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    158 results match your criteria Australasian Emergency Nursing Journal [Journal]

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    Moments of disaster response in the emergency department (ED).
    Australas Emerg Nurs J 2017 Nov 18;20(4):181-185. Epub 2017 Oct 18.
    School of Nursing and Midwifery, Newcastle University, Australia.
    Background: We experience our lives as a series of memorable moments, some good and some bad. Undoubtedly, the experience of participating in disaster response, is likely to stand out as a memorable moment in a nurses' career. This presentation will describe five distinct moments of nursing in the emergency department (ED) during a disaster response. Read More

    Emergency department presentations by older people for mental health or drug and alcohol conditions: A multicentre retrospective audit.
    Australas Emerg Nurs J 2017 Nov 18;20(4):169-173. Epub 2017 Oct 18.
    Research and Practice Development, Northern Sydney Local Health District, St. Leonards, NSW, 2065, Australia; University of Technology Sydney, PO Box 123, Broadway, NSW, 2007, Australia.
    Purpose: Emergency department presentations by older people associated with mental health and drug and alcohol related conditions are increasing. However, the characteristics of presentations by older people in Australia are largely unknown. The aim of this research was to explore the characteristics of older people presenting with mental health and drug and alcohol conditions. Read More

    Concepts, antecedents and consequences of ambulance ramping in the emergency department: A scoping review.
    Australas Emerg Nurs J 2017 Nov 18;20(4):153-160. Epub 2017 Oct 18.
    School of Nursing and Midwifery, Griffith University, Clinical Sciences 2 Building (G16), Parklands Drive, Southport, Qld, 4215, Australia; Menzies Health Institute Queensland, Griffith University, Health Sciences Building (N48), 170 Kessels Road, Nathan, Qld, 4111, Australia; Department of Emergency Medicine, Gold Coast Health, 1 Hospital Boulevard, Southport, Qld, 4215, Australia.
    Background: Patients arriving at the Emergency Department (ED) via ambulance can experience a delay in receiving definitive care. In Australia, this phenomenon is referred to as 'Ambulance Ramping', 'Patient Off Stretcher Time Delay' or 'Offload Delay'. As a direct consequence of crowding, and in the context of a worldwide increase in ED and ambulance usage, hospital and ambulance service function is hampered. Read More

    Optimising the emergency to ward handover process: A mixed methods study.
    Australas Emerg Nurs J 2017 Nov 14;20(4):147-152. Epub 2017 Oct 14.
    Queensland Health, Caboolture Hospital, McKean Street, Caboolture, Queensland 4510, Australia. Electronic address:
    Background: The effective handover of patient health data from the emergency department to other hospital units is integral for the continuity of patient care. Yet no handover process has been identified as superior to others within this context.

    Methods: This study within a regional Australian hospital employed mixed methods approach including focus groups and key stakeholder consultation to develop a handover form appropriate for patient transfer from the emergency department to a variety of clinical areas. Read More

    Emergency nurses' knowledge and self-rated practice skills when caring for older patients in the Emergency Department.
    Australas Emerg Nurs J 2017 Nov 12;20(4):174-180. Epub 2017 Oct 12.
    Deakin University, Geelong, School of Nursing and Midwifery,75 Pigdons Road, Waurn Ponds, VIC 3126, Australia; Deakin University, Centre for Quality and Patient Safety Research, School of Nursing and Midwifery, 221 Burwood Highway, Burwood, VIC 3125, Australia; Centre for Quality and Patient Safety Research, Eastern Health Partnership, Box Hill, VIC, Australia.
    Background: Older adults are high users of emergency department services and their care requirements can present challenges for emergency nurses. Although clinical outcomes for older patients improve when they are cared for by nurses with specialist training, emergency nurses' knowledge and self-assessment of care for older patients is poorly understood.

    Aim: To assess emergency nurses' knowledge and self-rating of practice when caring for older patients. Read More

    Evaluating an australian emergency nurse practitioner candidate training program.
    Australas Emerg Nurs J 2017 Nov 16;20(4):161-168. Epub 2017 Aug 16.
    Redcliffe Hospital Emergency Department, Anzac Ave, Redcliffe, QLD, 4020, Australia; Emergency Medicine Foundation, 2/15 Lang Parade, Milton, QLD, 4064, Australia; Queensland University of Technology, School of Psychology and Counselling, Kelvin Grove, QLD 4059, Australia.
    Nurse Practitioners (NPs) receive core clinical training at master's level, with their employer providing the opportunity to upskill in clinical and procedural competencies. It is increasingly recognised that this generic education requires supplementary training for operating effectively within a specific clinical environment. In this paper we describe a pilot program designed to train Australian NP Candidates to work effectively within the Emergency Department Fast Track model of care. Read More

    Antecedents and precipitants of patient-related violence in the emergency department: Results from the Australian VENT Study (Violence in Emergency Nursing and Triage).
    Australas Emerg Nurs J 2017 Aug 10;20(3):107-113. Epub 2017 Jul 10.
    School of Nursing & Midwifery, University of Newcastle, Callaghan, NSW, Australia; Mental Health Nursing, School of Nursing & Midwifery, University of Newcastle, Callaghan, NSW, Australia.
    Introduction: Workplace violence is one of the most significant and hazardous issues faced by nurses globally. It is a potentially life-threatening and life-affecting workplace hazard often downplayed as just "part of the job" for nurses.

    Methods: A cross-sectional design was used and data were collected using a purpose developed survey tool. Read More

    Implementation and evaluation of a 'Navigator' role to improve emergency department throughput.
    Australas Emerg Nurs J 2017 Aug 16;20(3):114-121. Epub 2017 Jun 16.
    Department of Emergency Medicine, The Prince Charles Hospital, Brisbane, Australia.
    Background: Emergency department overcrowding impacts patients, staff, and quality of care, and there is government pressure to optimize throughput and reduce waiting times. One solution for improving patient flow is the emerging 'navigator' role: a nurse that supports staff in care delivery; facilitating efficient and timely patient movement through the emergency department.

    Methods: A 20-week project was implemented to evaluate an emergency department nurse navigator role. Read More

    Perceptions of an educational programme for registered nurses who work at non-major trauma services in Victoria, Australia: The Nursing Emergency eXternal Trauma Programme.
    Australas Emerg Nurs J 2017 Aug 12;20(3):131-138. Epub 2017 Jun 12.
    Emergency Physician, Emergency and Trauma Centre, Alfred Health, 55 Commercial Rd., Melbourne VIC 3004, Australia; Department of Epidemiology & Preventive Medicine, Monash University, Australia.
    Background: Emergency nurses working in non-Major Trauma Service (non-MTS) facilities face the challenge of providing immediate care to seriously injured patients, despite infrequent presentations at their workplace. A one-day education programme endorsed by the Australian College of Nursing was developed to provide contemporary trauma education for nurses. The aim of this study was to report participants' perceptions of their experience of this programme. Read More

    Verbal abuse and physical assault in the emergency department: Rates of violence, perceptions of safety, and attitudes towards security.
    Australas Emerg Nurs J 2017 Aug 9;20(3):139-145. Epub 2017 Jun 9.
    Research Development Unit, Caboolture Hospital, McKean Street, Caboolture, Queensland, 4501, Australia.
    Introduction: Emergency Department (ED) workers are prone to occupational violence, however the extent and impact of this may not be evenly felt across all roles in the ED.

    Aims: Explore: 1) the rate of verbal abuse and physical assaults experienced by ED staff, 2) perceptions of safety, 3) attitudes towards security officers, and 4) formal reporting of incidents.

    Methods: 330 ED workers were surveyed at four public hospitals in one metropolitan health service district in Queensland, Australia, including 179 nurses, 83 medical staff, 44 administration staff, 14 allied health, and 9 operational. Read More

    Interprofessional communication supporting clinical handover in emergency departments: An observation study.
    Australas Emerg Nurs J 2017 Aug 7;20(3):122-130. Epub 2017 Jun 7.
    School of Nursing and Midwifery, Deakin University (Burwood Campus), Geelong, 3216, VIC, Australia.
    Background: Poor interprofessional communication poses a risk to patient safety at change-of-shift in emergency departments (EDs). The purpose of this study was to identify and describe patterns and processes of interprofessional communication impacting quality of ED change-of-shift handovers.

    Methods: Observation of 66 change-of-shift handovers at two acute hospital EDs in Victoria, Australia. Read More

    A systematic review of the impact of nurse-initiated medications in the emergency department.
    Australas Emerg Nurs J 2017 May 25;20(2):53-62. Epub 2017 Apr 25.
    Department of Emergency Medicine, Princess Alexandra Hospital, Brisbane, Australia; School of Nursing, Midwifery and Social Work, The University of Queensland, Brisbane, Australia.
    Background: Nurse-initiated medications are one of the most important strategies used to facilitate timely care for people who present to Emergency Departments (EDs). The purpose of this paper was to systematically review the evidence of nurse-initiated medications to guide future practice and research.

    Methods: A systematic review of the literature was conducted to locate published studies and Grey literature. Read More

    Experiences of rural and remote nurses assisting with disasters.
    Australas Emerg Nurs J 2017 May 28;20(2):98-106. Epub 2017 Apr 28.
    University of Saskatchewan, Canada.
    Background: Globally, disasters are on the rise. Nurses play a significant role in responding to such events but little is known about rural and remote nurses' experiences.

    Methods: A national cross-sectional survey of regulated nurses (registered nurses, registered psychiatric nurses, licensed practical nurses and nurse practitioners) in rural and remote Canada provided the data (n=2465) for the logistic regression of predictors of assisting with a disaster event within the last five years. Read More

    Emergency Department Registered Nurses' conceptualisation of recovery for people experiencing mental illness.
    Australas Emerg Nurs J 2017 May 25;20(2):75-81. Epub 2017 Apr 25.
    School of Nursing, Midwifery, and Paramedicine, University of the Sunshine Coast, Queensland, Australia.
    Background: The Emergency Department (ED) is an integral link to both mental health inpatient and community services and people experiencing mental health crisis often access mental healthcare through EDs. As such EDs have a significant role in enabling optimal transition of mental health consumers between services. The notion of recovery as it is understood by people who experience mental illness, and the delivery of recovery oriented mental healthcare services, are now embedded in mental health service provision in Australia and documented in policy. Read More

    Emergency nurses' perceptions of emergency department preparedness for an ebola outbreak: A qualitative descriptive study.
    Australas Emerg Nurs J 2017 May 21;20(2):69-74. Epub 2017 Mar 21.
    Nursing & Midwifery, Monash University, Australia; Monash Emergency Research Collaborative, Dandenong Emergency Department, Monash Health, Australia.
    Background: Ebola Virus Disease is highly contagious and has high mortality. In 2014, when the outbreak in West Africa was declared a public health emergency, emergency departments in Australia commenced preparation and vigilance for people presenting with ebola like symptoms, to limit spread of the disease.

    Research Aim: To examine Australian emergency nurses' perceptions regarding their own and their emergency departments' preparedness to manage an ebola outbreak. Read More

    Ready, willing and able? A survey of clinicians' perceptions about domestic violence screening in a regional hospital emergency department.
    Australas Emerg Nurs J 2017 May 6;20(2):82-86. Epub 2017 Mar 6.
    Southern Cross University, Hogbin Drive, Coffs Harbour, NSW, 2450, Australia.
    Background: Domestic violence (DV) has significant health impacts for victims and their families. Despite evidence that routine screening increases the identification of DV and opportunities for support; routine screening is uncommon in Australian emergency departments (EDs). This study explored ED clinicians' level of support for DV screening; current screening practices; and perceived barriers and readiness to screen prior to a pilot intervention. Read More

    Protective lung strategies: A cross sectional survey of nurses knowledge and use in the emergency department.
    Australas Emerg Nurs J 2017 May 6;20(2):87-91. Epub 2017 Mar 6.
    Joseph Epstein Centre for Emergency Medicine Research, Western Health,176 Furlong Road, St. Albans Victoria 3021, Australia; Department of Medicine, Melbourne Medical School - Western Precinct, The University of Melbourne, St. Albans, Vic, 3021 Australia.
    Background: Mechanical ventilation (MV) is commonly used in emergency departments (EDs). Protective lung strategies (PLS), comprising of low tidal volume (6mL/kg), control of oxygen and plateau pressures, and administration of positive end expiratory pressure (PEEP) has been shown to reduces the risks associated with MV but there is little evidence exists about nurses' knowledge or application of PLS. Our aim was to explore nurses knowledge and application of PLS in Australian EDs. Read More

    Effect of gender on evidence-based practice for Australian patients with acute coronary syndrome: A retrospective multi-site study.
    Australas Emerg Nurs J 2017 May 3;20(2):63-68. Epub 2017 Mar 3.
    Deakin University Centre for Quality and Patient Safety Research, Faculty of Health, Geelong, VIC, 3220, Australia; Deakin University School of Nursing and Midwifery, Faculty of Health, Geelong, VIC, 3220, Australia; Eastern Health-Deakin University Nursing and Midwifery Research Centre, Level 2, 5 Arnold Street, Box Hill, VIC 3128, Australia.
    Background: Early acute coronary syndrome (ACS) care occurs in the emergency department (ED). Death and disability from ACS are reduced with access to evidence-based ACS care. In this study, we aimed to explore if gender influenced access to ACS care. Read More

    An exploration of emergency nurses' perceptions, attitudes and experience of teamwork in the emergency department.
    Australas Emerg Nurs J 2017 May 11;20(2):92-97. Epub 2017 Feb 11.
    Monash University, Nursing and Midwifery, Peninsula Campus, McMahons Road, Frankston, Victoria 3199, Australia.
    Background: Teamwork may assist with increased levels of efficiency and safety of patient care in the emergency department (ED), with emergency nurses playing an indispensable role in this process.

    Method: A descriptive, exploratory approach was used, drawing on principles from phenomenology and symbolic interactionism. Convenience, purposive sampling was used in a major metropolitan ED. Read More

    Case study and case-based research in emergency nursing and care: Theoretical foundations and practical application in paramedic pre-hospital clinical judgment and decision-making of patients with mental illness.
    Australas Emerg Nurs J 2017 Feb 4;20(1):17-24. Epub 2017 Feb 4.
    University of Sydney and St George Hospital, Sydney, New South Wales, Australia.
    Generating knowledge through quality research is fundamental to the advancement of professional practice in emergency nursing and care. There are multiple paradigms, designs and methods available to researchers to respond to challenges in clinical practice. Systematic reviews, randomised control trials and other forms of experimental research are deemed the gold standard of evidence, but there are comparatively few such trials in emergency care. Read More

    Using observation to collect data in emergency research.
    Australas Emerg Nurs J 2017 Feb 4;20(1):25-30. Epub 2017 Feb 4.
    Menzies Health Institute Queensland, School of Nursing and Midwifery, Griffith University. Nathan Campus, N48 Health Sciences Building, 170 Kessels Rd., Nathan, Queensland, 4111, Australia; Department of Infection Control, Gold Coast University Hospital, Gold Coast Hospital and Health Service, 1 Hospital Blvd., Southport, Queensland, 4215, Australia. Electronic address:
    Research questions require specific data collection techniques to appropriately explore and understand the phenomena of interest. Observation as a term features commonly in the literature as a way to describe both the design of a study and methods deployed within procedures. Observation as a data collection method is a mode of inquiry to systematically collect information about different settings and groups. Read More

    Emergency department waiting room nurse role: A key informant perspective.
    Australas Emerg Nurs J 2017 Feb 17;20(1):6-11. Epub 2017 Jan 17.
    Faculty of Health, University of Technology Sydney, Australia.
    Background: Emergency departments have become overcrowded with increased waiting times. Strategies to decrease waiting times include time-based key performance indicators and introduction of a waiting room nurse role. The aim of the waiting room nurse role is to expedite care by assessing and managing patients in the waiting room. Read More

    The utilisation of one district hospital emergency department by people with Parkinson's disease.
    Australas Emerg Nurs J 2017 Feb 7;20(1):1-5. Epub 2017 Jan 7.
    Northern Sydney Local Health District, Faculty of Health, University of Technology Sydney, Australia. Electronic address:
    Background: Parkinson's disease (PD) is the second most common neurodegenerative disorder in Australia and the economic burden is more than $8.3 billion a year and predicted to escalate. However, little is known of the trends and characteristics of people with Parkinson's disease presenting to emergency departments (ED). Read More

    Accurate respiratory rates count: So should you!
    Australas Emerg Nurs J 2017 Feb 7;20(1):45-47. Epub 2017 Jan 7.
    Central Queensland University, School of Nursing & Midwifery, Building 18, Bruce Highway, Rockhampton, 4702, Australia.
    It is well documented that the respiratory rate is the least accurately recorded vital sign. Despite nurses consistently confirming that they understand the physiological importance of the respiratory rate, more often than not, they estimate a value rather than count for an entire minute. Until recently, little has been known about why this phenomenon perpetuates. Read More

    So you want to conduct a randomised trial? Learnings from a 'failed' feasibility study of a Crisis Resource Management prompt during simulated paediatric resuscitation.
    Australas Emerg Nurs J 2017 Feb 29;20(1):37-44. Epub 2016 Dec 29.
    Midwifery Research Unit, Mater Research Institute and University of Queensland, Mater Health, Raymond Terrace, South Brisbane, Queensland 4101, Australia; School of Nursing, Midwifery and Social Work, Level 3, Chamberlain Building (35), University of Queensland, St Lucia, Queensland 4165, Australia; Mothers, Babies and Women's Health, Mater Health, Raymond Terrace, South Brisbane, Queensland 4101, Australia.
    Background: No study has tested a Crisis Resource Management prompt on resuscitation performance.

    Methods: We conducted a feasibility, unblinded, parallel-group, randomised controlled trial at one Australian paediatric hospital (June-September 2014). Eligible participants were any doctor, nurse, or nurse manager who would normally be involved in a Medical Emergency Team simulation. Read More

    Who falls in an adult emergency department and why-A retrospective review.
    Australas Emerg Nurs J 2017 Feb 26;20(1):12-16. Epub 2016 Dec 26.
    Emergency Department, Princess Alexandra Hospital, Brisbane, Australia. Electronic address:
    Introduction: Falls are a significant source of healthcare related morbidity and mortality of patients in hospitals and residential healthcare settings. Commonly falls are thought of as an affliction of the elderly and the frail. The emergency department (ED) is a unique healthcare setting that sees patients in the acute and hyper acute stages of physical and mental illness and intoxication. Read More

    Frequency of vital sign assessment and clinical deterioration in an Australian emergency department.
    Australas Emerg Nurs J 2016 Nov 7;19(4):217-222. Epub 2016 Oct 7.
    School of Nursing and Midwifery and Centre for Quality and Patient Safety Research, Deakin University Eastern Health, Deakin University Nursing & Midwifery Research Centre, c/- Deakin University, Geelong, Victoria, 3125, Australia. Electronic address:
    Background: Understanding of clinical deterioration of emergency department patients is rapidly evolving. The aim of this study was to investigate the frequency and nature of vital sign collection and clinical deterioration in emergency care.

    Methods: A descriptive exploratory approach was used. Read More

    Emergency nursing workload and patient dependency in the ambulance bay: A prospective study.
    Australas Emerg Nurs J 2016 Nov 7;19(4):210-216. Epub 2016 Oct 7.
    Prince of Wales Hospital Emergency Department, Australia.
    Aim: The purpose of this prospective observational study was to characterise patients occupying the ambulance bay and to determine the ensuing nursing workload.

    Background: The number of patients presenting to ED by ambulance is increasing. During periods of peak demand and access block in the ED, patients with ongoing care needs, requiring continual assessment and symptom management by emergency nurses can remain in the ambulance bay for extended periods of time. Read More

    Disaster management: Emergency nursing and medical personnel's knowledge, attitude and practices of the East Coast region hospitals of Malaysia.
    Australas Emerg Nurs J 2016 Nov 18;19(4):203-209. Epub 2016 Aug 18.
    Kulliyyah of Nursing, International Islamic University Malaysia, 25100 Kuantan, Pahang, Malaysia. Electronic address:
    Background: Disaster management is critical, as its insight could diminish the impact of a disaster, and participation of emergency medical personnel is crucial. This study explores emergency medical personnel's knowledge, attitude and practice towards disaster management.

    Methodology: This study utilised a cross-sectional study design, and the data collected from 194 emergency nursing and medical personnel (staff nurses, doctors and assistant medical officers), using a questionnaire. Read More

    Comparing patient outcomes for care delivered by advanced musculoskeletal physiotherapists with other health professionals in the emergency department-A pilot study.
    Australas Emerg Nurs J 2016 Nov 3;19(4):198-202. Epub 2016 Aug 3.
    The Alfred Hospital, Melbourne, Australia.
    Background: To compare advanced musculoskeletal physiotherapists with other health professionals by measuring outcomes for patients presenting to the emergency department with lower limb soft tissue injuries or acute low back pain.

    Methods: A prospective study was conducted (Lower limb soft tissue injury cohort, n=88), (Acute low back pain cohort, n=29) at the emergency departments of two urban hospitals. A univariate analysis was completed for a number of outcome measures: Lower Extremity Functional Scale, Roland Morris Disability Questionnaire, imaging requirements, Patient Satisfaction Questionnaire, Numerical Pain Rating Scale and medication use. Read More

    A survey of flood disaster preparedness among hospitals in the central region of Thailand.
    Australas Emerg Nurs J 2016 Nov 3;19(4):191-197. Epub 2016 Aug 3.
    Division of Public Health Nursing, Faculty of Nursing, Chiang Mai University, 110 Inthawaroros Road, Muang Chiang Mai 50200, Thailand.
    Background: In 2011, Thailand was affected by the one of the worst flood disasters in recent times. Hospitals in Thailand were faced with the challenge of managing the health impacts from this natural disaster. The purpose of this study was to assess flood disaster preparedness among hospitals in the central region of Thailand. Read More

    CPR-induced consciousness: A cross-sectional study of healthcare practitioners' experience.
    Australas Emerg Nurs J 2016 Nov 29;19(4):186-190. Epub 2016 Jul 29.
    Emergency & Trauma Centre, The Alfred Hospital, Melbourne, Australia; National Trauma Research Institute, The Alfred Hospital, Melbourne, Australia; Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Prahran, Victoria, Australia.
    Introduction: Consciousness may occur during effective management of cardiac arrest and ranges from eye opening to interfering with rescuers' resuscitation attempts. Reported cases in the medical literature appear scant compared to anecdotal reports. The aim of this study was to evaluate health care providers' experience with consciousness during cardio-pulmonary resuscitation (CPR). Read More

    Profile of fall injury in the New South Wales older adult population.
    Australas Emerg Nurs J 2016 Nov 26;19(4):179-185. Epub 2016 Jul 26.
    Department of Traumatology, John Hunter Hospital and University of Newcastle, Newcastle, NSW, Australia.
    Background: A previous report from the New South Wales (NSW) Trauma Registry identified falls and increasing age of severely injured patients as highly prevalent, but detailed injury and demographic profiles, outcomes and their predictors are poorly reported. This study describes the fall-injury profile in the older adult major trauma patient in NSW.

    Methods: A retrospective registry based study between 2010 and 2014 on patients aged 55 years and over who sustained a moderate to critical injury from a fall, examining mortality and length of stay using regression analyses. Read More

    Heated, humidified, high-flow nasal oxygen usage in the adult Emergency Department.
    Australas Emerg Nurs J 2016 Nov 6;19(4):173-178. Epub 2016 Jun 6.
    Princess Alexandra Hospital Emergency Department, 199 Ipswich Road, Woolloongabba, Brisbane, QLD 4102, Australia.
    Objective: The aim of this study was to determine the role that heated, humidified high-flow nasal oxygen (HHHFNO) plays in the adult ED with particular focus on the indications and outcomes of use.

    Methods: An explorative study was undertaken using retrospective chart review to identify characteristics of adult patients who received HHHFNO in a tertiary adult ED between January and December 2014.

    Results: Thirty-nine patients were identified as having received HHHFNO during the study period with a range of indications for this use. Read More

    Job satisfaction among emergency department staff.
    Australas Emerg Nurs J 2017 Feb 24;20(1):31-36. Epub 2016 Oct 24.
    Emergency Department, Hospital Clínic de Barcelona, Barcelona, Grup d'Investigació "Urgencias: procesos y patologias", IDIBAPS, Barcelona, Catalonia, Spain. Electronic address:
    Objective: To compare job satisfaction among nurses, physicians and administrative staff in an emergency department (ED). To analyse the relationship of job satisfaction with demographic and professional characteristics of these personnel.

    Methods: We performed a descriptive, cross-sectional study in an ED in Barcelona (Spain). Read More

    Triage, damned triage… and statistics: Sorting out redundancy and duplication within an Emergency Department Presenting Problem Code Set to enhance research capacity.
    Australas Emerg Nurs J 2017 Feb 24;20(1):48-52. Epub 2016 Oct 24.
    Emergency Department, Royal Prince Alfred Hospital, Missenden Road, Camperdown, Sydney 2050, New South Wales, Australia.
    Background: Having a robust Emergency Department Presenting Problem Code Set (EDPPCS) is important for collecting and analysing data around Emergency Department (ED) activity, funding, bio-surveillance and research. This paper analyses the clinical utilisation of the current EDPPCS using two years worth of ED data collected as part of the larger state-wide Demand for Emergency Services Trends in Years 2010-2014 (DESTINY) project. This project proposes potential improvements in the current EDPPCS including a reduction in duplication and redundant clinical terms. Read More

    An evaluation of staff transitioning from a combined adult/child emergency department to a new paediatric emergency department: A qualitative study.
    Australas Emerg Nurs J 2016 Aug 20;19(3):153-8. Epub 2016 Jul 20.
    Department of Emergency Medicine, The Prince Charles Hospital, Rhode Rd., Chermside, Australia.
    Background: Provision of paediatric specific service areas within a hospital servicing both adult and paediatric populations is relatively novel. In Australia this is an emerging model for service delivery that takes into account the specific health needs of paediatric patients. To date, information related to the practice transition required by staff when adopting this model of care is lacking. Read More

    Profiling wound management in the emergency department: A descriptive analysis.
    Australas Emerg Nurs J 2016 Aug 21;19(3):166-71. Epub 2016 Jul 21.
    La Trobe University, Alfred Clinical School, Australia.
    Background: The service profile of wound, skin and ulcer presentations to emergency departments is an area that lacks an existing published commentary. Knowledge of these presentations would inform the allocation of resources, staff training, and, in turn, patient outcomes. The aim of this study was to describe the discharge and referral status of adult patients presenting to one Australian emergency department with a wound, skin or ulcer condition. Read More

    ChIP: An early activation protocol for isolated blunt chest injury improves outcomes, a retrospective cohort study.
    Australas Emerg Nurs J 2016 Aug 20;19(3):127-32. Epub 2016 Jul 20.
    Department of Emergency Medicine, St George Hospital, Gray Street, Kogarah, NSW, Australia.
    Background: Blunt chest injuries not treated in a timely manner with sufficient analgesia, physiotherapy and respiratory support are associated with increased morbidity and mortality. The aim of the study was to determine the impact of a blunt chest injury early activation protocol (ChIP) on patient and hospital outcomes.

    Methods: In this pre-post cohort study, the outcomes of patients with blunt chest injury who received ChIP were compared against those who did not. Read More

    Rates of workplace aggression in the emergency department and nurses' perceptions of this challenging behaviour: A multimethod study.
    Australas Emerg Nurs J 2016 Aug 31;19(3):143-8. Epub 2016 May 31.
    Nursing and Midwifery Directorate, Northern Sydney Local Health District, Faculty of Health, University of Technology Sydney, Australia. Electronic address:
    Introduction: Over the last 10 years, the rate of people presenting with challenging behaviour to emergency departments (EDs) has increased and is recognised as a frequent occurrence facing clinicians today. Challenging behaviour often includes verbal aggression, physical aggression, intimidation and destruction of property.

    Aim: The aim of this research was to (i) identify the characteristics and patterns of ED-reported incidents of challenging behaviour and (ii) explore emergency nurses' perceptions of caring for patients displaying challenging behaviour. Read More

    Family presence during management of acute deterioration: Clinician attitudes, beliefs and perceptions of current practices.
    Australas Emerg Nurs J 2016 Aug 26;19(3):159-65. Epub 2016 May 26.
    Deakin University, Geelong, Australia; School of Nursing and Midwifery/Centre for Quality and Patient Safety Research, Deakin University, 221 Burwood Highway, Burwood, VIC 3125, Australia; Eastern Health - Deakin University Nursing and Midwifery Research Centre, Level 2, 5 Arnold Street, Box Hill, VIC 3128, Australia.
    Background: The nature of acute clinical deterioration has changed over the last three decades with a decrease in in-hospital cardiac arrests and an increase in acute clinical deterioration. Despite this change, research related to family presence continues to focus on care during resuscitation rather than during acute deterioration.

    Aim: To explore healthcare clinician attitudes, beliefs and perceptions of current practices surrounding family presence during episodes of acute deterioration in adult Emergency Department patients. Read More

    Collaboration between nurses and physicians in an Indonesian Emergency Department.
    Australas Emerg Nurs J 2016 May 10;19(2):82-9. Epub 2016 May 10.
    School of Nursing and Midwifery, Monash University, Australia.
    Background: Positive collaboration between nurses and physicians is essential in emergency practice because it has a significant relationship with the quality, safety, accountability, and responsibility of care. The aim of this study was to examine nurses' and physicians' attitudes towards collaboration in the Emergency Department in the Indonesian context.

    Methods: The study was a comparative study using a modified Jefferson Scale of Attitude towards Physician-Nurse Collaboration. Read More

    Characteristics of older people with cognitive impairment attending emergency departments: A descriptive study.
    Australas Emerg Nurs J 2016 May 9;19(2):118-26. Epub 2016 May 9.
    The Centre for Research in Geriatric Medicine, The University of Queensland, Brisbane, Australia; Centre for Online Health, The University of Queensland, Brisbane, Australia.
    Objective: The objective of this paper is to describe the profile of older people with cognitive impairment (CI) presenting to emergency departments (EDs).

    Methods: This was a multi-centre (n=8) observational study of a convenience sample of older (≥70y) ED patients (n=579). Participants were prospectively assessed for CI and surveyed for the duration of their ED stay (n=191). Read More

    A healthy degree of suspicion: A discussion of the implementation of transmission based precautions in the emergency department.
    Australas Emerg Nurs J 2016 Aug 28;19(3):149-52. Epub 2016 Apr 28.
    School of Nursing and Midwifery, Griffith University, Australia.
    Background: Emergency department (ED) presentations have increased significantly domestically and internationally. Swift identification and implementation of transmission based precautions (TBP) for patients known or suspected of having an epidemiologically important pathogen is important. ED staff, particularly triage nurses, are pivotal in detecting and preventing infection, including healthcare associated infections (HAI). Read More

    Miscarriage in Australia: The geographical inequity of healthcare services.
    Australas Emerg Nurs J 2016 May 22;19(2):106-11. Epub 2016 Mar 22.
    Centre for Nursing and Midwifery Research, College of Healthcare Sciences, James Cook University, Australia. Electronic address:
    Complications in early pregnancy can lead to pregnancy loss (miscarriage) and ultimately the presentation of a woman to their local emergency department (ED). Miscarriage is a common occurrence, with one in six pregnancies resulting in pregnancy loss.(1) Unfortunately medical and nursing care does not change the likelihood of a threatened miscarriage progressing to pregnancy loss; this is a highly emotional and stressful time for the woman and her family. Read More

    ED-HOME: Improving educator confidence and patient education in the Emergency Department.
    Australas Emerg Nurs J 2016 Aug 19;19(3):133-7. Epub 2016 Mar 19.
    Population Health Strategic Research Centre, Faculty of Health, Deakin University (Burwood Campus), 221 Burwood Highway, Burwood, VIC 3125, Australia.
    Background: Barriers to effective patient communication in the emergency department (ED) are well recognised; time, resources and staff and consumer expectations. This project aimed to improve the quality of health education provided in the ED by increasing nurses' confidence as educators.

    Method: By providing a staff information package including the introduction of a new structured education tool; ED-HOME, and by assessing the confidence and self-efficacy of the nurses in the process, we hoped to determine if an improvement in practice and confidence was achieved. Read More

    Can emergency nurses safely and accurately remove cervical spine collars in low risk adult trauma patients: An integrative review.
    Australas Emerg Nurs J 2016 May 19;19(2):63-74. Epub 2016 Mar 19.
    Sydney Nursing School, The University of Sydney, 88 Mallett Street, Camperdown, Sydney, NSW 2050, Australia; Trauma Service, St George Hospital, Gray St, Kogarah 2217, Australia.
    Background: Well validated clinical decision rules exist to facilitate the safe removal of collars in the alert, orientated, low risk adult trauma patient, however this practice is traditionally conducted by medical staff. The aim of this review is to synthesise current evidence to determine the efficacy of emergency nurses in safely and accurately removing cervical spine collars using cervical spine rules, in alert, orientated, low risk trauma adult patients.

    Methods: A multi-method search strategy was used to find primary research studies followed by a rigorous screening and quality appraisal process. Read More

    A 'time and motion' evaluation of automated dispensing machines in the emergency department.
    Australas Emerg Nurs J 2016 May 14;19(2):112-7. Epub 2016 Mar 14.
    Pharmacy Department, Alfred Hospital, Commercial Road, Melbourne Vic 3004, Australia; Faculty of Pharmacy and Pharmaceutical Sciences, Monash University, Melbourne, Victoria, Australia.
    Background: There has been limited assessment of the impact that automated medication dispensing machines have on the medication administration process, particularly in Australian emergency departments. The aim of this study is to examine the change in medication retrieval times, number of medications retrieved and staff perceptions before and after the installation of automated dispensing machines in an Australian emergency and trauma centre.

    Methods: A time and motion method recorded the time taken and number of medications retrieved from the medication room by emergency department staff, before and after the installation of two automated dispensing machines. Read More

    Designing and implementing full immersion simulation as a research tool.
    Australas Emerg Nurs J 2016 May 23;19(2):90-105. Epub 2016 Feb 23.
    St George Clinical School, Faculty of Medicine, University of NSW, NSW, Australia; Department of Anaesthesia, St. George Hospital, Sydney, NSW, Australia.
    Simulation is a valuable research tool used to evaluate the clinical performance of devices, people and systems. The simulated setting may address concerns unique to complex clinical environments such as the Emergency Department, which make the conduct of research challenging. There is limited evidence available to inform the development of simulated clinical scenarios for the purpose of evaluating practice in research studies, with the majority of literature focused on designing simulated clinical scenarios for education and training. Read More

    Profiling nursing resources in Australian emergency departments.
    Australas Emerg Nurs J 2016 Feb 14;19(1):1-10. Epub 2016 Jan 14.
    Deakin University, School of Nursing and Midwifery, Australia; Eastern Health - Deakin University Nursing, & Midwifery Research Centre, Australia; Deakin University, Centre for Quality and Patient Safety Research, Australia.
    Background: Emergency nurses have a key role in managing the large numbers of patients that attend Australian emergency departments (EDs) annually, and require adequate educational preparation to deliver safe and quality patient care. This paper provides a detailed profile of nursing resources in Australian EDs, including ED locations, annual patient attendances, nurse staffing including level of education, and educational resources.

    Methods: Data were collected via online surveys of emergency Nurse Unit Managers and Nurse Educators and the MyHospitals website. Read More

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