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Australasian Emergency Nursing Journal: AENJ

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https://www.readbyqxmd.com/read/28196705/an-exploration-of-emergency-nurses-perceptions-attitudes-and-experience-of-teamwork-in-the-emergency-department
#1
Elise Grover, Joanne E Porter, Julia Morphet
BACKGROUND: Teamwork may assist with increased levels of efficiency and safety of patient care in the emergency department (ED), with emergency nurses playing an indispensable role in this process. METHOD: A descriptive, exploratory approach was used, drawing on principles from phenomenology and symbolic interactionism. Convenience, purposive sampling was used in a major metropolitan ED. Semi structured interviews were conducted, audio recorded, and transcribed verbatim...
February 11, 2017: Australasian Emergency Nursing Journal: AENJ
https://www.readbyqxmd.com/read/28169135/case-study-and-case-based-research-in-emergency-nursing-and-care-theoretical-foundations-and-practical-application-in-paramedic-pre-hospital-clinical-judgment-and-decision-making-of-patients-with-mental-illness
#2
Ramon Z Shaban, Julie Considine, Margaret Fry, Kate Curtis
Generating knowledge through quality research is fundamental to the advancement of professional practice in emergency nursing and care. There are multiple paradigms, designs and methods available to researchers to respond to challenges in clinical practice. Systematic reviews, randomised control trials and other forms of experimental research are deemed the gold standard of evidence, but there are comparatively few such trials in emergency care. In some instances it is not possible or appropriate to undertake experimental research...
February 3, 2017: Australasian Emergency Nursing Journal: AENJ
https://www.readbyqxmd.com/read/28169134/using-observation-to-collect-data-in-emergency-research
#3
Margaret Fry, Kate Curtis, Julie Considine, Ramon Z Shaban
Research questions require specific data collection techniques to appropriately explore and understand the phenomena of interest. Observation as a term features commonly in the literature as a way to describe both the design of a study and methods deployed within procedures. Observation as a data collection method is a mode of inquiry to systematically collect information about different settings and groups. However, the objective of observation in data collection is to better understand the phenomena of interest situated in context...
February 3, 2017: Australasian Emergency Nursing Journal: AENJ
https://www.readbyqxmd.com/read/28108139/emergency-department-waiting-room-nurse-role-a-key-informant-perspective
#4
Innes Kelli, Jackson Debra, Plummer Virginia, Elliott Doug
BACKGROUND: Emergency departments have become overcrowded with increased waiting times. Strategies to decrease waiting times include time-based key performance indicators and introduction of a waiting room nurse role. The aim of the waiting room nurse role is to expedite care by assessing and managing patients in the waiting room. There is limited literature examining this role. METHODS: This paper presents results of semi-structured interviews with five key informants to explore why and how the waiting room nurse role was implemented in Australian emergency departments...
January 17, 2017: Australasian Emergency Nursing Journal: AENJ
https://www.readbyqxmd.com/read/28073650/the-utilisation-of-one-district-hospital-emergency-department-by-people-with-parkinson-s-disease
#5
Marion Harris, Margaret Fry
BACKGROUND: Parkinson's disease (PD) is the second most common neurodegenerative disorder in Australia and the economic burden is more than $8.3 billion a year and predicted to escalate. However, little is known of the trends and characteristics of people with Parkinson's disease presenting to emergency departments (ED). METHOD: The study design was a 12 month retrospective medical record audit. The study was conducted in one metropolitan 300 bed district hospital in an outer suburb of Sydney...
January 7, 2017: Australasian Emergency Nursing Journal: AENJ
https://www.readbyqxmd.com/read/28073649/accurate-respiratory-rates-count-so-should-you
#6
Tracy Flenady, Trudy Dwyer, Judith Applegarth
It is well documented that the respiratory rate is the least accurately recorded vital sign. Despite nurses consistently confirming that they understand the physiological importance of the respiratory rate, more often than not, they estimate a value rather than count for an entire minute. Until recently, little has been known about why this phenomenon perpetuates. However, it has now been established that many emergency department registered nurses believe they are enhancing patients' outcomes by performing tasks other than counting a patient's respiratory rate...
January 7, 2017: Australasian Emergency Nursing Journal: AENJ
https://www.readbyqxmd.com/read/28042009/so-you-want-to-conduct-a-randomised-trial-learnings-from-a-failed-feasibility-study-of-a-crisis-resource-management-prompt-during-simulated-paediatric-resuscitation
#7
Rachel Teis, Jyai Allen, Nigel Lee, Sue Kildea
BACKGROUND: No study has tested a Crisis Resource Management prompt on resuscitation performance. METHODS: We conducted a feasibility, unblinded, parallel-group, randomised controlled trial at one Australian paediatric hospital (June-September 2014). Eligible participants were any doctor, nurse, or nurse manager who would normally be involved in a Medical Emergency Team simulation. The unit of block randomisation was one of six scenarios (3 control:3 intervention) with or without a verbal prompt...
December 29, 2016: Australasian Emergency Nursing Journal: AENJ
https://www.readbyqxmd.com/read/28034556/who-falls-in-an-adult-emergency-department-and-why-a-retrospective-review
#8
Deanne R McErlean, James A Hughes
INTRODUCTION: Falls are a significant source of healthcare related morbidity and mortality of patients in hospitals and residential healthcare settings. Commonly falls are thought of as an affliction of the elderly and the frail. The emergency department (ED) is a unique healthcare setting that sees patients in the acute and hyper acute stages of physical and mental illness and intoxication. Falls occur in this setting, however there is little knowledge about the factors that influence falls in the emergency department...
December 26, 2016: Australasian Emergency Nursing Journal: AENJ
https://www.readbyqxmd.com/read/27726973/frequency-of-vital-sign-assessment-and-clinical-deterioration-in-an-australian-emergency-department
#9
Katherine Lambe, Judy Currey, Julie Considine
BACKGROUND: Understanding of clinical deterioration of emergency department patients is rapidly evolving. The aim of this study was to investigate the frequency and nature of vital sign collection and clinical deterioration in emergency care. METHODS: A descriptive exploratory approach was used. Data were collected from the records of 200 randomly selected adults with presenting complaints of abdominal pain, shortness of breath, chest pain and febrile illness from 1 January to 31 December 2014 at a 22 bed emergency department in Melbourne, Australia...
November 2016: Australasian Emergency Nursing Journal: AENJ
https://www.readbyqxmd.com/read/27726972/emergency-nursing-workload-and-patient-dependency-in-the-ambulance-bay-a-prospective-study
#10
Wayne Varndell, Elizabeth Ryan, Alison Jeffers, Nadya Marquez-Hunt
AIM: The purpose of this prospective observational study was to characterise patients occupying the ambulance bay and to determine the ensuing nursing workload. BACKGROUND: The number of patients presenting to ED by ambulance is increasing. During periods of peak demand and access block in the ED, patients with ongoing care needs, requiring continual assessment and symptom management by emergency nurses can remain in the ambulance bay for extended periods of time...
November 2016: Australasian Emergency Nursing Journal: AENJ
https://www.readbyqxmd.com/read/27545578/disaster-management-emergency-nursing-and-medical-personnel-s-knowledge-attitude-and-practices-of-the-east-coast-region-hospitals-of-malaysia
#11
Nurul'Ain Ahayalimudin, Nor Naimah Saidah Osman
BACKGROUND: Disaster management is critical, as its insight could diminish the impact of a disaster, and participation of emergency medical personnel is crucial. This study explores emergency medical personnel's knowledge, attitude and practice towards disaster management. METHODOLOGY: This study utilised a cross-sectional study design, and the data collected from 194 emergency nursing and medical personnel (staff nurses, doctors and assistant medical officers), using a questionnaire...
November 2016: Australasian Emergency Nursing Journal: AENJ
https://www.readbyqxmd.com/read/27495126/comparing-patient-outcomes-for-care-delivered-by-advanced-musculoskeletal-physiotherapists-with-other-health-professionals-in-the-emergency-department-a-pilot-study
#12
Peter Schulz, Jonathan Prescott, Janine Shifman, Julio Fiore, Anne Holland, Paula Harding
BACKGROUND: To compare advanced musculoskeletal physiotherapists with other health professionals by measuring outcomes for patients presenting to the emergency department with lower limb soft tissue injuries or acute low back pain. METHODS: A prospective study was conducted (Lower limb soft tissue injury cohort, n=88), (Acute low back pain cohort, n=29) at the emergency departments of two urban hospitals. A univariate analysis was completed for a number of outcome measures: Lower Extremity Functional Scale, Roland Morris Disability Questionnaire, imaging requirements, Patient Satisfaction Questionnaire, Numerical Pain Rating Scale and medication use...
November 2016: Australasian Emergency Nursing Journal: AENJ
https://www.readbyqxmd.com/read/27495125/a-survey-of-flood-disaster-preparedness-among-hospitals-in-the-central-region-of-thailand
#13
Kanittha Rattanakanlaya, Achara Sukonthasarn, Suparat Wangsrikhun, Chawapornpan Chanprasit
BACKGROUND: In 2011, Thailand was affected by the one of the worst flood disasters in recent times. Hospitals in Thailand were faced with the challenge of managing the health impacts from this natural disaster. The purpose of this study was to assess flood disaster preparedness among hospitals in the central region of Thailand. METHODS: A survey questionnaire was given to twenty-seven key people responsible for hospital disaster preparedness that experienced disruptions to health services (severely, moderately and slightly) during the flood disaster in 2011 in the central region of Thailand...
November 2016: Australasian Emergency Nursing Journal: AENJ
https://www.readbyqxmd.com/read/27478148/cpr-induced-consciousness-a-cross-sectional-study-of-healthcare-practitioners-experience
#14
Alexander Olaussen, Matthew Shepherd, Ziad Nehme, Karen Smith, Paul A Jennings, Stephen Bernard, Biswadev Mitra
INTRODUCTION: Consciousness may occur during effective management of cardiac arrest and ranges from eye opening to interfering with rescuers' resuscitation attempts. Reported cases in the medical literature appear scant compared to anecdotal reports. The aim of this study was to evaluate health care providers' experience with consciousness during cardio-pulmonary resuscitation (CPR). METHODS: A cross-sectional survey of 100 experienced health care professionals, including doctors, nurses and paramedics...
November 2016: Australasian Emergency Nursing Journal: AENJ
https://www.readbyqxmd.com/read/27474070/profile-of-fall-injury-in-the-new-south-wales-older-adult-population
#15
Jenny Miu, Kate Curtis, Zsolt J Balogh
BACKGROUND: A previous report from the New South Wales (NSW) Trauma Registry identified falls and increasing age of severely injured patients as highly prevalent, but detailed injury and demographic profiles, outcomes and their predictors are poorly reported. This study describes the fall-injury profile in the older adult major trauma patient in NSW. METHODS: A retrospective registry based study between 2010 and 2014 on patients aged 55 years and over who sustained a moderate to critical injury from a fall, examining mortality and length of stay using regression analyses...
November 2016: Australasian Emergency Nursing Journal: AENJ
https://www.readbyqxmd.com/read/27283891/heated-humidified-high-flow-nasal-oxygen-usage-in-the-adult-emergency-department
#16
James Hughes, Ammara Doolabh
OBJECTIVE: The aim of this study was to determine the role that heated, humidified high-flow nasal oxygen (HHHFNO) plays in the adult ED with particular focus on the indications and outcomes of use. METHODS: An explorative study was undertaken using retrospective chart review to identify characteristics of adult patients who received HHHFNO in a tertiary adult ED between January and December 2014. RESULTS: Thirty-nine patients were identified as having received HHHFNO during the study period with a range of indications for this use...
November 2016: Australasian Emergency Nursing Journal: AENJ
https://www.readbyqxmd.com/read/27789232/job-satisfaction-among-emergency-department-staff
#17
M Suárez, M Asenjo, M Sánchez
OBJECTIVE: To compare job satisfaction among nurses, physicians and administrative staff in an emergency department (ED). To analyse the relationship of job satisfaction with demographic and professional characteristics of these personnel. METHODS: We performed a descriptive, cross-sectional study in an ED in Barcelona (Spain). Job satisfaction was evaluated by means of the Font-Roja questionnaire. Multivariate analysis determined relationship between the overall job satisfaction and the variables collected...
October 24, 2016: Australasian Emergency Nursing Journal: AENJ
https://www.readbyqxmd.com/read/27789231/triage-damned-triage%C3%A2-and-statistics-sorting-out-redundancy-and-duplication-within-an-emergency-department-presenting-problem-code-set-to-enhance-research-capacity
#18
Saartje Berendsen Russell, Michael M Dinh, Nerida Bell
BACKGROUND: Having a robust Emergency Department Presenting Problem Code Set (EDPPCS) is important for collecting and analysing data around Emergency Department (ED) activity, funding, bio-surveillance and research. This paper analyses the clinical utilisation of the current EDPPCS using two years worth of ED data collected as part of the larger state-wide Demand for Emergency Services Trends in Years 2010-2014 (DESTINY) project. This project proposes potential improvements in the current EDPPCS including a reduction in duplication and redundant clinical terms...
October 24, 2016: Australasian Emergency Nursing Journal: AENJ
https://www.readbyqxmd.com/read/27448462/an-evaluation-of-staff-transitioning-from-a-combined-adult-child-emergency-department-to-a-new-paediatric-emergency-department-a-qualitative-study
#19
Alison Peeler, Paul Fulbrook, Karen-Leigh Edward, Frances B Kinnear
BACKGROUND: Provision of paediatric specific service areas within a hospital servicing both adult and paediatric populations is relatively novel. In Australia this is an emerging model for service delivery that takes into account the specific health needs of paediatric patients. To date, information related to the practice transition required by staff when adopting this model of care is lacking. Such information can contribute to informing service quality and identify staff perceived barriers and enablers during adoption of the model...
August 2016: Australasian Emergency Nursing Journal: AENJ
https://www.readbyqxmd.com/read/27448461/profiling-wound-management-in-the-emergency-department-a-descriptive-analysis
#20
Rachel Cross, Natasha Jennings, William McGuiness, Charne Miller
BACKGROUND: The service profile of wound, skin and ulcer presentations to emergency departments is an area that lacks an existing published commentary. Knowledge of these presentations would inform the allocation of resources, staff training, and, in turn, patient outcomes. The aim of this study was to describe the discharge and referral status of adult patients presenting to one Australian emergency department with a wound, skin or ulcer condition. METHODS: A retrospective descriptive review was conducted of all emergency presentations including discharge and referral statuses for skin, wound and ulcer related conditions from 1st January 2014 until 31st December 2014...
August 2016: Australasian Emergency Nursing Journal: AENJ
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