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

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Managing pelvic fractures with haemorrhage using a multidisciplinary team approach: a case report from India.
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2025-03-25 DOI: 10.7748/en.2025.e2219
Maragatham Sellamuthu, Manikandan Uthirakumar, Mini George
{"title":"Managing pelvic fractures with haemorrhage using a multidisciplinary team approach: a case report from India.","authors":"Maragatham Sellamuthu, Manikandan Uthirakumar, Mini George","doi":"10.7748/en.2025.e2219","DOIUrl":"https://doi.org/10.7748/en.2025.e2219","url":null,"abstract":"<p><p>Pelvic fractures with haemorrhage are associated with high mortality and morbidity. This article describes the case of a 21-year-old man who was admitted to the emergency department of a hospital in India with a pelvic fracture and haemorrhage following a road traffic accident. It highlights the crucial role of nurses in coordinating the initial assessment, diagnostic investigations and treatment as well as the ongoing management of patients presenting with such injuries. Timely interventions by a multidisciplinary team are critical for preventing hypovolaemic shock, reducing mortality and limiting disability.</p>","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143702416","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 benefits and limitations of using telemedicine in unscheduled care. 探讨在计划外护理中使用远程医疗的益处和局限性。
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2025-03-04 Epub Date: 2024-09-16 DOI: 10.7748/en.2024.e2210
Kirsty Limeira Thomson, Lindy Morrison, Mark Cooper, Bridget Johnston
{"title":"Exploring the benefits and limitations of using telemedicine in unscheduled care.","authors":"Kirsty Limeira Thomson, Lindy Morrison, Mark Cooper, Bridget Johnston","doi":"10.7748/en.2024.e2210","DOIUrl":"10.7748/en.2024.e2210","url":null,"abstract":"<p><p>Telemedicine is increasingly used in healthcare settings, including in unscheduled care. This article details the findings of a literature review that aimed to determine the benefits and limitations of using telemedicine in unscheduled care. The findings suggest that the use of telemedicine can be cost-effective for patients and healthcare providers and may reduce hospital transfer and admission rates. However, patients' digital literacy and communication needs, as well as technical issues, were identified as limitations. Further research is needed on the use of telemedicine in unscheduled care to determine how it affects patient care.</p>","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":" ","pages":"28-34"},"PeriodicalIF":0.0,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142305465","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
Role of prophylactic antibiotics in treating patients presenting to emergency care with dog bites. 预防性抗生素在治疗被狗咬伤的急诊患者中的作用。
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2025-03-04 Epub Date: 2024-08-29 DOI: 10.7748/en.2024.e2208
Emma Finn
{"title":"Role of prophylactic antibiotics in treating patients presenting to emergency care with dog bites.","authors":"Emma Finn","doi":"10.7748/en.2024.e2208","DOIUrl":"10.7748/en.2024.e2208","url":null,"abstract":"<p><p>Dog bites account for 250,000 attendances for urgent and emergency care each year. They pose risks including infections with potentially life-threatening complications. This article scrutinises the evidence underpinning the use of prophylactic antibiotics in dog bite wounds. A focused literature review involving four databases specialising in peer-reviewed healthcare literature was conducted to identify the highest quality evidence, which was then systematically appraised. The use of antibiotics in treating dog bite wounds to reduce the risk of infection is largely supported by the evidence. However, significant limitations exist in the research, with patient-specific criteria for administering prophylactic antibiotics and the associated risks and financial costs not addressed. Further research into antibiotic treatment for dog bites would help to support clinicians, nurse practitioners and the wider nursing and allied health professional team in urgent and emergency care by informing safe practice and in turn improving patient care, cost-effectiveness and antimicrobial stewardship.</p>","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":" ","pages":"21-27"},"PeriodicalIF":0.0,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142116772","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 take a comprehensive patient history. 如何全面了解患者病史。
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2025-03-04 Epub Date: 2024-07-30 DOI: 10.7748/en.2024.e2209
Sarah Butler
{"title":"How to take a comprehensive patient history.","authors":"Sarah Butler","doi":"10.7748/en.2024.e2209","DOIUrl":"10.7748/en.2024.e2209","url":null,"abstract":"<p><strong>Rationale and key points: </strong>A significant proportion of diagnoses are made based on history taking, often alongside physical assessments and laboratory investigations. Taking a thorough patient history is fundamental for the accurate diagnosis and effective management of health conditions. This article outlines a step-by-step process for taking a comprehensive patient history and discusses the evidence for this procedure. • History taking is a structured but flexible process of gathering relevant information from patients to inform diagnosis and treatment. • Important communication skills for nurses when history taking include active listening, empathetic communication and cultural sensitivity. • By actively engaging the patient in a conversation about their health issues, the nurse facilitates their participation and autonomy. 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 taking a patient history. • How you could use this information to educate nursing students or colleagues on taking a patient history.</p>","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":" ","pages":"16-20"},"PeriodicalIF":0.0,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141794476","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
Recognising and managing hypoglycaemia in adults with diabetes in the emergency department.
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2025-03-04 Epub Date: 2025-01-28 DOI: 10.7748/en.2025.e2223
Martha Stewart
{"title":"Recognising and managing hypoglycaemia in adults with diabetes in the emergency department.","authors":"Martha Stewart","doi":"10.7748/en.2025.e2223","DOIUrl":"10.7748/en.2025.e2223","url":null,"abstract":"<p><p>Hypoglycaemia is a common cause of presentation to the emergency department (ED) for people with diabetes mellitus. Patients experiencing a hypoglycaemic episode require prompt treatment with fast-acting glucose to prevent brain fuel deprivation and functional brain failure, therefore it is vital that ED nurses can recognise the signs and symptoms of hypoglycaemia and are aware of the factors that can compound or mask it. This article discusses the aetiology and signs and symptoms of hypoglycaemia in adults with type 1 and type 2 diabetes and describes the use of an algorithm for the management of hypoglycaemia in this patient population in hospital. The author also discusses how ED nurses can try to identify the cause of the hypoglycaemic episode and work with patients, their relatives or carers and the wider multidisciplinary team to prevent reoccurrence.</p>","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":" ","pages":"35-42"},"PeriodicalIF":0.0,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054662","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.
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub 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":"https://doi.org/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":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-25","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
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 : 2025-02-11 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":"https://doi.org/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":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-11","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
Exploring the role of receptionists in emergency departments: a scoping review. 探索急诊科接待员的角色：范围审查。
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2025-01-14 DOI: 10.7748/en.2025.e2220
Hugh Gorick, Amy Zile
{"title":"Exploring the role of receptionists in emergency departments: a scoping review.","authors":"Hugh Gorick, Amy Zile","doi":"10.7748/en.2025.e2220","DOIUrl":"https://doi.org/10.7748/en.2025.e2220","url":null,"abstract":"<p><p>Receptionists have an important role in emergency departments (EDs), helping to greet and register patients and ensure the smooth functioning of the department. However, there appears to be a dearth of research about the extent of their role. This article details a scoping review that aimed to map current research about the role and responsibilities of ED receptionists. It found that there is limited research on this topic, with few studies focusing on receptionists specifically. What evidence there is suggests that ED receptionists may experience stress and workplace violence, so strategies should be devised to ensure their safety. There is also some evidence that at times ED receptionists have input into triage processes, but that managers should ensure triage is only conducted by trained clinical staff.</p>","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985906","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 : 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":"https://doi.org/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":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-18","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
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 : 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":"https://doi.org/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":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-10","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
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