenza, heat stroke and cardiac arrest. The author explores the commonalities and differences in patient presentations according to the type of events and makes recommendations for practice.</p>","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143996717","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
Implementing a pathway for patients diagnosed with cancer in the emergency department. 为在急诊科确诊的癌症患者提供治疗路径。
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2025-04-29 Epub Date: 2024-10-30 DOI: 10.7748/en.2024.e2217
Kay McCallum, Clare Jacobs, Philippa Johnstone
{"title":"Implementing a pathway for patients diagnosed with cancer in the emergency department.","authors":"Kay McCallum, Clare Jacobs, Philippa Johnstone","doi":"10.7748/en.2024.e2217","DOIUrl":"10.7748/en.2024.e2217","url":null,"abstract":"<p><p>Patients diagnosed with cancer or suspected cancer during an emergency department (ED) presentation are often signposted back to their GP for urgent referral to cancer services. However, this can result in delays in patients receiving specialist support, confirmation of diagnosis and, vitally, starting treatment. A quality improvement initiative that aimed to address these issues through the introduction of an ED suspected cancer diagnosis pathway was implemented by the acute oncology service in two EDs in Oxford University Hospitals NHS Foundation Trust in April 2023. Data collected during the first year of implementation of the pathway show there has been a significant increase in the numbers of patients meeting the NHS England 62-day referral to treatment standard and in the numbers of patients receiving support from an acute oncology named cancer clinical nurse specialist from the point of discharge from the ED. This article details the initiative, which is ongoing, and shares some of the results from the first year of data collection.</p>","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":" ","pages":"28-33"},"PeriodicalIF":0.0,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142549936","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 emergency department crowding on emergency nurses. 探讨急诊室拥挤对急诊护士的影响。
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2025-04-29 Epub Date: 2024-09-26 DOI: 10.7748/en.2024.e2211
Amy Webster, Julie McGarry
{"title":"Exploring the effects of emergency department crowding on emergency nurses.","authors":"Amy Webster, Julie McGarry","doi":"10.7748/en.2024.e2211","DOIUrl":"10.7748/en.2024.e2211","url":null,"abstract":"<p><p>Although the phenomenon of crowding in emergency departments (EDs) is not new, it remains a significant problem for patients, ED staff and the wider healthcare system. Crowding in EDs, which is also called overcrowding, has been widely explored in the literature, but there are relatively few studies of the subject from an emergency nurse perspective. This article reports the findings of a literature review that aimed to explore the effects of crowding on nurses working in EDs. Four key themes were identified from a synthesis of 16 articles included in the review: staffing and skill mix; inadequate care and the effect on nurses' well-being and stress levels; violence in the ED; and hospital metrics and patient flow. Further research is required to explore in more depth the effects of ED crowding on emergency nurses and to address the multiple factors that perpetuate the phenomenon.</p>","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":" ","pages":"16-21"},"PeriodicalIF":0.0,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142335703","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
Suspected sepsis: patient assessment and management in the emergency department. 疑似败血症：急诊科的病人评估和管理。
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2025-04-29 Epub Date: 2025-02-11 DOI: 10.7748/en.2025.e2221
Clare Hird, Mike Parker
{"title":"Suspected sepsis: patient assessment and management in the emergency department.","authors":"Clare Hird, Mike Parker","doi":"10.7748/en.2025.e2221","DOIUrl":"10.7748/en.2025.e2221","url":null,"abstract":"<p><p>Sepsis is a potentially life-threatening condition triggered by infection that is responsible for an estimated 48,000 deaths in the UK each year. Its pathophysiology is complex, its symptomology non-specific and its clinical presentations extremely varied. Despite numerous campaigns to raise awareness of sepsis, it still goes undetected. In 2024, the National Institute for Health and Clinical Excellence revised its guideline on sepsis and the UK Sepsis Trust published the seventh edition of its Sepsis Manual. This article discusses the pathophysiology of sepsis and how emergency nurses should assess and manage patients with suspected sepsis. It describes the tools available to them, including the National Early Warning Score 2 and the Sepsis 6, and emphasises the importance of early antibiotic administration, serial lactate measurements, source control and antimicrobial stewardship.</p>","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":" ","pages":"34-41"},"PeriodicalIF":0.0,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392857","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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