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Australasian Emergency Nursing Journal: AENJ

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https://www.readbyqxmd.com/read/27789232/job-satisfaction-among-emergency-department-staff
#1
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
#2
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/27726973/frequency-of-vital-sign-assessment-and-clinical-deterioration-in-an-australian-emergency-department
#3
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...
October 7, 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
#4
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...
October 7, 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
#5
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...
August 18, 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
#6
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...
August 3, 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
#7
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...
August 2, 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
#8
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
#9
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
https://www.readbyqxmd.com/read/27448460/chip-an-early-activation-protocol-for-isolated-blunt-chest-injury-improves-outcomes-a-retrospective-cohort-study
#10
Kate Curtis, Stephen E Asha, Annalise Unsworth, Mary Lam, Helen Goldsmith, Mary Langcake, Donovan Dwyer
BACKGROUND: Blunt chest injuries not treated in a timely manner with sufficient analgesia, physiotherapy and respiratory support are associated with increased morbidity and mortality. The aim of the study was to determine the impact of a blunt chest injury early activation protocol (ChIP) on patient and hospital outcomes. METHODS: In this pre-post cohort study, the outcomes of patients with blunt chest injury who received ChIP were compared against those who did not...
August 2016: Australasian Emergency Nursing Journal: AENJ
https://www.readbyqxmd.com/read/27259588/rates-of-workplace-aggression-in-the-emergency-department-and-nurses-perceptions-of-this-challenging-behaviour-a-multimethod-study
#11
Simone Hyland, Joanne Watts, Margaret Fry
INTRODUCTION: Over the last 10 years, the rate of people presenting with challenging behaviour to emergency departments (EDs) has increased and is recognised as a frequent occurrence facing clinicians today. Challenging behaviour often includes verbal aggression, physical aggression, intimidation and destruction of property. AIM: The aim of this research was to (i) identify the characteristics and patterns of ED-reported incidents of challenging behaviour and (ii) explore emergency nurses' perceptions of caring for patients displaying challenging behaviour...
August 2016: Australasian Emergency Nursing Journal: AENJ
https://www.readbyqxmd.com/read/27237932/family-presence-during-management-of-acute-deterioration-clinician-attitudes-beliefs-and-perceptions-of-current-practices
#12
Megan J Youngson, Judy Currey, Julie Considine
BACKGROUND: The nature of acute clinical deterioration has changed over the last three decades with a decrease in in-hospital cardiac arrests and an increase in acute clinical deterioration. Despite this change, research related to family presence continues to focus on care during resuscitation rather than during acute deterioration. AIM: To explore healthcare clinician attitudes, beliefs and perceptions of current practices surrounding family presence during episodes of acute deterioration in adult Emergency Department patients...
August 2016: Australasian Emergency Nursing Journal: AENJ
https://www.readbyqxmd.com/read/27133874/a-healthy-degree-of-suspicion-a-discussion-of-the-implementation-of-transmission-based-precautions-in-the-emergency-department
#13
Peta-Anne Zimmerman, Matt Mason, Elizabeth Elder
BACKGROUND: Emergency department (ED) presentations have increased significantly domestically and internationally. Swift identification and implementation of transmission based precautions (TBP) for patients known or suspected of having an epidemiologically important pathogen is important. ED staff, particularly triage nurses, are pivotal in detecting and preventing infection, including healthcare associated infections (HAI). METHODS: MEDLINE, CINAHL, PubMed and Ovid were searched for articles published between 2004 and 2015 using key search terms: infection control/prevention and emergency department(s), triage, and transmission based precautions and emergency department(s), and triage, to identify common themes for discussion...
August 2016: Australasian Emergency Nursing Journal: AENJ
https://www.readbyqxmd.com/read/27009969/ed-home-improving-educator-confidence-and-patient-education-in-the-emergency-department
#14
Nicole M Coombs, Joanne E Porter, Alison Beauchamp
BACKGROUND: Barriers to effective patient communication in the emergency department (ED) are well recognised; time, resources and staff and consumer expectations. This project aimed to improve the quality of health education provided in the ED by increasing nurses' confidence as educators. METHOD: By providing a staff information package including the introduction of a new structured education tool; ED-HOME, and by assessing the confidence and self-efficacy of the nurses in the process, we hoped to determine if an improvement in practice and confidence was achieved...
August 2016: Australasian Emergency Nursing Journal: AENJ
https://www.readbyqxmd.com/read/26778699/peripheral-intravenous-catheter-insertion-in-the-emergency-department
#15
Kelly Decker, Sharyn Ireland, Lorna O'Sullivan, Sue Boucher, Lauren Kite, Deb Rhodes, Biswadev Mitra
BACKGROUND: Growing research suggests that a large number of peripheral intravenous catheters (PIVCs) inserted in the Emergency Department (ED) are unused. The aim of this study was to assess the proportion of unused ED inserted PIVCs in a before-and-after interventional study. Additional aims were to ascertain indications for PIVC insertion in the ED and to increase the appropriateness of PIVC insertion. METHOD: A prospective interventional study was conducted...
August 2016: Australasian Emergency Nursing Journal: AENJ
https://www.readbyqxmd.com/read/27478148/cpr-induced-consciousness-a-cross-sectional-study-of-healthcare-practitioners-experience
#16
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...
July 28, 2016: Australasian Emergency Nursing Journal: AENJ
https://www.readbyqxmd.com/read/27474070/profile-of-fall-injury-in-the-new-south-wales-older-adult-population
#17
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...
July 26, 2016: Australasian Emergency Nursing Journal: AENJ
https://www.readbyqxmd.com/read/27283891/heated-humidified-high-flow-nasal-oxygen-usage-in-the-adult-emergency-department
#18
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...
June 6, 2016: Australasian Emergency Nursing Journal: AENJ
https://www.readbyqxmd.com/read/27178090/collaboration-between-nurses-and-physicians-in-an-indonesian-emergency-department
#19
Suryanto, Virginia Plummer, Beverley Copnell
BACKGROUND: Positive collaboration between nurses and physicians is essential in emergency practice because it has a significant relationship with the quality, safety, accountability, and responsibility of care. The aim of this study was to examine nurses' and physicians' attitudes towards collaboration in the Emergency Department in the Indonesian context. METHODS: The study was a comparative study using a modified Jefferson Scale of Attitude towards Physician-Nurse Collaboration...
May 2016: Australasian Emergency Nursing Journal: AENJ
https://www.readbyqxmd.com/read/27173359/characteristics-of-older-people-with-cognitive-impairment-attending-emergency-departments-a-descriptive-study
#20
Linda M Schnitker, Elizabeth R A Beattie, Melinda Martin-Khan, Ellen Burkett, Leonard C Gray
OBJECTIVE: The objective of this paper is to describe the profile of older people with cognitive impairment (CI) presenting to emergency departments (EDs). METHODS: This was a multi-centre (n=8) observational study of a convenience sample of older (≥70y) ED patients (n=579). Participants were prospectively assessed for CI and surveyed for the duration of their ED stay (n=191). A picture of patients' health status and ED responses to care needs was obtained through application of standardised assessment tools...
May 2016: Australasian Emergency Nursing Journal: AENJ
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