International Emergency Nursing最新文献

Urgent care in Australia: Unblocking nurse practitioner capacity to address systemic access issues 紧急护理在澳大利亚：解锁护士执业能力，以解决系统访问问题

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing

Pub Date : 2026-01-16 DOI: 10.1016/j.ienj.2025.101741

Natasha Jennings , Vanessa Clothier

引用次数: 0

Leadership in emergency medical services: An integrative literature review 急救医疗服务中的领导力：综合文献综述

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing

Pub Date : 2026-01-13 DOI: 10.1016/j.ienj.2026.101750

Jenni Hirvikallio , Pauliina Hackman , Ari Haaranen , Tarja Kvist

Background

Leadership style in nursing has been associated with job satisfaction and patient outcomes. However, leadership research in emergency medical services (EMS) is limited and often emphasizes clinical encounters rather than system-level leadership.

Objective

This integrative review aimed to explore how leadership in EMS has been described in scientific research, to provide an overview of key themes, and to generate a synthesis that supports leadership development.

Methods

Searches were conducted in CINAHL, Scopus, and PubMed. Studies focused on clinical leadership were excluded. Two independent reviewers screened and critically appraised 17 articles, synthesizing the findings using a structured, integrative, and inductive approach to identify key EMS leadership themes.

Results

The included studies were thematically heterogeneous. Five key themes emerged: leadership models and styles, personnel management, communication and interaction, employee competence development and quality assurance, and transition into leadership roles. The literature showed limited coherence, and few studies examined leadership styles in detail.

Conclusions

Leadership in EMS is complex and context dependent. The relationship between transformational leadership, employee well-being, and system or patient outcomes has not been sufficiently studied. Although transformational leadership appears well-suited to EMS’s dynamic and high-pressure environment, it remains underutilized and underexplored.

护理的领导风格与工作满意度和病人的治疗结果有关。然而，领导力研究在紧急医疗服务（EMS）是有限的，往往强调临床接触，而不是系统层面的领导。目的：本综合综述旨在探讨如何在科学研究中描述EMS中的领导力，提供关键主题的概述，并生成一个支持领导力发展的综合。方法在CINAHL、Scopus和PubMed中进行检索。关注临床领导的研究被排除在外。两位独立审稿人筛选并严格评估了17篇文章，使用结构化、综合和归纳的方法综合了研究结果，以确定关键的EMS领导力主题。结果纳入的研究具有主题异质性。五个关键主题出现了：领导模式和风格，人事管理，沟通和互动，员工能力发展和质量保证，以及向领导角色的转变。文献显示出有限的一致性，而且很少有研究详细考察了领导风格。结论环境管理中的领导是复杂的，并且与环境有关。变革型领导、员工幸福感和系统或患者结果之间的关系尚未得到充分研究。尽管变革型领导似乎非常适合EMS的动态和高压环境，但它仍未得到充分利用和探索。

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引用次数: 0

Team collaboration and caring ability as reciprocal predictors of missed nursing care: A cross-sectional study among emergency nurses in China 团队协作和护理能力互为护理缺失的预测因子：中国急诊护士的横断面研究。

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing

Pub Date : 2026-01-11 DOI: 10.1016/j.ienj.2026.101747

Weiwei Zhang , Weisi Peng , Xiufen Yang , Rui Sun , Jiaxiu Deng , Yueming Peng , Di Huang

Background

Missed nursing care remains a major patient safety concern in emergency departments, where high workloads and limited staffing frequently lead to omissions in fundamental care. Yet the impact of nurses’ caring ability and team collaboration on missed care has received limited empirical attention.

Aim

To examine the independent and interactive effects of nurses’ caring ability and team collaboration on missed nursing care in emergency departments, and to assess potential bidirectional mediation mechanisms.

Method

A cross-sectional study was conducted among 643 emergency nurses in five tertiary hospitals in Guangdong Province, China. Participants completed the Missed Nursing Care Scale, the Nursing Teamwork Survey, and the Caring Ability Inventory. Data were analysed using descriptive statistics, Pearson’s correlation, multiple linear regression, and structural equation modelling.

Results

Both nurses’ caring ability and team collaboration were significantly associated with reduced missed nursing care. Trust, support, courage, and cognition were identified as protective factors. Mediation modelling revealed a bidirectional mechanism in which each factor partially mediated the effect of the other on missed care.

Conclusion

This study highlights the reciprocal relationship between interpersonal competencies and missed nursing care. Interventions targeting both individual and team-level capacities may enhance care quality and patient safety in high-intensity emergency settings.

背景：在急诊科，高工作量和有限的人员配置经常导致基本护理的遗漏，因此遗漏护理仍然是一个主要的患者安全问题。然而，护士护理能力和团队协作对错过护理的影响却受到有限的实证关注。目的：探讨急诊科护士护理能力和团队协作对护理缺失的独立作用和交互作用，并探讨可能的双向调节机制。方法：对广东省五所三级医院643名急诊护士进行横断面调查。参与者完成了缺失护理量表、护理团队调查和护理能力量表。数据分析采用描述性统计、Pearson相关、多元线性回归和结构方程模型。结果：护理人员的护理能力和团队协作能力与护理失察率显著相关。信任、支持、勇气和认知被确定为保护因素。中介模型揭示了一个双向机制，其中每个因素部分地中介了其他因素对遗漏护理的影响。结论：本研究强调了人际交往能力与护理失察之间的相互关系。针对个人和团队能力的干预措施可在高强度紧急情况下提高护理质量和患者安全。

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引用次数: 0

Emergency Nurses’ Comprehensive process of surrogate decision Support: Reanalysis of qualitative data Using a grounded theory 急诊护士替代决策支持的综合过程：基于扎根理论的定性数据再分析

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing

Pub Date : 2026-01-09 DOI: 10.1016/j.ienj.2026.101749

Sadami Momiyama , Hayato Katayanagi , Makoto Nakabayashi , Tomoko Fujino , Noriko Sakoda , Yoshiko Sato , Takafumi Noguchi , Hiroko Susaka , Hidekazu Hishinuma , Tomoya Tozawa , Tomomi Muraoka

引用次数: 0

From uncertainty to confidence: Standardizing team approach to physical restraint (TAPR) for safer emergency care. A pre-post intervention quality improvement project 从不确定性到信心：为更安全的急救护理规范团队物理约束（TAPR）方法。干预前后质量改善项目

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing

Pub Date : 2026-01-08 DOI: 10.1016/j.ienj.2026.101743

Jonathan Garcia, Hannah Butler, Kristin Boggs, Jocelyn Yanez

Background

Managing violent and disruptive patients in emergency care remains a critical challenge, placing both staff and patient at risk. A multidisciplinary team developed the Team Approach to Physical Restraint (TAPR) intervention to offer a collaborative, role-based framework for safely managing these situations through interdisciplinary coordination.

Aim

This study aimed to evaluate TAPR’s effectiveness in promoting safety and team-based preparedness in the emergency department.

Methods

A pre- and post-intervention survey design was used to assess the impact of TAPR among emergency department clinicians across multiple roles. The survey included 8 pre-interventions and 12 post-interventions, utilizing Likert-type scales to measure outcomes related to role clarity, perceived injury prevention, confidence in protocol use, and overall effectiveness. Descriptive statistics were used to analyze participant responses.

Results

Following the intervention, 92.5 % of participants reported clarity and applicability in role assignments. Additionally, 77.5 % believed TAPR reduced the likelihood of injuries during restraints, and 90% expressed confidence in initiating the protocol. Overall, 87.5 % agreed that TAPR effectively reduced risks during violent patient encounters.

Conclusion

TAPR enhanced preparedness, improved interprofessional collaboration and increased staff confidence in managing violent patients. These findings suggest that TAPR may serve as standardized approach for promoting safety and consistency in emergency care environments.

在急诊护理中管理暴力和破坏性患者仍然是一项重大挑战，使工作人员和患者都面临风险。一个多学科团队开发了团队物理约束方法（TAPR）干预，通过跨学科协调，为安全管理这些情况提供了一个协作的、基于角色的框架。目的本研究旨在评估TAPR在促进急诊科安全和团队准备方面的有效性。方法采用干预前和干预后调查设计，评估TAPR对急诊科多角色临床医生的影响。该调查包括8项干预前和12项干预后，利用李克特量表测量与角色清晰度、感知伤害预防、对方案使用的信心和总体有效性相关的结果。描述性统计用于分析参与者的反应。结果干预后，92.5%的参与者报告了角色分配的清晰性和适用性。此外，77.5%的人认为TAPR减少了束缚期间受伤的可能性，90%的人表示有信心启动该方案。总体而言，87.5%的人认为TAPR有效地降低了患者遭遇暴力事件时的风险。结论tapr加强了准备工作，改善了专业间的合作，提高了工作人员管理暴力患者的信心。这些发现表明，TAPR可以作为促进急诊护理环境安全性和一致性的标准化方法。

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引用次数: 0

Comparative effectiveness of the Buzzy®, ShotBlocker® and Helfer skin tap technique in reducing pain and fear during pediatric intramuscular injections: A randomized controlled trial 一项随机对照试验：Buzzy®、ShotBlocker®和Helfer皮肤轻拍技术在儿童肌肉注射中减少疼痛和恐惧的比较效果

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing

Pub Date : 2026-01-08 DOI: 10.1016/j.ienj.2026.101744

Şadiye Dur , Özge Eda Karadağ Aytemiz , Sermin Dinç

Aim

This randomized controlled trial aimed to compare the effectiveness of three non-pharmacological methods—the Helfer Skin Tap technique (HST), ShotBlocker®, and Buzzy®—in reducing pain and fear in children aged 4–12 years during intramuscular (IM) injections in a pediatric emergency unit.

Methods

Conducted between January and October 2024, the study included 90 children aged 4–12 years. Participants were randomly assigned to the HST (n = 30), ShotBlocker® (n = 30), or Buzzy® (n = 30) group. Each child received an IM ceftriaxone injection using the designated technique. Pain and fear were assessed by the child, parent, and observer nurse one minute before and after the procedure using the Wong–Baker FACES Pain Rating Scale, Faces Pain Scale-Revised, and Child Fear Scale.

Results

The mean age was 7.91 ± 2.71 years. Pain and fear scores were comparable between the groups before the procedure (p > 0.05). After injection, pain and fear scores were lowest in the Buzzy® group, followed by the ShotBlocker® and HST groups.

Conclusion

All three methods effectively reduced pain and fear during IM injections, with Buzzy® being the most effective. These simple, low-cost techniques are suitable to enhance comfort and reduce fear in pediatric emergency units.

目的：本随机对照试验旨在比较三种非药物方法（Helfer Skin Tap technology， HST）、ShotBlocker®和Buzzy®)在减少4-12岁儿童在儿科急诊科进行肌肉注射（IM）时疼痛和恐惧的有效性。方法研究于2024年1月至10月进行，包括90名4-12岁的儿童。参与者被随机分配到HST （n = 30）、ShotBlocker®（n = 30）或Buzzy®（n = 30）组。每个儿童使用指定的技术注射IM头孢曲松。疼痛和恐惧分别由患儿、家长和观察护士在手术前后一分钟使用Wong-Baker面部疼痛评定量表、面部疼痛评定量表修订版和儿童恐惧评定量表进行评估。结果患者平均年龄7.91±2.71岁。手术前两组间疼痛和恐惧评分具有可比性（p > 0.05）。注射后，Buzzy®组的疼痛和恐惧评分最低，其次是ShotBlocker®组和HST组。结论三种方法均能有效减轻注射过程中的疼痛和恐惧，其中以Buzzy®方法效果最好。这些简单、低成本的技术适用于提高儿童急诊室的舒适度和减少恐惧。

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引用次数: 0

Perceived involvement in emergency department care: An observational study of nurse-led bedside shift handover 感知参与急诊护理：护士主导的床边轮班交接的观察性研究。

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing

Pub Date : 2026-01-06 DOI: 10.1016/j.ienj.2025.101739

M.C. (Christien) Van Der Linden , R. (Roukayya) Oueslati , A.R. (Rianne) C. Lam , H. (Helma) Krapels , S. (Sanne) Van Vliet , A. Aimee De Graaf , N. (Naomi) Van Der Linden

Background

Involving patients in their care is an important aspect of quality emergency nursing, but remains difficult to achieve in busy and time-pressured settings. Bedside shift handover (BSH), where nurses exchange information in the patient’s presence, may support engagement, yet evidence from emergency departments (EDs) is limited.

Aim

To explore how patients perceived their involvement in communication and care during their ED stay, and whether exposure to nurse-led BSH, structured using the Situation-Background-Assessment-Recommendation (SBAR) format, was associated with higher perceived involvement.

Methods

A cross-sectional telephone survey was conducted among 104 recently discharged ED patients. Perceived involvement was assessed with the three-item CollaboRATE questionnaire. Additional data included patient and visit characteristics, crowding levels, and BSH exposure based on nursing documentation.

Results

Patients reported moderate-to-high perceived involvement (mean CollaboRATE 21.8 of 27), though only 11.5 % gave top scores across all items. BSH was documented in 36 % of eligible cases. No significant association was observed between documented BSH and perceived involvement (p = 0.81), nor between crowding and involvement (r = –.05, p = 0.59).

Conclusion

Most patients felt involved, yet optimal engagement was uncommon. No association was found between BSH and perceived involvement, likely reflecting variation in implementation. Consistent and inclusive handover practices may help support patient engagement, but this requires further study.

背景：让患者参与护理是高质量急诊护理的一个重要方面，但在繁忙和时间紧张的环境中仍然难以实现。床边轮班交接（BSH），护士在患者面前交换信息，可能支持参与，但来自急诊科（ed）的证据有限。目的：探讨患者在急诊科住院期间如何感知他们对沟通和护理的参与，以及暴露于护士主导的BSH（使用情境-背景评估-建议（SBAR）格式）是否与更高的感知参与相关。方法：对104例新近出院的急诊科患者进行横断面电话调查。感知参与用三项合作问卷进行评估。其他数据包括患者和就诊特征、拥挤程度和基于护理文件的BSH暴露。结果：患者报告了中度至高度的感知参与（27人中平均协作21.8），尽管只有11.5%的患者在所有项目中获得最高分。在符合条件的病例中，有36%的病例记录了BSH。记录在案的BSH和受累感之间没有显著的关联（p = 0.81），拥挤和受累之间也没有显著的关联（r = - 0.05, p = 0.59）。结论：大多数患者感觉受累，但最佳受累并不常见。BSH和感知参与之间没有关联，可能反映了实施的差异。一致和包容的交接实践可能有助于支持患者参与，但这需要进一步研究。

{"title":"Perceived involvement in emergency department care: An observational study of nurse-led bedside shift handover","authors":"M.C. (Christien) Van Der Linden , R. (Roukayya) Oueslati , A.R. (Rianne) C. Lam , H. (Helma) Krapels , S. (Sanne) Van Vliet , A. Aimee De Graaf , N. (Naomi) Van Der Linden","doi":"10.1016/j.ienj.2025.101739","DOIUrl":"10.1016/j.ienj.2025.101739","url":null,"abstract":"<div><h3>Background</h3><div>Involving patients in their care is an important aspect of quality emergency nursing, but remains difficult to achieve in busy and time-pressured settings. Bedside shift handover (BSH), where nurses exchange information in the patient’s presence, may support engagement, yet evidence from emergency departments (EDs) is limited.</div></div><div><h3>Aim</h3><div>To explore how patients perceived their involvement in communication and care during their ED stay, and whether exposure to nurse-led BSH, structured using the Situation-Background-Assessment-Recommendation (SBAR) format, was associated with higher perceived involvement.</div></div><div><h3>Methods</h3><div>A cross-sectional telephone survey was conducted among 104 recently discharged ED patients. Perceived involvement was assessed with the three-item CollaboRATE questionnaire. Additional data included patient and visit characteristics, crowding levels, and BSH exposure based on nursing documentation.</div></div><div><h3>Results</h3><div>Patients reported moderate-to-high perceived involvement (mean CollaboRATE 21.8 of 27), though only 11.5 % gave top scores across all items. BSH was documented in 36 % of eligible cases. No significant association was observed between documented BSH and perceived involvement (p = 0.81), nor between crowding and involvement (r = –.05, p = 0.59).</div></div><div><h3>Conclusion</h3><div>Most patients felt involved, yet optimal engagement was uncommon. No association was found between BSH and perceived involvement, likely reflecting variation in implementation. Consistent and inclusive handover practices may help support patient engagement, but this requires further study.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"84 ","pages":"Article 101739"},"PeriodicalIF":1.8,"publicationDate":"2026-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145919020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Unprepared and under pressure: Transitioning experiences to emergency nursing in rural and remote areas 毫无准备和压力之下：农村和偏远地区急诊护理经验的过渡。

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing

Pub Date : 2025-12-22 DOI: 10.1016/j.ienj.2025.101733

Danielle Rogers , Pauline Calleja , Amy-Louise Byrne , Ashlyn Sahay

Introduction

Access to quality healthcare in rural and remote Australia remains a significant challenge, with registered nurses (RNs) often the sole face-to-face healthcare provider. Emergency care in these settings requires adaptable, highly skilled RNs capable of managing critical and deteriorating patients with limited support. A gap remains in preparing RNs for these complex demands. The aim of this research was to explore the experiences and preparedness of non-emergency trained RNs, new to the rural and remote environment in managing emergency care.

Methods

A qualitative exploratory descriptive design was used to explore the experiences of non-emergency trained RNs in rural and remote settings. Semi-structured interviews were conducted and transcribed verbatim. Data was analysed using thematic analysis. COREQ guidelines were followed.

Results

23 RNs were divided into two cohorts: experienced rural and remote RNs and those new to the rural and remote context. Thematic analysis revealed three core themes: (1) It is more complex than preparedness, (2) Securing the future success of rural and remote RNs and (3) The good, the bad and finding the ‘in between’. Participants highlighted a disconnect between metropolitan and rural healthcare expectations and emphasised the need for context-specific training, ongoing professional growth, and a culturally responsive, community integrated approach. Findings indicate unpreparedness extends beyond clinical skills to include confidence, community engagement, and cultural competence. This lack of preparedness impacts job satisfaction, confidence, and the ability to manage rural healthcare complexities, ultimately influencing nursing retention rates globally.

Conclusion

Rural and remote RNs face challenges including limited resources and professional isolation. Findings underline the importance of tailored education, self-reflection and realistic recruitment strategies to support and retain RNs in rural and remote settings and ensure sustainable healthcare in rural and remote communities.

简介：在澳大利亚农村和偏远地区，获得高质量的医疗保健仍然是一个重大挑战，注册护士（rn）往往是唯一面对面的医疗保健提供者。这些环境中的急救护理需要适应性强、技术娴熟的注册护士，能够在有限的支持下管理危重和病情恶化的患者。在为这些复杂的需求准备RNs方面仍然存在差距。本研究的目的是探讨未接受过急救训练的注册护士在农村和偏远地区管理急救护理方面的经验和准备情况。方法：采用定性探索性描述设计，探讨农村和偏远地区非急诊培训注册护士的经验。进行了半结构化访谈，并逐字记录。数据采用专题分析进行分析。遵循COREQ指南。结果：23名注册护士分为经验丰富的农村和偏远地区注册护士和初入农村和偏远地区注册护士两组。专题分析揭示了三个核心主题：(1)它比准备更复杂；(2)确保农村和偏远地区注册护士的未来成功；(3)好的，坏的，找到“中间”。与会者强调了城市和农村医疗保健期望之间的脱节，并强调需要针对具体情况进行培训、持续的专业成长以及对文化有反应的社区综合办法。研究结果表明，准备不足超出了临床技能，包括信心、社区参与和文化能力。这种准备不足影响了工作满意度、信心和管理农村医疗保健复杂性的能力，最终影响了全球护理人员的留任率。结论：农村和偏远地区注册护士面临资源有限和专业隔离等挑战。调查结果强调了有针对性的教育、自我反思和切合实际的招聘战略的重要性，以支持和留住农村和偏远地区的注册护士，并确保农村和偏远社区的可持续医疗保健。

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引用次数: 0

The impact of an educational program on emergency nurses’ preparedness to care for domestic violence women victims 教育方案对急诊护士护理家庭暴力妇女受害者的准备工作的影响

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing

Pub Date : 2025-12-18 DOI: 10.1016/j.ienj.2025.101715

Tahani Khalil , Andaleeb M. Abu Kamel , Alaa Saad , Hani al-Najjar , Ahmad R. Al-Qudimat , Mohammad Alrahahleh , Abdulqadir J. Nashwan

Background

Domestic Violence (DV) is a worldwide problem that negatively impacts women’s health, family, and community. For that, improving emergency nurses’ competencies and preparedness regarding the care of Domestic Violence (DV) victims is crucial in nursing education. The purpose of the study was to investigate the effect of an educational program on the emergency nurses’ preparedness, perceived preparation and knowledge, actual knowledge, attitude, and practice regarding caring for DV women victims.

Methods

A quasi-experimental pretest-posttest one-group design was used, and the data were collected from 43 emergency nurses working in two private hospitals in Amman. The participants filled out the DV Preparedness Questionnaire (DVPQ) as a pre-test, then enrolled in a one-day educational program regarding the DV nurse’s preparedness program, and finally, again, participants filled out the DVPQ as a post-test.

Results

A total number of 43 nurses from two private hospitals were invited to participate in this study. All the invited nurses attended the educational program. Therefore, the response rate was 100%, and there were no attrition or withdrawal cases during the study. The results of this study showed that emergency nurses’ mean scores of DVPQ subscales regarding care of DV women victims improved after attending an educational program about DV preparedness. A significant difference in the score pre-test and post-test for emergency nurses’ DVPQ subscales was reported; this result revealed that when an educational program applies, it effectively improves emergency nurses’ care of DV victims.

Conclusion

There was a significant improvement in nurses’ perceived preparation and knowledge, actual knowledge, and attitude regarding caring for DV Women Victims.

家庭暴力（DV）是一个全球性的问题，对妇女的健康、家庭和社区产生负面影响。为此，在护理教育中，提高急诊护士在照顾家庭暴力受害者方面的能力和准备是至关重要的。摘要本研究旨在探讨教育计划对急诊护士护理家暴受害妇女的准备、感知准备和知识、实际知识、态度和实践的影响。方法采用准实验前测后测一组设计，收集安曼两家私立医院43名急诊护士的数据。参与者填写家庭暴力准备问卷（DVPQ）作为前测，然后参加为期一天的家庭暴力护士准备计划教育计划，最后，参与者再次填写DVPQ作为后测。结果共邀请两家民营医院的43名护士参与本研究。所有被邀请的护士都参加了教育项目。因此，有效率为100%，在研究过程中没有出现减员或停药的情况。本研究结果显示，急诊护士在家庭暴力妇女受害者护理方面的DVPQ分量表平均得分在参加家庭暴力准备教育计划后有所提高。急诊护士DVPQ量表前测与后测得分有显著差异；这一结果表明，当教育方案适用时，它有效地改善了急诊护士对家庭暴力受害者的护理。结论护理人员对家庭暴力受害妇女护理的感知准备和知识、实际知识和态度均有显著提高。

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引用次数: 0

Comments on: “Artificial intelligence improves survival decision-making in diabetic emergencies: A cross-sectional study” 评论：“人工智能改善糖尿病紧急情况下的生存决策：一项横断面研究”。

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing

Pub Date : 2025-12-16 DOI: 10.1016/j.ienj.2025.101737

Xiaozhu Huang , Zhiwei Hu

引用次数: 0