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International Emergency Nursing

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https://www.readbyqxmd.com/read/28228342/evaluation-of-the-implementation-of-the-south-african-triage-system-at-an-academic-hospital-in-central-haiti
#1
Shada A Rouhani, Emily Aaronson, Angella Jacques, Sandy Brice, Regan H Marsh
BACKGROUND: Effective triage is an important part of high quality emergency care, yet is frequently lacking in resource-limited settings. The South African Triage Scale (SATS) is designed for these settings and consists of a numeric score (triage early warning score, TEWS) and a list of clinical signs (known as discriminators). Our objective was to evaluate the implementation of SATS at a new teaching hospital in Haiti. METHODS: A random sample of emergency department charts from October 2013 were retrospectively reviewed for the completeness and accuracy of the triage form, correct calculation of the triage score, and final patient disposition...
February 19, 2017: International Emergency Nursing
https://www.readbyqxmd.com/read/28228341/doctors-and-nurses-perceptions-of-military-pre-hospital-emergency-care-when-training-becomes-reality
#2
REVIEW
Sten-Ove Andersson, Lars Lundberg, Anders Jonsson, Pia Tingström, Madeleine Abrandt Dahlgren
The aim of this study was to identify physicians' and nurses' perceptions of military pre-hospital emergency care before and after an international mission. A qualitative empirical study with a phenomenographic approach was used. The results after pre-deployment training can be categorised as (1) learning about military medicine and (2) taking care of the casualty. The results after an international mission can be categorised as (1) collaborating with others, (2) providing general health care and (3) improving competence in military medicine...
February 19, 2017: International Emergency Nursing
https://www.readbyqxmd.com/read/28082072/early-neurological-deterioration-in-older-adults-with-traumatic-brain-injury
#3
Linda J Scheetz, Michael A Horst, Richard B Arbour
INTRODUCTION: Traumatic brain injuries (TBIs) and resulting fatalities among older adults increased considerably in recent years. Neurological deterioration often goes unrecognized at the injury scene and patients arrive at emergency departments with near-normal Glasgow Coma Scale (GCS) scores. This study examined the proportion of older adults experiencing early neurological deterioration (prehospital to emergency department), associated factors, and association of the magnitude of neurological deterioration with TBI severity...
January 9, 2017: International Emergency Nursing
https://www.readbyqxmd.com/read/27979607/psychometric-properties-of-the-management-of-aggression-and-violence-attitude-scale-in-hong-kong-s-emergency-care-setting
#4
Wai Kit Wong, Wai Tong Chien
BACKGROUND: Emergency unit is one of the most high-risk areas for patient violence. However, in Hong Kong, little research has been test psychometric properties of assessment tool of Emergency unit nurses' attitude toward violence. METHODS: The Management of Aggression and Violence Attitude Scale's (MAVASs) Scale- and Item-Content Validity Index were established by 5-experts panel. A convenience sample of 123 nurses working in 4 public Emergency Department in Hong Kong was recruited...
December 12, 2016: International Emergency Nursing
https://www.readbyqxmd.com/read/27956149/pain-management-of-trauma-patients-in-the-emergency-department-a-study-in-a-public-hospital-in-iran
#5
Negin Masoudi Alavi, Mohammad Sadegh Aboutalebi, Zohreh Sadat
BACKGROUND: Pain is a common problem which the patients in emergency departments (ED) face, especially trauma patients under treatment may suffer from physical, psychological and ethical issues. The purpose of this study was to evaluate traumatic pain management in the emergency department at a public hospital in Iran in 2014. METHODS: This observational prospective study was conducted on 450 trauma patients admitted to a trauma emergency department. The tool used in this study has three parts: demographic data, data of trauma, and VRS (Verbal Rating Scales) score at a 7-point scale-at the arrival time to 4h later...
December 9, 2016: International Emergency Nursing
https://www.readbyqxmd.com/read/27919622/workplace-aggression-as-cause-and-effect-emergency-nurses-experiences-of-working-fatigued
#6
Lisa A Wolf, Cydne Perhats, Altair M Delao, Paul R Clark
INTRODUCTION: Emergency nursing requires acute attention to detail to provide safe and effective care to potentially unstable or critically ill patients; this requirement may be significantly impaired by physical and mental fatigue. There is a lack of evidence regarding the effects of fatigue caused by factors other than a sleep deficit (e.g., emotional exhaustion). Fatigue affects nurses' ability to work safely in the emergency care setting and potentially impacts their health and quality of life outside of work...
December 2, 2016: International Emergency Nursing
https://www.readbyqxmd.com/read/27915124/a-literature-review-examining-the-barriers-to-the-implementation-of-family-witnessed-resuscitation-in-the-emergency-department
#7
REVIEW
Catherine Johnson
BACKGROUND: Caring for people near death in the Emergency Department (ED) is challenging for professionals, duty bound to respond to the needs of the dying. Family witnessed resuscitation (FWR) is practiced internationally, allowing relatives to be present at the time of a patient's death, offering comfort to the dying and aiding the bereaved along a healthy grief trajectory. AIM: The literature review elicits barriers to the implementation of FWR in the ED, examining why practice is sporadic despite numerous professional bodies calling for implementation...
November 30, 2016: International Emergency Nursing
https://www.readbyqxmd.com/read/27894784/hospital-admission-in-older-persons-presenting-with-dizziness-in-the-emergency-department
#8
Anna Ekwall, Johanna Schrab, Karolina Runesson, Måns Magnussons
One of the most frequent chief complaints among older persons presenting in the emergency department (ED) is dizziness. Nurses in the ambulance and in the ED play an important role in managing these patients. The challenge in the ED or ambulance is to, with limited diagnostic equipment; decide the correct level of care. The aim of this study was to identify factors that differed between those who were admitted to hospital and those who were not among older persons (65+) presenting in the ED with dizziness. The method was a retrospective journal audit...
November 25, 2016: International Emergency Nursing
https://www.readbyqxmd.com/read/27839784/teamwork-what-should-we-measure-and-how-should-we-measure-it
#9
EDITORIAL
Simon Cooper
No abstract text is available yet for this article.
November 7, 2016: International Emergency Nursing
https://www.readbyqxmd.com/read/27776980/why-are-we-waiting-patients-perspectives-for-accessing-emergency-department-services-with-non-urgent-complaints
#10
Maria Unwin, Leigh Kinsman, Scott Rigby
[Background] Emergency departments world-wide report service demands which exceed resource availability. Themes such as crowding, non-urgent presentations, ambulance diversion and access block have been linked to complications in care, poorer patient outcomes, increased morbidity and staff burnout. People attending the emergency department with problems perceived as non-urgent are frequently attributed blame for increased service demand, yet little is known from the patients' perspective. [Method] This project utilised a descriptive cross-sectional waiting room survey of non-urgent patients to identify factors contributing to their decision making process to access ED services at a regional hospital in Tasmania, Australia...
November 2016: International Emergency Nursing
https://www.readbyqxmd.com/read/27729217/triage-is-easy-said-no-triage-nurse-ever
#11
EDITORIAL
Enrico Dippenaar, Stevan Bruijns
No abstract text is available yet for this article.
November 2016: International Emergency Nursing
https://www.readbyqxmd.com/read/27640310/-care-in-a-chair-the-impact-of-an-overcrowded-emergency-department-on-the-time-to-treatment-and-length-of-stay-of-self-presenting-patients-with-abdominal-pain
#12
Ben Smith, Stephane Bouchoucha, Elizabeth Watt
OBJECTIVES: The aim in this study was to investigate the impact of overcrowding on the Australasian Triage Score's (ATS) time to treatment target and the National Emergency Access Target (NEAT) for patients who self-present to the Emergency Department (ED) with abdominal pain. BACKGROUND: The causes and effects of ED overcrowding have been well described in the literature. It is a widespread phenomenon throughout the world and it can cause serious harm to patients and have a negative impact on access to emergency care...
November 2016: International Emergency Nursing
https://www.readbyqxmd.com/read/27524106/efficiency-in-the-emergency-department-a-complex-relationship-between-throughput-rates-and-staff-perceptions
#13
Ulrica von Thiele Schwarz, Henna Hasson, Åsa Muntlin Athlin
INTRODUCTION: It is well known that emergency departments (EDs) suffer from crowding and throughput challenges, which make the ED a challenging workplace. However, the interplay between the throughput of patients and how staff experience work is seldom studied. The aim of this study was to investigate whether staff experience of work (efficiency, work-related efforts and rewards, and quantity and quality of work) differs between days with low and high patient throughput rates. METHOD: Throughput times were collected from electronic medical records and staff (n=252 individuals, mainly nurses) ratings in daily questionnaires over a total of six weeks...
November 2016: International Emergency Nursing
https://www.readbyqxmd.com/read/27339485/reasons-for-interrupting-colleagues-during-emergency-department-work-a-qualitative-study
#14
Lena M Berg, Jan Florin, Anna Ehrenberg, Jan Östergren, Therese Djärv, Katarina E Göransson
OBJECTIVE: Emergency department team members frequently need to interact with each other, a circumstance causing multiple interruptions. However, information is lacking about the motives underlying these interruptions and this study aimed to explore clinicians' reasons to interrupt colleagues during emergency department work. METHOD: Semi-structured interviews with 10 physicians and 10 registered nurses at two Swedish emergency departments. The interviews were analyzed inductively using content analysis...
November 2016: International Emergency Nursing
https://www.readbyqxmd.com/read/26970907/emergency-department-crowding-affects-triage-processes
#15
M Christien van der Linden, Barbara E A M Meester, Naomi van der Linden
INTRODUCTION: During emergency department (ED) crowding there is an imbalance between the need for emergency care and available resources. We assessed the impact of crowding on the triage process. METHODS: A 1-year health records review of 49,539 patient visits was performed. Data extracted included: occupancy ratio, ED occupancy, demographics, length of stay (LOS), time to triage, triage score, years working as a triage nurse, and triage destination. Data were analyzed using descriptive statistics and regression analyses...
November 2016: International Emergency Nursing
https://www.readbyqxmd.com/read/26796287/emergency-department-triage-performance-timing-a-regional-multicenter-descriptive-study-in-italy
#16
Stefano Bambi, Marco Ruggeri, Sandra Sansolino, Massimo Gabellieri, Sabrina Tellini, Monica Giusti, Elisa Ciulli, Federica Franchi, Laura Petrocchi, Mauro Olivi, Raffaele Carlo Gravili, Paola Biancalana, Andrea Millanti, Luca Martini, Paola Sgrevi
OBJECTIVES: We explored the time employed by nurses to perform the ED triage process in the clinical setting. Moreover, we assessed the influences on triage timing performance exerted by variables related to nurses, local EDs' features, and by interruptions. METHODS: This is a multicenter prospective descriptive-explorative study performed in 11 EDs of the Tuscany region (Italy), using a 5 tier triage system. The sample was made up of 1/3 of nurses working in each ED...
November 2016: International Emergency Nursing
https://www.readbyqxmd.com/read/26657803/a-review-of-factors-affecting-patient-satisfaction-with-nurse-led-triage-in-emergency-departments
#17
REVIEW
Salma Abdul Rehman, Parveen Azam Ali
AIM: To determine the factors that affect patient satisfaction with nurse-led-triage in EDs using a systematic review. BACKGROUND: Nurses' involvement in the triage services provided in the Emergency Department has been an integral part of practice for several decades in some countries. Although studies exploring patient satisfaction with nurse-led ED triage exist, no systematic review of this evidence is available. METHODS: MEDLINE, CINAHL, PsycInfo, EMBASE, the Cochrane Library, Joanna Briggs Library and Google Scholar were searched (January 1980-June 2013)...
November 2016: International Emergency Nursing
https://www.readbyqxmd.com/read/28029612/what-are-the-most-common-domains-of-the-core-competencies-of-disaster-nursing-a-scoping-review
#18
REVIEW
Abdullelah Al Thobaity, Virginia Plummer, Brett Williams
AIM: Scoping review was conducted to identify the most common domains of the core competencies of disaster nursing. BACKGROUND: Nurses play an essential role in all phases of disaster management. For nurses to respond competently, they must be equipped with the skills to provide comprehensive and holistic care to the populations affected by or at risk of disasters. METHODS: A scoping review was conducted using the Joanna Briggs Institute methodology...
October 28, 2016: International Emergency Nursing
https://www.readbyqxmd.com/read/27773602/anterior-process-of-the-calcaneum-not-to-be-missed
#19
Lynda Gibbons, Patricia Cunningham
No abstract text is available yet for this article.
October 20, 2016: International Emergency Nursing
https://www.readbyqxmd.com/read/27765469/patellar-dislocation-not-the-bees-knees
#20
Martin Duignan, Mary McGibney
BACKGROUND: Patellar dislocations are common, particularly in the adolescent polulation. Registered Advanced Nurse Practitioners are healthcare professionals who can appropriately manage these injuries to minimise the risk of chronicity. METHODS: This is a case study which uses a clinical examplar from the authors practice focusing on the assessment, diagnosis and managment of patellar dislocations. Particular reference is made of the significance of the MPFL. RESULTS: This paper highlights the importance of recognition of appropriate management of patellar dislocations in the ED setting...
October 17, 2016: International Emergency Nursing
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