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International Emergency Nursing

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https://www.readbyqxmd.com/read/30424946/triage-education-in-rural-remote-settings-a-scoping-review
#1
REVIEW
Amber Hardy, Pauline Calleja
BACKGROUND: Triage is a complex nursing task to prioritise patient care, based on acuity. Triage decisions can affect patient safety and must employ critical thinking. Graduate registered nurses are expected to triage in rural facilities, which is in contrast to current guidelines. The purpose of this review was; to discover how effective education support programs were in developing clinical decision-making skills for graduates at triage; and to determine what is known about triage education support programs for graduate or novice registered nurses undertaking triage in rural and remote settings...
November 10, 2018: International Emergency Nursing
https://www.readbyqxmd.com/read/30392924/characteristics-of-patients-treated-for-severe-hypoglycaemia-in-emergency-care-settings-analysis-of-routinely-collected-data
#2
Anita Keller-Senn, Geraldine Lee, Lorenz Imhof, Jackie Sturt
OBJECTIVE: Severe hypoglycaemic events (SHE) commonly require emergency care. This study investigates the presentation of patients with SHE to a single Swiss emergency service, including pre-hospital care with emergency medical services (EMS) and emergency department (ED) presentations. METHOD: Retrospective analysis of routinely collected data by the EMS and ED during 2014. All adult patients with diabetes type 1 or type 2 with SHE were included in the analysis...
November 1, 2018: International Emergency Nursing
https://www.readbyqxmd.com/read/30392923/bereavement-experiences-after-the-unexpected-death-of-an-older-family-member-in-the-emergency-department
#3
Kyeongmin Jang, Kwisoon Choe
No abstract text is available yet for this article.
November 1, 2018: International Emergency Nursing
https://www.readbyqxmd.com/read/30392922/patient-perspectives-of-pregnancy-loss-in-the-emergency-department
#4
Brittany E Punches, Kimberly D Johnson, Shauna P Acquavita, Dianne M Felblinger, Gordon L Gillespie
OBJECTIVES: While threats to pregnancy such as vaginal bleeding are common, half will miscarry. The ED environment is not always conducive to the emotional and psychological needs of women grieving the loss of a pregnancy. Healthcare providers have a great impact on the women's experience of pregnancy loss. This study describes the perspectives of women experiencing a pregnancy loss in the ED. METHODS: The study used a qualitative descriptive research design interviewing women diagnosed with a pregnancy loss in the ED...
November 1, 2018: International Emergency Nursing
https://www.readbyqxmd.com/read/30392921/challenges-of-caring-for-victims-of-violence-and-their-family-members-in-the-emergency-department
#5
Josefin Rahmqvist, Eva Benzein, Christen Erlingsson
INTRODUCTION: Interpersonal violence causes illness and suffering for victims and their family members. Emergency nurses are often given responsibility for forensic patients and their family members, but there is limited knowledge of their experiences regarding this task. This study aimed to describe nurses' experiences when caring for victims of violence and their family members in the emergency department. METHODS: Individual interviews were conducted with twelve nurses from seven emergency departments...
November 1, 2018: International Emergency Nursing
https://www.readbyqxmd.com/read/30381143/implementation-of-paediatric-pain-care-bundle-across-south-west-england-clinical-network-of-emergency-departments-and-minor-injury-units-a-before-and-after-study
#6
Ruth Treadgold, Daranee Boon, Phillipa Squires, Simon Courtman, Ruth Endacott
INTRODUCTION: Pain management in children is often poorly executed in Emergency Departments and Minor Injury Units. The aim of this study was to assess the impact of a care bundle comprising targeted education on pain score documentation and provision of appropriately dosed analgesia for the paediatric population attending Emergency Departments (EDs) and Minor Injury Units (MIUs). METHODS: A total of 29 centres - 5 EDs and 24 MIUs - participated in an intervention study initiated by Emergency Nurse Practitioners to improve paediatric pain management...
October 29, 2018: International Emergency Nursing
https://www.readbyqxmd.com/read/30381142/a-profile-of-the-waiting-room-nurse-in-emergency-departments-an-online-survey-of-australian-nurses-exploring-implementation-and-perceptions
#7
Kelli Innes, Debra Jackson, Virginia Plummer, Doug Elliott
BACKGROUND: In response to increasing waiting times, adverse patient outcomes and patient dissatisfaction, some emergency departments introduced a Waiting Room Nurse role. Despite implementation into routine practice, there remains limited formal evaluation of the role. AIM: To explore the implementation of a Waiting Room Nurse role in Australian emergency departments and emergency nurses' perceptions. METHODS: Survey design. A 40-item survey was developed, piloted and then distributed to members of a professional College for online completion...
October 29, 2018: International Emergency Nursing
https://www.readbyqxmd.com/read/30316733/assessing-the-discharge-instructing-in-the-emergency-department-patient-perspective
#8
M Mäkinen, M Castrén, K Huttunen, S Sundell, J Kaartinen, M Ben-Meir, M Renholm
OBJECTIVE: The objective of the study is to assess how well the emergency department (ED) personnel succeed in instructing the patient at discharge. METHODS: In November and December 2016 at Peijas Hospital ED, Finland, a structured questionnaire was conducted during a phone interview on patients the day after discharge. RESULTS: A total of 132 patients interviewed. Ninety percent had received discharge instructions from the ED staff, most of them (75%) about medication...
October 10, 2018: International Emergency Nursing
https://www.readbyqxmd.com/read/30274901/patient-experiences-of-initial-trauma-care
#9
Anna Granström, Lovisa Strömmer, Ann-Charlotte Falk, Anna Schandl
BACKGROUND: Correct initial treatment of trauma patients reduces mortality and morbidity. However, the initial examination may be perceived as traumatic because of the stressful situation, the unfamiliar setting and the shock of being seriously injured. To date, little is known about patient's experiences of initial trauma management. The aim of this study was to explore trauma patients' experiences of being exposed to initial full trauma team assessment at a Level 1 trauma centre. METHODS: Interviews with 16 patients who had been exposed to initial trauma care were conducted at a Level 1 trauma centre, at a Swedish University Hospital...
September 28, 2018: International Emergency Nursing
https://www.readbyqxmd.com/read/30262432/interviews-following-physical-trauma-a-thematic-analysis
#10
Hannah Kathleen Skinner, Emmylou Rahtz, Ania Korszun
INTRODUCTION: Mental health problems are common in trauma survivors. In particular, depression, anxiety, acute stress disorder and post-traumatic stress disorder. Yet little is known about how these can be brought to the early attention of medical professionals through patients' accounts of trauma within days of being admitted to emergency care. This study aims to understand how physical trauma patients with early signs of psychological distress, stemming from the trauma, might be supported through their communications with healthcare professionals...
September 24, 2018: International Emergency Nursing
https://www.readbyqxmd.com/read/30245058/the-design-and-psychometric-evaluation-of-the-emergency-medical-services-resilience-scale-emsrs
#11
Abbas Ebadi, Razieh Froutan, Javad Malekzadeh
INTRODUCTION: The nature of pre-hospital emergency medical care can expose healthcare workers to significant stresses that might lead to psychological problems such as job burnout and impaired resilience. A valid and reliable tool is, therefore, needed to investigate resilience in emergency medical services (EMS) personnel. This study was conducted to design a tool for assessing the resilience of emergency medical personnel in Iran and to examine the psychometric properties of the designed tool...
September 20, 2018: International Emergency Nursing
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
#12
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
#13
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/29885907/quality-and-impact-of-nurse-initiated-analgesia-in-the-emergency-department-a-systematic-review
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
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