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Australian Emergency Nursing Journal最新文献

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A partnership model for emergency nursing education — creative ways to train and develop new staff 急救护理教育的伙伴关系模式——培训和发展新员工的创新方式
Pub Date : 2004-01-01 DOI: 10.1016/S1328-2743(04)80054-3
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引用次数: 0
Bringing relevant information to diverse groups about emergency department services: The BRIDGE project 向不同群体提供有关急诊科服务的相关信息:BRIDGE项目
Pub Date : 2004-01-01 DOI: 10.1016/S1328-2743(04)80101-9
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引用次数: 0
ODs in the ED — A study of the experiences of emergency nurses caring for people who deliberately self-poison 急诊科的ODs——急诊护士照顾故意自残病人的经验研究
Pub Date : 2004-01-01 DOI: 10.1016/S1328-2743(04)80077-4
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引用次数: 0
An overview of biological and chemical agents 生物和化学制剂的概述
Pub Date : 2004-01-01 DOI: 10.1016/S1328-2743(04)80078-6
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引用次数: 0
In-flight medical emergencies in international air transportation. Safety implications for nurse and physician volunteers 国际航空运输中的飞行医疗紧急情况。护士和医生志愿者的安全问题
Pub Date : 2004-01-01 DOI: 10.1016/S1328-2743(04)80100-7
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引用次数: 0
Legalities associated with advanced emergency nursing practice 与高级急诊护理实践相关的法律
Pub Date : 2004-01-01 DOI: 10.1016/S1328-2743(04)80099-3
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引用次数: 0
Pain management in Australian emergency departments: A critical appraisal of evidence based practice 澳大利亚急诊科的疼痛管理:循证实践的关键评估
Pub Date : 2004-01-01 DOI: 10.1016/S1328-2743(04)80109-3
Tony McCallum (Clinical Nurse Specialist)

This paper is a critical appraisal of evidence based practice in pain management in Australian emergency departments. Pain is the major cause of emergency department attendances yet inadequate pain management is widespread.

Pain management involves assessment, documentation, treatment, and evaluation. Oligoanalgesia is particularly evident in children, the elderly, ethnic patients and patients experiencing severe pain.

Evidence based practice relies upon systematic reviews and clinical practice guidelines yet both are limited in relation to specific emergency department modalities. Further work is required to assess the varied aspects of Australian emergency department pain management practices. Widespread dissemination of the findings is essential to improve the uptake of evidence based practice.

这篇论文是一个关键的证据为基础的实践评估疼痛管理在澳大利亚急诊科。疼痛是急诊室就诊的主要原因,但疼痛管理不力的情况很普遍。疼痛管理包括评估、记录、治疗和评估。少止痛在儿童、老年人、少数民族患者和经历剧烈疼痛的患者中尤为明显。循证实践依赖于系统评价和临床实践指南,但两者在具体的急诊科模式方面都受到限制。需要进一步的工作来评估澳大利亚急诊科疼痛管理实践的各个方面。广泛传播这些发现对于提高循证实践的接受度至关重要。
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引用次数: 7
Increasing confidence of emergency department staff in responding to mental health issues: An educational initiative 提高急诊科工作人员应对心理健康问题的信心:一项教育倡议
Pub Date : 2004-01-01 DOI: 10.1016/S1328-2743(03)80073-1
RN, MS, DNSc Cynthia M Stuhlmiller (Professor of Nursing (Mental Health) School of Nursing and Midwifery) , RN, MS Barry Tolchard (Senior Lecturer and Course Coordinator School of Medicine and School of Nursing and Midwifery) , BA (Hons), MPHC Lyndall J Thomas (Senior Project Officer, Department of Human Services) , RN, PhD, FRCNA Charlotte F de Crespigny (Professor of Nursing (Alcoho & Other Drugs) School of Nursing and Midwifery) , MBBS, FRANZCP Ross S Kalucy am (Professor, Department of Psychiatry) , MBBS, FACEM Diane King (Director Emergency Medicine)

Abstract

Introduction

This paper reports on one major finding of an educational initiative aimed at improving the care of persons presenting to emergency departments (EDs) with mental health issues. This goal, to improve care, was based on the premise that enhanced knowledge and skills of ED staff in mental health, including drug and alcohol issues, would result in increased confidence and competence of staff. The outcome of this would be that they could provide more effective and efficient service and thus better facilitate triage of persons with these problems.

Objective

To increase the confidence of staff in working with increasing numbers of mental health presentations in EDs.

Methods

Pre and post Emergency Mental Health Alcohol and Other Drugs (EMHAD) course questionnaires assessed self-ratings of clinical confidence in working with people with mental health issues. Follow-up interviews assessed if new found confidence in mental health had been integrated into daily ED practice.

Results

Self ratings of clinical confidence, including knowledge and skills, showed a significant improvement on all questions following the course. Responses to the follow-up interviews suggest that participants in the course had retained and integrated information into practice. This was especially evident in their ability to talk to people about mental health problems and to triage more appropriately.

Conclusion

Since attending the course staff feel more confident and competent to deal with mental health, including alcohol and other drug presentations, in the emergency department.

摘要:本文报告了一项旨在改善急诊科(ed)心理健康问题患者护理的教育倡议的主要发现。这一改善护理的目标的前提是,提高急诊科工作人员在心理健康(包括毒品和酒精问题)方面的知识和技能,将提高工作人员的信心和能力。这样做的结果是,他们可以提供更有效和高效率的服务,从而更好地为有这些问题的人提供分流。目的随着急诊科心理健康诊疗量的增加,提高工作人员的工作信心。方法紧急心理健康酒精和其他药物(EMHAD)课程问卷调查前后对心理健康问题患者的临床自信心进行自我评价。后续访谈评估了新发现的心理健康信心是否已融入日常ED实践。结果临床自信的自我评分,包括知识和技能,在课程结束后的所有问题上都有显著的改善。对后续访谈的回应表明,课程参与者保留了信息并将其整合到实践中。这一点在他们与人们谈论心理健康问题和更适当地进行分诊的能力上尤为明显。结论参加课程后,工作人员在急诊科处理包括酒精和其他药物在内的心理健康问题时更有信心和能力。
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引用次数: 37
Pre-hospital management and patient outcome in severe traumatic brain injury 重型外伤性脑损伤的院前处理与患者预后
Pub Date : 2004-01-01 DOI: 10.1016/S1328-2743(04)80062-2
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引用次数: 0
Partners in care — recognising emergency department volunteers 合作伙伴在护理承认急诊科志愿者
Pub Date : 2004-01-01 DOI: 10.1016/S1328-2743(04)80089-0
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引用次数: 0
期刊
Australian Emergency Nursing Journal
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