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

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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
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 : 2025-04-23 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":"https://doi.org/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":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-23","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
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 : 2025-04-08 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":"https://doi.org/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":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-08","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
Managing pelvic fractures with haemorrhage using a multidisciplinary team approach: a case report from India. 使用多学科团队方法处理骨盆骨折出血：来自印度的一例报告。
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
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