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

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Children's oral health: implications for emergency and urgent care pathways. 儿童口腔健康：对急诊和紧急护理途径的影响。
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2026-04-15 DOI: 10.7748/en.2026.e2267
Jayne Elizabeth Fuller
{"title":"Children's oral health: implications for emergency and urgent care pathways.","authors":"Jayne Elizabeth Fuller","doi":"10.7748/en.2026.e2267","DOIUrl":"https://doi.org/10.7748/en.2026.e2267","url":null,"abstract":"<p><p>This literature review explores barriers to children's access to routine NHS dental care in the UK and the factors contributing to preventable presentations to emergency and urgent care. Evidence from the seven included studies identified four main themes: socioeconomic deprivation, vulnerable populations, service availability, and parental disengagement and limited oral health education. The findings suggest that poor access to routine dental services is shaped by structural and social inequalities rather than individual factors alone. Children who are looked after, autistic or otherwise vulnerable may experience additional barriers to timely and appropriate dental care. These inequalities contribute to avoidable emergency presentations for conditions that could often be prevented or managed earlier in primary dental settings. The review highlights implications for emergency nursing practice, including recognising unmet need, considering possible safeguarding concerns, communicating sensitively with families, and supporting earlier intervention and signposting to appropriate services.</p>","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147694700","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
Beyond burnout: moral injury and emotional resilience among emergency clinicians. 超越倦怠：急诊临床医生的道德伤害和情绪恢复力。
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2026-03-11 DOI: 10.7748/en.2026.e2256
Karl Cook
{"title":"Beyond burnout: moral injury and emotional resilience among emergency clinicians.","authors":"Karl Cook","doi":"10.7748/en.2026.e2256","DOIUrl":"https://doi.org/10.7748/en.2026.e2256","url":null,"abstract":"<p><p>Emergency medicine represents the moral front line of the NHS, where the promise to treat anyone at any time and with any condition is being increasingly challenged by chronic overcrowding, capacity deficits and systemic strain. In these circumstances, clinician distress - traditionally labelled as burnout - is increasingly leading to moral injury, reflecting the psychological and ethical harm that can occur when healthcare professionals cannot act in accordance with their values. This article discusses moral injury as a central hazard of UK emergency practice. The author discusses how developing moral resilience requires systemic change, including measures such as protected reflection time, peer support networks and compassionate leadership.</p>","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147438842","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 the documentation of safeguarding information at triage using the CWILTED tool. 使用CWILTED工具改进在分诊时保护信息的文档。
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2026-03-03 Epub Date: 2025-08-06 DOI: 10.7748/en.2025.e2235
Leah Hughes, Chelsea Barney, Emily Bryant, Christine Gildenhuy, Kerry Paterson, Tanya Morphew
{"title":"Improving the documentation of safeguarding information at triage using the CWILTED tool.","authors":"Leah Hughes, Chelsea Barney, Emily Bryant, Christine Gildenhuy, Kerry Paterson, Tanya Morphew","doi":"10.7748/en.2025.e2235","DOIUrl":"10.7748/en.2025.e2235","url":null,"abstract":"<p><p>The emergency department (ED) may be the first place where a child and young person who has been subject to abuse or neglect comes into contact with healthcare professionals. CWILTED ('concern', 'witness', 'incident', 'location', 'time', 'escort', 'demeanour') is a tool designed to enhance the quality of information relevant to safeguarding that is documented by triage nurses about children and young people attending the ED. In 2024, CWILTED was introduced at an ED in Dorset, England, following an audit which had shown that there was room for improvement in the documentation of safeguarding information. A second audit was then conducted, which showed that the introduction of the tool had had positive effects. This article reports on the second audit's findings, making comparisons with previous data where possible. It discusses human factors that influence triage and stresses the need to communicate information about a child's ED attendance to the GP to ensure that no safeguarding issues are missed.</p>","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":" ","pages":"17-22"},"PeriodicalIF":0.0,"publicationDate":"2026-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144791194","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
Addressing the mental health crisis by enhancing paramedics' training in Wales. 通过加强威尔士护理人员的培训来解决精神健康危机。
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2026-03-03 Epub Date: 2025-11-18 DOI: 10.7748/en.2025.e2248
Mark Jones
{"title":"Addressing the mental health crisis by enhancing paramedics' training in Wales.","authors":"Mark Jones","doi":"10.7748/en.2025.e2248","DOIUrl":"10.7748/en.2025.e2248","url":null,"abstract":"<p><p>The increasing prevalence of mental health crises in Wales has placed significant strain on emergency services, particularly paramedics within the Welsh Ambulance Services NHS Trust. Despite frequently encountering mental health-related cases, paramedics often lack the advanced training necessary to assess and manage these situations effectively. This article explores the urgent need to enhance paramedic mental health training in response to widespread staff shortages and the rising demand for crisis intervention. It outlines the limitations of paramedic education, the effects of inadequate mental health care pathways, and the consequences of reliance on police intervention. The author's proposed solution involves implementing a structured postgraduate training programme for paramedics combining theoretical knowledge, practical experience and ongoing supervision. By empowering paramedics with advanced mental health competencies, healthcare organisations in Wales can improve patient outcomes, reduce pressure on emergency departments and build a more resilient healthcare system.</p>","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":" ","pages":"23-27"},"PeriodicalIF":0.0,"publicationDate":"2026-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145544347","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
Maximising learning from patient safety incidents in emergency care. 最大限度地从紧急护理中的患者安全事件中学习。
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2026-03-03 Epub Date: 2025-11-26 DOI: 10.7748/en.2025.e2247
Edward James Baker
{"title":"Maximising learning from patient safety incidents in emergency care.","authors":"Edward James Baker","doi":"10.7748/en.2025.e2247","DOIUrl":"10.7748/en.2025.e2247","url":null,"abstract":"<p><p>In a modern healthcare system, a systems approach to patient safety is essential to learn from incidents and mitigate the risk of avoidable harm to patients. Emergency nurses have an important role in the prevention, identification, reporting, investigation and management of patient safety incidents in the emergency department (ED). This article describes the role of emergency nurses and the ED governance team in patient safety, discusses the interacting work-system factors that contribute to incidents, and introduces the key aspects of the patient safety incident response framework (PSIRF). The author discusses how the PSIRF represents a shift in the way patient safety incidents are managed, with a move away from apportioning blame towards a culture of learning and quality improvement.</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":"2026-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145607990","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
When seconds count: managing haemorrhage in the emergency department. 分秒必争：在急诊室处理大出血。
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2026-01-27 DOI: 10.7748/en.2026.e2252
Matthew Osborne
{"title":"When seconds count: managing haemorrhage in the emergency department.","authors":"Matthew Osborne","doi":"10.7748/en.2026.e2252","DOIUrl":"https://doi.org/10.7748/en.2026.e2252","url":null,"abstract":"<p><p>Prompt recognition and control of haemorrhage are fundamental responsibilities for the emergency nurse. Nurses are often the first to identify subtle indicators of bleeding and have a central role in activating major haemorrhage protocols, initiating life-saving interventions and communicating with the wider multidisciplinary team. This article explores the pathophysiology of haemorrhage and details assessment methods and evidence-based management strategies. The author also discusses the nurse's role as clinician, advocate and communicator, alongside ethical considerations and human factors.</p>","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146055969","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
Acute anisocoria: learning from a case of accidental exposure to nebulised medicines in the emergency department. 急性异色：从急诊科意外暴露于雾化药物的案例中学习。
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2025-11-05 DOI: 10.7748/en.2025.e2243
Karl Cook, Justin Newstone
{"title":"Acute anisocoria: learning from a case of accidental exposure to nebulised medicines in the emergency department.","authors":"Karl Cook, Justin Newstone","doi":"10.7748/en.2025.e2243","DOIUrl":"https://doi.org/10.7748/en.2025.e2243","url":null,"abstract":"<p><p>Anisocoria (unequal pupil size) occurring acutely can be indicative of serious neurological pathology. However, in healthcare professionals who handle nebulised medicines, acute anisocoria is often caused by benign conditions such as mydriasis (abnormal pupil dilation) triggered by exposure to certain drugs and occurring unilaterally. This article reports on the case of an emergency nurse who developed acute anisocoria while on shift. It describes the initial assessment and further investigations, outlines the differential diagnosis, and discusses the implications for emergency nursing practice. Drug-induced mydriasis should be considered in healthcare professionals presenting with acute anisocoria, especially in the absence of red-flag symptoms. Increased awareness of this benign and self-limited condition could promote the safer handling of nebulised medicines and a more nuanced application of 'gloves off' recommendations.</p>","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145446985","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 : 2025-11-04 Epub 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":"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":"29-34"},"PeriodicalIF":0.0,"publicationDate":"2025-11-04","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
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 : 2025-11-04 Epub 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":"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":"14-20"},"PeriodicalIF":0.0,"publicationDate":"2025-11-04","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
How do nurses enable effective ambulance handovers?: Patient handovers are time-critical, complex processes and structured methods are essential to preserve key information. 护士如何有效地进行救护车交接？患者交接时间紧迫，复杂的过程和结构化的方法对于保存关键信息至关重要。
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2025-11-04 DOI: 10.7748/en.33.6.12.s5
Cliff Evans
{"title":"How do nurses enable effective ambulance handovers?: Patient handovers are time-critical, complex processes and structured methods are essential to preserve key information.","authors":"Cliff Evans","doi":"10.7748/en.33.6.12.s5","DOIUrl":"10.7748/en.33.6.12.s5","url":null,"abstract":"<p><p>The handover of patients arriving by ambulance at emergency departments (EDs) represents a time-critical event. Having a well understood assessment method supported by responsive operational processes, can improve outcomes for patients and regional safety.</p>","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":"33 6","pages":"12-13"},"PeriodicalIF":0.0,"publicationDate":"2025-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145440492","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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