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

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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. 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
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
Understanding body fluid balance, dehydration and intravenous fluid therapy. 了解体液平衡、脱水和静脉输液疗法。
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2025-01-07 Epub Date: 2024-07-09 DOI: 10.7748/en.2024.e2201
Tiago Horta Reis da Silva
{"title":"Understanding body fluid balance, dehydration and intravenous fluid therapy.","authors":"Tiago Horta Reis da Silva","doi":"10.7748/en.2024.e2201","DOIUrl":"10.7748/en.2024.e2201","url":null,"abstract":"<p><p>This article examines the role of water in the body, the balance of fluids in the body and the provision of intravenous (IV) fluids to patients who are dehydrated, providing a comprehensive overview of these topics for nurses. The author details various aspects of practice in IV fluid therapy, including the types of fluids used, their indications, administration and potential side effects. The article also discusses dehydration and how nurses can identify and treat this complication, which can occur as a result of many different conditions. Drawing on the relevant research, this article aims to advance nurses' knowledge of the care of patients who are dehydrated and require IV fluid therapy.</p>","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":" ","pages":"16-23"},"PeriodicalIF":0.0,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141560712","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
Understanding the demographics, training experiences and decision-making practices of UK triage nurses. 了解英国分诊护士的人口统计、培训经历和决策实践。
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2025-01-07 Epub Date: 2024-05-23 DOI: 10.7748/en.2025.e2220
Hugh Gorick, Amy Zile
{"title":"Understanding the demographics, training experiences and decision-making practices of UK triage nurses.","authors":"Hugh Gorick, Amy Zile","doi":"10.7748/en.2025.e2220","DOIUrl":"10.7748/en.2025.e2220","url":null,"abstract":"<p><strong>Background: </strong>International research suggests that triage nurses' decision-making practices and training experiences vary significantly across emergency departments (EDs). However, there does not appear to be similar research published in the UK. Understanding factors, such as demographics, training and decision-making could provide a picture of triage nurses working in UK EDs, identify the interventions required to improve practice and inform further research.</p><p><strong>Aim: </strong>To explore the demographics, training experiences and decision-making practices of registered nurses who assess patient acuity at triage in UK EDs.</p><p><strong>Method: </strong>The study used an online, descriptive, cross-sectional survey design.</p><p><strong>Results: </strong>A total of 51 triage nurses from across the UK responded to the survey. Most (61) had achieved a bachelor's degree as their highest qualification, while 3 had postgraduate qualifications. Respondents had a median of seven years since qualifying, six years working in their current ED and five years working in triage and used a range of titles to describe their role. Low staffing and busy ED environments increased respondents' stress levels, which affected confidence in triage decision-making abilities among less experienced nurses. More experienced respondents coped with their stress by relying on their knowledge and skills. Not all respondents had received triage training, and for those that had, the training varied in type and frequency across EDs. Overall, respondents had low satisfaction with the amount, quality and content of the training they had received.</p><p><strong>Conclusion: </strong>There is a need for safer staffing levels in EDs and greater support for staff welfare. The development of national standards, incorporating defined knowledge and skills and set time periods for refresher training, is required to enhance triage practice in EDs.</p>","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":" ","pages":"29-35"},"PeriodicalIF":0.0,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141082004","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":"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
A strategic solution to preventing the harm associated with ambulance handover delays. 防止救护车交接延误造成伤害的战略解决方案。
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2024-11-05 Epub Date: 2024-04-30 DOI: 10.7748/en.2024.e2199
Cliff Evans, Adebayo Da'Costa
{"title":"A strategic solution to preventing the harm associated with ambulance handover delays.","authors":"Cliff Evans, Adebayo Da'Costa","doi":"10.7748/en.2024.e2199","DOIUrl":"10.7748/en.2024.e2199","url":null,"abstract":"<p><p>Ambulance handover delays arise when emergency departments become overcrowded as patients waiting prolonged periods for admission occupy clinical cubicles designed to facilitate the assessment and treatment of emergency arrivals. In response, many organisations become reliant on temporarily lodging acutely unwell patients awaiting admission in undesignated areas for care such as corridors, to provide additional space. This results in a significant risk of avoidable harm, indignity and psychological trauma for patients and has a negative effect on the well-being of healthcare professionals, since unacceptable standards of care become normalised. A two-phase strategic quality improvement project was implemented at the authors' acute trust. Ambulance handover data from between 2 November 2020 and 26 July 2021 provided a benchmark for the project. The first phase was implemented between 2 November 2021 and 26 July 2022 and aimed to reduce 60-minute ambulance handover delays. The second phase was implemented between 2 November 2022 and 26 July 2023 and aimed to eradicate 60-minute ambulance handover delays and improve overall performance. Phase one resulted in a 32% reduction in 60-minute ambulance handover delays. Phase two resulted in a 97% reduction in 60-minute ambulance handover delays. Over the course of the project there was a 24% increase in handovers completed within 15 minutes. This project demonstrates how strategic planning and collaboration between healthcare teams can reduce the potential for avoidable patient harm, while simultaneously promoting workforce well-being and retention.</p>","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":" ","pages":"15-20"},"PeriodicalIF":0.0,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140856453","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
Developing and evaluating a major trauma course and coaching programme for ward nurses. 为病房护士开发和评估重大创伤课程和辅导计划。
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2024-09-03 Epub Date: 2024-02-20 DOI: 10.7748/en.2024.e2184
Chris Knight, Stella Ruth Smith
{"title":"Developing and evaluating a major trauma course and coaching programme for ward nurses.","authors":"Chris Knight, Stella Ruth Smith","doi":"10.7748/en.2024.e2184","DOIUrl":"10.7748/en.2024.e2184","url":null,"abstract":"<p><p>Nurses working with major trauma patients in ward environments in the UK are expected to evidence their knowledge and skills in a set of national competencies. This article describes a bespoke major trauma course and a coaching and portfolio development programme designed to enhance ward nurses' knowledge and skills, help them evidence their competence and support their professional development. Evaluation of the course showed an overall improvement in nurses' self-rated competence and confidence in a range of relevant major trauma topics and clinical skills. Evaluation of the coaching and portfolio development programme showed that nurses believed their knowledge and skills had improved after taking part and that they valued the opportunity for professional development.</p>","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":" ","pages":"26-33"},"PeriodicalIF":0.0,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139907267","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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