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

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Recognising and managing hypoglycaemia in adults with diabetes in the emergency department. 急诊科成人糖尿病患者低血糖的识别和处理
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. 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 : 2025-02-25 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
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
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 : 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":"https://doi.org/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":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-26","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
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 : 2024-11-19 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":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-19","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
Delivering a mental health response vehicle service in Wales: a pilot initiative. 在威尔士提供心理健康应对车辆服务：一项试点倡议。
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2024-11-11 DOI: 10.7748/en.2024.e2212
Mark Jones, Simon Amphlett
{"title":"Delivering a mental health response vehicle service in Wales: a pilot initiative.","authors":"Mark Jones, Simon Amphlett","doi":"10.7748/en.2024.e2212","DOIUrl":"https://doi.org/10.7748/en.2024.e2212","url":null,"abstract":"<p><p>NHS emergency services, including ambulance services and emergency departments (EDs), are under considerable pressure due, in part, to the lack of availability of alternative healthcare services. People with mental health issues often contact ambulance 999 services when they cannot access the care they require from other sources. Welsh Ambulance Services NHS Trust (WAST) employs mental health professionals in its 999 call centres to provide remote mental health triage and support. While this has been effective in reducing ambulance conveyance to EDs, many patients still require a face-to-face assessment. To address this, WAST explored the option of providing a mental health response vehicle (MHRV) service, which has been shown to be effective in some ambulance trusts in England. This article gives an overview of a pilot MHRV service that was delivered by WAST across the Aneurin Bevan University Health Board locality in south-east Wales in between January and March 2024. Results suggest that the MHRV service can reduce ED conveyance rates and potentially provide cost savings for WAST and the wider NHS in Wales.</p>","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142635679","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 suicide risk screening in the emergency department. 改进急诊科的自杀风险筛查。
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2024-11-05 Epub Date: 2024-03-26 DOI: 10.7748/en.2024.e2198
Heather Englund
{"title":"Improving suicide risk screening in the emergency department.","authors":"Heather Englund","doi":"10.7748/en.2024.e2198","DOIUrl":"10.7748/en.2024.e2198","url":null,"abstract":"<p><p>Suicide is a significant and increasing public health concern. Research has shown that screening for suicide risk is inconsistent in acute care settings and that a variety of different tools are used for that purpose. The Columbia-Suicide Severity Risk Scale (C-SSRS) has emerged as a validated and recognised suicide risk screening tool. This article describes a quality improvement project designed to improve the screening of patients for suicide risk in a large hospital system in the Midwestern US. As part of the project, 97% of nurses working in the organisation's emergency departments self-completed a 30-minute interactive learning module on the background, relevance and application of the C-SSRS. The C-SSRS enables nurses to classify the severity of suicide risk, which helps to provide interventions commensurate with patients' level of risk. Following completion of the module, there was a significant increase in the percentage of patients screened for suicide risk.</p>","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":" ","pages":"21-25"},"PeriodicalIF":0.0,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140290127","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 experiences of healthcare professionals when breaking bad news in major trauma care. 探索医护人员在重大创伤救治中发布坏消息的经验。
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2024-11-05 Epub Date: 2024-05-08 DOI: 10.7748/en.2024.e2194
Angharad Griffiths, Edward Baker
{"title":"Exploring the experiences of healthcare professionals when breaking bad news in major trauma care.","authors":"Angharad Griffiths, Edward Baker","doi":"10.7748/en.2024.e2194","DOIUrl":"https://doi.org/10.7748/en.2024.e2194","url":null,"abstract":"<p><p>Breaking bad news is a challenging yet essential part of the role of healthcare professionals who care for major trauma patients and their families. This service evaluation investigated healthcare professionals' attitudes and experiences regarding breaking bad news in the context of major trauma. Healthcare professionals were recruited from the South Wales Trauma Network and their views collected via an online survey based on the Breaking Bad News Attitudes Scale. The survey was completed by 149 healthcare professionals and the responses demonstrated a range of experiences of breaking bad news in major trauma care, with challenges such as the environment, building rapport and setting expectations.</p>","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":"32 6","pages":"26-33"},"PeriodicalIF":0.0,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142577388","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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