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International Emergency Nursing

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https://www.readbyqxmd.com/read/28647213/evaluating-a-medical-directive-for-nurse-initiated-analgesia-in-the-emergency-department
#1
Sebastian Dewhirst, Yuan Zhao, Taryn MacKenzie, Adam Cwinn, Christian Vaillancourt
OBJECTIVES: Although acute pain is a common presentation in the Emergency Department (ED), analgesics are often delayed until the patient is seen by a physician. We assessed the effect of a medical directive for nurse-initiated analgesia on time to first dose of analgesics, proportion of patients receiving analgesics in less than 30min, and total length of stay in the ED. METHODS: A medical directive for nurse-initiated analgesia was introduced in our ED in October 2011...
June 21, 2017: International Emergency Nursing
https://www.readbyqxmd.com/read/28629716/psychosocial-factors-musculoskeletal-disorders-and-work-related-fatigue-amongst-nurses-in-brunei-structural-equation-model-approach
#2
Hanif Abdul Rahman, Khadizah Abdul-Mumin, Lin Naing
INTRODUCTION: Psychosocial factors, musculoskeletal disorders and work-related fatigue have adverse effects on individual nurses and place a substantial financial burden on health care. Evidence of an association has been reported in the literature, but no theoretical explanation has been published to date. AIM: To explore and develop a structural model to provide a theoretical explanation for this relationship. METHODS: A cross-sectional study using data from 201 valid samples of emergency and critical care nurses across public hospitals in Brunei was performed via self-administered questionnaire...
June 16, 2017: International Emergency Nursing
https://www.readbyqxmd.com/read/28623059/piloting-a-global-mentorship-initiative-to-support-african-emergency-nurses
#3
Tricia Scott, Petra Brysiewicz
No abstract text is available yet for this article.
June 13, 2017: International Emergency Nursing
https://www.readbyqxmd.com/read/28599914/long-term-benefits-of-education-by-emergency-care-nurses-at-discharge-of-patients-with-atrial-fibrillation
#4
Carolina Fuenzalida, Gritzel Hernández, Inés Ferro, Carme Siches, Àngels Ambrós, Blanca Coll-Vinent
INTRODUCTION AND OBJECTIVE: Health education improves the prognosis of many diseases. A previous study in patients with atrial fibrillation (AF) showed that an educational intervention by nurses at discharge from the emergency room (ER) decreased AF-related complications at 3-month follow-up. Our objective was to determine whether this intervention had a long-term effect. PATIENTS AND METHODS: A prospective study assessed the outcomes of an intervention carried out upon discharge from the ER...
June 6, 2017: International Emergency Nursing
https://www.readbyqxmd.com/read/28545931/validating-a-questionnaire-prehospital-preparedness-for-pediatric-trauma-patients
#5
Karin Bölenius, Christin Vestin, Britt-Inger Saveman, Lina Gyllencreutz
In recent decades, prehospital emergency care has undergone extensive development. Today, prehospital emergency nurses (PENs) are well trained and provide advanced care to patients of all ages. Caring for pediatric trauma patients is considered to be particularly demanding. However, in Sweden and internationally, there is a lack of research regarding PENs' preparedness for caring for pediatric trauma patients. OBJECTIVE: The development and testing of a questionnaire on self-reported preparedness among PENs caring for pediatric trauma patients in a prehospital emergency setting...
May 22, 2017: International Emergency Nursing
https://www.readbyqxmd.com/read/28545930/the-knowledge-desired-by-emergency-medical-service-managers-of-their-ambulance-clinicians-a-modified-delphi-study
#6
Mats Holmberg, Ingegerd Fagerberg, Anna Carin Wahlberg
AIM: The aim of the study was to identify the types of knowledge that Swedish Emergency Medical Service (EMS) managers considered desirable in their Ambulance Clinicians. BACKGROUND: Emergency medical service managers are responsible for organisational tasking and in this are dependent on the knowledge possessed by their ambulance clinicians. It would therefore be of value to explore EMS managers' approach to this knowledge. DESIGN: A modified Delphi method in three rounds...
May 22, 2017: International Emergency Nursing
https://www.readbyqxmd.com/read/28528270/family-presence-during-resuscitation-a-descriptive-study-with-iranian-nurses-and-patients-family-members
#7
Mahnaz Zali, Hadi Hassankhani, Kelly A Powers, Abbas Dadashzadeh, Rouzbeh Rajaei Ghafouri
BACKGROUND: Family presence during resuscitation (FPDR) has advantages for the patients' family member to be present at the bedside. However, FPDR is not regularly practiced by nurses, especially in low to middle income countries. The purpose of this study was to determine Iranian nurses' and family members' attitudes towards FPDR. METHOD: In a descriptive study, data was collected from the random sample of 178 nurses and 136 family members in four hospitals located in Iran...
May 17, 2017: International Emergency Nursing
https://www.readbyqxmd.com/read/28506567/the-impact-of-walk-in-centres-and-gp-co-operatives-on-emergency-department-presentations-a-systematic-review-of-the-literature
#8
REVIEW
Jessica Crawford, Simon Cooper, Robyn Cant, Ruth DeSouza
BACKGROUND: Internationally, non-urgent presentations are increasing the pressure on Emergency Department (ED) staff and resources. This systematic review aims to identify the impact of alternative emergency care pathways on ED presentations - specifically GP cooperatives and walk-in clinics. METHODS: Based on a structured PICO enquiry with either walk-in clinic or GP cooperative as the intervention, a search was made for peer-reviewed publications in English, between 2000 and 2014...
May 12, 2017: International Emergency Nursing
https://www.readbyqxmd.com/read/28476345/the-perception-of-the-patient-safety-climate-by-professionals-of-the-emergency-department
#9
Mayara Carvalho Godinho Rigobello, Rhanna Emanuela Fontenele Lima de Carvalho, Juliana Magalhães Guerreiro, Ana Paula Gobbo Motta, Elizabeth Atila, Fernanda Raphael Escobar Gimenes
AIM: The aim of this study was to assess the patient safety climate from the perspective of healthcare professionals working in the emergency department of a hospital in Brazil. BACKGROUND: Emergency departments are complex and dynamic environments. They are prone to adverse events that compromise the quality of care provided and reveal the importance of patient safety culture and climate. METHODS: This was a quantitative, descriptive, cross-sectional study...
May 2, 2017: International Emergency Nursing
https://www.readbyqxmd.com/read/28457743/the-information-needs-of-patients-receiving-procedural-sedation-in-a-hospital-emergency-department
#10
Sue Revell, Judy Searle, Shona Thompson
This research investigated the information needs of patients receiving ED procedural sedation to determine the best format to consistently deliver key information in a way acceptable to all involved. Of particular interest was the question concerning patients' need for receiving written information. A descriptive exploratory study gathered qualitative data through face-to-face interviews and focus groups involving patients, nurses and medical staff. Individual interviews were conducted with eight adult patients following procedural sedation...
April 27, 2017: International Emergency Nursing
https://www.readbyqxmd.com/read/28442226/female-athlete-triad-at-breaking-point
#11
Martin Duignan, Niall O'Connor
No abstract text is available yet for this article.
April 22, 2017: International Emergency Nursing
https://www.readbyqxmd.com/read/28442225/hypoglycaemia-and-brief-interventions-in-the-emergency-department-a-systematic-review
#12
REVIEW
Anita Keller-Senn, Geraldine Lee, Lorenz Imhof, Jackie Sturt
OBJECTIVE: For people with diabetes, severe hypoglycaemia is the most common reason for emergency service usage and emergency department (ED) presentations. Brief interventions (BI) are a recognised intervention strategy in the ED for other conditions but to date, they have not been applied to those with hypoglycemia. This review aims to identify components and outcomes of BI for people with diabetes mellitus to inform the development of BI in the ED. METHOD: A systematic review of randomized controlled trials was undertaken in MEDLINE, CINAHL, PsychINFO and EMBASE...
April 22, 2017: International Emergency Nursing
https://www.readbyqxmd.com/read/28438480/educating-emergency-department-registered-nurses-edrns-in-screening-brief-intervention-and-referral-to-treatment-sbirt-changes-in-attitudes-and-knowledge-over-time
#13
Ann M Mitchell, Irene Kane, Dawn L Lindsay, Holly Hagle, Kathy Puskar, Jim Aiello, Lynn Boucek, Emily Knapp
Alcohol and other drug (AOD) diagnoses in the ED co-occur with injury-related presenting conditions including: falls, motor vehicle accidents, poisonings, and both intentional and unintentional injuries. Clinical attention to ED admissions resulting from hazardous AOD use can significantly improve patient care and reduce high cost utilization of ED visits and treatment. The EDRN-SBIRT project is designed to improve the knowledge and attitudes of ED nurses working in a large academic medical center to identify and address risky AOD use as it relates to an ED visit...
April 21, 2017: International Emergency Nursing
https://www.readbyqxmd.com/read/28438479/family-presence-during-resuscitation-fpdr-observational-case-studies-of-emergency-personnel-in-victoria-australia
#14
Joanne E Porter, Nareeda Miller, Anita Giannis, Nicole Coombs
INTRODUCTION: Family Presence During Resuscitation (FPDR), although not a new concept, remains inconsistently implemented by emergency personnel. Many larger metropolitan emergency departments (ED) have instigated a care coordinator role, however these personnel are often from a non-nursing background and have therefore limited knowledge about the clinical aspects of the resuscitation. In rural emergency departments there are simply not enough staff to allocate an independent role. A separate care coordinator role, who is assigned to care for the family and not take part in the resuscitation has been well documented as essential to the successful implementation of FPDR...
April 21, 2017: International Emergency Nursing
https://www.readbyqxmd.com/read/28438478/acute-coronary-syndrome-in-relation-to-the-occurrence-of-associated-symptoms-a-quantitative-study-in-prehospital-emergency-care
#15
Henrik Andersson, Andreas Ullgren, Mats Holmberg, Thomas Karlsson, Johan Herlitz, Birgitta Wireklint Sundström
INTRODUCTION: Acute chest pain is a common symptom among prehospital emergency care patients. Therefore, it is crucial that ambulance nurses (ANs) have the ability to identify symptoms and assess patients suffering from acute coronary syndrome (ACS). The aim of this study is to explore the occurrence of dyspnoea and nausea and/or vomiting in the prehospital phase of a suspected ACS and the associations with patients' outcome. METHODS: This study has a quantitative design based on data from hospital records and from a previous interventional study (randomised controlled trial) including five Emergency Medical Service (EMS) systems in western Sweden in the years 2008-2010...
April 21, 2017: International Emergency Nursing
https://www.readbyqxmd.com/read/28392248/creating-authentic-video-scenarios-for-use-in-prehospital-research
#16
Christopher Preston, Bernie Carter, Barbara Jack, Lucy Bray
Video scenarios have been used to explore clinical reasoning during interviews in Think Aloud studies. This study used nominal group technique with experts to create video scenarios to explore the ways paramedics think and reason when caring for children who are sick or injured. At present there is little research regarding paramedics' clinical reasoning with respect to performing non-urgent procedures on children. A core expert panel identified the central structure of a prehospital clinical interaction and the range of contextual factors that may influence a paramedic's clinical reasoning [the way in which information is gathered, interpreted and analysed by clinicians]...
April 6, 2017: International Emergency Nursing
https://www.readbyqxmd.com/read/28392247/building-workforce-capacity-to-detect-and-respond-to-child-abuse-and-neglect-cases-a-training-intervention-for-staff-working-in-emergency-settings-in-vietnam
#17
Tara Flemington, Jennifer Fraser
BACKGROUND: Too many children are brought to hospital emergency departments on numerous occasions before they are recognised as victims of child abuse and neglect. For this reason, improving knowledge and response behaviors of emergency staff at all levels is likely to have a significant impact on better outcomes. AIM: An Australian based training programme was the first of its kind to address this issue in a Vietnamese Emergency Department. Titled 'Safe Children Vietnam', the programme aimed to improve knowledge, attitudes and reporting behaviors concerning child abuse in the emergency setting...
April 6, 2017: International Emergency Nursing
https://www.readbyqxmd.com/read/27374021/reflective-and-collaborative-skills-enhances-ambulance-nurses-competence-a-study-based-on-qualitative-analysis-of-professional-experiences
#18
Jonas Wihlborg, Gudrun Edgren, Anders Johansson, Bengt Sivberg
BACKGROUND: The Swedish ambulance health care services are changing and developing, with the ambulance nurse playing a central role in the development of practice. The competence required by ambulance nurses in the profession remains undefined and provides a challenge. The need for a clear and updated description of ambulance nurses' competence, including the perspective of professional experiences, seems to be essential. AIM: The aim of this study was to elucidate ambulance nurses' professional experiences and to describe aspects affecting their competence...
May 2017: International Emergency Nursing
https://www.readbyqxmd.com/read/27282963/the-first-single-responders-in-sweden-evaluation-of-a-pre-hospital-single-staffed-unit
#19
Eric Carlström, Lars Fredén
BACKGROUND: Single responder (SR) systems have been implemented in several countries. When the very first SR system in Sweden was planned, it was criticised because of concerns about sending single emergency nurses out on alerts. In the present study, the first Swedish SR unit was studied in order to register waiting times and assess the working environment. METHOD: Quantitative data were collected from the ambulance dispatch register. Data on the working environment were collected using a questionnaire sent to the SR staff...
May 2017: International Emergency Nursing
https://www.readbyqxmd.com/read/27245307/continuity-matters-examining-the-information-gap-in-transfer-from-residential-aged-care-ambulance-to-emergency-triage-in-southern-tasmania
#20
Briony Campbell, Christine Stirling, Elizabeth Cummings
BACKGROUND: Transfer of older people from Residential Aged Care Facilities to Emergency Departments requires multiple comprehensive handovers across different services. Significant information gaps exist in transferred information despite calls for standards. AIM: To investigate: (1) presence of minimum standard elements in the transfer text written by RACF nurses, paramedics and ED triage nurses, and (2) the transfer documentation used by services. METHODS: We analysed retrospective cross-sectional transfer narratives from the digital medical record system of an Australian tertiary referral hospital using the mnemonic SBAR (Situation, Background, Assessment Recommendation) as the measure of comprehensiveness...
May 2017: International Emergency Nursing
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