International Emergency Nursing最新文献_第10页

Paramedic nursing students’ experiences of clinical placement in an ambulance where the teacher is another clinical supervisor − A qualitative study 护理专业学生在救护车上的临床实习经验，教师是另一名临床主管-一项定性研究。

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing

Pub Date : 2025-12-01 Epub Date: 2025-10-07 DOI: 10.1016/j.ienj.2025.101698

Kaisa Seppänen , Antti Tanninen , Anu Venesoja

Background

Clinical placements are crucial for paramedic nursing students’ and other healthcare students’ learning. However, students’ experiences of guidance in placements vary. Our aim was to describe paramedic nursing students’ experiences of clinical placement in an ambulance where the teacher was another supervisor.

Methods

This descriptive qualitative study used purposeful sampling to interview 22 paramedic nursing students who completed their ambulance clinical placement with teacher supervision between April and December 2023. Data were analyzed using inductive content analysis.

Findings

One main category “Paramedic nursing students’ professional growth”, and two generic categories “Teachers’ supervising competence” and “Student-centered view” were generated. Students highlighted low threshold to ask questions, different perspective on supervising, and experiences of being safe, as well as time spent on ambulance tasks, learning discussions, learning experiences, and a targeted weekly schedule in a clinical placement where the teacher was their supervisor.

Conclusion

Embedding pedagogically trained teachers as clinical supervisors in ambulance placements enhances paramedic students’ professional growth by fostering a safe, structured, and student-centered learning environment. Familiar teacher-student relationships, low thresholds for questions, and reflective learning discussions contribute to meaningful supervision and highlight the need for pedagogical competence in ambulance settings.

背景：临床实习对护理专业学生和其他卫生专业学生的学习至关重要。然而，学生在实习指导方面的经历各不相同。我们的目的是描述护理专业的学生的经验，临床安置在一辆救护车，其中教师是另一个主管。方法：采用有目的抽样的方法，对22名在教师指导下完成救护车临床实习的护理专业学生进行描述性定性研究。采用归纳内容分析法对数据进行分析。结果：生成了“护理专业学生专业成长”的主分类，以及“教师督导能力”和“以学生为中心的观点”两个通用分类。学生们强调了提问的低门槛，对监督的不同看法，安全的经验，以及在救护车任务上花费的时间，学习讨论，学习经验，以及在临床实习中有针对性的每周时间表，老师是他们的导师。结论：通过营造一个安全、有序、以学生为中心的学习环境，在救护车实习中嵌入受过教学训练的教师作为临床督导，可以促进护理学生的专业成长。熟悉的师生关系、较低的提问门槛和反思性的学习讨论有助于有意义的监督，并强调了救护车环境中教学能力的必要性。

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引用次数: 0

Australian rural nurses’ experiences of the implementation and impact of HIRAID® emergency nursing framework on nursing practice. A qualitative study 澳大利亚农村护士实施HIRAID®急诊护理框架的经验及对护理实践的影响。定性研究。

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing

Pub Date : 2025-12-01 Epub Date: 2025-10-21 DOI: 10.1016/j.ienj.2025.101702

Belinda Kennedy , Kate Curtis , Sarah Kourouche , Margaret Fry , Andrea McCloughen

Introduction

Evaluation of implementation strategies by end-users provides valuable insights into mechanisms of use and can identify areas for improvement. In February 2021, the HIRAID® emergency nursing framework was implemented in 10 sites across a predominantly rural Australian health district. The aim of this study was to explore the emergency nurses’ experiences of implementation and perceived impact on nursing practice.

Methods

A qualitative descriptive study was conducted using semi-structured interviews October-December 2021. Emergency nurses were recruited during implementation. Interviews were conducted by telephone, recorded and transcribed verbatim. Data were imported to NVivo and an inductive analytic approach was undertaken, guided by Granheim and Lundman’s iterative conventional qualitative content analysis method.

Results

Thirteen experienced emergency nurses participated, from eight implementation sites. Four overarching categories were developed. Two related to the impact of HIRAID® on practice, influencing communication and critical thinking. The remaining categories related to organisational and individual factors that can influence implementation, and the educational program design and delivery for staff training.

Conclusion

Despite identified challenges in implementation in a rural context, participants all perceived some benefit to the HIRAID® intervention. The study highlights areas where modifications should be considered from the end-user’s perspective for future implementation activities.

导言：最终用户对实施策略的评估提供了对使用机制的有价值的见解，并可以确定需要改进的领域。2021年2月，HIRAID®紧急护理框架在澳大利亚农村卫生区的10个站点实施。本研究旨在探讨急诊护士的实施经验及其对护理实践的感知影响。方法：采用半结构化访谈进行定性描述性研究。在实施期间征聘了急诊护士。采访是通过电话进行的，逐字录音和抄写。将数据导入NVivo，在Granheim和Lundman的迭代常规定性内容分析方法的指导下，采用归纳分析方法。结果：13名经验丰富的急诊护士参与，来自8个实施点。制定了四个总体类别。两个与HIRAID®对实践的影响有关，影响沟通和批判性思维。其余类别涉及可能影响实施的组织和个人因素，以及员工培训的教育方案设计和交付。结论：尽管确定了在农村环境中实施的挑战，但参与者都认为HIRAID®干预措施有一些好处。这项研究强调了从最终用户的角度为今后的执行活动考虑应予修改的领域。

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引用次数: 0

Assessing the effectiveness of an occupational musculoskeletal ınjury prevention program for paramedic students: A quasi-experimental, pretest–posttest study 评估职业肌肉骨骼ınjury预防程序对护理学生的有效性：准实验，前测后测研究

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing

Pub Date : 2025-09-01 Epub Date: 2025-07-12 DOI: 10.1016/j.ienj.2025.101658

Fatma Tok, Naile Canıtez, Tuğba Aydemir

Background

Paramedics must apply appropriate body mechanics principles when providing emergency care, actively engaging their bodies to prevent physical injuries and protect patients from falls and harm. The aim of this study is to investigate the effectiveness of a occupational musculoskeletal injury prevention program provided to paramedic students on their level of knowledge regarding body mechanics principles and their performance in patient transport practices.

Methods

This semi-experimental study employs a pretest–posttest single-group design. The study population consisted of 60 paramedic program students at a university’s health services vocational school during the 2022–2023 academic year’s fall semester. Students received theoretical and practical training on body mechanics, following the Body Mechanics Training Guide. Data were analyzed using IBM SPSS 24.

Results

The mean age of the students was 20.40 ± 1.65 years, with 58.3 % in their second year, and 76.7 % female. Significant differences were found in Body Mechanics Knowledge Form scores across pre-training, post-training, and follow-up assessments. A statistically significant improvement was also observed in Observational Checklist scores, with 95.0 % of students failing the pre-test but all succeeding in the post-training assessment.

Conclusion

This study concluded that the occupational injury prevention training program improved the knowledge levels and performance in patient transport practices of paramedic students.

护理人员在提供紧急护理时必须应用适当的身体力学原理，积极地使用他们的身体来防止身体伤害，保护病人免受跌倒和伤害。本研究的目的是调查提供给护理学生的职业肌肉骨骼损伤预防计划的有效性，他们对身体力学原理的知识水平和他们在病人运输实践中的表现。方法半实验研究采用前测后测单组设计。研究对象包括一所大学卫生服务职业学校2022-2023学年秋季学期的60名护理专业学生。学员按照《身体力学训练指南》接受身体力学理论和实践训练。数据采用IBM SPSS 24进行分析。结果学生平均年龄为20.40±1.65岁，其中大二学生占58.3%，女生占76.7%。在训练前、训练后和随访评估中，身体力学知识表得分存在显著差异。观察性检查表得分也有统计学上显著的改善，95.0%的学生在训练前测试中不及格，但在训练后评估中全部成功。结论职业伤害预防培训方案提高了护理学生在病人转运实践中的知识水平和表现。

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引用次数: 0

Comfort scores instead of pain scores as a possible tool for pain and analgesia reduction in the emergency department: A randomized controlled clinical trial 舒适评分代替疼痛评分作为减少急诊科疼痛和镇痛的可能工具：一项随机对照临床试验

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing

Pub Date : 2025-09-01 Epub Date: 2025-07-12 DOI: 10.1016/j.ienj.2025.101657

C.M. Edwards , S. Veenje , E. Visser , D. Dammers , M.I. de Haan-Lauteslager , H. Lameijer

Introduction

Frequent use of the term ’pain’ in clinical settings has been associated with the nocebo effect, potentially leading to increased pain perception and unnecessary analgesic use. This study aimed to explore the impact of cognitive reframing, employing comfort scores (CS) instead of pain scores (PS), on analgesic desire and usage in adults presenting to the emergency department (ED) with abdominal pain.

Methods

In this randomized controlled trial, ED patients with abdominal pain were assigned to either the PS group (assessing pain using a pain score) or CS group (assessing comfort using an inverted pain score). In the CS group, explicit references to ’pain’ or ’discomfort’ were avoided. Desire for and use of analgesia were assessed at triage, 1 h post-entry, and at ED discharge. Statistical analyses included the Mann-Whitney U test for CS vs. PS and the Chi-squared test for analgesia desire and patient satisfaction.

Results

Among the 496 included patients (36 % male, median age 52 (IQR 31–67) years), CS and PS groups showed similar characteristics and prehospital analgesic use. The PS group required slightly less morphine in dosage (PS: 0.05 mg/kg (0.03–0.07) vs. CS: 0.07 mg/kg (0.04–0.10), p = 0.03). CS scores were lower than PS scores, but only significant at 1 h post-entry (CS median (IQR): 5 (4–6) vs. PS 6 (4–7), p = 0.03). Baseline analgesic desire was lower in the CS group (45 % vs. 54 %, p = 0.06), with no differences in administered analgesic types. Treatment satisfaction did not differ between groups.

Conclusion

In this study using CS as opposed to PS did not affect the desire for or the use of opioids or other analgesia in adult patients with abdominal pain presenting at the ED. Although CS may be potentially useful, using it instead of PS as a tool for cognitive reframing is currently not supported in the uncontrolled clinical setting of the ED.

在临床环境中频繁使用“疼痛”一词与反安慰剂效应有关，可能导致疼痛感增加和不必要的止痛药使用。本研究旨在探讨认知重构的影响，采用舒适评分（CS）代替疼痛评分（PS），对成人腹痛急诊科（ED）的镇痛欲望和使用。方法在这项随机对照试验中，伴有腹痛的ED患者被分为PS组（使用疼痛评分评估疼痛）和CS组（使用反向疼痛评分评估舒适度）。在CS组，明确提到“疼痛”或“不适”是避免的。在分诊、入院后1小时和急诊科出院时评估镇痛的愿望和使用情况。统计分析包括CS与PS的Mann-Whitney U检验和镇痛欲望与患者满意度的卡方检验。结果纳入的496例患者（36%为男性，中位年龄52岁（IQR 31-67）岁）中，CS组和PS组在院前镇痛使用方面表现相似。PS组吗啡用量略低于CS组（0.05 mg/kg (0.04 ~ 0.10), p = 0.03）。CS评分低于PS评分，但仅在入组后1小时显著(CS中位数（IQR）： 5 （4-6) vs PS 6 (4-7), p = 0.03）。CS组的基线镇痛欲望较低（45% vs. 54%, p = 0.06），给药类型无差异。治疗满意度在两组间无差异。结论：在本研究中，在急诊科出现腹痛的成年患者中，使用CS而不是PS并不会影响对阿片类药物或其他镇痛药物的使用。尽管CS可能有潜在的用途，但在急诊科不受控制的临床环境中，目前尚不支持使用CS代替PS作为认知重构的工具。

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引用次数: 0

Determination of the beliefs and attitudes of pre-hospital emergency health service workers towards obese individuals as a vulnerable group: The case of Adana Provincial Ambulance Service 院前急救人员对肥胖人群的信念和态度：以阿达纳省救护服务中心为例

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing

Pub Date : 2025-09-01 Epub Date: 2025-08-27 DOI: 10.1016/j.ienj.2025.101668

Ramazan Aslan , Süleyman Yıldırım

The globally increasing incidence of obesity and the growing need for emergency health services among obese patients necessitate a better understanding of the impact of this issue on healthcare professionals. It is thought that the negative attitudes and beliefs of Emergency Medical Services (EMS) workers toward obese patients may reduce the quality of care provided and create barriers to treatment access for these patients. In this context, the aim of this study is to assess the beliefs and attitudes of EMS workers in Adana province towards obesity and to explore how these attitudes are shaped by demographic and professional factors.

The research was conducted using a cross-sectional design on EMS workers employed at the Adana Provincial Ambulance Service. A convenience sampling method was utilized, and data were collected from 450 on EMS workers via a survey. The survey form included questions to determine the demographic characteristics of the participants, as well as two scales designed to assess their beliefs and attitudes towards obesity. Validity and reliability analyses of the scales were conducted, and the data were evaluated using One-Way ANOVA, independent samples t-test, and Pearson’s correlation analyses.

The findings of the research, consistent with the literature, reveal that EMS workers generally hold negative attitudes and beliefs towards obese patients. It was determined that participants’ attitudes were influenced by demographic factors such as age, professional experience, education level, and economic status. Male participants generally had more positive attitudes compared to females, and healthcare workers who frequently encountered obese patients also exhibited more positive attitudes.

The study highlights the need for improvement in EMS workers’ attitudes and beliefs towards obese patients. These attitudes can affect the quality of healthcare services and pose significant barriers to access for obese patients. It is believed that awareness and empathy training for EMS workers could change negative beliefs about obesity and reduce negative attitudes.

全球肥胖症发病率不断上升，肥胖患者对紧急医疗服务的需求日益增长，因此有必要更好地了解这一问题对医疗保健专业人员的影响。据认为，紧急医疗服务（EMS）工作人员对肥胖患者的消极态度和信念可能会降低所提供的护理质量，并对这些患者的治疗机会造成障碍。在此背景下，本研究的目的是评估阿达纳省EMS工作人员对肥胖的信念和态度，并探讨这些态度如何受到人口和专业因素的影响。本研究采用横断面设计对阿达纳省救护车服务中心的EMS工作人员进行研究。采用方便抽样的方法，对450名EMS工作人员进行问卷调查。调查表格包括确定参与者人口统计学特征的问题，以及评估他们对肥胖的信念和态度的两个量表。对量表进行效度和信度分析，采用单因素方差分析、独立样本t检验和Pearson相关分析对数据进行评价。研究结果与文献一致，EMS工作人员普遍对肥胖患者持消极态度和信念。研究确定，参与者的态度受到年龄、专业经验、教育水平和经济状况等人口因素的影响。与女性相比，男性参与者通常有更积极的态度，经常遇到肥胖患者的医护人员也表现出更积极的态度。该研究强调了EMS工作人员对肥胖患者的态度和信念需要改善。这些态度会影响医疗保健服务的质量，并对肥胖患者的就医构成重大障碍。研究认为，对急救人员进行意识和同理心训练，可以改变对肥胖的消极看法，减少消极态度。

{"title":"Determination of the beliefs and attitudes of pre-hospital emergency health service workers towards obese individuals as a vulnerable group: The case of Adana Provincial Ambulance Service","authors":"Ramazan Aslan , Süleyman Yıldırım","doi":"10.1016/j.ienj.2025.101668","DOIUrl":"10.1016/j.ienj.2025.101668","url":null,"abstract":"<div><div>The globally increasing incidence of obesity and the growing need for emergency health services among obese patients necessitate a better understanding of the impact of this issue on healthcare professionals. It is thought that the negative attitudes and beliefs of Emergency Medical Services (EMS) workers toward obese patients may reduce the quality of care provided and create barriers to treatment access for these patients. In this context, the aim of this study is to assess the beliefs and attitudes of EMS workers in Adana province towards obesity and to explore how these attitudes are shaped by demographic and professional factors.</div><div>The research was conducted using a cross-sectional design on EMS workers employed at the Adana Provincial Ambulance Service. A convenience sampling method was utilized, and data were collected from 450 on EMS workers via a survey. The survey form included questions to determine the demographic characteristics of the participants, as well as two scales designed to assess their beliefs and attitudes towards obesity. Validity and reliability analyses of the scales were conducted, and the data were evaluated using One-Way ANOVA, independent samples <em>t</em>-test, and Pearson’s correlation analyses.</div><div>The findings of the research, consistent with the literature, reveal that EMS workers generally hold negative attitudes and beliefs towards obese patients. It was determined that participants’ attitudes were influenced by demographic factors such as age, professional experience, education level, and economic status. Male participants generally had more positive attitudes compared to females, and healthcare workers who frequently encountered obese patients also exhibited more positive attitudes.</div><div>The study highlights the need for improvement in EMS workers’ attitudes and beliefs towards obese patients. These attitudes can affect the quality of healthcare services and pose significant barriers to access for obese patients. It is believed that awareness and empathy training for EMS workers could change negative beliefs about obesity and reduce negative attitudes.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"82 ","pages":"Article 101668"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144908676","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

Understanding the need for and use of analgesics in the emergency department 了解急诊科对镇痛药的需求和使用

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing

Pub Date : 2025-09-01 Epub Date: 2025-07-17 DOI: 10.1016/j.ienj.2025.101648

Tjitske D. Groenveld , Roeland A.L. Arpots , Marjan de Vries , Regina L.M. van Boekel , Evelien van Eeten , Harry van Goor , Vincent M.A Stirler

Background

Assessing factors related to patients and clinicians, particularly nurses, along with pain scores and their association with opioid administration is important before introducing non-pharmacological innovations in the emergency department.

Methods

A prospective cross-sectional study was conducted using multivariable logistic regression analysis. The primary outcome was the association of opioid administration with patient’s age, sex, pain acceptability, pain location, pre-hospital use of analgesics, baseline numeric rating scale (NRS) pain score at rest, desire for analgesics, and the nurses’ perception of the reported pain score. Secondary outcomes included NRS anxiety, analgesics use and prescription, patient satisfaction, and the patient’s definition of pain acceptability. Cut-off NRS pain scores for pain acceptability and desire for analgesics were calculated. Patient definitions of pain acceptability were determined using thematic analysis.

Results

Data from 236 patients were analyzed. Factors associated with administering opioids included nurse-perceived adequate pain score, higher baseline NRS pain scores, pre-hospital opioid use, and unacceptable pain. The cut-off NRS pain scores were 7 for pain acceptability and 6 for the desire for analgesics. Patients related pain acceptability to pain characteristics and situational context.

Conclusions

Nurse perception of the patient-reported pain score and pain acceptability are important determinants for administering analgesics. The insufficient discriminative power of a cut-off NRS pain score highlights that pain management should go beyond pain scores alone. These findings could enhance selecting patients with acute pain who may benefit from non-pharmacological interventions in the emergency department.

背景：在急诊科引入非药物创新之前，评估与患者和临床医生，特别是护士相关的因素，以及疼痛评分及其与阿片类药物给药的关系是很重要的。方法采用多变量logistic回归分析进行前瞻性横断面研究。主要结局是阿片类药物给药与患者的年龄、性别、疼痛可接受性、疼痛位置、院前镇痛药使用、基线数字评定量表（NRS）静息疼痛评分、对镇痛药的渴望以及护士对报告疼痛评分的感知之间的关系。次要结局包括NRS焦虑、镇痛药使用和处方、患者满意度和患者对疼痛可接受性的定义。计算疼痛可接受性和对镇痛药的渴望的NRS疼痛分值。采用主题分析确定患者对疼痛可接受性的定义。结果对236例患者的资料进行分析。与给予阿片类药物相关的因素包括护士认为足够的疼痛评分、较高的基线NRS疼痛评分、院前阿片类药物使用和不可接受的疼痛。NRS疼痛分值的截止值为疼痛可接受性为7分，对镇痛药的渴望为6分。患者将疼痛可接受性与疼痛特征和情境相关。结论护士对患者报告的疼痛评分和疼痛可接受性的认知是决定是否给药的重要因素。切断NRS疼痛评分的鉴别能力不足，强调疼痛管理应超越疼痛评分本身。这些发现可以加强对急性疼痛患者的选择，这些患者可能受益于急诊部门的非药物干预。

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引用次数: 0

Violence towards emergency nurses: an update of a narrative review of theories and frameworks 对急诊护士的暴力：对理论和框架的叙述审查的更新

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing

Pub Date : 2025-09-01 Epub Date: 2025-08-20 DOI: 10.1016/j.ienj.2025.101661

Nicola Ramacciati, Sara Morales Palomares

Background

Workplace violence (WPV) in emergency departments (EDs) remains a growing concern worldwide, necessitating updated theoretical perspectives. A 2018 review identified 24 frameworks, but ongoing healthcare challenges, particularly the COVID-19 pandemic, warrant a re-examination and expansion of these models.

Methods

A narrative review was conducted using PubMed/Medline, CINAHL, Scopus, and ProQuest databases for studies published from 2017 onward, focusing on theoretical frameworks explaining WPV in EDs.

Results

The 18 included studies in this review introduce novel or refined theories addressing psychosocial, organizational, and environmental factors that trigger or mitigate WPV. Frameworks range from physiological deterioration and psychosocial moderation to architectural design and resilience-based models. These comprehensive approaches reflect a growing consensus on the need for integrated, multilevel interventions.

Conclusions

Contemporary theories underscore WPV as a multifactorial issue requiring solutions that go beyond single-factor models. By examining the broader interplay among patients, staff, organizational, and environmental determinants, these frameworks offer valuable insights for more effective, holistic WPV prevention and management strategies in EDs.

急诊科的工作场所暴力（WPV）在世界范围内日益受到关注，需要更新理论观点。2018年的审查确定了24个框架，但持续的医疗挑战，特别是COVID-19大流行，需要重新审查和扩展这些模型。方法使用PubMed/Medline、CINAHL、Scopus和ProQuest数据库对2017年以来发表的研究进行叙述性回顾，重点关注解释ed WPV的理论框架。结果本综述纳入的18项研究引入了新的或完善的理论，解决了触发或减轻脊髓灰质炎的社会心理、组织和环境因素。框架范围从生理恶化和社会心理调节到建筑设计和基于弹性的模型。这些综合方法反映了对需要采取综合、多层次干预措施的日益达成的共识。当代理论强调WPV是一个多因素问题，需要超越单因素模型的解决方案。通过检查患者、工作人员、组织和环境决定因素之间更广泛的相互作用，这些框架为急诊室更有效、更全面的脊髓灰质炎预防和管理策略提供了有价值的见解。

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引用次数: 0

Trauma care and predictors of mortality at a single-centre trauma hospital in Ethiopia: A prospective observational study 埃塞俄比亚一家单中心创伤医院的创伤护理和死亡率预测因素：一项前瞻性观察研究

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing

Pub Date : 2025-09-01 Epub Date: 2025-08-26 DOI: 10.1016/j.ienj.2025.101665

Helina Bogale Abayneh , Stine Engebretsen , Kristin Halvorsen , Stein Ove Danielsen

Introduction

Trauma accounts for 11 % of the total global burden of disease and is the leading cause of death in individuals under 40 years of age. Ethiopia faces a substantial task in establishing well-equipped and sufficiently staffed emergency departments. Moreover, current research in Ethiopia concentrates on trauma epidemiology and specific trauma types to guide evidence-based intervention strategies rather than emphasising trauma care features. Thus, this study aims to explore the trauma care process and investigate the predictors of ED mortality at a single-centre trauma hospital in Ethiopia.

Methods

We conducted a single-centre prospective observational study at Addis Ababa Burn Emergency and Trauma Hospital in Ethiopia. Observations were conducted from November 30, 2022, to May 24, 2023. The study included patients admitted with reported major injuries during the study period. Descriptive statistics and multivariate logistic regression were applied to explore predictors of ED mortality.

Results

The cohort consisted of 425 patients, 73.4 % were male, and the median age was 32 years. Of the patients, 188 (44.4 %) met the criteria for trauma team activation, but none received treatment from such teams. Among the patients in need of emergency procedures, 22.6 % experienced delays within 48 h of observation. Epidural or subdural haematoma was diagnosed in 37.1 % of patients, but fewer patients underwent a craniotomy procedure. A small percentage of patients stayed in the ED for less than 24 h (13.4 %), while ED mortality was 10.4 %. Lower Glasgow Coma Scale, haematoma presence and shorter length of ED stay were associated with increased odds of ED mortality.

Conclusions

Close to half of the participants met the criteria for trauma team activation, but none received treatment from such teams.

创伤占全球疾病总负担的11%，是40岁以下人群死亡的主要原因。埃塞俄比亚在建立设备良好和人员充足的急诊科方面面临着重大任务。此外，埃塞俄比亚目前的研究集中在创伤流行病学和特定的创伤类型上，以指导循证干预策略，而不是强调创伤护理的特点。因此，本研究旨在探讨创伤护理过程，并调查在埃塞俄比亚的单中心创伤医院ED死亡率的预测因素。方法我们在埃塞俄比亚亚的斯亚贝巴烧伤急诊和创伤医院进行了一项单中心前瞻性观察研究。观测时间为2022年11月30日至2023年5月24日。该研究包括在研究期间报告有严重损伤的患者。应用描述性统计和多元逻辑回归探讨ED死亡率的预测因素。结果该队列共纳入425例患者，男性占73.4%，中位年龄32岁。其中188例（44.4%）患者符合创伤小组激活标准，但没有人接受过创伤小组的治疗。在需要急诊治疗的患者中，22.6%的患者在观察后48小时内出现延误。37.1%的患者被诊断为硬膜外或硬膜下血肿，但很少有患者接受开颅手术。一小部分患者在急诊科停留时间少于24小时（13.4%），而急诊科死亡率为10.4%。较低的格拉斯哥昏迷评分、血肿的存在和较短的ED住院时间与ED死亡率的增加有关。结论接近一半的参与者符合创伤小组激活的标准，但没有人接受过创伤小组的治疗。

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引用次数: 0

Corrigendum to “Exploring staff perceptions regarding alarm fatigue and practices among nurses: A multicentre study in the Northern Emirates” [Int. Emerg. Nurs. 79 (2025) 101584] “探索工作人员对警报疲劳和护士实践的看法：北阿联酋的一项多中心研究”的勘误表。紧急情况。护理，79(2025)101584]。

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing

Pub Date : 2025-09-01 Epub Date: 2025-08-20 DOI: 10.1016/j.ienj.2025.101664

Hussam Al Nusair , Mariezl Fonbuena , Caitriona Chew , Rafi Alnjadat , Nishad Nellikunnel Muhammed , Saleem Perinchery , Mezzani Mayo , Maha Ali Rashid , Maryam Dadalla , Mona Ibrahim Nada , Hisham Abdelmotaleb

引用次数: 0

Impact of virtual reality training on nurses’ preparedness and self-efficacy in emergencies and disasters: A quasi-experimental study 虚拟现实培训对护士应急准备和自我效能感的影响：一项准实验研究

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing

Pub Date : 2025-09-01 Epub Date: 2025-08-20 DOI: 10.1016/j.ienj.2025.101662

Khitam Alsaqer , Saeed Hussein Alhmoud

Background

Emergency preparedness in hospitals for disasters is unexpectedly required. Disasters, however, are rarely encountered clinically, making it ideal for simulation, such as Virtual Reality (VR).

Objective

To examine the impact of an immersive VR disaster training program on disaster preparedness and self-efficacy in emergency (ER) nurses.

Methods

A quasi-experimental design with one-group repeated measures. 90 ER nurses were recruited to receive disaster training through immersive VR. Nurses’ Perceptions of Disaster Core Competencies (NPDCC) and Disaster Response Self-Efficacy (DRSES) were collected before, immediately, and one month after the training.

Results

Paired t-tests revealed significant improvements in both NPDCC and DRSES scores from pre-test to post-test (NPDCC: t (89) = -12.45, p < 0.001; DRSES: t (89) = -10.65, p < 0.001). The follow-up scores showed a slight decrease compared to post-test scores but remained significantly higher than pre-test scores (NPDCC: t (89) = -6.72, p < 0.001; DRSES: t (89) = -4.99, p < 0.001).

Conclusion

This study provides compelling evidence for the efficacy of immersive VR disaster training in enhancing disaster preparedness and self-efficacy among emergency nurses. Healthcare institutions and nursing education programs should incorporate VR training modules into their curricula and ongoing professional development.

医院对灾害的应急准备是出乎意料的需要。然而，灾难在临床上很少遇到，这使其成为模拟的理想选择，例如虚拟现实（VR）。目的探讨沉浸式虚拟现实灾害培训对急诊护士备灾和自我效能感的影响。方法采用准实验设计，单组重复测量。招募90名急诊室护士通过沉浸式VR进行灾难培训。在培训前、培训后和培训后一个月分别收集护士对灾难核心能力（NPDCC）和灾难应对自我效能感（DRSES）的感知。结果西班牙t检验显示，NPDCC和DRSES评分从测试前到测试后均有显著改善(NPDCC: t (89) = -12.45, p < 0.001；DRSES: t (89) = -10.65, p < 0.001)。随访得分与测试后得分相比略有下降，但仍显著高于测试前得分(NPDCC: t (89) = -6.72, p < 0.001；DRSES: t (89) = -4.99, p < 0.001)。结论沉浸式虚拟现实灾害训练对提高急诊护士的备灾能力和自我效能感有较好的效果。医疗机构和护理教育项目应将VR培训模块纳入其课程和持续的专业发展中。

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