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International Emergency Nursing

Kelsey Berg, Patrick McLane, Nicole Eshkakogan, Jennifer Mantha, Tracy Lee, Chelsea Crowshoe, Ann Phillips
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. AIM: To identify and elaborate upon barriers and facilitators of cultural competency and safety in Canadian Emergency Departments. METHODS: We conducted a scoping review to search published and grey literature to identify and extract data on definitions, measures, facilitators and barriers of cultural competency and safety...
February 4, 2019: International Emergency Nursing
A Harley, A N B Johnston, K J Denny, G Keijzers, J Crilly, D Massey
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. The knowledge and insights gained from this study may be used to inform local and international ED policies, and enrich nursing educational packages that may be used to improve quality of patient care and patient outcomes...
February 4, 2019: International Emergency Nursing
Margaret Fry, Kirsten Abrahamse, Steve Kay, Rosalind M Elliott
INTRODUCTION: Suicide in older people is a public health concern. Emergency nurses are ideally placed to identify suicide risk. Therefore, the aim of this research was to explore emergency nurses' knowledge, confidence and attitudes about suicide in older people. METHODS: This descriptive exploratory study was conducted in four emergency departments in Sydney, Australia. Data were collected using a 28-item survey from a convenience sample of emergency nurses. Descriptive quantitative statistics and conventional content analysis were performed...
January 30, 2019: International Emergency Nursing
Vahid Ghanbari, Ali Ardalan, Armin Zareiyan, Amir Nejati, Dan Hanfling, Alireza Bagheri
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. METHOD: Electronic databases were searched via structured search strategy from 1990 until July 2017...
January 3, 2019: International Emergency Nursing
Elisabeth Frost, Annica Kihlgren, Maria Jaensson
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. AIM: The aim of this study was to explore the experiences of nurse and physician specialists in Sweden undertaking long distance aeromedical transport of critically ill patients, with a flight time of more than two hours...
December 21, 2018: International Emergency Nursing
Annette Brett Bowen
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. This small qualitative study aims to explore emergency nurse practitioners' experiences of managing acutely unwell patients in MIU...
December 7, 2018: International Emergency Nursing
Jason P Murphy, Monica Rådestad, Lisa Kurland, Maria Jirwe, Ahmadreza Djalali, Anders Rüter
No abstract text is available yet for this article.
December 7, 2018: International Emergency Nursing
Anne-Lize Amesz, Matthijs de Visser, Bas de Groot
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. hypotension), received fluids and oxygen, and how many EMS patients without clinical signs of organ failure appeared to have organ failure in the emergency department (ED). METHODS: We interrogated an existing database in which consecutive ED patients hospitalized with suspected infection were prospectively collected...
December 1, 2018: International Emergency Nursing
W Emmamally, C Erlingsson, P Brysiewicz
No abstract text is available yet for this article.
January 2019: International Emergency Nursing
Amber Hardy, Pauline Calleja
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. The purpose of this review was; to discover how effective education support programs were in developing clinical decision-making skills for graduates at triage; and to determine what is known about triage education support programs for graduate or novice registered nurses undertaking triage in rural and remote settings...
November 10, 2018: International Emergency Nursing
Elina Koota, Maria Kääriäinen, Hanna-Leena Melender
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...
November 2018: International Emergency Nursing
Geiza Costa, Olavo Cabral, Eduardo Santana, Glaucia Lima, Israel Figueiredo
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...
November 2018: International Emergency Nursing
Anita Keller-Senn, Geraldine Lee, Lorenz Imhof, Jackie Sturt
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. All adult patients with diabetes type 1 or type 2 with SHE were included in the analysis...
November 1, 2018: International Emergency Nursing
Kyeongmin Jang, Kwisoon Choe
No abstract text is available yet for this article.
November 1, 2018: International Emergency Nursing
Brittany E Punches, Kimberly D Johnson, Shauna P Acquavita, Dianne M Felblinger, Gordon L Gillespie
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. This study describes the perspectives of women experiencing a pregnancy loss in the ED. METHODS: The study used a qualitative descriptive research design interviewing women diagnosed with a pregnancy loss in the ED...
November 1, 2018: International Emergency Nursing
Josefin Rahmqvist, Eva Benzein, Christen Erlingsson
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. METHODS: Individual interviews were conducted with twelve nurses from seven emergency departments...
November 1, 2018: International Emergency Nursing
Ruth Treadgold, Daranee Boon, Phillipa Squires, Simon Courtman, Ruth Endacott
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...
October 29, 2018: International Emergency Nursing
Kelli Innes, Debra Jackson, Virginia Plummer, Doug Elliott
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. METHODS: Survey design. A 40-item survey was developed, piloted and then distributed to members of a professional College for online completion...
October 29, 2018: International Emergency Nursing
M Mäkinen, M Castrén, K Huttunen, S Sundell, J Kaartinen, M Ben-Meir, M Renholm
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. Ninety percent had received discharge instructions from the ED staff, most of them (75%) about medication...
October 10, 2018: International Emergency Nursing
Anna Granström, Lovisa Strömmer, Ann-Charlotte Falk, Anna Schandl
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. The aim of this study was to explore trauma patients' experiences of being exposed to initial full trauma team assessment at a Level 1 trauma centre. METHODS: Interviews with 16 patients who had been exposed to initial trauma care were conducted at a Level 1 trauma centre, at a Swedish University Hospital...
September 28, 2018: International Emergency Nursing
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