559 results match your criteria International Emergency Nursing [Journal]


Perspectives on Indigenous cultural competency and safety in Canadian hospital emergency departments: A scoping review.

Int Emerg Nurs 2019 Feb 4. 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
February 2019

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

Int Emerg Nurs 2019 Feb 4. 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
February 2019

Partnering with families: Is the ED ready?

Int Emerg Nurs 2019 Jan;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

Ethical prioritization of patients during disaster triage: A systematic review of current evidence.

Int Emerg Nurs 2019 Jan 3. 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
January 2019
4 Reads

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

Int Emerg Nurs 2018 Dec 21. 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
December 2018

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

Int Emerg Nurs 2018 Dec 7. 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
December 2018

Emergency department registered nurses' disaster medicine competencies. An exploratory study utilizing a modified Delphi technique.

Int Emerg Nurs 2018 Dec 7. 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
December 2018
3 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 2018 Dec 1. Epub 2018 Dec 1.

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
December 2018
1 Read

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
7 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
6 Reads

Triage education in rural remote settings: A scoping review.

Int Emerg Nurs 2018 Nov 10. 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
November 2018
19 Reads

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

Int Emerg Nurs 2018 Nov 1. Epub 2018 Nov 1.

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
November 2018
1 Read

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

Patient perspectives of pregnancy loss in the emergency department.

Int Emerg Nurs 2018 Nov 1. Epub 2018 Nov 1.

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
November 2018
6 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
2 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 2018 Oct 29. 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
October 2018
8 Reads

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

Int Emerg Nurs 2018 Oct 29. 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
October 2018
1 Read

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

Int Emerg Nurs 2018 Oct 10. Epub 2018 Oct 10.

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
October 2018

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

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
1 Read

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
1 Read

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

Int Emerg Nurs 2018 Sep 3. 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
September 2018
5 Reads

Specialist ambulance nurses' experiences of births before arrival.

Int Emerg Nurs 2018 Sep 3. 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
September 2018
12 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
3 Reads

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

Int Emerg Nurs 2018 Jul 24. 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
July 2018
3 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 2018 Jul 21. 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

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

Int Emerg Nurs 2018 Jul 20. 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
July 2018
1 Read

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

Int Emerg Nurs 2018 Jul 18. 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

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

Int Emerg Nurs 2018 Jul 3. Epub 2018 Jul 3.

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
July 2018
4 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

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

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
5 Reads

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

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
1 Read

Prediction of clinical deterioration after admission from the pediatric emergency department.

Int Emerg Nurs 2018 Jun 6. Epub 2018 Jun 6.

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
June 2018
1 Read

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

Characteristics of patients with ankle sprain presenting to an emergency department in the south of England (UK): A seven-month review.

Int Emerg Nurs 2018 Nov 7;41:38-44. Epub 2018 Jun 7.

Faculty of Health Sciences, University of Southampton, Southampton, UK.

Introduction: There is lack of evidence about ankle sprain patients presenting to emergency department (ED) in the UK. The study aim was to determine prevalence, demographic and clinical characteristics of patients attending to one ED. Knowing those characteristics may help setting prevention strategies and inform effective clinical practice. Read More

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http://dx.doi.org/10.1016/j.ienj.2018.05.008DOI Listing
November 2018
2 Reads

Emergency nursing students' and nurse educators' perception of care delivery: A comparison study of self-assessment ratings.

Int Emerg Nurs 2018 Nov 5;41:31-37. Epub 2018 Jun 5.

La Trobe University School of Nursing and Midwifery, 99 Commercial Road, Melbourne 3004, Victoria Australia.

Background: Postgraduate emergency nursing studies strengthen the emergency nursing workforce and contribute to specialist patient care. Formative and summative assessments in postgraduate study are important for student learning as they enable self-reflection and feedback.

Aim: To compare formative and summative appraisal assessments between postgraduate emergency nursing students and nurse educators. Read More

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http://dx.doi.org/10.1016/j.ienj.2018.05.006DOI Listing
November 2018

A different crowd, a different crowding level? The predefined thresholds of crowding scales may not be optimal for all emergency departments.

Int Emerg Nurs 2018 Nov 5;41:25-30. Epub 2018 Jun 5.

Centre for Health Economics Research and Evaluation, University of Technology Sydney, P.O. Box 123, Broadway NSW 2007 Sydney, Australia. Electronic address:

Introduction: Previous studies indicate that crowding scales may not perform well in low-volume emergency departments (EDs). In this study, face-validity of the Modified National ED OverCrowding Score (mNEDOCS) was assessed in a high-volume ED as well as in a low-volume ED.

Methods: A prospective observational cohort study was performed in the Netherlands. Read More

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http://dx.doi.org/10.1016/j.ienj.2018.05.004DOI Listing
November 2018
1 Read

'Fast and frugal heuristics': Clinical decision making in the Emergency Department.

Int Emerg Nurs 2018 Nov 3;41:7-12. Epub 2018 May 3.

University of Stirling, Scotland, UK.

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http://dx.doi.org/10.1016/j.ienj.2018.04.002DOI Listing
November 2018

A close encounter: Hand injuries in the ED.

Authors:
Martin Duignan

Int Emerg Nurs 2018 09 26;40:54-57. Epub 2018 Apr 26.

Emergency Department, Our Lady's Hospital, Navan, Ireland; Faculty of Nursing & Midwifery Royal College of Surgeons in Ireland (FFNMRCSI), Ireland. Electronic address:

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http://dx.doi.org/10.1016/j.ienj.2018.03.004DOI Listing
September 2018
4 Reads

Nurse-initiated radiographic-test protocol for ankle injuries: A randomized controlled trial.

Int Emerg Nurs 2018 Nov 25;41:1-6. Epub 2018 Apr 25.

Accident and Emergency Department, Alice Ho Miu Ling Nethersole Hospital, 11 Chuen On Road, Tai Po, New Territories, Hong Kong.

Introduction: Nurse-initiated radiographic-test protocol was compared with usual practice in reducing unnecessary ankle and foot radiographic-test requests and shortening patients' length of stay (LOS) in an emergency department (ED) by reducing their waiting time for physician reassessment.

Methods: Patients with ankle injuries were enrolled in an unblinded randomized controlled trial. Participants were randomized to receive either the protocol (n = 56) or usual practice (n = 56). Read More

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http://dx.doi.org/10.1016/j.ienj.2018.04.001DOI Listing
November 2018
2 Reads

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

Int Emerg Nurs 2018 09 25;40:37-45. Epub 2018 Apr 25.

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

Background: Major trauma is a significant public health problem and a leading cause of death for several age groups. To address this issue, Major Trauma Networks were introduced in the UK from 2010, consisting of Major Trauma Centres (MTCs) and a network of linked Trauma Units (TUs).

Objective: The aim is to undertake a systematic review to examine how effective is trauma simulation as an educational process for healthcare providers within trauma networks. Read More

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http://dx.doi.org/10.1016/j.ienj.2018.03.007DOI Listing
September 2018

Accidental injuries among older adults: An incidence study.

Int Emerg Nurs 2018 09 13;40:12-17. Epub 2018 Apr 13.

Centre of Public Health Sciences, University of Iceland, Reykjavik, Iceland. Electronic address:

Background: To date, the majority of studies assessing accidental injuries among the elderly have focused on fall injuries, while studies of other mechanisms of injuries have been lacking. Therefore, the main objective of this study was to investigate all injury-related visits among older adults to an emergency department and risk factors for injuries.

Methods: Data were collected on all registered visits of adults, ≥67 years old, living in the capital of Iceland, to the emergency department of Landspitali, the National University Hospital, in 2011 and 2012. Read More

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http://dx.doi.org/10.1016/j.ienj.2018.03.003DOI Listing
September 2018
4 Reads

Perceptions of hospital emergency color codes among hospital employees in Korea.

Int Emerg Nurs 2018 09 10;40:6-11. Epub 2018 Apr 10.

Red Cross College of Nursing, Chung-Ang University, 84 Heukseok-Ro, Dongjak-Gu, Seoul 06974, Republic of Korea. Electronic address:

Introduction: Hospital emergency codes frequently comprise of colors to prevent confusion and enhance prompt response to emergency situations. The purpose of this study was to identify perceptions of emergency color codes among hospital employees in Korea.

Methods: A 12-color spectrum and emergency situations were selected from the standardized emergency color codes used in the US and Canada. Read More

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http://dx.doi.org/10.1016/j.ienj.2018.03.005DOI Listing
September 2018
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Assessing bottlenecks in Emergency Department flow of patients with abdominal pain.

Int Emerg Nurs 2018 09 7;40:1-5. Epub 2018 Apr 7.

Centre for Health Economics Research and Evaluation, University of Technology Sydney, PO Box 123, Broadway, Sydney, NSW 2007, Australia. Electronic address:

Introduction: Abdominal pain has a wide range of possible causes, which may lead to difficulties in diagnosing and lengthy Emergency Department (ED) stays. In this study, bottlenecks in ED processes of patients with abdominal pain were identified.

Methods: Time-points of patients who presented to a Dutch ED with abdominal pain were observed and documented. Read More

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http://dx.doi.org/10.1016/j.ienj.2018.03.006DOI Listing
September 2018
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Analysis of the effects of high-fidelity simulation on nursing students' perceptions of their preparedness for disasters.

Int Emerg Nurs 2018 05 27;38:3-9. Epub 2018 Mar 27.

Hasan Kalyoncu University, School of Nursing, Gaziantep, Turkey.

Introduction: As disasters may occur any time, health care staff and institutions should be prepared to manage these events. The aim of study is to analyze the effects of high-fidelity simulation on the perceptions of senior nursing students regarding their preparedness for disasters.

Methods: This study used a pretest-posttest design and was conducted as a quasi-experimental investigation. Read More

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http://dx.doi.org/10.1016/j.ienj.2018.03.002DOI Listing
May 2018
3 Reads

Emergency clinicians' perceived self-efficacy in the care of intoxicated women victims of violence.

Int Emerg Nurs 2018 09 16;40:18-22. Epub 2018 Mar 16.

Adelaide Nursing School, The University of Adelaide, North Terrace, Adelaide, South 5005, Australia. Electronic address:

Background: Previous research has identified perceived self-efficacy to be a vital component of clinicians' positive attitudes towards caring for intoxicated patients and women who have been assaulted. To date, little is known about the perceived self-efficacy and influences among emergency clinicians towards intoxicated women victims of violence.

Method: Using mixed methods, 179 emergency clinicians were surveyed and 22 emergency clinicians were interviewed in South Australia about their education/training, their awareness and use of best practice guidelines and tools, and their perceived self-efficacy toward treating intoxicated women victims of violence. Read More

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http://dx.doi.org/10.1016/j.ienj.2018.03.001DOI Listing
September 2018
6 Reads

Editorial: Improving healthcare for our homeless patients matters.

Authors:
Simone Herrmann

Int Emerg Nurs 2018 05 9;38:1-2. Epub 2018 Mar 9.

Emergency Department, St Thomas Hospital, London, UK. Electronic address:

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http://dx.doi.org/10.1016/j.ienj.2018.02.005DOI Listing
May 2018
1 Read