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Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association

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https://www.readbyqxmd.com/read/29960719/use-of-group-concept-mapping-to-identify-patient-domains-of-uncertainty-that-contribute-to-emergency-department-use
#1
Kristin L Rising, Shannon K Doyle, Rhea E Powell, Amanda M B Doty, Marianna LaNoue, Angela M Gerolamo
INTRODUCTION: Prior research suggests that uncertainty related to symptoms is a driver of emergency department (ED) use, and that patients often leave the ED with uncertainty not being addressed. Our objective was to engage patients to identify domains that contribute to feelings of uncertainty and decisions to use the ED. METHODS: We used Group Concept Mapping, a quasi-qualitative/quasi-quantitative method, to elicit patients' views on how uncertainty related to experiencing symptoms contributes to decisions to access the ED...
June 27, 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/29935944/stop-the-bottleneck-improving-patient-throughput-in-the-emergency-department
#2
Ray DeAnda
PROBLEM: Emergency department nurses are faced with an overwhelming number of patients each day. The average number of emergency department visits is increasing by 3.5% per year. Numerous studies have been conducted to improve the patient throughput process, which has impact on patient flow. A disruption of the process can cause a backlog of patients and create a hardship for both patients and staff. METHODS: The Plan-Do-Study-Act (PDSA) cycle was used as a specific improvement methodology for improving patient throughput and served as a component for the Model for Improvement approach...
June 20, 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/29907332/ed-triage-process-improvement-timely-vital-signs-for-less-acute-patients
#3
Stella S Falconer, Corinne M Karuppan, Emily Kiehne, Shravan Rama
PROBLEM: Vital signs can result in an upgrade of patients' Emergency Severity Index (ESI) levels. It is therefore preferable to obtain vital signs early in the triage process, particularly for ESI level 3 patients. Emergency departments have an opportunity to redesign triage processes to meet required protocols while enhancing the quality and experience of care. METHODS: We performed process analyses to redesign the door-to-vital signs process. We also developed spaghetti diagrams to reconfigure the patient arrival area...
June 13, 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/29802012/ovarian-torsion-ed-recognition-and-management
#4
Melanie A Kroger-Jarvis, Tamara Pavlik-Maus, Kimberly Mullins
No abstract text is available yet for this article.
May 22, 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/29779626/teaching-nurses-how-to-infiltrate-lacerations-in-the-emergency-department
#5
Gayla Miles, Michael Olmos, Elliott Trotter, Patricia Newcomb
No abstract text is available yet for this article.
May 17, 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/29779625/barriers-to-clinical-practice-guideline-implementation-for-septic-patients-in-the-emergency-department
#6
Elizabeth N Reich, Karen L Then, James A Rankin
No abstract text is available yet for this article.
May 17, 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/29779624/implementation-of-a-comprehensive-program-to-improve-child-physical-abuse-screening-and-detection-in-the-emergency-department
#7
Sheri M Carson
INTRODUCTION: Children often present to the emergency department for treatment of abuse-related injuries. ED providers-including emergency nurses-do not consistently screen children for abuse, which may allow abuse to go undetected and increases the risk for reinjury and death. ED providers frequently cite lack of knowledge or confidence in screening for and detecting child abuse. The purpose of this quality improvement project was to implement an evidence-based screening program that included provider education on child physical abuse, a systematic screening protocol, and use of the validated Escape Instrument...
May 17, 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/29779623/educating-emergency-department-staff-on-the-identification-and-treatment-of-human-trafficking-victims
#8
Steven Donahue, Michael Schwien, Danielle LaVallee
INTRODUCTION: Hospitalization is one of the few circumstances in which the lives of trafficking victims intersect with the general population. Based on survivor testimonies, the majority of human trafficking victims may receive medical treatment in a hospital's emergency department while in captivity. With evidenced-based training, ED personnel have a better opportunity to screen persons who are being trafficked and intervene on their behalf. METHODS: This project examined the efficacy of an innovative, evidence-based online training module (HTEmergency...
May 17, 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/29704980/emergency-department-crowding-and-time-at-the-bedside-a-wearable-technology-feasibility-study
#9
Jessica Castner, Heidi Suffoletto
INTRODUCTION: ED crowding is a public health crisis, limiting quality and access to lifesaving care. The purpose of this study was to (1) evaluate the feasibility of radio-frequency identification tags to measure clinician-patient contact and (2) to test the relationship between ED occupancy and clinician-patient contact time. METHODS: In this 4-week observational study, radio-frequency identification tags were worn by emergency clinicians in a 21-bay urban teaching hospital emergency department...
April 25, 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/29704979/improving-emergency-health-care-workers-knowledge-competency-and-attitudes-toward-lesbian-gay-bisexual-and-transgender-patients-through-interdisciplinary-cultural-competency-training
#10
Sarah Bristol, Teresa Kostelec, Ryan MacDonald
INTRODUCTION: Emergency staff members have a unique role in providing episodic care to marginalized populations. The lesbian, gay, bisexual, and transgender (LGBT) community is a marginalized population that is routinely encountered by ED staff. Implicit prejudice may influence emergency staff interactions and contribute to distrust of health care providers by some members of the LGBT community. The purpose of our study is to evaluate aggregate ED health care team member's knowledge and attitudes toward lesbian, gay, bisexual, and transgender people pre- and post-cultural competency training education...
April 25, 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/29704978/counseling-suicidal-patients-about-access-to-lethal-means-attitudes-of-emergency-nurse-leaders
#11
Marian E Betz, Ashley Brooks-Russell, Sara Brandspigel, Douglas K Novins, Gregory J Tung, Carol Runyan
INTRODUCTION: For ED patients at risk of suicide, counseling to reduce access to lethal means (including firearms) is recommended yet not routine. To enhance practice uptake, we sought to examine the attitudes and beliefs of emergency nurse leaders concerning the acceptability and effectiveness of lethal-means counseling. METHODS: We invited a nurse leader (ED nurse manager or Chief Nursing Officer [CNO]) at each hospital-based emergency department in the 8-state Mountain West region of the United States to complete a closed-ended telephone survey...
April 25, 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/29704977/outcomes-of-an-innovative-evidence-based-practice-project-building-a-difficult-access-team-in-the-emergency-department
#12
Madeleine Whalen, Barbara Maliszewski, Rebecca Sheinfeld, Heather Gardner, Diana Baptiste
PROBLEM: Difficult venous access is a common problem in health care-especially in the emergency setting-that relies on quick diagnostics to differentiate patient acuities and administer critical medications. The creation of a dedicated team to address difficult venous access (DVA) is a possible solution to the problems of delayed venous access, yet no studies have been published on implementing such a team in the emergency department. METHODS: This was a quasi-experimental study in an urban emergency department...
April 25, 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/29685676/effectiveness-of-a-novel-specimen-collection-system-in-reducing-blood-culture-contamination-rates
#13
Mary Bell, Catherine Bogar, Jessica Plante, Kristen Rasmussen, Sharon Winters
PROBLEM: False-positive blood-culture results due to skin contamination of samples remain a persistent problem for health care providers. Our health system recognized that our rates of contamination across the 4 emergency department campuses were above the national average. METHODS: A unique specimen collection system was implemented throughout the 4 emergency departments and became the mandatory way to collect adult blood cultures. The microbiology laboratory reported contamination rates weekly to manage potential problems; 7 months of data are presented here...
April 20, 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/29976322/reducing-lwbs-rates-with-a-focused-friendly-face-out-front
#14
Andi Foley, Holly Cook, Chantel Arnone, Rudolph King
No abstract text is available yet for this article.
July 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/29976321/pediatric-phlebotomy-taking-the-bite-out-of-dracula
#15
Patricia A Normandin, Stacey A Benotti
No abstract text is available yet for this article.
July 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/29976320/a-clinic-on-the-edge-of-genocide
#16
Tim Cunningham
No abstract text is available yet for this article.
July 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/29976319/-say-boo-to-the-flu-introduction-of-the-seasonal-influenza-peer-vaccination-programme-in-the-emergency-department-and-amau
#17
Lisa Donaghy, Patrick Martin
No abstract text is available yet for this article.
July 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/29976317/avoid-insulin-related-adverse-events-when-treating-hyperkalemia
#18
Susan F Paparella
No abstract text is available yet for this article.
July 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/29976316/this-one-is-scary
#19
Stephen P Wood
No abstract text is available yet for this article.
July 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/29976315/decreasing-malpractice-risk-in-the-emergency-department
#20
David Warren
No abstract text is available yet for this article.
July 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
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