发布求助
文献互助 智能选刊 最新文献

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

筛选
英文 中文
A comparison of two interventions in the treatment of severe ankle sprains and lateral malleolar avulsion fractures. 两种干预措施治疗严重踝关节扭伤和外踝撕脱骨折的比较。
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2019-09-02 DOI: 10.7748/en.2019.e1945
S. Powell
{"title":"A comparison of two interventions in the treatment of severe ankle sprains and lateral malleolar avulsion fractures.","authors":"S. Powell","doi":"10.7748/en.2019.e1945","DOIUrl":"https://doi.org/10.7748/en.2019.e1945","url":null,"abstract":"AIM\u0000Stable ankle injuries are highly prevalent in the UK. Prevention of complications and reoccurrence is essential. The literature shows that plaster of Paris and AirLoc brace are clinically effective treatments for such injuries. However, there is no research measuring patients' satisfaction with these treatments. This study compared options in the treatment of severe ankle sprains and distal fibular avulsion fractures from patients' perspectives. The aim was to determine patients' preferred treatment between below knee plaster cast and AirLoc brace in the management of stable ankle injuries.\u0000\u0000\u0000METHOD\u0000A total of 39 patients who presented at an urban hospital with stable ankle injuries were recruited into a randomised controlled trial. Patient satisfaction levels were measured by questionnaire one week into treatment. The null hypothesis was 'there is no significant difference in satisfaction levels between the two devices'.\u0000\u0000\u0000FINDINGS\u0000There were statistically significant higher patient satisfaction levels in the AirLoc group compared to the plaster cast group. After analysis by the unrelated t-test, the null hypothesis was rejected. Comfort, daily activities, sleep, work and social life were the main contributing factors. Additionally, 67% of the AirLoc group compared to 46% of the plaster cast group were able to return to work. The number needed to treat for one additional AirLoc patient to return to work was 4.8 (five patients).\u0000\u0000\u0000CONCLUSION\u0000Patients' preferred treatment is the AirLoc brace. The inquiry method could be used to provide patient-centred care in other fields.","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76130367","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: 2
Sepsis: an overview of the signs, symptoms, diagnosis, treatment and pathophysiology. 脓毒症:体征，症状，诊断，治疗和病理生理学的概述。
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2019-09-02 DOI: 10.7748/EN.2019.E1926
Anne J. Hunt
{"title":"Sepsis: an overview of the signs, symptoms, diagnosis, treatment and pathophysiology.","authors":"Anne J. Hunt","doi":"10.7748/EN.2019.E1926","DOIUrl":"https://doi.org/10.7748/EN.2019.E1926","url":null,"abstract":"Sepsis is a common phenomenon surrounded by uncertainty and misunderstanding. The urgency for treatment is complicated by the vagueness of signs and symptoms and lack of a conclusive diagnostic test. This article unpicks the signs and symptoms of sepsis with guidance for emergency department nurses who are responsible for assessing patients with potential sepsis. The article also relates monitoring, investigation and treatment expectations to the underlying pathophysiology and refers to the individual and global implications of the condition.","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":"340 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77317858","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: 31
How the emergency department four-hour target affects clinical outcomes for patients diagnosed with a personality disorder. 急诊科的四小时目标如何影响诊断为人格障碍患者的临床结果。
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2019-07-10 DOI: 10.7748/EN.2019.E1930
Michael Brian Haslam
{"title":"How the emergency department four-hour target affects clinical outcomes for patients diagnosed with a personality disorder.","authors":"Michael Brian Haslam","doi":"10.7748/EN.2019.E1930","DOIUrl":"https://doi.org/10.7748/EN.2019.E1930","url":null,"abstract":"Emergency departments (EDs) may already be invalidating environments for patients diagnosed with a personality disorder, with negative attitudes from staff perpetuating patients' feelings of dismissal and rejection. Despite a higher prevalence of patients with personality disorder in health services, including EDs, than the general population, there is a lack of literature on how achieving ED targets may affect this patient group. This article expands on Harden's concept of destructive goal pursuit in relation to the four-hour target and uses the literature to illustrate how pressures to meet the target may distort clinical priorities and result in adverse clinical outcomes for patients. It makes recommendations for practice including using short-stay units in which patients can be treated outside of the target wait time and introducing mental health triage in EDs to improve delivery of psychosocial assessments.","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":"148 1","pages":"20-24"},"PeriodicalIF":0.0,"publicationDate":"2019-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82273038","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: 4
Full-thickness burns due to contact with gastric acid. 与胃酸接触造成全层烧伤。
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2019-07-10 DOI: 10.7748/EN.2019.E1941
R. Fenwick, R. Price
{"title":"Full-thickness burns due to contact with gastric acid.","authors":"R. Fenwick, R. Price","doi":"10.7748/EN.2019.E1941","DOIUrl":"https://doi.org/10.7748/EN.2019.E1941","url":null,"abstract":"This article describes the case of a 33-year-old man with cerebral palsy who sustained a full-thickness burn to his thorax as a result of lying in gastric acid that had leaked from a damaged percutaneous endoscopic gastrostomy feeding tube. The patient required referral to a tertiary burns centre for specialist management. The article highlights the potential harm caused by gastric acid and why some patients may be particularly vulnerable to such injuries.","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78650552","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
Non-medical prescribing: a reflective case study on prescribing anticoagulation for deep vein thrombosis. 非医学处方:深静脉血栓抗凝处方的反思案例研究。
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2019-07-10 DOI: 10.7748/EN.2019.E1897
S. Gonet
{"title":"Non-medical prescribing: a reflective case study on prescribing anticoagulation for deep vein thrombosis.","authors":"S. Gonet","doi":"10.7748/EN.2019.E1897","DOIUrl":"https://doi.org/10.7748/EN.2019.E1897","url":null,"abstract":"Prescribing is a high-risk, complex skill. There are more than 50,000 nurse prescribers in the UK, and it is important that they undertake regular reflection on their clinical practice to enhance their skills. This article reflects on the clinical factors that influenced the author's decision-making when prescribing anticoagulation medication for a patient with deep vein thrombosis. It also explores the evidence base for commonly prescribed anticoagulants.","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85298935","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 survey of emergency department staff's opinions and experiences of family presence during invasive procedures and resuscitation. 急诊人员在有创手术及复苏过程中家属在场的意见及经验调查。
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2019-05-07 DOI: 10.7748/EN.2019.E1908
E. Magowan, V. Melby
{"title":"A survey of emergency department staff's opinions and experiences of family presence during invasive procedures and resuscitation.","authors":"E. Magowan, V. Melby","doi":"10.7748/EN.2019.E1908","DOIUrl":"https://doi.org/10.7748/EN.2019.E1908","url":null,"abstract":"AIM\u0000To identify the views and experiences of emergency nurses and doctors of the presence of family members during invasive procedures and resuscitation events.\u0000\u0000\u0000METHODS\u000084 staff members from three emergency departments in one UK trust responded to a paper-based 22-item questionnaire developed by the authors.\u0000\u0000\u0000FINDINGS\u0000Staff expressed positive views about family presence during such traumatic events, but also expressed non-evidenced concerns about negative aspects of family presence.\u0000\u0000\u0000CONCLUSION\u0000Future research should focus on exploring the views of patients and their families in culturally diverse societies or across culturally different countries. Such data could underpin culturally sensitive policies to guide the practice of family presence and identify the education required to support successful development of such policies. Using simulation-based learning methodology integrated with existing advanced life-support/advanced trauma life-support training could support successful implementation of family presence policies.","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":"80 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78151253","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: 7
Head injuries. 头部受伤。
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2019-04-08 DOI: 10.1542/aap.ppcqr.396256
A. T. Andreasen
{"title":"Head injuries.","authors":"A. T. Andreasen","doi":"10.1542/aap.ppcqr.396256","DOIUrl":"https://doi.org/10.1542/aap.ppcqr.396256","url":null,"abstract":"Last summer, the National Institute for Clinical Excellence (NICE) published Head Injury: Triage, assessment, investigation and early management of head injury in infants, children and adults. The recommendations on computed tomography (CT) in this guidance for minor head injuries are similar to the Canadian CT head rule published in 2001.","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":"2 1","pages":"6"},"PeriodicalIF":0.0,"publicationDate":"2019-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88792822","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: 66
Pre-hospital pain assessment in paediatric patients. 儿科患者院前疼痛评估。
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2019-03-04 DOI: 10.7748/EN.2019.E1905
M. Parker, Nicola Brown
{"title":"Pre-hospital pain assessment in paediatric patients.","authors":"M. Parker, Nicola Brown","doi":"10.7748/EN.2019.E1905","DOIUrl":"https://doi.org/10.7748/EN.2019.E1905","url":null,"abstract":"The aim of this article is to review the literature on pre-hospital assessment of pain in paediatric patients. Many articles highlight the under-treatment of pain in paediatrics by pre-hospital clinicians, showing that this is an area falling short of best practice. This article evaluates the effectiveness of two established pain assessment tools authorised for the pain assessment of children in pre-hospital environments.","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":"6 1","pages":"16-20"},"PeriodicalIF":0.0,"publicationDate":"2019-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82534411","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: 5
Nerve agents: a guide for emergency nurses. Part 1. 神经毒剂:急救护士指南。第1部分。
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2019-03-04 DOI: 10.7748/EN.2019.E1896
S. Mcghee, A. Finnegan, N. Angus, J. Clochesy
{"title":"Nerve agents: a guide for emergency nurses. Part 1.","authors":"S. Mcghee, A. Finnegan, N. Angus, J. Clochesy","doi":"10.7748/EN.2019.E1896","DOIUrl":"https://doi.org/10.7748/EN.2019.E1896","url":null,"abstract":"Recent incidents in the UK and the alleged chemical attacks in Syria by the Bashar al-Assad regime have brought the subject of chemical weapons back into the public domain. To date these types of event have been relatively rare because terrorist plans to harm large numbers of people have mostly been thwarted. This is the first part of a two-part article on nerve agents. Part one gives an overview of these agents, their historical background and manufacture, and how the agents affect physiology. Part two, which will appear in the next issue, considers the pre-hospital response to the use of nerve agents, including effective triage and decontamination, and in-hospital treatment.","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82186293","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: 2
How much training in ultrasound would emergency nurses need? 急诊护士需要多少超声培训?
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2018-07-01 DOI: 10.7748/en.26.2.5.s1
T. Scott
{"title":"How much training in ultrasound would emergency nurses need?","authors":"T. Scott","doi":"10.7748/en.26.2.5.s1","DOIUrl":"https://doi.org/10.7748/en.26.2.5.s1","url":null,"abstract":"Ultrasound sonography, in which a high-pitched sound wave travels at different speeds through objects of variable density, offers effective clinical diagnostic applications to identify problems, such as free abdominal fluid following blunt trauma, cardiac effusion and long bone fractures.","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":"1 1","pages":"5"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78544414","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
首页 上一页 下一页 尾页
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整，为了账户安全，请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们：info@booksci.cn Book学术提供免费学术资源搜索服务，方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号：481959085
Book学术官方微信