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Emergency department nursing

Dr Joanne E Porter
INTRODUCTION: Family presence during resuscitation (FPDR), remains inconsistently implemented by emergency personnel. The benefits for family members is well documented, providing opportunities for family to say goodbye, facilitates closure and enables family to provide emotional support to the patient. The aim of this study was to explore the experiences and attitudes of emergency personnel towards FPDR immediately post resuscitation events. METHOD: A descriptive qualitative design was used to explore the experiences of emergency personnel with FPDR...
November 14, 2018: Heart & Lung: the Journal of Critical Care
Kayleigh M Maul, Rubaba Naeem, Uzma Rahim Khan, Asad I Mian, Aisha K Yousafzai, Nick Brown
Child abuse is a global problem and pervades all cultures and socio-economic strata. The effects can be profound and life altering for victims. There is substantial literature from high income countries about signs of abuse, but a dearth of data from low and middle income countries like Pakistan. Healthcare professionals (HCP) are ideally placed to detect abuse, but, to inform interventions, an understanding of their experiences, training needs and cultural beliefs is needed. This study aimed to: (1) Explore the challenges that HCP face when managing cases of abuse; (2) Explore cultural beliefs and understand how these shape practice and (3) Identify training needs...
November 14, 2018: Child Abuse & Neglect
Sun-Ok Kim, Yun-Jung Choi
The purpose of this study was to investigate the nursing competency and educational needs of nurses on clinical nursing practice in order to provide basic evidences for a developing nursing education program. Participants of this study were 211 nurses working at a general hospital in Seoul, Korea. The data were collected using self-report questionnaires on nursing competencies and educational needs. Collected data were analysed using an SPSS program for frequency, mean, standard deviation, t-test, ANOVA, and Scheffe's post-hoc comparison...
November 10, 2018: Nurse Education in Practice
Soubhik Paul, Palanisamy Krishnamoorthy, M S Dinesh, Swaminathan Kailash, Nagaraju Bussa, Shiva Mariyanna
Nurse workforce optimization and scheduling in hospital units is a complex data science and operation research problem. Traditional manual estimation and preparation of nurse staffing and scheduling with the help of a subject matter expert might leads to over staffing or under staffing of different type of nurses such as core, float pool, overtime and agency, which impacts the patient care delivery and cost significantly. The situation becomes worse in case of emergency department as the patient head on bed occupancy is very dynamic in nature and many times the department might be overcrowded with no beds for the patients...
July 2018: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
Nicola Ramacciati, Alessio Gili, Andrea Mezzetti, Andrea Ceccagnoli, Beniamino Addey, Laura Rasero
AIM: To analyse the dimensions and characteristics of Violence towards Emergency Nurses in a national context (Italy). BACKGROUND: Nurses are the most exposed to workplace violence, especially in Emergency Department contexts. METHODS: A cross-sectional study was conducted in all Italian regions. Descriptive analyses were used to examine violence from patients and relatives (Type II violence) concerning personal characteristics of the emergency nurses and perpetrators, environmental and organisational factors...
November 14, 2018: Journal of Nursing Management
K Kc Hung, R Pk Lam, R Sl Lo, J W Tenney, M Lc Yang, M Ck Tai, C A Graham
INTRODUCTION: Emergency departments (EDs) play an important role in the early identification and management of sepsis. Little is known about local EDs' processes of care for sepsis, adoption of international recommendations, and the impact of the new Sepsis-3 definitions. METHODS: Structured telephone interviews based on the United Kingdom Sepsis Trust 'Exemplar Standards for the Emergency Management of Sepsis' were conducted from January to August 2017 with nominated representatives of all responding public hospital EDs in Hong Kong, followed by a review of hospital/departmental sepsis guidelines by the investigators...
November 14, 2018: Hong Kong Medical Journal, Xianggang Yi Xue za Zhi
Magnolia Cardona, Michael O'Sullivan, Ebony T Lewis, Robin M Turner, Frances Garden, Hatem Alkhouri, Stephen Asha, John Mackenzie, Margaret Perkins, Sam Suri, Anna Holdgate, Luis Winoto, David C W Chang, Blanca Gallego-Luxan, Sally Mccarthy, Ken Hillman, Dorothy Breen
BACKGROUND: Emergency departments are pressured environment where patients with supportive and palliative care needs may not be identified. We aimed to test the predictive ability of the CriSTAL (Criteria for Screening and Triaging to Appropriate aLternative care) checklist to flag patients at risk of death within 3 months who may benefit from timely end-of-life discussions. METHODS: Prospective cohorts of >65 year-old patients admitted for at least one night via emergency departments in five Australian hospitals and one Irish hospital...
November 14, 2018: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Y Yang, A M Huang, Y N Wang, L Zhang, F Y Li, H Yao, P Yan
Objective: To investigate the correlation between work-related musculoskeletal disorders (WMSDs) and work ability (WA) among nurses in Xinjiang. Methods: A total of 1 873 nursing staff in the Departments of Internal Medicine, Surgery, Emergency and ICU Department, Operating Room and Supply Room of 6 Grade 3 General Hospitals in Xinjiang Beijiang Region were randomly selected by means of random sampling, and revised Nordic National Musculoskeletal Disorders Standard Questionnaire and Work Ability Index Scale were used to evaluate the status of nursing WMSDs and WA...
September 20, 2018: Chinese Journal of Industrial Hygiene and Occupational Diseases
Hanan Aboumatar, Mohammad Naqibuddin, Suna Chung, Hina Chaudhry, Samuel W Kim, Jamia Saunders, Lee Bone, Ayse P Gurses, Amy Knowlton, Peter Pronovost, Nirupama Putcha, Cynthia Rand, Debra Roter, Carol Sylvester, Carol Thompson, Jennifer L Wolff, Judith Hibbard, Robert A Wise
Importance: Patients hospitalized for chronic obstructive pulmonary disease (COPD) exacerbations have high rehospitalization rates and reduced quality of life. Objective: To evaluate a hospital-initiated program that combined transition and long-term self-management support for patients hospitalized due to COPD and their family caregivers. Design, Setting, and Participants: This single-site randomized clinical trial was conducted in Baltimore, Maryland, with 240 participants...
November 12, 2018: JAMA: the Journal of the American Medical Association
Jérôme Gas, Aline Liaigre-Ramos, Natacha Caubet-Kamar, Jean Baptiste Beauval, Marine Lesourd, Thomas Prudhomme, Eric Huyghe, Michel Soulié, Sandrine Charpentier, Xavier Gamé
AIMS: The management of acute urinary retention (AUR) revolves around trial without catheter (TWOC) after prescription of an alpha-blocker. This study evaluates the implementation of a clinical pathway for AUR. METHODS: Specific clinical pathways for AUR was established between the Emergency Department and the Department of Urology in order to reduce the duration of bladder drainage that included standard prescriptions, an information sheet, and a note to be faxed to scheduling nurses to organize the trial without catheter (TWOC)...
November 12, 2018: Neurourology and Urodynamics
Andrew MacMillan, David Rudinsky, Gena Han, John O Elliott, Kim Jordan
Severe sepsis and septic shock cause significant morbidity and mortality with health care costs approximating $17 billion annually. The Surviving Sepsis Campaign 2012 recommended time-sensitive care bundles to improve outcomes for patients with sepsis. At our community teaching hospital, a review of sepsis management for patients admitted to a medical intensive care unit (ICU) between December 2015 and March 2016 found 70.8% compliance with timing of lactate draw, 65.3% compliance for blood cultures, and 51...
November 2, 2018: Journal for Healthcare Quality: Official Publication of the National Association for Healthcare Quality
A Almojuela, M Hasen, F A Zeiler
BACKGROUND: The Full Outline of UnResponsivness (FOUR) score is a neurological assessment score. Its theoretical benefit over preexisting scores is its evaluation of brainstem reflexes and respiratory pattern which may allow better assessment of patients with severe neurologic impairment. OBJECTIVE: Our goal was to perform a scoping systematic review on the available literature for FOUR score and outcome prediction in critically ill patients. The primary outcome of interest was patient global outcome, as assessed by any of: mortality, modified Rankin Score, Glasgow Outcome Score, or any other functional or neuropsychiatric outcome...
November 8, 2018: Neurocritical Care
Mette Engan, Asle Hirth, Håvard Trønnes
Objective: Triage is a tool developed to identify patients who need immediate care and those who can safely wait. The aim of this study was to assess the validity and interrater reliability of a modified version of the pediatric South African triage scale (pSATS) in a single-center tertiary pediatric emergency department in Norway. Methods: This prospective, observational study included all patients with medical conditions, referred to the pediatric emergency department of a tertiary hospital in Norway from September 1, 2015, to November 17, 2015...
2018: International Journal of Pediatrics
Abiy Agiro, Santosh Gautam, Eric Wall, Jesse Hackell, Mark Helm, John Barron, Theoklis Zaoutis, Katherine E Fleming-Dutra, Lauri A Hicks, Alan Rosenberg
BACKGROUND: Antibiotics are commonly prescribed for children with acute respiratory infections (ARIs). This study describes the distribution of ARI diagnoses and specifically quantifies antibiotic dispensing for bronchitis and upper respiratory infection (URI) by treatment setting and specialty. METHODS: This retrospective, observational cross-sectional study used data from the HealthCore Integrated Research Environment containing claims from 14 commercial health plans for 2012 to 2014...
December 2018: Pediatric Infectious Disease Journal
Jamie Ranse, Shane Lenson, Toby Keene, Matt Luther, Brandon Burke, Alison Hutton, Amy Nb Johnston, Julia Crilly
OBJECTIVE: The aim of this study was to describe the in-event, ambulance and ED impacts of patient presentations from an Australian mass gathering event (MGE) including patient demographics, provision of care, length of stay and discharge disposition. METHODS: This research was set at one MGE in Australia. The MGE had one first aid post and one in-event health team staffed by doctors, nurses and paramedics. A retrospective analysis of patient care records from providers of in-event, ambulance and ED services was undertaken...
November 8, 2018: Emergency Medicine Australasia: EMA
Mehrnaz Ghafarypour-Jahrom, Mehrdad Taghizadeh, Kamran Heidari, Hojat Derakhshanfar
Objective: To evaluate the validity, reliability, sensitivity, and specificity of the Emergency Severity Index (ESI) and Australasian Triage System (ATS) for children visiting admitted to the emergency department (ED). Methods: This was a prospective study occurred in the Mofid children's Hospital in Iran from August 2017 to November 2018 and children had aged ≤14 years and presented at the ED with a medical symptom were considered eligible for participation...
October 2018: Bulletin of Emergency and Trauma
Naren Gunja, Ian Dunlop, Milan Vaghasiya, Kevin Kuan, Simon Poon
BACKGROUND: Traditional implementations of electronic medication management (EMM) systems have involved two common formats - a 'big bang' approach on the day of go-live, or a phased ward-by-ward approach over months. OBJECTIVE: To describe the patient-centric roll-out, a novel implementation model in converting from paper to EMM. METHOD: This model iteratively converted a large tertiary teaching hospital to electronic from paper medication charts, commencing the roll-out in the emergency department (ED)...
October 18, 2018: Journal of Innovation in Health Informatics
Abdullah Nofal, Isamme Alfayyad, Anas Khan, Zohair Al Aseri, Amani Abu-Shaheen
To assess the knowledge, practices, and attitudes regarding disaster and emergency preparedness among Emergency Department (ED) staff. Methods: This cross-sectional study was conducted at Tertiary health care hospital in central Riyadh, Kingdom of Saudi Arabia. A self-administered survey was utilized to collect data from ED physicians and nurses. The questionnaire was divided into 5 sections viz; demographics, knowledge about disaster management and preparedness, attitudes about disaster planning, current role and practices, and familiarity towards emergency...
November 2018: Saudi Medical Journal
Nicholas David Lane, Karen Brewin, Tom Murray Hartley, William Keith Gray, Mark Burgess, John Steer, Stephen C Bourke
Introduction: In exacerbation of chronic obstructive pulmonary disease (ECOPD) requiring hospitalisation greater access to respiratory specialists improves outcome, but is not consistently delivered. The UK National Confidential Enquiry into Patient Outcome and Death 2015 enquiry showed over 25% of patients receiving acute non-invasive ventilation (NIV) for ECOPD died in hospital. On 16 June 2015 the Northumbria Specialist Emergency Care Hospital (NSECH) opened, introducing 24/7 specialty consultant on-call, direct admission from the emergency department to specialty wards and 7-day consultant review...
2018: BMJ Open Respiratory Research
Stine Gundrosen, Gøril Thomassen, Torben Wisborg, Petter Aadahl
OBJECTIVES: Explore the function of three specific modes of talk (discourse types) in decision-making processes. DESIGN: Ten real-life admissions of patients with critical illness were audio/video recorded and transcribed. Activity-type analysis (a qualitative discourse analytical method) was applied. SETTING: Interdisciplinary emergency teams admitting patients with critical illness in a Norwegian university hospital emergency department (ED)...
November 3, 2018: BMJ Open
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