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International Emergency Nursing

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https://www.readbyqxmd.com/read/30190224/significant-changes-in-emergency-department-length-of-stay-and-case-mix-over-eight-years-at-a-large-swedish-university-hospital
#1
Lena M Berg, Anna Ehrenberg, Jan Florin, Jan Östergren, Katarina E Göransson
OBJECTIVE: Describe the longitudinal development of crowding and patient/emergency department (ED) characteristics at a Swedish University Hospital. METHODS: A retrospective longitudinal registry study based on all ED visits with adult patients during 2009-2016 (N = 1,063,806). Patient characteristics and measures of ED crowding (ED occupancy ratio, length-of-stay [LOS], patients/clinician's ratios) were extracted from the hospital's electronic health record...
September 3, 2018: International Emergency Nursing
https://www.readbyqxmd.com/read/30190223/specialist-ambulance-nurses-experiences-of-births-before-arrival
#2
Anna-Carin Persson, Åsa Engström, Oskar Burström, Päivi Juuso
BACKGROUND: Working as an ambulance nurse means interacting with and caring for acutely ill and injured patients. It can even involve births before arrival to the hospital (BBA), which are rare but increasing due to the centralization of maternity wards. AIM: This study describes the experiences of specialist ambulance nurses with BBA. METHOD: A qualitative study was conducted, and nine specialist ambulance nurses who had assisted with one or more prehospital births were interviewed...
September 3, 2018: International Emergency Nursing
https://www.readbyqxmd.com/read/30122462/information-and-communication-in-the-emergency-department
#3
Joanna Blackburn, Karen Ousey, Emma Goodwin
BACKGROUND: Effective communication between healthcare providers and patients represents an important caveat in healthcare, both nationally and internationally. Providing information to patients about their care and condition can be challenging, particularly in demanding, time-pressured environments such as the Emergency Department (ED). Understanding the process of communication and information between patients and staff in the ED is essential to ensuring patients are satisfied with their treatment and care...
August 17, 2018: International Emergency Nursing
https://www.readbyqxmd.com/read/30054098/round-off-decision-making-why-do-triage-nurses-assign-stemi-patients-with-an-average-priority
#4
Mor Saban, Lev Zaretsky, Heli Patito, Rabia Salama, Aziz Darawsha
Patients with suspected ST elevation myocardial infarction should be classified with a high-priority triage level in the Emergency Department. Accurate triage can reduce mortality and morbidity in ST elevation myocardial infarction patients. Yet, half of these patients were given a low-priority score, especially the average classification (P3 on a P1-P5 scale). AIM: To identify and clarify significant factors in the triage process that result in P3 assignment for patients with ST Elevation Myocardial Infraction diagnosis...
July 24, 2018: International Emergency Nursing
https://www.readbyqxmd.com/read/30041856/assessing-prognosis-with-modified-early-warning-score-rapid-emergency-medicine-score-and-worthing-physiological-scoring-system-in-patients-admitted-to-intensive-care-unit-from-emergency-department
#5
Raziye Gizem Yüksel Gök, Alper Gök, Mehtap Bulut
INTRODUCTION: In this study our purpose is to examine the effectiveness and reliability of MEWS (Modified Early Warning Score), REMS (Rapid Emergency Medicine Score) and WPS (Worthing Physiological Scoring System) scoring systems for prediction of the prognosis and mortality rate of critically ill patients scheduled to be admitted to intensive care unit (ICU) among emergency department (ED) patients. METHODS: This single-centered retrospective study was performed on medical, surgical and trauma patients referred to the ED and admitted to ICU of University Hospital between 23 July 2013 and 26 November 2015...
July 21, 2018: International Emergency Nursing
https://www.readbyqxmd.com/read/30037542/nurses-experiences-of-prehospital-care-encounters-with-children-in-pain
#6
Malin Rising Holmström, Lena Junehag, Sofie Velander, Susanna Lundberg, Bosse Ek, Marie Häggström
BACKGROUND: Pain relief in children is a complex issue, partly an ethical dilemma and due to a lack of nursing competence. There are few studies regarding prehospital care encounters with children in pain. AIM: The aim of this study was to describe nurses' experiences in prehospital care encounters with children in pain and the specific related challenges. METHOD: This study has a qualitative design. Eighteen Swedish nurses participated in three focus group interviews analysed using qualitative content analysis...
July 20, 2018: International Emergency Nursing
https://www.readbyqxmd.com/read/30031736/nurse-initiated-oral-opioid-pain-protocol-improves-the-quality-of-musculoskeletal-pain-management-in-the-emergency-department
#7
Sigalit Caspi, Ronit Meidan, Elad Peless, Ela Raizman
No abstract text is available yet for this article.
July 18, 2018: International Emergency Nursing
https://www.readbyqxmd.com/read/29980373/an-examination-of-the-profile-and-journey-of-patients-with-mental-illness-in-the-emergency-department
#8
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
https://www.readbyqxmd.com/read/29954706/professional-resilience-among-nurses-working-in-an-overcrowded-emergency-department-in-taiwan
#9
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
https://www.readbyqxmd.com/read/29885907/quality-and-impact-of-nurse-initiated-analgesia-in-the-emergency-department-a-systematic-review
#10
REVIEW
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...
September 2018: International Emergency Nursing
https://www.readbyqxmd.com/read/29706450/a-close-encounter-hand-injuries-in-the-ed
#11
Martin Duignan
No abstract text is available yet for this article.
September 2018: International Emergency Nursing
https://www.readbyqxmd.com/read/29703590/how-effective-is-trauma-simulation-as-an-educational-process-for-healthcare-providers-within-the-trauma-networks-a-systematic-review
#12
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...
September 2018: International Emergency Nursing
https://www.readbyqxmd.com/read/29661594/accidental-injuries-among-older-adults-an-incidence-study
#13
Maria Gudnadottir, Thordis Katrin Thorsteinsdottir, Brynjolfur Mogensen, Thor Aspelund, Edda Bjork Thordardottir
BACKGROUND: To date, the majority of studies assessing accidental injuries among the elderly have focused on fall injuries, while studies of other mechanisms of injuries have been lacking. Therefore, the main objective of this study was to investigate all injury-related visits among older adults to an emergency department and risk factors for injuries. METHODS: Data were collected on all registered visits of adults, ≥67 years old, living in the capital of Iceland, to the emergency department of Landspitali, the National University Hospital, in 2011 and 2012...
September 2018: International Emergency Nursing
https://www.readbyqxmd.com/read/29650329/perceptions-of-hospital-emergency-color-codes-among-hospital-employees-in-korea
#14
Hyo-Jin Lee, Ogcheol Lee
INTRODUCTION: Hospital emergency codes frequently comprise of colors to prevent confusion and enhance prompt response to emergency situations. The purpose of this study was to identify perceptions of emergency color codes among hospital employees in Korea. METHODS: A 12-color spectrum and emergency situations were selected from the standardized emergency color codes used in the US and Canada. Participants were selected via convenience sampling from four general hospitals in Seoul and Gyeonggi-Do...
September 2018: International Emergency Nursing
https://www.readbyqxmd.com/read/29636284/assessing-bottlenecks-in-emergency-department-flow-of-patients-with-abdominal-pain
#15
M Christien Van Der Linden, Merel Van Loon, Nienke S F Feenstra, Naomi Van Der Linden
INTRODUCTION: Abdominal pain has a wide range of possible causes, which may lead to difficulties in diagnosing and lengthy Emergency Department (ED) stays. In this study, bottlenecks in ED processes of patients with abdominal pain were identified. METHODS: Time-points of patients who presented to a Dutch ED with abdominal pain were observed and documented. The institutional review board approved the study. RESULTS: In total, 3015 min of patient time were observed in 54 patients...
September 2018: International Emergency Nursing
https://www.readbyqxmd.com/read/29551283/emergency-clinicians-perceived-self-efficacy-in-the-care-of-intoxicated-women-victims-of-violence
#16
Amy Jessica Marshall, Tim Schultz, Charlotte Francis de Crespigny
BACKGROUND: Previous research has identified perceived self-efficacy to be a vital component of clinicians' positive attitudes towards caring for intoxicated patients and women who have been assaulted. To date, little is known about the perceived self-efficacy and influences among emergency clinicians towards intoxicated women victims of violence. METHOD: Using mixed methods, 179 emergency clinicians were surveyed and 22 emergency clinicians were interviewed in South Australia about their education/training, their awareness and use of best practice guidelines and tools, and their perceived self-efficacy toward treating intoxicated women victims of violence...
September 2018: International Emergency Nursing
https://www.readbyqxmd.com/read/29269291/novice-nurses-perceptions-of-acute-situations-a-phenomenographic-study
#17
Anders Sterner, Nerrolyn Ramstrand, Maria Nyström, Magnus Andersson Hagiwara, Lina Palmér
BACKGROUND: Today's nurses face complex patient challenges and increased patient acuity. Novice nurses may feel unprepared for some of the tasks facing them. In order to prevent adverse events and improve patient outcomes, the management of acute situations has been identified as an area needing attention. Despite this, it is not yet clear what novice nurses themselves perceive as an acute situation. Therefore, the aim of this study is to describe novice nurses' perceptions of acute situations...
September 2018: International Emergency Nursing
https://www.readbyqxmd.com/read/29174645/the-attitudes-of-emergency-department-nurses-towards-patient-safety
#18
Hanife Durgun, Hülya Kaya
This research was planned to identify the attitudes of emergency department nurses towards patient safety. The study was performed as descriptive. The universe of the research the universe comprised hospitals defined as 3rd level according to Turkish health care classification, which provides service to all health disciplines in Istanbul. The sample consisted of emergency department (ED) nurses who work in those hospitals. The data was collected by using tools such as the "Information Questionnaire" and the "Patient Safety Attitudes Scale"...
September 2018: International Emergency Nursing
https://www.readbyqxmd.com/read/29050837/forensic-patients-in-the-emergency-department-who-are-they-and-how-should-we-care-for-them
#19
Celia J Filmalter, T Heyns, R Ferreira
BACKGROUND: Patients who suffer violent, crime related injuries are likely to seek medical assistance in emergency departments. Forensic patients may not disclose the cause of their injuries leading to the impairment of evidence. We explored healthcare providers' perceptions of forensic patients and how they should be cared for. METHOD: The perceptions of physicians and nurses regarding the profiles and care of forensic patients were explored in three urban emergency departments...
September 2018: International Emergency Nursing
https://www.readbyqxmd.com/read/29925478/editorial-who-cares-for-the-carers-looking-after-emergency-healthcare-professionals
#20
EDITORIAL
Geraldine Lee
No abstract text is available yet for this article.
July 2018: International Emergency Nursing
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