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International Emergency Nursing

Dominiek Coates, Michael David, Ben Roberts, David Duerden
OBJECTIVE: To examine the profile and journey of patients with mental illness in the emergency departments (ED) of a Local Health District in Australia. There is limited evidence around the patient profile and journey of people in who present to EDs with mental illness, and the aim of this study was to inform the development of a psychiatric emergency service model. METHODS: The study design was a retrospective descriptive analysis of routinely collected data of two hospital EDs...
July 3, 2018: International Emergency Nursing
Chun-Chih Lin, Hwey-Fang Liang, Chin-Yen Han, Li-Chin Chen, Chun-Lan Hsieh
PURPOSE: Professional resilience has become increasingly important for nurses in adverse work environments to reduce the negative results and increase the positive outcomes of stress. This study aimed to explore and understand the experiences of resilience among nurses in an overcrowded emergency department (ED) and increase knowledge about what nurses identified as protective factors, which may be useful for future planning. METHODS: A construction-grounded theory (CGT) approach was adopted...
June 25, 2018: International Emergency Nursing
Laserina O'Connor, Bernadette Carpenter, Cora O'Connor, Julie O'Driscoll
BACKGROUND: There is a body of empirical literature indicating that interprofessional education (IPE) not only enriches students' understanding of their own discipline but of other disciplines. However, giving the on-going emphasis on the importance of IPE to healthcare processes and outcomes, on-going attention is needed to advancing the research evidence related to the emergency department setting. The aim of this qualitative descriptive study was to determine the clinical learning experiences of GPs who rotated through an academic urban minor injuries unit as part of their training, led by advanced nurse practitioners (emergency)...
June 7, 2018: International Emergency Nursing
Annette Waldemar, Ingela Thylen
BACKGROUND: Family-witnessed resuscitation (FWR) offers the option for family to be present during a cardiac arrest, which has been proven to help them in their grieving process. International guidelines highlight the importance of FWR, but this has not yet been widely implemented in clinical practice in Europe. AIM: Explore nurses' and physicians' experiences and attitudes toward FWR in cardiac care units. METHODS: Cross-sectional web-based multicentre survey study including the seven university hospitals in Sweden, with 189 participants...
June 7, 2018: International Emergency Nursing
Ru Ying Fong, Wee Sern Sim Glen, Ahmad Khairil Mohamed Jamil, Wilson Wai San Tam, Yanika Kowitlawakul
OBJECTIVES: To compare the reliability, validity and resource utilization of the Emergency Severity Index (ESI) and Patient Acuity Category Scale (PACS) triage scales. METHODS: A descriptive, correlational, and cross-sectional design was used. Twenty-seven triage nurses were recruited to test interrater reliability for 20 patient case scenarios. Subsequently, interrater reliability was tested on 300 actual patients. Construct validity was analyzed using patients' hospital dispositions and resources utilized...
June 7, 2018: International Emergency Nursing
Stacy M Tarango, Phung K Pham, Dayun Chung, Ara Festekjian
BACKGROUND: An ongoing threat to hospitalized patients is delayed recognition of clinical deterioration and its association with increased morbidity and mortality. OBJECTIVE: This study evaluated the ability of Pediatric Emergency Medicine (PEM) clinicians to predict clinical deterioration of patients admitted from the Pediatric Emergency Department (PED). Clinical deterioration was defined as unanticipated transfer to an Intensive Care Unit (ICU) within 12 h of PED-to-ward admission...
June 6, 2018: International Emergency Nursing
Wayne Varndell, Margaret Fry, Doug Elliott
AIM: This paper reports a systematic literature review evaluating the impact and quality of pain management associated with nurse initiated analgesia in patients presenting to the emergency department (ED). BACKGROUND: Pain is a major presenting complaint for individuals attending the ED. Timely access to effective analgesia continues to be a global concern in the ED setting; emergency nurses are optimally positioned to improve detection and management of pain. DESIGN: Systematic review...
June 6, 2018: International Emergency Nursing
Saed A Al Bimani, Lucy S Gates, Martin Warner, Sean Ewings, Robert Crouch, Catherine Bowen
INTRODUCTION: There is lack of evidence about ankle sprain patients presenting to emergency department (ED) in the UK. The study aim was to determine prevalence, demographic and clinical characteristics of patients attending to one ED. Knowing those characteristics may help setting prevention strategies and inform effective clinical practice. METHODS: A retrospective review of records from patients' database system was conducted between May and November 2015 (inclusive)...
June 6, 2018: International Emergency Nursing
Rachel Cross, Julia Morphet, Charne Miller
BACKGROUND: Postgraduate emergency nursing studies strengthen the emergency nursing workforce and contribute to specialist patient care. Formative and summative assessments in postgraduate study are important for student learning as they enable self-reflection and feedback. AIM: To compare formative and summative appraisal assessments between postgraduate emergency nursing students and nurse educators. METHOD: Retrospective review of assessments completed by postgraduate student and educator in the final multi-system complex subject of the postgraduate emergency nursing course during 2015...
June 5, 2018: International Emergency Nursing
M Christien Van Der Linden, Merel Van Loon, Menno I Gaakeer, John R Richards, Robert W Derlet, Naomi Van Der Linden
INTRODUCTION: Previous studies indicate that crowding scales may not perform well in low-volume emergency departments (EDs). In this study, face-validity of the Modified National ED OverCrowding Score (mNEDOCS) was assessed in a high-volume ED as well as in a low-volume ED. METHODS: A prospective observational cohort study was performed in the Netherlands. The correlation of the mNEDOCS with ED staff perceptions of crowding were assessed, using weighted Kappa (κ) and Pearson correlation...
June 4, 2018: International Emergency Nursing
Lynda J Gibbons, Kathleen Stoddart
No abstract text is available yet for this article.
May 2, 2018: International Emergency Nursing
Martin Duignan
No abstract text is available yet for this article.
April 26, 2018: International Emergency Nursing
Donna Barleycorn, Geraldine A Lee
BACKGROUND: Major trauma is a significant public health problem and a leading cause of death for several age groups. To address this issue, Major Trauma Networks were introduced in the UK from 2010, consisting of Major Trauma Centres (MTCs) and a network of linked Trauma Units (TUs). OBJECTIVE: The aim is to undertake a systematic review to examine how effective is trauma simulation as an educational process for healthcare providers within trauma networks. METHODS: The databases searched included Medline, Embase and Cinahl from 2010 to 2016...
April 25, 2018: International Emergency Nursing
Jonathan Ka-Ming Ho, Janita Pak-Chun Chau, Jimmy Tak-Shing Chan, Caroline Hau-Yee Yau
INTRODUCTION: Nurse-initiated radiographic-test protocol was compared with usual practice in reducing unnecessary ankle and foot radiographic-test requests and shortening patients' length of stay (LOS) in an emergency department (ED) by reducing their waiting time for physician reassessment. METHODS: Patients with ankle injuries were enrolled in an unblinded randomized controlled trial. Participants were randomized to receive either the protocol (n = 56) or usual practice (n = 56)...
April 24, 2018: International Emergency Nursing
Geraldine Lee
No abstract text is available yet for this article.
July 2018: International Emergency Nursing
Vesile Unver, Tulay Basak, Sevinc Tastan, Gulsah Kok, Gulten Guvenc, Ayla Demirtas, Hatice Ayhan, Gulsah Köse, Emine Iyigun, Nuran Tosune
INTRODUCTION: As disasters may occur any time, health care staff and institutions should be prepared to manage these events. The aim of study is to analyze the effects of high-fidelity simulation on the perceptions of senior nursing students regarding their preparedness for disasters. METHODS: This study used a pretest-posttest design and was conducted as a quasi-experimental investigation. RESULTS: Slightly less than the half of the students (42...
May 2018: International Emergency Nursing
Simone Herrmann
No abstract text is available yet for this article.
May 2018: International Emergency Nursing
Christian Barrientos, Mats Holmberg
AIM: The aim of this study was to describe the care of patients assessed as not in need of emergency ambulance care, from Registered Nurse's lived experiences. BACKGROUND: Non-emergency patients in need of ambulance care are described as vulnerable and patients in ambulance care have earlier been found to be dependent on the Registered Nurse. However, little is known about the care of non-emergency patients in the ambulance setting, from the perspective of Registered Nurses...
May 2018: International Emergency Nursing
Joanne E Porter, Robyn P Cant, Simon J Cooper
INTRODUCTION: Non-technical skills (NTS) teamwork training can enhance clinicians' understanding of roles and improve communication. We evaluated a quality improvement project rating teams' NTS performance to determine the value of formal rating and debriefing processes. METHODS: In two Australian emergency departments the NTS of resuscitation teams were rated by senior nurses and medical staff. Key measures were leadership, teamwork, and task management using a valid instrument: Team Emergency Assessment Measure (TEAM™)...
May 2018: International Emergency Nursing
Lynda J Gibbons, Mark J Towers
No abstract text is available yet for this article.
May 2018: International Emergency Nursing
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