Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association最新文献_第2页

Mitigating emergency department crowding: the role of advanced clinical practitioners. 缓解急诊科拥挤：高级临床医生的作用。

Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2026-07-07 DOI: 10.7748/en.2026.e2258

Karl Cook

引用次数: 0

Recognising and managing acute asthma attacks in adults in the emergency department. 在急诊科识别和处理成人急性哮喘发作。

Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2026-06-30 Epub Date: 2026-01-13 DOI: 10.7748/en.2026.e2250

Scott Colton

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Understanding non-traumatic dental presentations to emergency and urgent care: a critically appraised topic. 了解非创伤性牙科表现的紧急和紧急护理：一个批判性评估的主题。

Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2026-06-30 Epub Date: 2025-12-17 DOI: 10.7748/en.2025.e2251

Jayne Elizabeth Fuller

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Rapid discharge checklists for people at the end of life who present to the emergency department. 快速出院清单的人在生命的尽头谁出现在急诊科。

Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2026-06-30 Epub Date: 2026-02-10 DOI: 10.7748/en.2026.e2256

Karl Cook

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Using non-verbal communication to support de-escalation in patients experiencing acute psychosis in the emergency department. 使用非语言交流来支持急诊科急性精神病患者的降级。

Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2026-06-30 Epub Date: 2026-06-11 DOI: 10.7748/en.2026.e2271

Jan Kruczynski, Alan Simpson, Philip Andoh

{"title":"Using non-verbal communication to support de-escalation in patients experiencing acute psychosis in the emergency department.","authors":"Jan Kruczynski, Alan Simpson, Philip Andoh","doi":"10.7748/en.2026.e2271","DOIUrl":"10.7748/en.2026.e2271","url":null,"abstract":"Emergency nurses are frequently the first point of contact for patients presenting to the emergency department (ED) with the symptoms of acute psychosis. Altered perception, fear and disorganised thinking can impair communication and precipitate distress, which may lead to agitation or aggressive behaviour, placing patients and staff at increased risk of harm. In these circumstances, verbal reasoning alone may be ineffective. Evidence indicates that non-verbal communication, such as body posture, eye-level alignment, proximity and tone of voice, can have a pivotal role in these situations by promoting calm and conveying safety, thereby preventing escalation to coercive or restrictive measures. Drawing on research and trauma-informed care principles, this article explores how emergency nurses can adapt Safewards interventions such as soft words, talk down and reassurance into effective non-verbal communication strategies in their practice. The authors provide guidance on embedding non-verbal de-escalation in routine ED nursing practice, highlighting approaches that are transferable to a wide range of mental health-related presentations and have the potential to improve safety, preserve dignity and strengthen therapeutic engagement in emergency care.","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":" ","pages":"33-41"},"PeriodicalIF":0.0,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148221329","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

Burnout: the case for integrating the Maslach Burnout Inventory in nurse supervision. 护士职业倦怠：马斯拉克职业倦怠量表在护士监督中的应用。

Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2026-06-25 DOI: 10.7748/en.2026.e2259

Craig Ashton

引用次数: 0

Clinical decision-making in emergency and remote care. 急诊和远程护理中的临床决策。

Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2026-05-26 DOI: 10.7748/en.2026.e2262

Sandie Michelle Haigh

引用次数: 0

How to manage an overcrowded emergency department waiting room. 如何管理拥挤的急诊室候诊室。

Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2026-05-06 DOI: 10.7748/en.2026.e2264

Hugh Gorick

{"title":"How to manage an overcrowded emergency department waiting room.","authors":"Hugh Gorick","doi":"10.7748/en.2026.e2264","DOIUrl":"https://doi.org/10.7748/en.2026.e2264","url":null,"abstract":"Rationale and key points: As the emergency department (ED) comes under increasing pressure from rising patient numbers, waiting times for a bed or trolley increase, leading to overcrowding in the waiting room. Many patients in the ED waiting room will be at risk of deterioration - some will be waiting to be triaged, while others will be awaiting further assessment and/or treatment. Nurses need to understand how to manage an overcrowded ED waiting room to mitigate the risks posed to patient safety. • Nurses overseeing an overcrowded ED waiting room need to maintain continuous awareness of who is in the room, why they are there, what their level of risk is and who is most in need of a bed or trolley. • Regular and targeted patient reassessments are crucial, since the risk of missing signs of deterioration or adverse events tends to increase the longer patients wait. • Proactive management of the environment, considering patients' location in the waiting room and how easy it is to get to them, can reduce the time to intervention in cases of deterioration. • Clear communication with patients, families and colleagues can enhance patients' satisfaction with their care, minimise safety risks and support timely escalation.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 managing an overcrowded ED waiting room. • How you could use this information to educate nursing students or your colleagues on the appropriate approaches and evidence base for managing an overcrowded ED waiting room.","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147848530","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

Redesigning the first point of contact for walk-in patients in the emergency department: a service evaluation of the First Encounter model. 重新设计急诊科无预约病人的第一个接触点：第一次接触模型的服务评估。

Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2026-05-05 Epub Date: 2025-12-03 DOI: 10.7748/en.2025.e2245

Helen Louise Travis

{"title":"Redesigning the first point of contact for walk-in patients in the emergency department: a service evaluation of the First Encounter model.","authors":"Helen Louise Travis","doi":"10.7748/en.2025.e2245","DOIUrl":"10.7748/en.2025.e2245","url":null,"abstract":"In UK emergency departments (EDs), crowding, lack of inpatient beds and high patient acuity, compounded by triage 'bottlenecks', inconsistent streaming and fragmented communication between healthcare professionals, can compromise patient care, safety and experience. This article details the evaluation of a service improvement initiative - the First Encounter model - that aimed to address these issues through redesigning the first point of contact for walk-in patients. The initiative involved the co-location of two senior healthcare professionals - a band 6 or 7 senior nurse and the emergency physician in charge (EPIC) - at the ED entrance during peak hours. The aim was to improve the timeliness of patient assessment, strengthen patient experience and support staff's confidence in their clinical decision-making. The findings revealed that the percentage of patients who received clinical engagement within 15 minutes of arrival at the ED more than doubled; the average triage time halved; compliance with the four-hour target improved modestly; waiting-room congestion reduced; and staff felt more confident in their clinical decision-making. The model appears scalable and adaptable to other EDs, although further evaluation is required to establish its sustainability and broader patient outcomes.","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":" ","pages":"19-25"},"PeriodicalIF":0.0,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145663098","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

The power of nursing triage notes: alcohol and substance use challenges in frequent attenders to rural emergency departments. 护理分诊说明的力量：农村急诊科频繁就诊者的酒精和物质使用挑战。

Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2026-05-05 Epub Date: 2025-12-10 DOI: 10.7748/en.2025.e2253

Sadie Lavelle-Cafferkey, Fintan Sheerin, Catherine Comiskey

{"title":"The power of nursing triage notes: alcohol and substance use challenges in frequent attenders to rural emergency departments.","authors":"Sadie Lavelle-Cafferkey, Fintan Sheerin, Catherine Comiskey","doi":"10.7748/en.2025.e2253","DOIUrl":"10.7748/en.2025.e2253","url":null,"abstract":"Background: Patients who frequently attend emergency departments (EDs) due to alcohol and substance use often have complex healthcare needs, which can place significant demands on services, particularly in rural areas. Nursing triage notes capture critical information about these presentations.Aim: To use nursing triage records to provide context which can aid greater understanding of patients who repeatedly attend the ED with alcohol- or substance-related health issues within a wider dataset.Methods: A retrospective review of triage notes from three rural hospitals in Ireland from October 2020 to February 2023 included 31 patients who had attended more than ten times each, accounting for 623 attendances in total. Data were analysed for substance use, mental and physical health concerns, mode of arrival and referral, including any police involvement.Results: Alcohol was implicated in 94.7% (n=590) of attendances. Mental health crises occurred in 13.3% (n=83), physical injuries in 38.7% (n=241), and issues surrounding withdrawal or detoxification in 10.6%(n=66). Ambulances transported 49.9% (n=311) of patients, and the police (An Garda Síochána in Ireland) were involved in 8.2% (n=51) of cases.Conclusion: Nursing triage notes provide essential insight into the complex health needs of frequent attenders seeking emergency care. They can assist nurses in the early identification of patients who would benefit from integrated care pathways and coordinated interventions. This would reduce repeated presentations to the ED and improve patient-centred care and patient outcomes in rural settings.","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":" ","pages":"26-31"},"PeriodicalIF":0.0,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145716886","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