International Emergency Nursing最新文献

The application of HFMEA in integrated transport for pediatric emergencies and critical conditions HFMEA在儿科急诊和危重情况综合运输中的应用

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing

Pub Date : 2026-01-28 DOI: 10.1016/j.ienj.2026.101748

Yuru Zhang , Zhushengying Ma , Wen Qian , Huangjia Song , Xiaohua Ge , Lili Xu

Objective

To study the effectiveness of HFMEA in integrated transport for critically ill pediatric patients.

Methods

Since January 2024, HFMEA has been implemented in our hospital to facilitate the integrated transport of critically ill children. The study observed and compared the incidence of transport accidents, nursing quality, and satisfaction with medical team cooperation over four months before and after HFMEA implementation.

Results

The transport accident rate was 35 % in the control group and 6.7 % in the experimental group, demonstrating a significantly lower incidence of transport accidents (P < 0.001). The nursing quality score in the experimental group was 95.8 %, markedly higher than in the control group. Satisfaction with medical team cooperation in the experimental group was 97.5 %, compared to 88.1 % in the control group, a statistically significant difference (P < 0.001).

Conclusion

HFMEA improves the safety of transport for critically ill pediatric patients in emergency settings, thereby enhancing nursing quality.

Implications for Clinical Practice: HFMEA significantly enhances pediatric critical care transport safety, improving nursing quality, efficiency, and multidisciplinary team collaboration.

目的探讨HFMEA在儿科危重病人综合转运中的应用效果。方法自2024年1月起在我院实施HFMEA，方便重症患儿综合转运。本研究对实施HFMEA前后4个月的交通事故发生率、护理质量、医疗团队合作满意度进行了观察和比较。结果对照组交通事故率为35%，实验组交通事故率为6.7%，交通事故率明显低于对照组（P < 0.001）。实验组护理质量评分为95.8%，明显高于对照组。实验组对医疗团队合作的满意度为97.5%，对照组为88.1%，差异有统计学意义（P < 0.001）。结论hfmea提高了儿科危重病人急诊转运的安全性，从而提高了护理质量。对临床实践的影响：HFMEA显著提高了儿科重症监护运输的安全性，提高了护理质量、效率和多学科团队协作。

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引用次数: 0

The correlation of emotional intelligence and demographic characteristics with work performance among Palestinian emergency nurses 巴勒斯坦急诊护士情绪智力、人口学特征与工作绩效的相关性研究

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing

Pub Date : 2026-01-23 DOI: 10.1016/j.ienj.2026.101752

Malakeh.Z. Malak , Anas Shehadeh , Ahmad Ayed , Moath Abu Ejheisheh , Ahmad Batran

Purpose

Emergency nurses work in high-pressure and emotionally demanding environments. High emotional intelligence is a crucial skill that can influence emergency nurses’ work performance. However, few studies have examined the correlations between emotional intelligence and demographic variables with emergency nurses’ work performance, especially in conflict zones such as Palestine. This study aimed to examine the levels of emotional intelligence and work performance, their correlations, and the effects of select demographic variables among a sample of 223 emergency nurses working in high-patient-load governmental hospitals in Palestine.

Methods

A cross-sectional, quantitative correlational design was used. Data were collected using the Schutte Self-Report Emotional Intelligence Test (SSEIT) and the Employee Job Performance (EJP) Scale between March and April 2025. Data analysis included descriptive statistics, correlation tests, and multiple linear regression.

Results

The findings revealed high levels of emotional intelligence (M = 151.8 ± 1.9 out of 165) and work performance (M = 4.3 ± 0.4 out of 5). There were significant moderate correlations between work performance and age (r = 0.421, p < 0.001), work experience (r = 0.337, p < 0.001), and emotional intelligence (r = 0.597, p < 0.001). Emotional intelligence and age were positive predictors of work performance.

Conclusions

The findings highlight the central role of emotional intelligence in enhancing care provision among emergency nurses. Interventions that strengthen the emotional intelligence of emergency nurses should be adopted and promoted, especially in conflict zones. Correlating demographic variables can inform the design and delivery of such interventions.

目的急诊护士在高压和情感要求高的环境中工作。高情商是影响急诊护士工作绩效的一项重要技能。然而，很少有研究调查情绪智力和人口统计学变量与急诊护士工作绩效之间的关系，特别是在巴勒斯坦等冲突地区。本研究旨在研究在巴勒斯坦高病人负荷政府医院工作的223名急诊护士的情绪智力水平和工作表现，它们之间的相关性，以及选择的人口变量的影响。方法采用横断面定量相关设计。数据收集采用舒特自我报告情绪智力测试（SSEIT）和员工工作绩效（EJP）量表在2025年3月至4月之间。数据分析包括描述性统计、相关检验和多元线性回归。结果调查结果显示，受访员工情绪智力（M = 151.8±1.9 / 165）和工作表现（M = 4.3±0.4 / 5）均较高。工作表现与年龄（r = 0.421, p < 0.001）、工作经验（r = 0.337, p < 0.001）、情绪智力（r = 0.597, p < 0.001）存在显著的中度相关。情商和年龄是工作表现的正向预测因子。结论研究结果强调了情绪智力在提高急诊护士护理服务中的核心作用。应采取和促进加强急诊护士情商的干预措施，特别是在冲突地区。相关的人口变量可以为此类干预措施的设计和实施提供信息。

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引用次数: 0

The association between mode of arrival, presence of medical referral, and outcomes in patients presenting to the emergency department with chest pain: A historical cohort study 胸痛患者的到达方式、医疗转诊和预后之间的关系：一项历史队列研究

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing

Pub Date : 2026-01-21 DOI: 10.1016/j.ienj.2026.101753

Sheizaf Gefen , Eugene Feigin , Tomer Ziv-Baran

Background

Chest pain is a common reason for emergency department (ED) visits, yet the impact of arrival mode and medical referral status on hospital admission and clinical outcomes remains unclear. This study evaluated their influence on ED patients with chest pain.

Methods

A retrospective cohort study analyzed adults presenting with chest pain between January 2022 and June 2024. Patients were categorized as self-arrival without referral (SA), self-arrival with medical referral (MR), or arrival via emergency medical services (EMS). Primary outcome was hospital admission; secondary outcomes included 30-day mortality, prolonged length of stay (LOS), heart-related diagnoses, and readmission rates.

Results

Among 12,164 ED visits, hospital admissions were highest in the EMS group (29.9 %) compared to SA (21.0 %) and MR (17.1 %; p < 0.001). After adjustment, EMS and SA groups had greater odds of admission (adjusted ORs: 1.66 and 1.54, respectively; p < 0.001). EMS patients had the highest 30-day mortality (0.8 %), prolonged LOS (43.0 %), and readmission rates (8.0 %). Heart-related diagnoses at discharge were lowest in the MR group (21.7 % vs. 32.0 % in SA; p < 0.001).

Conclusions

Medical referral was associated with lower admissions and better outcomes. Optimizing community-based diagnostics may improve triage and reduce ED burden.

背景胸痛是急诊科（ED）就诊的常见原因，但到达模式和医疗转诊状态对住院和临床结果的影响尚不清楚。本研究评估了它们对ED胸痛患者的影响。方法回顾性队列研究分析了2022年1月至2024年6月期间出现胸痛的成年人。患者被分类为不经转诊自行抵达（SA）、经医疗转诊自行抵达（MR）或经紧急医疗服务抵达（EMS）。主要结局是住院；次要结局包括30天死亡率、延长住院时间（LOS）、心脏相关诊断和再入院率。结果在12164例ED就诊中，EMS组住院率最高（29.9%），而SA组（21.0%）和MR组（17.1%;p < 0.001）。调整后，EMS组和SA组的入院几率更大（调整后的or分别为1.66和1.54;p < 0.001）。EMS患者有最高的30天死亡率（0.8%），延长的LOS（43.0%）和再入院率（8.0%）。出院时心脏相关诊断率在MR组最低（21.7% vs. 32.0%; p < 0.001）。结论转诊患者入院率低，转归效果好。优化社区诊断可以改善分诊，减轻急诊科负担。

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引用次数: 0

Building clinical confidence, the impact of de-escalation training on nurses’ management of aggression: An integrative review 建立临床信心，降级训练对护士攻击管理的影响：一项综合回顾。

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing

Pub Date : 2026-01-19 DOI: 10.1016/j.ienj.2026.101745

Omar Almulla, Eman Tawash, Maryam Alaradi, Bindhu Nair

Objective

This integrative literature review aimed to examine the impact of de-escalation training on nurses’ ability to recognise and manage aggressive patient behaviour with a particular focus on emergency care settings.

Design

An integrative review of the literature.

Data Sources

A comprehensive search was conducted across multiple databases including PubMed, CINAHL (EBSCO), and Scopus. Peer-reviewed articles published between 2013 and 2023 were considered. Search terms included “de-escalation techniques”, “workplace violence” and “emergency department staff”.

Review Methods

Nine studies met the inclusion criteria and were critically appraised using the Mixed Methods Appraisal Tool. Data were analysed thematically to identify recurring patterns and concepts.

Results

Three main themes emerged: 1) the impact of de-escalation training on nurses’ confidence and clinical practice, 2) the effectiveness of de-escalation training in reducing the frequency and severity of violent incidents, and 3) the recurring factors contributing to the emergence of aggression in healthcare settings. De-escalation training was found to consistently improve nurses’ self-efficacy and patient-centred practices, though its direct impact on reducing violent incidents varied across contexts.

Conclusions

De-escalation training demonstrates strong potential to improve nurses’ responses to aggression in emergency care settings. However, its effectiveness is closely linked to contextual factors such as organisational support, environmental conditions, and staff resources. Future research should explore longitudinal impacts, optimal training modalities, and the integration of broader systemic strategies to support violence prevention in emergency departments.

目的：本综合文献综述旨在研究降级培训对护士识别和管理患者攻击行为能力的影响，特别是在急诊护理环境中。设计：对文献进行综合综述。数据来源：在PubMed、CINAHL （EBSCO）和Scopus等多个数据库中进行了全面的搜索。2013年至2023年间发表的同行评议文章被纳入考虑范围。搜索词包括“降级技术”、“工作场所暴力”和“急诊室工作人员”。回顾方法：9项研究符合纳入标准，并使用混合方法评价工具进行批判性评价。对数据进行了专题分析，以确定重复出现的模式和概念。结果：出现了三个主要主题：1)降级培训对护士信心和临床实践的影响，2)降级培训在减少暴力事件发生频率和严重程度方面的有效性，以及3)导致医疗环境中攻击行为出现的反复因素。降级培训被发现能够持续提高护士的自我效能和以病人为中心的做法，尽管其对减少暴力事件的直接影响因环境而异。结论：降级培训显示了在急诊护理环境中提高护士对攻击反应的强大潜力。然而，其有效性与组织支持、环境条件和人员资源等背景因素密切相关。未来的研究应探讨纵向影响，最佳培训模式，以及更广泛的系统战略的整合，以支持急诊部门的暴力预防。

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引用次数: 0

Awareness level related to spinal cord injury among emergency healthcare providers in Jordan 约旦紧急医疗保健提供者对脊髓损伤的认识水平。

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing

Pub Date : 2026-01-17 DOI: 10.1016/j.ienj.2025.101742

Ahmad Al-Mawahreh , Hekmat Al-Akash , Nabeel Al-Yateem , Fatma Refaat Ahmed , Roqia Saleem Awad Maabreh , Mahmoud Al-Hussami , Khaldoun Hamdan , Ahmad Rajeh Safain

Objective

The study aims to evaluate the awareness of spinal cord injuries among emergency healthcare providers in Jordan, due to rising incidents from traffic accidents and other medical conditions.

Methodology

A 20-item structured questionnaire was used to assess the knowledge and self-reported practices of emergency healthcare providers dealing with spinal cord injuries.

Results

Among 144 participants, the overall mean awareness level related to Spinal Cord Injuries (SCI) was 16.19/20 ± 5.01. Among those, only 44.4 % of the participants were found to have a “good” knowledge level, while 55.6 % lacked adequate management knowledge for SCI. However, 59.7 % reported high first response rates. Many providers were unfamiliar with immediate spinal stabilization and proper handling methods. Self-reported practice correlated with knowledge acquisition.

Conclusion and Recommendations

There is a need for educational and training programs to improve competencies in managing spinal cord injuries, which can enhance patient outcomes and reduce socio-economic burdens. Addressing educational gaps can lead to more effective emergency response strategies in Jordan.

Prevalence to clinical practice

The study enhances understanding of spinal cord injuries and suggests improving emergency healthcare services in Jordan through regular training, simulation-based learning, and continuous professional development. Future research should evaluate the effectiveness of these interventions.

目的：该研究旨在评估约旦紧急医疗保健提供者对脊髓损伤的认识，因为交通事故和其他医疗条件造成的事故不断增加。方法：采用20项结构化问卷来评估急诊医疗服务提供者处理脊髓损伤的知识和自我报告的做法。结果：144名受试者对脊髓损伤（SCI）的总体平均认知水平为16.19/20±5.01。其中，仅有44.4%的参与者知识水平“良好”，55.6%的参与者缺乏足够的SCI管理知识。然而，59.7%的患者报告了较高的首次反应率。许多医护人员不熟悉脊柱即刻稳定和正确的处理方法。自我报告实践与知识获取相关。结论和建议：有必要开展教育和培训项目，以提高脊髓损伤管理能力，从而提高患者的治疗效果，减轻社会经济负担。解决教育差距可以使约旦制定更有效的应急战略。流行到临床实践：该研究提高了对脊髓损伤的认识，并建议通过定期培训、基于模拟的学习和持续的专业发展来改善约旦的急诊医疗服务。未来的研究应该评估这些干预措施的有效性。

{"title":"Awareness level related to spinal cord injury among emergency healthcare providers in Jordan","authors":"Ahmad Al-Mawahreh , Hekmat Al-Akash , Nabeel Al-Yateem , Fatma Refaat Ahmed , Roqia Saleem Awad Maabreh , Mahmoud Al-Hussami , Khaldoun Hamdan , Ahmad Rajeh Safain","doi":"10.1016/j.ienj.2025.101742","DOIUrl":"10.1016/j.ienj.2025.101742","url":null,"abstract":"<div><h3>Objective</h3><div>The study aims to evaluate the awareness of spinal cord injuries among emergency healthcare providers in Jordan, due to rising incidents from traffic accidents and other medical conditions.</div></div><div><h3>Methodology</h3><div>A 20-item structured questionnaire was used to assess the knowledge and self-reported practices of emergency healthcare providers dealing with spinal cord injuries.</div></div><div><h3>Results</h3><div>Among 144 participants, the overall mean awareness level related to Spinal Cord Injuries (SCI) was 16.19/20 ± 5.01. Among those, only 44.4 % of the participants were found to have a “good” knowledge level, while 55.6 % lacked adequate management knowledge for SCI. However, 59.7 % reported high first response rates. Many providers were unfamiliar with immediate spinal stabilization and proper handling methods. Self-reported practice correlated with knowledge acquisition.</div></div><div><h3>Conclusion and Recommendations</h3><div>There is a need for educational and training programs to improve competencies in managing spinal cord injuries, which can enhance patient outcomes and reduce socio-economic burdens. Addressing educational gaps can lead to more effective emergency response strategies in Jordan.</div></div><div><h3>Prevalence to clinical practice</h3><div>The study enhances understanding of spinal cord injuries and suggests improving emergency healthcare services in Jordan through regular training, simulation-based learning, and continuous professional development. Future research should evaluate the effectiveness of these interventions.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"85 ","pages":"Article 101742"},"PeriodicalIF":1.8,"publicationDate":"2026-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145999337","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

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

Lessons learnt from patient and public involvement in emergency care research: Emerging insights from three research projects in Denmark, the Netherlands and Australia 病人和公众参与急诊护理研究的经验教训：来自丹麦、荷兰和澳大利亚三个研究项目的新见解

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing

Pub Date : 2026-01-14 DOI: 10.1016/j.ienj.2025.101738

Christina Østervang , Geurt van de Glind , Niek Galenkamp , Petra Brysiewicz , Joan Carlini , Lente Werner , Camilla Lykke Møller , Rachel Muir

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

Oculocardiac reflex: An underrecognized indication for surgical orbital fracture repair 眼心反射：眶骨折手术修复的一个未被充分认识的指征

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing

Pub Date : 2026-01-13 DOI: 10.1016/j.ienj.2025.101740

John Ramos

The oculocardiac reflex, a variant of the trigeminocardiac reflex, is a brainstem-mediated vagal response to stimulation of the trigeminal nerve’s ophthalmic branch. In orbital trauma, particularly fractures with extraocular muscle entrapment, the oculocardiac reflex can present as bradycardia, arrhythmia, or asystole. While the oculocardiac reflex has an established association with “trapdoor” fractures in pediatric patients and is increasingly reported in adults. Entrapment-related oculocardiac reflex is an accepted but under recognized indication for urgent surgical release. This clinical practice update synthesizes current evidence on oculocardiac reflex and other indications for surgical consultation in adults with orbital fractures, as well as modern perspectives on the impact of surgery on diplopia resolution.

眼心反射是三叉神经反射的一种变体，是一种脑干介导的迷走神经对刺激三叉神经眼支的反应。眶外伤，特别是眼外肌压迫骨折，心房反射可表现为心动过缓、心律失常或心脏停止。虽然心房反射与儿科患者的“活板门”骨折有明确的联系，但在成人中也有越来越多的报道。夹持相关的心房反射是一个公认的但尚未得到认可的紧急手术释放指征。本临床实践更新综合了目前关于眼心反射和成人眶骨折手术会诊的其他指征的证据，以及手术对复视分辨率影响的现代观点。

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