International Emergency Nursing最新文献

Translation and cultural adaptation of the DE-STRESS survey into Danish – Measuring stress, coping, and intention to leave among Emergency department Nurses, Nurse Assistants, and Physicians

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing

Pub Date : 2025-04-25 DOI: 10.1016/j.ienj.2025.101612

Maria Raun , Camilla Schade Skov , Jeanette Stroier , Charlotte Myhre Jensen , Caroline Margaret Moos , Claire Gudex , Elizabeth Elder , Christina Østervang

Aim

This study aimed to translate and culturally adapt the DE-STRESS (Emergency Department Stress, Coping, and Intention to Leave Survey) to the Danish emergency context.

Background

Clinicians (nurses, nurse assistants, and physicians) in an emergency department (ED) undertake psychologically demanding work, and the high-pressure environment combined with occupational stressors has made retention of ED clinicians a major issue. A suitable measure of stress and coping would contribute to the development of practices to support clinicians working in these high-stress environments.

Method

The translation process was undertaken using the ISPOR principles of good practice for the translation and cultural adaptation of patient-reported outcomes, including forward translation, back translation, and cognitive debriefing through individual interviews with ED clinicians (n = 5). The study took place in a large teaching hospital in Southern Denmark and involved three forward translators, two backward translators, a key in-country person from both Australia and Denmark, and a project lead.

Results

The translation and cultural adaptation process was successfully conducted. Some concepts were difficult to translate, such as the terms ED and organization and the role of an ED supervisor. It was necessary to omit some demographic questions to ensure respondent anonymity, so the final Danish version has 123 questions versus the original 133 questions.

Conclusion

The ED clinicians found the survey relevant and comprehensive as it addressed key factors in their work. We concluded that the Danish version of DE-STRESS is appropriate for use; however, a future study employing confirmatory factor analysis and assessing internal reliability is necessary to further investigate its psychometric properties.

{"title":"Translation and cultural adaptation of the DE-STRESS survey into Danish – Measuring stress, coping, and intention to leave among Emergency department Nurses, Nurse Assistants, and Physicians","authors":"Maria Raun , Camilla Schade Skov , Jeanette Stroier , Charlotte Myhre Jensen , Caroline Margaret Moos , Claire Gudex , Elizabeth Elder , Christina Østervang","doi":"10.1016/j.ienj.2025.101612","DOIUrl":"10.1016/j.ienj.2025.101612","url":null,"abstract":"<div><h3>Aim</h3><div>This study aimed to translate and culturally adapt the DE-STRESS (Emergency Department Stress, Coping, and Intention to Leave Survey) to the Danish emergency context.</div></div><div><h3>Background</h3><div>Clinicians (nurses, nurse assistants, and physicians) in an emergency department (ED) undertake psychologically demanding work, and the high-pressure environment combined with occupational stressors has made retention of ED clinicians a major issue. A suitable measure of stress and coping would contribute to the development of practices to support clinicians working in these high-stress environments.</div></div><div><h3>Method</h3><div>The translation process was undertaken using the ISPOR principles of good practice for the translation and cultural adaptation of patient-reported outcomes, including forward translation, back translation, and cognitive debriefing through individual interviews with ED clinicians (n = 5). The study took place in a large teaching hospital in Southern Denmark and involved three forward translators, two backward translators, a key in-country person from both Australia and Denmark, and a project lead.</div></div><div><h3>Results</h3><div>The translation and cultural adaptation process was successfully conducted. Some concepts were difficult to translate, such as the terms ED and organization and the role of an ED supervisor. It was necessary to omit some demographic questions to ensure respondent anonymity, so the final Danish version has 123 questions versus the original 133 questions.</div></div><div><h3>Conclusion</h3><div>The ED clinicians found the survey relevant and comprehensive as it addressed key factors in their work. We concluded that the Danish version of DE-STRESS is appropriate for use; however, a future study employing confirmatory factor analysis and assessing internal reliability is necessary to further investigate its psychometric properties.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"80 ","pages":"Article 101612"},"PeriodicalIF":1.8,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143869206","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

Advanced practice nursing competence profile in emergencies: insights from Spain 高级实践护理在紧急情况下的能力概况：西班牙的启示

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing

Pub Date : 2025-04-22 DOI: 10.1016/j.ienj.2025.101611

Angela Jimenez-Garcia , Miguel Angel Cuevas-Budhart , Genoveva Perez-Romero , Cristina Barneto-Valero , Rafael Montoya-Juárez , Mercedes Gomez Del Pulgar

Introduction

The development of Advanced Practice Nursing roles in Emergency Care is crucial due to the growing demand for healthcare services, driven by the rising prevalence of chronic diseases, the impact of the COVID-19 pandemic on healthcare systems, and the need for cost-effective solutions amid workforce shortages in various healthcare professions.

Aim

To establish a well-defined competency profile for Advanced Practice Nursing in emergency care using the Delphi method, ensuring that the identified competencies are relevant, clearly articulated, and systematically structured for effective practice in urgent and emergency settings.

Methodology

A mixed-methods design, structured in three phases, was implemented to develop a competency profile for Advanced Practice Nursing in emergency care in Spain. The first phase utilized qualitative focus groups with experienced nurses to identify foundational competencies. The second phase applied a modified Delphi method with a panel of 42 experts to refine and validate these competencies through iterative feedback and consensus-building. Finally, a quantitative approach was employed, incorporating statistical techniques such as the Content Validity Index and Cronbach’s alpha to ensure the clarity, coherence, and relevance of the competency items.

Results

The study identified eight competency units, comprising 17 competency criteria and 99 descriptors, of which 25 correspond to various competency units.

Conclusions

The validated competency units, criteria, and descriptors serve as a cornerstone for establishing a comprehensive Advanced Practice Nursing in Emergency Care framework. This framework plays a crucial role in standardizing practices, improving care quality, and ensuring that nurses are well-equipped to address the complex challenges of emergency settings.

{"title":"Advanced practice nursing competence profile in emergencies: insights from Spain","authors":"Angela Jimenez-Garcia , Miguel Angel Cuevas-Budhart , Genoveva Perez-Romero , Cristina Barneto-Valero , Rafael Montoya-Juárez , Mercedes Gomez Del Pulgar","doi":"10.1016/j.ienj.2025.101611","DOIUrl":"10.1016/j.ienj.2025.101611","url":null,"abstract":"<div><h3>Introduction</h3><div>The development of Advanced Practice Nursing roles in Emergency Care is crucial due to the growing demand for healthcare services, driven by the rising prevalence of chronic diseases, the impact of the COVID-19 pandemic on healthcare systems, and the need for cost-effective solutions amid workforce shortages in various healthcare professions.</div></div><div><h3>Aim</h3><div>To establish a well-defined competency profile for Advanced Practice Nursing in emergency care using the Delphi method, ensuring that the identified competencies are relevant, clearly articulated, and systematically structured for effective practice in urgent and emergency settings.</div></div><div><h3>Methodology</h3><div>A mixed-methods design, structured in three phases, was implemented to develop a competency profile for Advanced Practice Nursing in emergency care in Spain. The first phase utilized qualitative focus groups with experienced nurses to identify foundational competencies. The second phase applied a modified Delphi method with a panel of 42 experts to refine and validate these competencies through iterative feedback and consensus-building. Finally, a quantitative approach was employed, incorporating statistical techniques such as the Content Validity Index and Cronbach’s alpha to ensure the clarity, coherence, and relevance of the competency items.</div></div><div><h3>Results</h3><div>The study identified eight competency units, comprising 17 competency criteria and 99 descriptors, of which 25 correspond to various competency units.</div></div><div><h3>Conclusions</h3><div>The validated competency units, criteria, and descriptors serve as a cornerstone for establishing a comprehensive Advanced Practice Nursing in Emergency Care framework. This framework plays a crucial role in standardizing practices, improving care quality, and ensuring that nurses are well-equipped to address the complex challenges of emergency settings.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"80 ","pages":"Article 101611"},"PeriodicalIF":1.8,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143860682","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

Exploring nurse-led cardiopulmonary resuscitation in the emergency department: A scoping review

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing

Pub Date : 2025-04-22 DOI: 10.1016/j.ienj.2025.101608

Adrienne Seabrooke , Rachel K. Roy , Lissette Aviles , Leah Macaden

Aim of the Review

The aim is to map the existing evidence on nurse-led resuscitation and identify gaps to inform future research directions.

This scoping review critically examines the role of nurse-led resuscitation in the emergency department (ED). The review identifies the integral role of nurses in resuscitation teams, evaluates nurses’ performance during resuscitation, and highlights the need for further research.

Method

The review employed a comprehensive search strategy across multiple databases, including MEDLINE, CINAHL, PROSPERO, and EMBASE, along with sources of unpublished studies and grey literature such as ProQuest Theses, Grey Matters, Policy Commons, and Google Scholar. The search covered literature from 1993 to 2023.

Results

The searches returned a total of 494 citations. A total of 8 full articles met the inclusion criteria for data extraction and synthesis. Three key themes emerged from the review: (1) the integral role of nurses in resuscitation teams, (2) nurses’ performance during resuscitation and (3) the need for future research.

Conclusion

This scoping review underscores the potential of nurse-led resuscitation in emergency care settings. Nurses’ roles in resuscitation teams are integral, with performance comparable to that of physicians in multiple domains. However, the current evidence base is limited to literature reviews and simulated environments and highlights the necessity for further robust research. Future studies should explore interdisciplinary team dynamics, communication patterns, and the direct impact of nurse-led resuscitation on patient outcomes in real-world clinical settings.

{"title":"Exploring nurse-led cardiopulmonary resuscitation in the emergency department: A scoping review","authors":"Adrienne Seabrooke , Rachel K. Roy , Lissette Aviles , Leah Macaden","doi":"10.1016/j.ienj.2025.101608","DOIUrl":"10.1016/j.ienj.2025.101608","url":null,"abstract":"<div><h3>Aim of the Review</h3><div>The aim is to map the existing evidence on nurse-led resuscitation and identify gaps to inform future research directions.</div><div>This scoping review critically examines the role of nurse-led resuscitation in the emergency department (ED). The review identifies the integral role of nurses in resuscitation teams, evaluates nurses’ performance during resuscitation, and highlights the need for further research.</div></div><div><h3>Method</h3><div>The review employed a comprehensive search strategy across multiple databases, including MEDLINE, CINAHL, PROSPERO, and EMBASE, along with sources of unpublished studies and grey literature such as ProQuest Theses, Grey Matters, Policy Commons, and Google Scholar. The search covered literature from 1993 to 2023.</div></div><div><h3>Results</h3><div>The searches returned a total of 494 citations. A total of 8 full articles met the inclusion criteria for data extraction and synthesis. Three key themes emerged from the review: (1) <em>the integral role of nurses in resuscitation teams, (2) nurses’ performance during resuscitation</em> and <em>(3) the need for future research</em>.</div></div><div><h3>Conclusion</h3><div>This scoping review underscores the potential of nurse-led resuscitation in emergency care settings. Nurses’ roles in resuscitation teams are integral, with performance comparable to that of physicians in multiple domains. However, the current evidence base is limited to literature reviews and simulated environments and highlights the necessity for further robust research. Future studies should explore interdisciplinary team dynamics, communication patterns, and the direct impact of nurse-led resuscitation on patient outcomes in real-world clinical settings.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"80 ","pages":"Article 101608"},"PeriodicalIF":1.8,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143855079","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

Effects of a theoretical and workshop-based educational intervention on emergency department nurses’ knowledge and attitudes towards pain management

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing

Pub Date : 2025-04-18 DOI: 10.1016/j.ienj.2025.101606

Yi Shi , Ying Wang , Feifei Duan, Jing Liu, Na Wei

Background

Patients have a fundamental right to freedom from pain, and proper pain assessment and management are prerequisites for pain relief. However, most emergency department nurses lack knowledge of pain management.

Purpose

This study aims to assess the impact of a pain management education program on emergency department nurses’ knowledge and attitudes regarding pain assessment and management.

Methods

This was a quasi-experimental study in which 120 nurses were recruited from the emergency department to participate in the study for an 8-week educational intervention, and pain knowledge levels were assessed pre- and post-intervention using the Knowledge and Attitude Survey regarding Pain (KASRP) questionnaire.

Results

The mean score of pain knowledge and attitude (21.87 ± 6.523) after the intervention was significantly higher than the mean score before the intervention (18.59 ± 4.118).

Conclusion

The theory-based and workshop-based educational intervention significantly improved emergency department nurses’ knowledge and attitudes toward pain management (p < 0.001). The findings suggest that implementing evidence-based continuing education programs for emergency department nurses on pain management could enhance patient care quality. Therefore, it is recommended that hospital managers develop and evaluate feasible training programs to ensure their effectiveness and sustainability.

{"title":"Effects of a theoretical and workshop-based educational intervention on emergency department nurses’ knowledge and attitudes towards pain management","authors":"Yi Shi , Ying Wang , Feifei Duan, Jing Liu, Na Wei","doi":"10.1016/j.ienj.2025.101606","DOIUrl":"10.1016/j.ienj.2025.101606","url":null,"abstract":"<div><h3>Background</h3><div>Patients have a fundamental right to freedom from pain, and proper pain assessment and management are prerequisites for pain relief. However, most emergency department nurses lack knowledge of pain management.</div></div><div><h3>Purpose</h3><div>This study aims to assess the impact of a pain management education program on emergency department nurses’ knowledge and attitudes regarding pain assessment and management.</div></div><div><h3>Methods</h3><div>This was a quasi-experimental study in which 120 nurses were recruited from the emergency department to participate in the study for an 8-week educational intervention, and pain knowledge levels were assessed pre- and post-intervention using the Knowledge and Attitude Survey regarding Pain (KASRP) questionnaire.</div></div><div><h3>Results</h3><div>The mean score of pain knowledge and attitude (21.87 ± 6.523) after the intervention was significantly higher than the mean score before the intervention (18.59 ± 4.118).</div></div><div><h3>Conclusion</h3><div>The theory-based and workshop-based educational intervention significantly improved emergency department nurses’ knowledge and attitudes toward pain management (p < 0.001). The findings suggest that implementing evidence-based continuing education programs for emergency department nurses on pain management could enhance patient care quality. Therefore, it is recommended that hospital managers develop and evaluate feasible training programs to ensure their effectiveness and sustainability.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"80 ","pages":"Article 101606"},"PeriodicalIF":1.8,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143843777","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

Factors affecting patient length of stay in the emergency unit: A scoping review

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing

Pub Date : 2025-04-18 DOI: 10.1016/j.ienj.2025.101607

Firman Firman , Andi Masyitha Irwan , Amy Buckenmeyer

Background

Despite the recommendation that patients should spend no more than six hours in the emergency department, crowding remains a persistent global health challenge. Extended patient wait times in emergency departments pose a barrier to timely medical care delivery. This scoping review aims to identify the variables increasing patients’ length of stay (LOS) in emergency department.

Method

This scoping review was conducted by searching PubMed, ScienceDirect, Wiley, Cochrane Library, Global Index Medicus, GARUDA, and Google Scholar, as well as additional secondary searches from 2013 to 2022 and in accordance with the Arksey and O’Malley methodological framework for scoping reviews. Studies were retained if they included primary, qualitative, or quantitative data and reported on patients admitted to the emergency department with their respective LOS.

Results

Of the 914 articles reviewed, 23 met the inclusion criteria. The results of the scoping review identified three main categories of contributory factors for LOS in emergency department: patient, diagnostic tests, and organizational factors.

Conclusion

The scoping review identified mitigatable factors to decrease LOS in the emergency department. These insights can help hospitals improve emergency department services by reducing the LOS.

{"title":"Factors affecting patient length of stay in the emergency unit: A scoping review","authors":"Firman Firman , Andi Masyitha Irwan , Amy Buckenmeyer","doi":"10.1016/j.ienj.2025.101607","DOIUrl":"10.1016/j.ienj.2025.101607","url":null,"abstract":"<div><h3>Background</h3><div>Despite the recommendation that patients should spend no more than six hours in the emergency department, crowding remains a persistent global health challenge. Extended patient wait times in emergency departments pose a barrier to timely medical care delivery. This scoping review aims to identify the variables increasing patients’ length of stay (LOS) in emergency department.</div></div><div><h3>Method</h3><div>This scoping review was conducted by searching PubMed, ScienceDirect, Wiley, Cochrane Library, Global Index Medicus, GARUDA, and Google Scholar, as well as additional secondary searches from 2013 to 2022 and in accordance with the Arksey and O’Malley methodological framework for scoping reviews. Studies were retained if they included primary, qualitative, or quantitative data and reported on patients admitted to the emergency department with their respective LOS.</div></div><div><h3>Results</h3><div>Of the 914 articles reviewed, 23 met the inclusion criteria. The results of the scoping review identified three main categories of contributory factors for LOS in emergency department: patient, diagnostic tests, and organizational factors.</div></div><div><h3>Conclusion</h3><div>The scoping review identified mitigatable factors to decrease LOS in the emergency department. These insights can help hospitals improve emergency department services by reducing the LOS.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"80 ","pages":"Article 101607"},"PeriodicalIF":1.8,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143843778","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

Association between the practice environment and missed nursing care in the emergency room

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing

Pub Date : 2025-04-15 DOI: 10.1016/j.ienj.2025.101609

Larissa Tabata Viana Santana , Camila Fernandes Pollo , José Fausto de Morais , Aniele Fernanda Deplacido de Leo , Juliana Pierami de Freitas , Cesar de Oliveira , Silmara Meneguin

Background

The demanding and intricate practice environment affects the nursing care provided in the emergency room.

Objective

To investigate the relationship between the practice environment and missed nursing care in the emergency room while identifying the impact of sociodemographic and work-related factors.

Methods

A cross-sectional study was conducted involving 102 emergency room nursing staff at a public hospital in São Paulo state, Brazil. Data collection included administering the Misscare-Brazil survey and the Practice Environment Scale.

Results

The sample consisted of 28 nurses and 74 nursing technicians. Most were women (n = 89; 87.3 %); the largest segment had a high school education (n = 48; 47.1 %). The mean score on the Practice Environment Scale was 2.17 (±0.60). The multivariate analysis indicated that the practice environment was influenced by workload (p < 0.001), experience in the profession (p = 0.013), experience in the sector (p = 0.029), extra hours (p = 0.005), adequate employee numbers (p = 0.001), job satisfaction (p = 0.033), satisfaction with the profession (p = 0.016), and Part A of the Misscare-Brazil survey (p < 0.001). The mean number of care omissions was 2.64 (± 0.77). It was independently associated with education level (p = 0.040), workload (p < 0.001), extra hours (p = 0.005), number of patients under care (p = 0.004), number of discharges (p = 0.010), and satisfaction with the profession (p = 0.037).

Conclusion

The perception of an unfavourable practice environment impacted personal and work-related factors and was linked to missed nursing care in the emergency room.

{"title":"Association between the practice environment and missed nursing care in the emergency room","authors":"Larissa Tabata Viana Santana , Camila Fernandes Pollo , José Fausto de Morais , Aniele Fernanda Deplacido de Leo , Juliana Pierami de Freitas , Cesar de Oliveira , Silmara Meneguin","doi":"10.1016/j.ienj.2025.101609","DOIUrl":"10.1016/j.ienj.2025.101609","url":null,"abstract":"<div><h3>Background</h3><div>The demanding and intricate practice environment affects the nursing care provided in the emergency room.</div></div><div><h3>Objective</h3><div>To investigate the relationship between the practice environment and missed nursing care in the emergency room while identifying the impact of sociodemographic and work-related factors.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted involving 102 emergency room nursing staff at a public hospital in São Paulo state, Brazil. Data collection included administering the Misscare-Brazil survey and the Practice Environment Scale.</div></div><div><h3>Results</h3><div>The sample consisted of 28 nurses and 74 nursing technicians. Most were women (n = 89; 87.3 %); the largest segment had a high school education (n = 48; 47.1 %). The mean score on the Practice Environment Scale was 2.17 (±0.60). The multivariate analysis indicated that the practice environment was influenced by workload (p < 0.001), experience in the profession (p = 0.013), experience in the sector (p = 0.029), extra hours (p = 0.005), adequate employee numbers (p = 0.001), job satisfaction (p = 0.033), satisfaction with the profession (p = 0.016), and Part A of the Misscare-Brazil survey (p < 0.001). The mean number of care omissions was 2.64 (± 0.77). It was independently associated with education level (p = 0.040), workload (p < 0.001), extra hours (p = 0.005), number of patients under care (p = 0.004), number of discharges (p = 0.010), and satisfaction with the profession (p = 0.037).</div></div><div><h3>Conclusion</h3><div>The perception of an unfavourable practice environment impacted personal and work-related factors and was linked to missed nursing care in the emergency room.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"80 ","pages":"Article 101609"},"PeriodicalIF":1.8,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143834388","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

A bibliometric overview of research on emergency nursing and burnout

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing

Pub Date : 2025-04-10 DOI: 10.1016/j.ienj.2025.101605

Senay Karadag Arli

Introduction

Burnout is a serious issue for caregivers, patients, and healthcare institutions. It is considered a significant problem among nurses, with emergency nurses being particularly affected. This study aims to examine the studies conducted on emergency nursing and burnout using bibliometric analysis and scientific mapping methods.

Methods

This study employs bibliometric analysis and scientific mapping methods. The data were obtained through a search conducted in the Web of Science (WoS) database. During the search, the keywords “emergency nursing” and “burnout” were used. A total of 145 studies indexed in the SSCI and SCI-EXPANDED categories were identified. Due to the continuous influx of scientific publications in the database, the search was conducted on a single day, October 23, 2024.

Results

The research identified a total of 145 studies. The highest number of publications related to emergency nursing and burnout (16 %, n = 23) was recorded in 2022. The journals with the most publications were International Emergency Nursing (32.9 %, n = 46) and Journal of Emergency Nursing (29 %, n = 42). The most frequently used keyword in the studies was “burnout,” which was commonly associated with all other keywords. The United States emerged as the country with the highest number of publications on the subject. Additionally, the majority of the studies were published in English (98 %, n = 142). The most-cited publication, with 446 citations, was authored by Adriaenssens, De Gucht, and Maes.

Discussion

This study aims to comprehensively address the current state of research on emergency nursing and burnout, highlighting its prevalence in the literature. The findings indicate that burnout and its associated challenges among emergency nurses warrant increasing attention. This research emphasizes the importance of developing more effective strategies to combat burnout and underscores the need for ongoing awareness and research to safeguard the well-being of nurses.

导言倦怠对于护理人员、患者和医疗机构来说都是一个严重的问题。它被认为是护士中的一个重要问题，急诊护士尤其受到影响。本研究旨在采用文献计量分析和科学绘图方法，对有关急诊护理和职业倦怠的研究进行研究。数据通过在 Web of Science（WoS）数据库中进行搜索获得。在搜索过程中，使用了关键词 "急诊护理 "和 "职业倦怠"。共发现了 145 项被 SSCI 和 SCI-EXPANDED 分类收录的研究。由于数据库中的科学出版物不断涌入，检索在 2024 年 10 月 23 日这一天进行。与急诊护理和职业倦怠相关的出版物数量最多（16%，n = 23），出现在 2022 年。发表论文最多的期刊是《国际急诊护理》（32.9%，n = 46）和《急诊护理杂志》（29%，n = 42）。研究中最常使用的关键词是 "职业倦怠"，它通常与所有其他关键词相关联。美国是发表相关论文最多的国家。此外，大多数研究都是用英语发表的（98%，n = 142）。本研究旨在全面探讨急诊护理和职业倦怠的研究现状，强调其在文献中的普遍性。研究结果表明，急诊护士的职业倦怠及其相关挑战值得越来越多的关注。这项研究强调了制定更有效的策略来应对职业倦怠的重要性，并强调了持续进行宣传和研究以保障护士福祉的必要性。

{"title":"A bibliometric overview of research on emergency nursing and burnout","authors":"Senay Karadag Arli","doi":"10.1016/j.ienj.2025.101605","DOIUrl":"10.1016/j.ienj.2025.101605","url":null,"abstract":"<div><h3>Introduction</h3><div>Burnout is a serious issue for caregivers, patients, and healthcare institutions. It is considered a significant problem among nurses, with emergency nurses being particularly affected. This study aims to examine the studies conducted on emergency nursing and burnout using bibliometric analysis and scientific mapping methods.</div></div><div><h3>Methods</h3><div>This study employs bibliometric analysis and scientific mapping methods. The data were obtained through a search conducted in the Web of Science (WoS) database. During the search, the keywords “emergency nursing” and “burnout” were used. A total of 145 studies indexed in the SSCI and SCI-EXPANDED categories were identified. Due to the continuous influx of scientific publications in the database, the search was conducted on a single day, October 23, 2024.</div></div><div><h3>Results</h3><div>The research identified a total of 145 studies. The highest number of publications related to emergency nursing and burnout (16 %, n = 23) was recorded in 2022. The journals with the most publications were <em>International Emergency Nursing</em> (32.9 %, n = 46) and <em>Journal of Emergency Nursing</em> (29 %, n = 42). The most frequently used keyword in the studies was “burnout,” which was commonly associated with all other keywords. The United States emerged as the country with the highest number of publications on the subject. Additionally, the majority of the studies were published in English (98 %, n = 142). The most-cited publication, with 446 citations, was authored by Adriaenssens, De Gucht, and Maes.</div></div><div><h3>Discussion</h3><div>This study aims to comprehensively address the current state of research on emergency nursing and burnout, highlighting its prevalence in the literature. The findings indicate that burnout and its associated challenges among emergency nurses warrant increasing attention. This research emphasizes the importance of developing more effective strategies to combat burnout and underscores the need for ongoing awareness and research to safeguard the well-being of nurses.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"80 ","pages":"Article 101605"},"PeriodicalIF":1.8,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143817474","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

Evaluating the National Early Warning Score (NEWS) in triage: A machine learning perspective

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing

Pub Date : 2025-03-30 DOI: 10.1016/j.ienj.2025.101602

Arian Zaboli , Francesco Brigo , Serena Sibilio , Magdalena Massar , Gabriele Magnarelli , Gloria Brigiari , Gianni Turcato

Background

The National Early Warning Score is widely used in Emergency Departments for triage, primarily to predict mortality. However, its effectiveness in assessing additional clinical outcomes relevant to triage, such as patient urgency and severity, remains unclear and warrants further investigation.

Methods

This prospective observational study was conducted from June to December 2023 at the Merano Emergency Department, enrolling 1,270 patients. The National Early Warning Score was categorized into three risk groups: low (0–4), intermediate (5–6), and high (≥7). Outcomes assessed included 30-day mortality, Intensive Care Unit hospitalization, general hospitalization, physician-defined urgency, and physician-defined severity. A decision tree analysis identified the most significant predictors for each outcome. Receiver Operating Characteristic (ROC) curve analysis evaluated the predictive performance of the National Early Warning Score across these outcomes.

Results

Among the enrolled patients, 88.7 % had a National Early Warning Score of 0–4, 6.1 % had 5–6, and 5.2 % had ≥ 7. The National Early Warning Score demonstrated good predictive ability for 30-day mortality (ROC = 0.82) and Intensive Care Unit hospitalization (ROC = 0.72). Decision tree analysis identified the score as the strongest predictor for mortality and Intensive Care Unit admissions. However, for physician-defined urgency and severity, it was less reliable, often misclassifying seriously ill patients into lower-risk categories.

Conclusions

The National Early Warning Score proves valuable in triage for predicting mortality and Intensive Care Unit admissions. However, its limitations in evaluating broader clinical outcomes, as revealed by decision tree analysis, suggests that it should be complemented rather than replace traditional triage assessments.

{"title":"Evaluating the National Early Warning Score (NEWS) in triage: A machine learning perspective","authors":"Arian Zaboli , Francesco Brigo , Serena Sibilio , Magdalena Massar , Gabriele Magnarelli , Gloria Brigiari , Gianni Turcato","doi":"10.1016/j.ienj.2025.101602","DOIUrl":"10.1016/j.ienj.2025.101602","url":null,"abstract":"<div><h3>Background</h3><div>The National Early Warning Score is widely used in Emergency Departments for triage, primarily to predict mortality. However, its effectiveness in assessing additional clinical outcomes relevant to triage, such as patient urgency and severity, remains unclear and warrants further investigation.</div></div><div><h3>Methods</h3><div>This prospective observational study was conducted from June to December 2023 at the Merano Emergency Department, enrolling 1,270 patients. The National Early Warning Score was categorized into three risk groups: low (0–4), intermediate (5–6), and high (≥7). Outcomes assessed included 30-day mortality, Intensive Care Unit hospitalization, general hospitalization, physician-defined urgency, and physician-defined severity. A decision tree analysis identified the most significant predictors for each outcome. Receiver Operating Characteristic (ROC) curve analysis evaluated the predictive performance of the National Early Warning Score across these outcomes.</div></div><div><h3>Results</h3><div>Among the enrolled patients, 88.7 % had a National Early Warning Score of 0–4, 6.1 % had 5–6, and 5.2 % had ≥ 7. The National Early Warning Score demonstrated good predictive ability for 30-day mortality (ROC = 0.82) and Intensive Care Unit hospitalization (ROC = 0.72). Decision tree analysis identified the score as the strongest predictor for mortality and Intensive Care Unit admissions. However, for physician-defined urgency and severity, it was less reliable, often misclassifying seriously ill patients into lower-risk categories.</div></div><div><h3>Conclusions</h3><div>The National Early Warning Score proves valuable in triage for predicting mortality and Intensive Care Unit admissions. However, its limitations in evaluating broader clinical outcomes, as revealed by decision tree analysis, suggests that it should be complemented rather than replace traditional triage assessments.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"80 ","pages":"Article 101602"},"PeriodicalIF":1.8,"publicationDate":"2025-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143735199","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

The vital signs criteria with low sensitivity may need to be revised in the Pediatric Emergency Severity Index

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing

Pub Date : 2025-03-30 DOI: 10.1016/j.ienj.2025.101604

Amir Mirhaghi

引用次数: 0

Implementing a re-structured response to behavioural disturbance in the emergency Department – A mixed methods evaluation

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing

Pub Date : 2025-03-26 DOI: 10.1016/j.ienj.2025.101600

Jennifer Davids , Nicole Bohlken , Martin Brown , Margaret Murphy

Background

The increasing prevalence of violence in Emergency Departments (EDs) globally emphasises that the early detection of behavioural disturbance, the skilful application of de-escalation techniques and as a last resort, patient restraint, are vital to the safety and wellbeing of staff and patients.

The findings from our previous research led four EDs across three sites to form a working party consisting of clinicians, educators, IT specialists, researchers, and security officers to design and implement a restructured approach to managing behavioural emergencies.

Methods

This mixed methods study used surveys and interviews and the Theoretical Domains Framework (TDF) to evaluate the barriers and facilitators to implementing an intervention designed to manage behavioural emergencies. We collected 61 surveys and conducted 12 interviews with nurses, physicians and security staff.

Results

The qualitative and quantitative data collected using the TDF pinpointed six facilitators and nine barriers for the implementation of the Code Black intervention. We were able to identify environmental, systemic and cultural factors that inhibited its implementation. Staff felt confident in their ability to apply the Code Black knowledge and skills and appreciative of efforts being made to improve safety. However, some remain unconvinced that behavioural change of staff will lead to safer outcomes.

Conclusion

The restructured approach is an effective containment of escalating aggression which ensures greater safety of patients and staff. However, the implementation of interventions in emergency care settings is complex. EDs have unique characteristics that influence sustainability and that need to be explored further to ensure the ongoing uptake of new practices. This paper demonstrates how to identify facilitators and barriers to change and provide evidence that may be used to drive implementation in the emergency care setting.

{"title":"Implementing a re-structured response to behavioural disturbance in the emergency Department – A mixed methods evaluation","authors":"Jennifer Davids , Nicole Bohlken , Martin Brown , Margaret Murphy","doi":"10.1016/j.ienj.2025.101600","DOIUrl":"10.1016/j.ienj.2025.101600","url":null,"abstract":"<div><h3>Background</h3><div>The increasing prevalence of violence in Emergency Departments (EDs) globally emphasises that the early detection of behavioural disturbance, the skilful application of de-escalation techniques and as a last resort, patient restraint, are vital to the safety and wellbeing of staff and patients.</div><div>The findings from our previous research led four EDs across three sites to form a working party consisting of clinicians, educators, IT specialists, researchers, and security officers to design and implement a restructured approach to managing behavioural emergencies.</div></div><div><h3>Methods</h3><div>This mixed methods study used surveys and interviews and the Theoretical Domains Framework (TDF) to evaluate the barriers and facilitators to implementing an intervention designed to manage behavioural emergencies. We collected 61 surveys and conducted 12 interviews with nurses, physicians and security staff.</div></div><div><h3>Results</h3><div>The qualitative and quantitative data collected using the TDF pinpointed six facilitators and nine barriers for the implementation of the Code Black intervention. We were able to identify environmental, systemic and cultural factors that inhibited its implementation. Staff felt confident in their ability to apply the Code Black knowledge and skills and appreciative of efforts being made to improve safety. However, some remain unconvinced that behavioural change of staff will lead to safer outcomes.</div></div><div><h3>Conclusion</h3><div>The restructured approach is an effective containment of escalating aggression which ensures greater safety of patients and staff. However, the implementation of interventions in emergency care settings is complex. EDs have unique characteristics that influence sustainability and that need to be explored further to ensure the ongoing uptake of new practices. This paper demonstrates how to identify facilitators and barriers to change and provide evidence that may be used to drive implementation in the emergency care setting.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"80 ","pages":"Article 101600"},"PeriodicalIF":1.8,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143704657","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