572 results match your criteria International Emergency Nursing [Journal]


The HOPE model for disaster nursing - A systematic literature review.

Int Emerg Nurs 2019 Apr 17. Epub 2019 Apr 17.

School of Health Sciences, Örebro University, Örebro, Sweden.

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http://dx.doi.org/10.1016/j.ienj.2019.03.007DOI Listing

Indicated trauma emergency department utilization - A comparison between patients' self-assessment and professional evaluation.

Int Emerg Nurs 2019 Apr 16. Epub 2019 Apr 16.

Department of Anesthesiology and Operative Intensive Care Medicine (CCM, CVK), Charité - Universitätsmedizin Berlin, Berlin, Germany; Berlin Institute of Health (BIH), Berlin, Germany. Electronic address:

Introduction: Patient visits to emergency departments (EDs) increase in many countries. As a result, these facilities are often congested and the socioeconomic burden of growing workload is a well-known problem. In this study, patients' reasons attending an ED with non-emergent needs were analyzed. Read More

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http://dx.doi.org/10.1016/j.ienj.2019.02.006DOI Listing

The introduction of the Early Warning Score in the Emergency Department: A retrospective cohort study.

Int Emerg Nurs 2019 Apr 16. Epub 2019 Apr 16.

Trinity Centre for Practice and Healthcare Innovation, School of Nursing and Midwifery, Trinity College Dublin, D'Olier St., Dublin 2, Ireland.

Background: The combined use of the Manchester Triage System (MTS) with the Early Warning Score (EWS) may be useful in ensuring both appropriate prioritisation and continued monitoring in the Emergency Department (ED) leading to early intervention for deteriorating patients thus improving patient outcomes especially in overcrowded EDs.

Purpose: Determine the effect of the EWS and MTS on accuracy of the MTS and ED waiting times.

Methods: A retrospective cohort chart review of all adult patients who presented to the ED in one large hospital in Ireland (n = 10,048) at three time points between 1st September 2015-30th September 2016; 3 months prior to EWS introduction, implementation month and 9 months post-implementation. Read More

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http://dx.doi.org/10.1016/j.ienj.2019.03.002DOI Listing

Letter to the editor about "How effective is trauma simulation as an educational process for healthcare providers within the trauma networks? A systematic review".

Int Emerg Nurs 2019 Apr 12. Epub 2019 Apr 12.

Faculty of Nursing, University of Montreal, PO Box 6128, Downtown Station, Montreal, Quebec H3C 3J7 Canada.

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http://dx.doi.org/10.1016/j.ienj.2019.03.003DOI Listing

The impact of introducing the Modified Early Warning Score 'MEWS' on emergency nurses' perceived role and self-efficacy: A quasi-experimental study.

Int Emerg Nurs 2019 Apr 12. Epub 2019 Apr 12.

Faculty of Nursing, Al-Zaytoonah University of Jordan, Jordan.

Background: Early warning Score is a bedside track and trigger system used to facilitate early detection and management of deteriorating patients. Although emergency department nurses are the key to implement this task, their interaction and contribution to provide an estimate of patients' severities is still suboptimal and neglected.

Aim: This study aimed to introduce an educational programme using the Modified Early Warning Score (MEWS) to nurses working in the emergency departments and to assess the programme impact on nurses' self-efficacy and perceived role. Read More

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http://dx.doi.org/10.1016/j.ienj.2019.03.005DOI Listing

The accuracy of paediatric limb radiograph interpretation by nurse practitioners in a single centre.

Int Emerg Nurs 2019 Apr 10. Epub 2019 Apr 10.

Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, James Clerk Maxwell Building, King's College London, 57 Waterloo Road, London SE1 8WA, UK. Electronic address:

Background: Nurse practitioners (NP) are an integral part of the urgent and emergency care workforce in the United Kingdom providing safe and effective care. Despite this, there is limited research assessing the ability of NPs to correctly interpret isolated paediatric limb injury radiographs in the urgent and emergency care environment.

Aim: The aim of this study was to compare the accuracy in interpreting isolated paediatric limb radiographs between NPs and consultant radiologists. Read More

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http://dx.doi.org/10.1016/j.ienj.2019.03.001DOI Listing
April 2019
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Evaluation of adult stroke presentations at an Emergency Department in Queensland Australia.

Int Emerg Nurs 2019 Mar 25. Epub 2019 Mar 25.

Quality Use of Medicines Network, Griffith University, Queensland, Australia; Department of Emergency Medicine, Gold Coast Health, Queensland, Australia; School of Nursing and Midwifery, Menzies Health Institute Queensland, Griffith University, Queensland, Australia.

Background: Stroke is a leading cause of mortality and morbidity which places high demands on emergency departments (EDs). Currently there is limited data on stroke presentations to Australian EDs and the time performance management of these presentations. Therefore, the aim of this study was to evaluate stroke presentations at an ED in Queensland, Australia in terms of demographics and time performance measures over a five year period. Read More

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http://dx.doi.org/10.1016/j.ienj.2019.02.007DOI Listing

Combined penetrating trauma of the head, neck, chest, abdomen and scrotum caused by falling from a high altitude: A case report and literature review.

Int Emerg Nurs 2019 Mar 19. Epub 2019 Mar 19.

Department of Nursing, Qilu Hospital of Shandong University, Jinan, China. Electronic address:

This report describes an extremely rare case of combined penetrating trauma that includes the head, neck, chest, abdomen and scrotum. A 46-year-old male construction worker fell from a 5-metre-high platform, and a rebar that was fixed vertically on the ground penetrated the scrotum into the pelvic and abdominal cavities, passing through the chest, neck, mouth, and nose to the outside of the body through the left side of the head. The rebar penetrated the oral cavity and was palpable on the anterior side of the neck and abdomen. Read More

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http://dx.doi.org/10.1016/j.ienj.2019.01.001DOI Listing
March 2019
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Association of musculoskeletal disorders and workload with work schedule and job satisfaction among emergency nurses.

Int Emerg Nurs 2019 Mar 19. Epub 2019 Mar 19.

Student Research Committee, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran.

Background: The emergency department is a highly demanding work environment, considered by high workload and stress. The impact of work-related factors on musculoskeletal disorders (MSDs) in emergency nurses (ENs) are not yet well understood. We investigated the association of MSDs and workload with work schedule (permanent day and night work) and job satisfaction in ENs. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S1755599X193001
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http://dx.doi.org/10.1016/j.ienj.2019.02.004DOI Listing
March 2019
8 Reads

Sensitivity and specificity of trauma team activation protocol criteria in an Italian trauma center: A retrospective observational study.

Int Emerg Nurs 2019 Feb 26. Epub 2019 Feb 26.

University of Turin, Turin, Italy. Electronic address:

Background: The trauma team (TT) model could reduce mortality, morbidity, and duration of hospital stay, costs, and complications. To avoid over- or undertriage for trauma team activation, robust criteria have to be chosen.

Objective: This study aimed to evaluate the sensitivity and specificity of a TT activation protocol for major trauma patients to predict the need for emergency treatment. Read More

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http://dx.doi.org/10.1016/j.ienj.2019.02.002DOI Listing
February 2019

Emergency department care for patients with mental health problems, a longitudinal registry study and a before and after intervention study.

Int Emerg Nurs 2019 Feb 25. Epub 2019 Feb 25.

Health Economist, Erasmus School of Health Policy & Management, Erasmus University Rotterdam, the Netherlands.

Objective: To describe the numbers and length of stay (LOS) of patients with mental health (MH) problems at a Dutch emergency department (ED) and the effect of a psychiatric intervention team (PIT) on patient flow.

Methods: A longitudinal design was used to assess number of MH presentations and LOS during a 3-year period (2014-2016). In 2017, we introduced a PIT during ED peak hours, to reduce LOS for patients with MH problems. Read More

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http://dx.doi.org/10.1016/j.ienj.2019.02.003DOI Listing
February 2019
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The relationship between workplace violence, job satisfaction and turnover intention in emergency nurses.

Int Emerg Nurs 2019 Feb 20. Epub 2019 Feb 20.

School of Nursing, Peking University, Beijing, China. Electronic address:

Background: Emergency department personnel are exposed to high risk of workplace violence (WPV) and nurses are the main victims. Few researchers have investigated the effects of WPV on job satisfaction and turnover intention among nurses.

Aims: To describe WPV, job satisfaction and turnover intention of emergency nurses and clarify the relationship between them. Read More

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http://dx.doi.org/10.1016/j.ienj.2019.02.001DOI Listing
February 2019
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Perspectives on Indigenous cultural competency and safety in Canadian hospital emergency departments: A scoping review.

Int Emerg Nurs 2019 Mar 4;43:133-140. Epub 2019 Feb 4.

Alberta Health Services, 10101 Southport Rd SW, Calgary, AB T2W 3N2, Canada; The Anne Johnston Health Station, 2398 Yonge St, Toronto, ON M4P 2H4, Canada.

Background: Emergency departments are primary health care entry points for Indigenous persons in Canada. They are also among the settings where Indigenous patients report access barriers and discriminatory treatment. Cultural competency and cultural safety have been proposed as approaches to improving emergency care. Read More

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http://dx.doi.org/10.1016/j.ienj.2019.01.004DOI Listing

Emergency nurses' knowledge and understanding of their role in recognising and responding to patients with sepsis: A qualitative study.

Int Emerg Nurs 2019 Mar 4;43:106-112. Epub 2019 Feb 4.

School of Nursing, Midwifery and Paramedicine, University of Sunshine Coast, Sippy Downs 4558, QLD, Australia.

Aim: Sepsis is a significant and time-sensitive clinical concern for patients who present to Emergency Departments (EDs). Existing guidelines do not define nurses' roles in managing sepsis. This study explored ED nurses' experiences and perceptions around recognising and responding to patients with sepsis, and their awareness of sepsis screening and prognostic tools. Read More

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http://dx.doi.org/10.1016/j.ienj.2019.01.005DOI Listing

Partnering with families: Is the ED ready?

Int Emerg Nurs 2019 01;42

School of Nursing and Public Health, University of KwaZulu-Natal, South Africa.

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http://dx.doi.org/10.1016/j.ienj.2019.01.002DOI Listing
January 2019
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Ethical prioritization of patients during disaster triage: A systematic review of current evidence.

Int Emerg Nurs 2019 Mar 3;43:126-132. Epub 2019 Jan 3.

Medical Ethics and History of Medicine Research Center, Tehran University of Medical Sciences, 16th Azar st, Keshavarz Boulevard, Tehran, Iran. Electronic address:

Introduction: Triage is a dynamic and complex decision-making process in order to determine priority of access to medical care in a disaster situation. The elements which should govern an ethical decision-making in prioritizing of victims have been debated for a long time. This paper aims to identify ethical principles guiding patient prioritization during disaster triage. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S1755599X183012
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http://dx.doi.org/10.1016/j.ienj.2018.10.004DOI Listing
March 2019
8 Reads

Experience of physician and nurse specialists in Sweden undertaking long distance aeromedical transportation of critically ill patients: A qualitative study.

Int Emerg Nurs 2019 Mar 21;43:79-83. Epub 2018 Dec 21.

Faculty of Medicine and Health, School of Health Sciences, Örebro University, 701 82 Örebro, Sweden.

Introduction: Transportation of critically ill patients, intra- or inter-hospital, always involves risks when resources are limited. With aeromedical transports, additional risk factors are incurred. The physiological effects of altitude, when both pressure and density decline, can lead to hypobaric hypoxia and gases trapped in body cavities will expand and cause stress on biological tissue. Read More

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http://dx.doi.org/10.1016/j.ienj.2018.11.004DOI Listing
March 2019
2 Reads

How do emergency nurse practitioners experience managing acutely unwell patients in minor injury units? An Interpretative Phenomenological Analysis.

Int Emerg Nurs 2019 Mar 7;43:99-105. Epub 2018 Dec 7.

Annette Brett Bowen, Emergency Nurse Practitioner, Minor Injuries Units, Somerset Partnership, United Kingdom. Electronic address: https://twitter.com/nursenetty/.

Introduction And Aim: Emergency nurse practitioners (ENPs) working autonomously within minor injury units (MIUs) sometimes have to manage acutely unwell patients who self present. It is likely that whilst emergency departments remain under increasing pressure, this subsection of patients will continue to attend. There is little published research exploring ENPs' experiences during such incidents. Read More

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http://dx.doi.org/10.1016/j.ienj.2018.11.001DOI Listing
March 2019
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Emergency department registered nurses' disaster medicine competencies. An exploratory study utilizing a modified Delphi technique.

Int Emerg Nurs 2019 Mar 7;43:84-91. Epub 2018 Dec 7.

Karolinska Institutet, Department of Clinical Science and Education, Södersjukhuset, Stockholm, Sweden; Sophiahemmet University, Stockholm, Sweden.

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http://dx.doi.org/10.1016/j.ienj.2018.11.003DOI Listing
March 2019
4 Reads

Recognition of acute organ failure and associated fluid and oxygen resuscitation by emergency medical services of emergency department patients with a suspected infection.

Int Emerg Nurs 2019 Mar 2;43:92-98. Epub 2018 Dec 2.

Department of Emergency Medicine, Leiden University Medical Center, Albinusdreef 2, 2300 RC Leiden, The Netherlands; Regional Ambulance Service Hollands Midden (RAVHM), vondellaan 43, 2332 AA Leiden, The Netherlands. Electronic address:

Introduction: Recognition of acute organ failure is essential for recognition and resuscitation of sepsis by emergency medical services (EMS). We assessed how many EMS patients with suspected infection had clinical signs of acute organ failure (i.e. Read More

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http://dx.doi.org/10.1016/j.ienj.2018.11.002DOI Listing
March 2019
2 Reads

Educational interventions promoting evidence-based practice among emergency nurses: A systematic review.

Int Emerg Nurs 2018 Nov 6;41:51-58. Epub 2018 Jul 6.

Research Unit of Nursing Science and Health Management, University of Oulu, Finland. Electronic address:

Introduction: Emergency nurses are expected to adopt evidence-based practice (EBP). The aim of this systematic review was to describe educational interventions promoting EBP and their outcomes among emergency nurses, compared with no education, to inform clinicians and researchers about effective educational interventions suitable for use in emergency departments (EDs).

Methods: CINAHL, Cochrane, PubMed and Scopus were systematically searched to identify studies published between January 1, 2006 and October 20, 2016 describing educational interventions designed to promote EBP among emergency nurses. Read More

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http://dx.doi.org/10.1016/j.ienj.2018.06.004DOI Listing
November 2018
11 Reads

Mobile emergency care service: A time-course assessment and characterization of demand.

Int Emerg Nurs 2018 Nov 7;41:45-50. Epub 2018 Jul 7.

Mobile Emergency Care Service - SAMU Metropolitana2, Rio de Janeiro, Brazil; Maternal and Child Department, School of Medicine, Federal Fluminense University, Rio de Janeiro, Brazil. Electronic address:

Introduction: Prehospital care is defined as any medical attention provided outside the hospital environment. This study aims to study the operation of a regional SAMU by assessing electronic records of cases managed and to evaluate demand patterns over time.

Methods: A retrospective, cross-sectional study was conducted through an analysis of emergency calls handled between the years of 2009 and 2013 by the SAMU Metropolitan 2 Region mobile emergency care service, located in Niterói, Brazil. Read More

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http://dx.doi.org/10.1016/j.ienj.2018.06.006DOI Listing
November 2018
12 Reads

Triage education in rural remote settings: A scoping review.

Int Emerg Nurs 2019 Mar 10;43:119-125. Epub 2018 Nov 10.

School of Nursing & Midwifery, and Menzies Health Institute Queensland, Griffith University, 170 Kessels Road, Nathan, QLD 4111, Australia. Electronic address:

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. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S1755599X183011
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http://dx.doi.org/10.1016/j.ienj.2018.09.001DOI Listing
March 2019
25 Reads

Characteristics of patients treated for severe hypoglycaemia in emergency care settings - Analysis of routinely collected data.

Int Emerg Nurs 2019 Mar 2;43:74-78. Epub 2018 Nov 2.

Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London, London, UK.

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. Read More

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http://dx.doi.org/10.1016/j.ienj.2018.10.005DOI Listing
March 2019
4 Reads

Bereavement experiences after the unexpected death of an older family member in the emergency department.

Int Emerg Nurs 2019 Jan 2;42:7-11. Epub 2018 Nov 2.

Department of Nursing, Chung-Ang University, 84 Heukseok-ro, Dongjak-gu, Seoul 06974, Republic of Korea. Electronic address:

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http://dx.doi.org/10.1016/j.ienj.2018.10.006DOI Listing
January 2019
1 Read

Patient perspectives of pregnancy loss in the emergency department.

Int Emerg Nurs 2019 Mar 2;43:61-66. Epub 2018 Nov 2.

University of Cincinnati College of Nursing, Cincinnati, OH, United States.

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. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S1755599X183011
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http://dx.doi.org/10.1016/j.ienj.2018.10.002DOI Listing
March 2019
10 Reads

Challenges of caring for victims of violence and their family members in the emergency department.

Int Emerg Nurs 2019 Jan 2;42:2-6. Epub 2018 Nov 2.

Department of Health and Caring Sciences, Linnaeus University, SE-391 82 Kalmar, Sweden. Electronic address:

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. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S1755599X183012
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http://dx.doi.org/10.1016/j.ienj.2018.10.007DOI Listing
January 2019
3 Reads

Implementation of paediatric pain care-bundle across South-West England clinical network of Emergency Departments and Minor Injury Units: A before and after study.

Int Emerg Nurs 2019 Mar 29;43:56-60. Epub 2018 Oct 29.

Plymouth University/Royal Devon and Exeter Hospital Clinical School, Faculty of Health and Human Sciences, Plymouth University, Plymouth PL4 8AA, UK; School of Nursing and Midwifery, Monash University, Melbourne, VIC 3199, Australia. Electronic address:

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. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S1755599X183011
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http://dx.doi.org/10.1016/j.ienj.2018.10.001DOI Listing
March 2019
12 Reads

A profile of the waiting room nurse in emergency departments: An online survey of Australian nurses exploring implementation and perceptions.

Int Emerg Nurs 2019 Mar 29;43:67-73. Epub 2018 Oct 29.

Faculty of Health University of Technology Sydney, 15 Broadway, Ultimo, N.S.W 2007, Australia. Electronic address:

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. Read More

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http://dx.doi.org/10.1016/j.ienj.2018.10.003DOI Listing
March 2019
2 Reads

Assessing the discharge instructing in the emergency department: Patient perspective.

Int Emerg Nurs 2019 Mar 11;43:40-44. Epub 2018 Oct 11.

Emergency Medicine, University of Helsinki and Department of Emergency Medicine and Services, Helsinki University Hospital, Helsinki, Finland. Electronic address:

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. Read More

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http://dx.doi.org/10.1016/j.ienj.2018.07.005DOI Listing
March 2019
1 Read

Patient experiences of initial trauma care.

Int Emerg Nurs 2019 Jan 28;42:25-29. Epub 2018 Sep 28.

Perioperative Medicine and Intensive Care (PMI), Karolinska University Hospital, Stockholm, Sweden; Surgical Care Sciences, Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.

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. Read More

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http://dx.doi.org/10.1016/j.ienj.2018.08.003DOI Listing
January 2019
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Interviews following physical trauma: A thematic analysis.

Int Emerg Nurs 2019 Jan 24;42:19-24. Epub 2018 Sep 24.

Queen Mary University of London, United Kingdom.

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. Read More

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http://dx.doi.org/10.1016/j.ienj.2018.08.004DOI Listing
January 2019
2 Reads

The design and psychometric evaluation of the emergency medical services resilience scale (EMSRS).

Int Emerg Nurs 2019 Jan 20;42:12-18. Epub 2018 Sep 20.

Department of Medical Surgical Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran. Electronic address:

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. Read More

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http://dx.doi.org/10.1016/j.ienj.2018.09.002DOI Listing
January 2019
3 Reads

Significant changes in emergency department length of stay and case mix over eight years at a large Swedish University Hospital.

Int Emerg Nurs 2019 Mar 3;43:50-55. Epub 2018 Sep 3.

Department of Medicine Solna, Karolinska Institutet, and Functional Area of Emergency Medicine Solna, Karolinska University Hospital, SE-171 76 Stockholm, Sweden. Electronic address:

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. Read More

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http://dx.doi.org/10.1016/j.ienj.2018.08.001DOI Listing
March 2019
6 Reads

Specialist ambulance nurses' experiences of births before arrival.

Int Emerg Nurs 2019 Mar 3;43:45-49. Epub 2018 Sep 3.

Division of Nursing, Department of Health Science, Luleå University of Technology, Luleå, Sweden. Electronic address:

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. Read More

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http://dx.doi.org/10.1016/j.ienj.2018.08.002DOI Listing
March 2019
14 Reads

Information and communication in the emergency department.

Int Emerg Nurs 2019 Jan 17;42:30-35. Epub 2018 Aug 17.

Research and Development Department, Barnsley Hospital NHS Foundation Trust, UK. Electronic address:

Background: Effective communication between healthcare providers and patients represents an important caveat in healthcare, both nationally and internationally. Providing information to patients about their care and condition can be challenging, particularly in demanding, time-pressured environments such as the Emergency Department (ED). Understanding the process of communication and information between patients and staff in the ED is essential to ensuring patients are satisfied with their treatment and care. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S1755599X183009
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http://dx.doi.org/10.1016/j.ienj.2018.07.002DOI Listing
January 2019
4 Reads

Round-off decision-making: Why do triage nurses assign STEMI patients with an average priority?

Int Emerg Nurs 2019 Mar 24;43:34-39. Epub 2018 Jul 24.

Rambam Health Care Campus, Haifa, Israel.

Patients with suspected ST elevation myocardial infarction should be classified with a high-priority triage level in the Emergency Department. Accurate triage can reduce mortality and morbidity in ST elevation myocardial infarction patients. Yet, half of these patients were given a low-priority score, especially the average classification (P3 on a P1-P5 scale). Read More

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http://dx.doi.org/10.1016/j.ienj.2018.07.001DOI Listing
March 2019
4 Reads

Assessing prognosis with modified early warning score, rapid emergency medicine score and worthing physiological scoring system in patients admitted to intensive care unit from emergency department.

Int Emerg Nurs 2019 Mar 21;43:9-14. Epub 2018 Jul 21.

Medipol Mega Hospital, Istanbul, Turkey.

Introduction: In this study our purpose is to examine the effectiveness and reliability of MEWS (Modified Early Warning Score), REMS (Rapid Emergency Medicine Score) and WPS (Worthing Physiological Scoring System) scoring systems for prediction of the prognosis and mortality rate of critically ill patients scheduled to be admitted to intensive care unit (ICU) among emergency department (ED) patients.

Methods: This single-centered retrospective study was performed on medical, surgical and trauma patients referred to the ED and admitted to ICU of University Hospital between 23 July 2013 and 26 November 2015.

Results: Mortality and the duration of stay in ICU were significantly correlated with systolic blood pressure (SBP) and WPS score compared to other variables (p = 0. Read More

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http://dx.doi.org/10.1016/j.ienj.2018.06.002DOI Listing
March 2019
1 Read

Nurses' experiences of prehospital care encounters with children in pain.

Int Emerg Nurs 2019 Mar 20;43:23-28. Epub 2018 Jul 20.

Mid Sweden University, Sweden.

Background: Pain relief in children is a complex issue, partly an ethical dilemma and due to a lack of nursing competence. There are few studies regarding prehospital care encounters with children in pain.

Aim: The aim of this study was to describe nurses' experiences in prehospital care encounters with children in pain and the specific related challenges. Read More

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http://dx.doi.org/10.1016/j.ienj.2018.07.004DOI Listing
March 2019
2 Reads

Nurse-initiated oral opioid pain protocol improves the quality of musculoskeletal pain management in the emergency department.

Int Emerg Nurs 2019 Mar 18;43:29-33. Epub 2018 Jul 18.

Nursing Division, Hadassah Mt. Scopus University Hospital, 4 Churchill Blvd., Jerusalem 91240, Israel. Electronic address:

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http://dx.doi.org/10.1016/j.ienj.2018.07.003DOI Listing
March 2019
1 Read

An examination of the profile and journey of patients with mental illness in the emergency department.

Int Emerg Nurs 2019 Mar 4;43:15-22. Epub 2018 Jul 4.

Central Coast Local Health District, Mental Health Service, PO Box 361, C/- Gosford Mental Health Centre, Gosford Hospital, New South Wales, Australia. Electronic address:

Objective: To examine the profile and journey of patients with mental illness in the emergency departments (ED) of a Local Health District in Australia. There is limited evidence around the patient profile and journey of people in who present to EDs with mental illness, and the aim of this study was to inform the development of a psychiatric emergency service model.

Methods: The study design was a retrospective descriptive analysis of routinely collected data of two hospital EDs. Read More

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http://dx.doi.org/10.1016/j.ienj.2018.06.003DOI Listing
March 2019
5 Reads

Professional resilience among nurses working in an overcrowded emergency department in Taiwan.

Int Emerg Nurs 2019 Jan 25;42:44-50. Epub 2018 Jun 25.

Department of Nursing, Linkou Chang Gung Memorial Hospital, Taiwan. Electronic address:

Purpose: Professional resilience has become increasingly important for nurses in adverse work environments to reduce the negative results and increase the positive outcomes of stress. This study aimed to explore and understand the experiences of resilience among nurses in an overcrowded emergency department (ED) and increase knowledge about what nurses identified as protective factors, which may be useful for future planning.

Methods: A construction-grounded theory (CGT) approach was adopted. Read More

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http://dx.doi.org/10.1016/j.ienj.2018.05.005DOI Listing
January 2019
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Editorial: Who cares for the carers? Looking after emergency healthcare professionals.

Authors:
Geraldine Lee

Int Emerg Nurs 2018 07;39

Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London.

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http://dx.doi.org/10.1016/j.ienj.2018.06.001DOI Listing
July 2018
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An interprofessional learning experience for trainee general practitioners in an academic urban minor injuries unit with advanced nurse practitioners (Emergency).

Int Emerg Nurs 2018 Nov 7;41:19-24. Epub 2018 Jun 7.

Registered Advanced Nurse Practitioner, Emergency Department, Mater Misericordiae University Hospital, Dublin, Ireland.

Background: There is a body of empirical literature indicating that interprofessional education (IPE) not only enriches students' understanding of their own discipline but of other disciplines. However, giving the on-going emphasis on the importance of IPE to healthcare processes and outcomes, on-going attention is needed to advancing the research evidence related to the emergency department setting. The aim of this qualitative descriptive study was to determine the clinical learning experiences of GPs who rotated through an academic urban minor injuries unit as part of their training, led by advanced nurse practitioners (emergency). Read More

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http://dx.doi.org/10.1016/j.ienj.2018.05.002DOI Listing
November 2018
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Healthcare professionals' experiences and attitudes towards family-witnessed resuscitation: A cross-sectional study.

Int Emerg Nurs 2019 Jan 7;42:36-43. Epub 2018 Jun 7.

Department of Cardiology and Department of Medical and Health Sciences, Linköping University, Linköping 581 85, Sweden. Electronic address:

Background: Family-witnessed resuscitation (FWR) offers the option for family to be present during a cardiac arrest, which has been proven to help them in their grieving process. International guidelines highlight the importance of FWR, but this has not yet been widely implemented in clinical practice in Europe.

Aim: Explore nurses' and physicians' experiences and attitudes toward FWR in cardiac care units. Read More

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http://dx.doi.org/10.1016/j.ienj.2018.05.009DOI Listing
January 2019
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Comparison of the Emergency Severity Index versus the Patient Acuity Category Scale in an emergency setting.

Int Emerg Nurs 2018 Nov 7;41:13-18. Epub 2018 Jun 7.

Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.

Objectives: To compare the reliability, validity and resource utilization of the Emergency Severity Index (ESI) and Patient Acuity Category Scale (PACS) triage scales.

Methods: A descriptive, correlational, and cross-sectional design was used. Twenty-seven triage nurses were recruited to test interrater reliability for 20 patient case scenarios. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S1755599X183006
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http://dx.doi.org/10.1016/j.ienj.2018.05.001DOI Listing
November 2018
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Prediction of clinical deterioration after admission from the pediatric emergency department.

Int Emerg Nurs 2019 Mar 7;43:1-8. Epub 2018 Jun 7.

Division of Emergency and Transport Medicine, Children's Hospital Los Angeles, Los Angeles, CA, USA; Department of Pediatrics, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA. Electronic address:

Background: An ongoing threat to hospitalized patients is delayed recognition of clinical deterioration and its association with increased morbidity and mortality.

Objective: This study evaluated the ability of Pediatric Emergency Medicine (PEM) clinicians to predict clinical deterioration of patients admitted from the Pediatric Emergency Department (PED). Clinical deterioration was defined as unanticipated transfer to an Intensive Care Unit (ICU) within 12 h of PED-to-ward admission. Read More

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http://dx.doi.org/10.1016/j.ienj.2018.05.007DOI Listing
March 2019
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Quality and impact of nurse-initiated analgesia in the emergency department: A systematic review.

Int Emerg Nurs 2018 09 6;40:46-53. Epub 2018 Jun 6.

Faculty of Health, University of Technology Sydney, Ultimo, NSW 2007, Australia. Electronic address:

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. Read More

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http://dx.doi.org/10.1016/j.ienj.2018.05.003DOI Listing
September 2018
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