Evidence based emergency nursing: designing a research question and searching the literature
Good research starts with a clear, answerable research question that addresses an important problem or phenomenon of interest (Considine et al., 2015). Research should also be guided by prevailing local, national and international priorities, organisational strategic goals and relevant professional standards. Formulating a specific and answerable research question is often challenging for the beginning researcher (Considine et al., 2015). Observations of clinical practice, deep and considered reflection of personal and clinical experiences, and an inquiring mind are good foundations for well-developed research questions (C...
Source: International Emergency Nursing - February 2, 2017 Category: Nursing Authors: Julie Considine, Ramon Z. Shaban, Margaret Fry, Kate Curtis Source Type: research
Doctors ’ and Nurses’ Perceptions of Military Pre-hospital Emergency Care – When Training Becomes Reality
Doctors and nurses face a complex task when they take care of casualties in the field. Casualty care in austere environments is context dependent. It is not possible to transfer civilian guidelines to the military environment without the necessary adjustments to these guidelines, in order not to cause problems [1]. After finishing their pre-deployment training, the doctors and nurses end up directly in reality. There are no opportunities to obtain clinical training in the actual context, as would be the standard in civilian health care. (Source: International Emergency Nursing)
Source: International Emergency Nursing - January 25, 2017 Category: Nursing Authors: Sten-Ove Andersson, Lars Lundberg, Anders Jonsson, Pia Tingstr öm, Madeleine Abrandt Dahlgren Source Type: research
The impact of an Emergency Department Ambulance offload nurse role: a retrospective comparative study
Emergency Department (ED) overcrowding is a common issue noted internationally (Forero et al., 2011; Richardson, 2006; Sprivulis et al., 2006) that can impact on the ability to deliver safe, timely, quality care. ED overcrowding has been described as a situation where patient care is hindered due to large numbers of patients exceeding the department ’s ability to provide adequate physical space and provision of sufficient staff to meet patients’ needs (Australian College for Emergency Medicine, 2014). (Source: International Emergency Nursing)
Source: International Emergency Nursing - December 21, 2016 Category: Nursing Authors: Tanya Greaves, Marion Mitchell, Ping Zhang, Julia Crilly Source Type: research
Evaluation of the Implementation of the South African Triage System at an Academic Hospital in Central Haiti
As Emergency Medicine continues to expand globally, it is increasingly important that hospitals adopt strategies to improve the quality and efficiency of emergency care. Triage, the process of sorting patients according to need so that the sickest patients receive priority treatment [1], has become a corner stone of emergency department (ED) quality and patient flow [2]. Triage allows for early recognition and treatment of critically ill patients, improves resource utilization and patient satisfaction, and decreases length of stay and admission rates [3]. (Source: International Emergency Nursing)
Source: International Emergency Nursing - December 20, 2016 Category: Nursing Authors: Shada A. Rouhani, Emily Aaronson, Angella Jacques, Sandy Brice, Regan H. Marsh Source Type: research
Family Presence During Resuscitation (FPDR): Observational case studies of emergency personnel in Victoria, Australia
Family presence during resuscitation (FPDR), although not a new concept, remains inconsistently implemented by emergency personnel. While it has long since been established that the allocation of resuscitation team roles improves efficiency, the family are often left without a family liaison during the resuscitation event (Porter, Cooper,& Sellick, 2014). The allocation of a designated multi-professional team member responsible for communication between the patient, staff and family members was recommended as best practice in the National Institute for Health and Care Excellence (NICE) guidelines (National Clinical Guideli...
Source: International Emergency Nursing - December 17, 2016 Category: Nursing Authors: Joanne E. Porter, Nareeda Miller, Anita Giannis, Nicole Coombs Source Type: research
Acute coronary syndrome in relation to the occurrence of associated symptoms: a quantitative study in prehospital emergency care
Acute chest pain is a common symptom among prehospital emergency care patients. Therefore, it is crucial that ambulance nurses (ANs) have the ability to identify symptoms and assess patients suffering from acute coronary syndrome (ACS). The aim of this study is to explore the occurrence of dyspnoea and nausea and/or vomiting in the prehospital phase of a suspected ACS and the associations with patients ’ outcome. (Source: International Emergency Nursing)
Source: International Emergency Nursing - December 16, 2016 Category: Nursing Authors: Henrik Andersson, Andreas Ullgren, Mats Holmberg, Thomas Karlsson, Johan Herlitz, Birgitta Wireklint Sundstr öm Source Type: research
Educating Emergency Department Registered Nurses (EDRNs) in Screening, Brief Intervention, and Referral to Treatment (SBIRT): Changes in Attitudes and Knowledge Over Time
The advent of healthcare reform has focused national attention on preventable emergency department (ED) admissions and hospital readmissions for chronic disorders. Clinical attention to ED admissions resulting from hazardous alcohol and other drug (AOD) use can significantly improve patient care and reduce high cost utilization of ED visits and treatment. (Source: International Emergency Nursing)
Source: International Emergency Nursing - December 16, 2016 Category: Nursing Authors: Ann M. Mitchell, Irene Kane, Dawn L. Lindsay, Holly Hagle, Kathy Puskar, Jim Aiello, Lynn Boucek, Emily Knapp Source Type: research
Early neurological deterioration in older adults with traumatic brain injury
The incidence of traumatic brain injury (TBI) hospitalizations and deaths among older adults has spiked in recent years [9]. Although many of these brain injuries are life threatening, the likelihood of treatment at a trauma center hospital declines with age [31]. Injury severity is often unrecognized at the scene and patients arrive at emergency departments (EDs) with near normal Glasgow Coma Scale (GCS) scores [7,24,35]. Falls are the primary mechanism of injury among older adults who sustain a TBI [10]. (Source: International Emergency Nursing)
Source: International Emergency Nursing - November 29, 2016 Category: Nursing Authors: Linda J. Scheetz, Michael A. Horst, Richard B. Arbour Source Type: research
Early Neurological Deterioration in Older Adults with Traumatic Brain Injury
The incidence of traumatic brain injury (TBI) hospitalizations and deaths among older adults has spiked in recent years (Centers for Disease Control and Prevention, 2016a). Although many of these brain injuries are life threatening, the likelihood of treatment at a trauma center hospital declines with age (Newgard et al., 2011). Injury severity is often unrecognized at the scene and patients arrive at emergency departments (EDs) with near normal Glasgow Coma Scale (GCS) scores (Brewer et al., 2011; Kehoe et al., 2015; Salottolo et al., 2014). (Source: International Emergency Nursing)
Source: International Emergency Nursing - November 28, 2016 Category: Nursing Authors: Linda J. Scheetz, Michael A. Horst, Richard B. Arbour Source Type: research
Workplace aggression as cause and effect: Emergency nurses ’ experiences of working fatigued
Fatigue has the potential to affect nurses ’ ability to provide safe and effective patient care as well as their health and quality of life outside of work. Nurses must be attentive enough not only to recognize their own potential for making errors, but also to identify and mitigate the errors of others (Dean et al., 2006). Research findin gs connect some of the world’s worst disasters with fatigue: both the Chernobyl nuclear reactor catastrophe and the Challenger Space Shuttle disaster were linked to human error due to fatigue and sleepiness (Mitler et al., 1988). (Source: International Emergency Nursing)
Source: International Emergency Nursing - November 8, 2016 Category: Nursing Authors: Lisa A. Wolf, Cydne Perhats, Altair M. Delao, Paul R. Clark Source Type: research
A Literature Review Examining the Barriers to the Implementation of Family Witnessed Resuscitation in the Emergency Department
Caring for patients in the Emergency Department (ED) who are near death, often in tragic circumstances, is challenging for all concerned where difficult ethical decisions are required regarding cardiopulmonary resuscitation (CPR). The care of bereaved relatives is equally as important as that of the dying patient, with the care provided during this time significantly impacting the family ’s grieving process [34]. Since the 1980s the concept of Family Witnessed Resuscitation (FWR) has been practiced internationally within healthcare settings, prior to which families were usually prevented from being present during CPR [4]...
Source: International Emergency Nursing - November 8, 2016 Category: Nursing Authors: Catherine Johnson Tags: Review Source Type: research
Psychometric properties of the Management of Aggression and Violence Attitude Scale in Hong Kong ’s emergency care setting
While a safe and therapeutic environment is imperative to enable healthcare staff to deliver high quality and effective care to patients, patient violence towards nurses and other healthcare workers is a common global phenomenon in most healthcare settings. A recent literature review on nurses ’ exposure to violence in different work settings found that about two-thirds of nurses are exposed to verbal abuse, one-third to physical violence, and one-quarter to sexual harassment (Spector, Zhou,& Che, 2014). (Source: International Emergency Nursing)
Source: International Emergency Nursing - November 7, 2016 Category: Nursing Authors: Wai Kit Wong, Wai Tong Chien Source Type: research
Hospital admission in older persons presenting with dizziness in the Emergency department
One of the most frequent chief complaints among older persons presenting in the emergency department (ED) is dizziness. Persons with dizziness often call for an ambulance [1] and, depending on previous medical history and assessment by the medical dispatcher, are triaged as urgent as well as non-urgent. Thus, the nurse in the ambulance plays an important role in the management of patients presenting with dizziness and early decision of the urgency, showing the difficulties in determining the acuity of the symptoms [2,3]. (Source: International Emergency Nursing)
Source: International Emergency Nursing - November 3, 2016 Category: Nursing Authors: Anna Ekwall, Johanna Schrab, Karolina Runesson, M åns Magnussons Source Type: research
Hospital admission in older persons presenting with dizziness in the Emergency department Anna Ekwall, Karolina Nilsson, Johanna Schrab and M åns Magnusson
One of the most frequent chief complaints among older persons presenting in the emergency department (ED) is dizziness. Persons with dizziness often call for an ambulance [1] and, depending on previous medical history and assessment by the medical dispatcher, are triaged as urgent as well as non-urgent. Thus, the nurse in the ambulance plays an important role in the management of patients presenting with dizziness and early decision of the urgency, showing the difficulties in determining the acuity of the symptoms [2,3]. (Source: International Emergency Nursing)
Source: International Emergency Nursing - November 2, 2016 Category: Nursing Authors: Anna Ekwall, Johanna Schrab, Karolina Runesson, M åns Magnussons Source Type: research
