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International Emergency Nursing

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https://www.readbyqxmd.com/read/28291697/early-prehospital-assessment-of-non-urgent-patients-and-outcomes-at-the-appropriate-level-of-care-a-prospective-exploratory-study
#1
Glenn Larsson, Anders Holmén, Kristina Ziegert
INTRODUCTION: The Ambulance Organization of Sweden provides qualified medical assessment and treatment by ambulance nurses based on patient needs regarding appropriate levels of care. A new model for patients with non-urgent medical conditions has been introduced. The main objective of this study was to examine early prehospital assessment of non-urgent patients, and its impact on the choice of the appropriate level of care. METHODS: The study design was a 1-year, prospective study, involving an ambulance district in southwestern Sweden with a population of 78,000...
March 10, 2017: International Emergency Nursing
https://www.readbyqxmd.com/read/28285102/the-impact-of-an-emergency-department-ambulance-offload-nurse-role-a-retrospective-comparative-study
#2
Tanya Greaves, Marion Mitchell, Ping Zhang, Julia Crilly
OBJECTIVE: This study aimed to evaluate the impact of an Emergency Department Ambulance Offload Nurse (EDAOLN) role on patient and health services outcomes in one Queensland Emergency Department (ED). METHODS: A retrospective study of all ED presentations (n=21,454) made to a tertiary hospital ED in Queensland, Australia, during July 9, 2012 - November 2, 2012; 39days before (T1), during (T2) and after (T3) the introduction of the trial of an EDAOLN role. The primary outcome of interest was time to be seen by a clinician...
March 8, 2017: International Emergency Nursing
https://www.readbyqxmd.com/read/28256336/physicians-and-nurses-perceptions-of-patient-safety-risks-in-the-emergency-department
#3
Ann-Sofie Källberg, Anna Ehrenberg, Jan Florin, Jan Östergren, Katarina E Göransson
The emergency department has been described as a high-risk area for errors. It is also known that working conditions such as a high workload and shortage off staff in the healthcare field are common factors that negatively affect patient safety. A limited amount of research has been conducted with regard to patient safety in Swedish emergency departments. Additionally, there is a lack of knowledge about clinicians' perceptions of patient safety risks. Therefore, the purpose of this study was to describe emergency department clinicians' experiences with regard to patient safety risks...
February 28, 2017: International Emergency Nursing
https://www.readbyqxmd.com/read/28256337/psychometric-properties-of-the-chinese-version-of-the-attitudes-towards-cardiopulmonary-resuscitation-with-defibrillation-acprd-c-among-female-hospital-nurses-in-taiwan
#4
Hsing-Long Lin, Mei-Hsiang Lin, Chao-Chung Ho, Chin-Hua Fu, Malcolm Koo
INTRODUCTION: Nurses are often the first responders to in-hospital cardiac emergencies. A positive attitude towards cardiopulmonary resuscitation with defibrillation may contribute to early cardiopulmonary resuscitation and rapid defibrillation, which are associated with enhanced long-term survival. The aim of this study was to translate and adapt the 31-item attitudes towards cardiopulmonary resuscitation with defibrillation and the national resuscitation guidelines (ACPRD) instrument into Chinese and to evaluate its psychometric properties in a sample of Taiwanese hospital nurses...
February 27, 2017: International Emergency Nursing
https://www.readbyqxmd.com/read/28233626/evidence-based-emergency-nursing-designing-a-research-question-and-searching-the-literature
#5
REVIEW
Julie Considine, Ramon Z Shaban, Margaret Fry, Kate Curtis
The purpose of research is to discover new knowledge. All good research starts with a clear, answerable question that addresses an important and significant problem or phenomenon of interest. In this paper, emergency nurses and other clinicians will be provided with a practical guide to successfully developing a quality research question as the basis of quality research. In this paper, how to plan and prepare question development using the PICO Framework, develop a literature search strategy, and perform a search, extracting and analysing information will be detailed...
February 20, 2017: International Emergency Nursing
https://www.readbyqxmd.com/read/28228342/evaluation-of-the-implementation-of-the-south-african-triage-system-at-an-academic-hospital-in-central-haiti
#6
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
#7
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
#8
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/28317601/the-importance-of-facts-in-this-fake-news-era
#9
EDITORIAL
Geraldine Lee
No abstract text is available yet for this article.
March 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
#10
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
#11
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
#12
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
#13
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
#14
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
#15
EDITORIAL
Simon Cooper
No abstract text is available yet for this article.
November 7, 2016: International Emergency Nursing
https://www.readbyqxmd.com/read/28314427/comment-on-a-review-of-factors-affecting-patient-satisfaction-with-nurse-led-triage-in-emergency-departments-by-rehman-sa-and-ali-pa
#16
LETTER
Amir Mirhaghi
No abstract text is available yet for this article.
November 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
#17
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
#18
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
#19
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
#20
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
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