Pub Date : 2025-07-12DOI: 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.
{"title":"Assessing the effectiveness of an occupational musculoskeletal ınjury prevention program for paramedic students: A quasi-experimental, pretest–posttest study","authors":"Fatma Tok, Naile Canıtez, Tuğba Aydemir","doi":"10.1016/j.ienj.2025.101658","DOIUrl":"10.1016/j.ienj.2025.101658","url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusion</h3><div>This study concluded that the occupational injury prevention training program improved the knowledge levels and performance in patient transport practices of paramedic students.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"82 ","pages":"Article 101658"},"PeriodicalIF":1.8,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144605124","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}
Pub Date : 2025-07-12DOI: 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。
{"title":"Comfort scores instead of pain scores as a possible tool for pain and analgesia reduction in the emergency department: A randomized controlled clinical trial","authors":"C.M. Edwards , S. Veenje , E. Visser , D. Dammers , M.I. de Haan-Lauteslager , H. Lameijer","doi":"10.1016/j.ienj.2025.101657","DOIUrl":"10.1016/j.ienj.2025.101657","url":null,"abstract":"<div><h3>Introduction</h3><div>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.</div></div><div><h3>Methods</h3><div>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 <em>U</em> test for CS vs. PS and the Chi-squared test for analgesia desire and patient satisfaction.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"82 ","pages":"Article 101657"},"PeriodicalIF":1.8,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144611854","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}
Pub Date : 2025-07-11DOI: 10.1016/j.ienj.2025.101650
Haijuan Cui, Haitang Wang
Background
Healthcare-associated infections (HAIs) are a significant concern in emergency departments (EDs), where high patient volumes, rapid decision-making, and frequent invasive procedures increase infection risks. Despite existing infection prevention measures, the effectiveness of nursing interventions in reducing HAIs in ED settings remains underexplored.
Objective
This study evaluates the efficacy of nursing interventions in reducing HAIs among ED patients through a systematic review and meta-analysis, identifying the most effective strategies and providing evidence-based recommendations for infection control.
Methods
A systematic review and meta-analysis were conducted following PRISMA guidelines. A comprehensive search of PubMed, Cochrane Library, Scopus, and Web of Science was performed to identify relevant studies assessing nursing-led interventions for infection prevention in EDs. Eligible studies included randomized controlled trials (RCTs), quasi-experimental studies, and observational research reporting infection rates as primary outcomes. A random-effects model was used to estimate pooled effect sizes, and subgroup analyses explored the relative effectiveness of different intervention types (hygiene protocols, care bundles, patient education, environmental cleaning). Heterogeneity was assessed using I2 statistics, and publication bias was examined using funnel plots and Egger’s test.
Results
Ten high-quality studies involving 5,500 patients were included. The pooled odds ratio (OR) for nursing interventions in reducing HAIs was 0.69 (95 % CI: 0.65–0.74, p < 0.001), indicating a 31 % reduction in infection odds. Hygiene protocols demonstrated the greatest efficacy (OR = 0.62, 95 % CI: 0.57–0.68, p < 0.001), followed by care bundles (OR = 0.68, 95 % CI: 0.61–0.75, p < 0.001) and environmental cleaning (OR = 0.75, 95 % CI: 0.68–0.82, p < 0.001). Heterogeneity was moderate (I2 = 40 %), with higher variability in care bundles and environmental cleaning interventions. Sensitivity analyses confirmed the robustness of findings, and publication bias was minimal (Egger’s test, p = 0.18).
Conclusion
Nursing interventions significantly reduce HAIs in EDs, with hygiene protocols and care bundles being the most effective. Standardizing infection prevention protocols, integrating evidence-based nursing interventions, and ensuring adherence to best practices can enhance patient safety. Future research should explore the long-term sustainability of these interventions, the impact of multifaceted approaches, and their effectiveness across diverse patient populations.
背景：医疗保健相关感染（HAIs）是急诊科（EDs）的一个重要问题，在急诊科，大量患者、快速决策和频繁的侵入性手术增加了感染风险。尽管有现有的感染预防措施，但护理干预在减少急诊科环境中HAIs方面的有效性仍未得到充分探讨。目的本研究通过系统回顾和荟萃分析，评估护理干预在降低ED患者HAIs中的效果，确定最有效的策略，并为感染控制提供循证建议。方法按照PRISMA指南进行系统评价和荟萃分析。我们对PubMed、Cochrane Library、Scopus和Web of Science进行了综合检索，以确定评估护理主导干预措施对急诊科感染预防的相关研究。符合条件的研究包括随机对照试验（rct）、准实验研究和以感染率为主要结果的观察性研究。随机效应模型用于估计合并效应大小，亚组分析探讨了不同干预类型（卫生方案、护理包、患者教育、环境清洁）的相对有效性。采用I2统计量评估异质性，采用漏斗图和Egger检验检验发表偏倚。结果纳入10项高质量研究，共纳入5500例患者。护理干预降低高死亡率的合并优势比（OR）为0.69 (95% CI: 0.65-0.74, p <；0.001)，表明感染几率降低了31%。卫生方案的效果最好(OR = 0.62, 95% CI: 0.57-0.68, p <；0.001)，其次是护理包(OR = 0.68, 95% CI: 0.61-0.75, p <；0.001)和环境清洁(OR = 0.75, 95% CI: 0.68-0.82, p <；0.001)。异质性为中等（I2 = 40%），在护理包和环境清洁干预措施方面具有较高的可变性。敏感性分析证实了研究结果的稳健性，发表偏倚最小（Egger检验，p = 0.18）。结论护理干预措施可显著降低急诊科患者的高死亡率，其中卫生方案和护理包最有效。使感染预防方案标准化，整合循证护理干预措施，并确保遵守最佳做法，可加强患者安全。未来的研究应该探索这些干预措施的长期可持续性，多方面方法的影响，以及它们在不同患者群体中的有效性。
{"title":"Evaluating the efficacy of nursing interventions in reducing infection rates among emergency department patients","authors":"Haijuan Cui, Haitang Wang","doi":"10.1016/j.ienj.2025.101650","DOIUrl":"10.1016/j.ienj.2025.101650","url":null,"abstract":"<div><h3>Background</h3><div>Healthcare-associated infections (HAIs) are a significant concern in emergency departments (EDs), where high patient volumes, rapid decision-making, and frequent invasive procedures increase infection risks. Despite existing infection prevention measures, the effectiveness of nursing interventions in reducing HAIs in ED settings remains underexplored.</div></div><div><h3>Objective</h3><div>This study evaluates the efficacy of nursing interventions in reducing HAIs among ED patients through a systematic review and <em>meta</em>-analysis, identifying the most effective strategies and providing evidence-based recommendations for infection control.</div></div><div><h3>Methods</h3><div>A systematic review and <em>meta</em>-analysis were conducted following PRISMA guidelines. A comprehensive search of PubMed, Cochrane Library, Scopus, and Web of Science was performed to identify relevant studies assessing nursing-led interventions for infection prevention in EDs. Eligible studies included randomized controlled trials (RCTs), quasi-experimental studies, and observational research reporting infection rates as primary outcomes. A random-effects model was used to estimate pooled effect sizes, and subgroup analyses explored the relative effectiveness of different intervention types (hygiene protocols, care bundles, patient education, environmental cleaning). Heterogeneity was assessed using I2 statistics, and publication bias was examined using funnel plots and Egger’s test.</div></div><div><h3>Results</h3><div>Ten high-quality studies involving 5,500 patients were included. The pooled odds ratio (OR) for nursing interventions in reducing HAIs was 0.69 (95 % CI: 0.65–0.74, p < 0.001), indicating a 31 % reduction in infection odds. Hygiene protocols demonstrated the greatest efficacy (OR = 0.62, 95 % CI: 0.57–0.68, p < 0.001), followed by care bundles (OR = 0.68, 95 % CI: 0.61–0.75, p < 0.001) and environmental cleaning (OR = 0.75, 95 % CI: 0.68–0.82, p < 0.001). Heterogeneity was moderate (I2 = 40 %), with higher variability in care bundles and environmental cleaning interventions. Sensitivity analyses confirmed the robustness of findings, and publication bias was minimal (Egger’s test, p = 0.18).</div></div><div><h3>Conclusion</h3><div>Nursing interventions significantly reduce HAIs in EDs, with hygiene protocols and care bundles being the most effective. Standardizing infection prevention protocols, integrating evidence-based nursing interventions, and ensuring adherence to best practices can enhance patient safety. Future research should explore the long-term sustainability of these interventions, the impact of multifaceted approaches, and their effectiveness across diverse patient populations.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"82 ","pages":"Article 101650"},"PeriodicalIF":1.8,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144595477","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}
Pub Date : 2025-07-07DOI: 10.1016/j.ienj.2025.101644
Servet Cihan , Dilara Sert Kasım , Cennet Kara Özçalık , Asım Kalkan
Introduction
Emergency department (ED) nurses face a range of emotionally challenging and critical occupational stressors. As a vital part of the healthcare workforce, providing psychosocial support and empowerment to nurses is essential. This requires identifying factors that mitigate the demanding and traumatic aspects of emergency nursing and understanding the current support systems. Therefore, this study explored emergency department nurses’ perceptions of psychosocial support, existing psychosocial support systems, and their feelings, thoughts, and experiences related to their psychosocial support needs.
Methods
This study employed a qualitative descriptive design. Participants were selected through purposeful sampling, and semi-structured focus group interviews were conducted with 16 emergency department nurses. Data were analyzed using Graneheim and Lundman’s content analysis method. The Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist was followed to ensure rigorous reporting.
Results
Qualitative data analysis revealed three main themes and seven sub-themes. The three primary themes identified were perceived psychosocial support, psychosocial support services, and “we are not robots.”
Conclusion
The findings of this study highlight emergency department nurses’ perceptions of psychosocial support, the state of existing support systems, and their unmet needs. Given the negative impact of inadequate services and insufficient support, a multidisciplinary, comprehensive, and easily accessible approach is recommended to establish and provide psychosocial support tailored to emergency nursing.
{"title":"“We Are Not Robots”: Understanding the psychosocial support needs of emergency department nurses – A qualitative study","authors":"Servet Cihan , Dilara Sert Kasım , Cennet Kara Özçalık , Asım Kalkan","doi":"10.1016/j.ienj.2025.101644","DOIUrl":"10.1016/j.ienj.2025.101644","url":null,"abstract":"<div><h3>Introduction</h3><div>Emergency department (ED) nurses face a range of emotionally challenging and critical occupational stressors. As a vital part of the healthcare workforce, providing psychosocial support and empowerment to nurses is essential. This requires identifying factors that mitigate the demanding and traumatic aspects of emergency nursing and understanding the current support systems. Therefore, this study explored emergency department nurses’ perceptions of psychosocial support, existing psychosocial support systems, and their feelings, thoughts, and experiences related to their psychosocial support needs.</div></div><div><h3>Methods</h3><div>This study employed a qualitative descriptive design. Participants were selected through purposeful sampling, and semi-structured focus group interviews were conducted with 16 emergency department nurses. Data were analyzed using Graneheim and Lundman’s content analysis method. The Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist was followed to ensure rigorous reporting.</div></div><div><h3>Results</h3><div>Qualitative data analysis revealed three main themes and seven sub-themes. The three primary themes identified were perceived psychosocial support, psychosocial support services, and “we are not robots.”</div></div><div><h3>Conclusion</h3><div>The findings of this study highlight emergency department nurses’ perceptions of psychosocial support, the state of existing support systems, and their unmet needs. Given the negative impact of inadequate services and insufficient support, a multidisciplinary, comprehensive, and easily accessible approach is recommended to establish and provide psychosocial support tailored to emergency nursing.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"81 ","pages":"Article 101644"},"PeriodicalIF":1.8,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144570159","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}
The management of acute pain in prehospital care is inadequate worldwide, despite the prevalence of pain among prehospital patients. Studies have indicated that the attitudes and competencies of paramedics are linked to effective pain management. This study aims to describe the attitudes and self-assessed competencies of paramedics and to identify the relationships between these factors and various background variables.
Methods
The data for this descriptive cross-sectional study were collected through an electronic survey distributed to paramedics via social media. The sample included basic-level paramedics, advanced-level paramedics, and emergency medical service field supervisors working in Finland. A total of 156 participants were recruited using convenience sampling. The data were analyzed using descriptive statistics and non-parametric tests.
Results
Most paramedics had not received updated education in pain management. Lack of continuing education was associated with more negative attitudes toward the treatment of long-term pain compared to those who had received ongoing training (p < 0.05). A correlation was identified between patient-centered pain management and the educational level of paramedics (p < 0.05). Attitudes toward patients’ self-assessment of pain were generally rather negative, regardless of the paramedics’ background variables.
Conclusions
The study highlights the deficiencies in acute pain assessment within prehospital care, due to prevailing attitudes. Paramedics exhibit rather negative attitudes toward patients’ self-reports of pain, despite generally maintaining a positive outlook on pain management. Cognitively healthy patients should have the opportunity to receive pain management that prioritizes their self-reports of pain. Improved education could potentially foster positive attitudes.
{"title":"Paramedics’ attitudes and self-assessed competencies for acute pain management: A cross-sectional study","authors":"Ida-Maria Rantala , Elisa Nikander , Päivi Kankkunen , Jenni Hämäläinen","doi":"10.1016/j.ienj.2025.101649","DOIUrl":"10.1016/j.ienj.2025.101649","url":null,"abstract":"<div><h3>Introduction</h3><div>The management of acute pain in prehospital care is inadequate worldwide, despite the prevalence of pain among prehospital patients. Studies have indicated that the attitudes and competencies of paramedics are linked to effective pain management. This study aims to describe the attitudes and self-assessed competencies of paramedics and to identify the relationships between these factors and various background variables.</div></div><div><h3>Methods</h3><div>The data for this descriptive cross-sectional study were collected through an electronic survey distributed to paramedics via social media. The sample included basic-level paramedics, advanced-level paramedics, and emergency medical service field supervisors working in Finland. A total of 156 participants were recruited using convenience sampling. The data were analyzed using descriptive statistics and non-parametric tests.</div></div><div><h3>Results</h3><div>Most paramedics had not received updated education in pain management. Lack of continuing education was associated with more negative attitudes toward the treatment of long-term pain compared to those who had received ongoing training (p < 0.05). A correlation was identified between patient-centered pain management and the educational level of paramedics (p < 0.05). Attitudes toward patients’ self-assessment of pain were generally rather negative, regardless of the paramedics’ background variables.</div></div><div><h3>Conclusions</h3><div>The study highlights the deficiencies in acute pain assessment within prehospital care, due to prevailing attitudes. Paramedics exhibit rather negative attitudes toward patients’ self-reports of pain, despite generally maintaining a positive outlook on pain management. Cognitively healthy patients should have the opportunity to receive pain management that prioritizes their self-reports of pain. Improved education could potentially foster positive attitudes.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"81 ","pages":"Article 101649"},"PeriodicalIF":1.8,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144556588","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}
Pub Date : 2025-07-05DOI: 10.1016/j.ienj.2025.101638
Keshni Singh , Mamatuki Sosefo , Antony Robinson , Chris Rossiter , Di Brown
Objective
This research examined the impact of the COVID-19 pandemic on Registered Nurses working in the Emergency Department (ED) of a major Fijian hospital. It explored the role of formal disaster response and highlighted lessons that can be learned for future disasters, especially in low-resource settings.
Methods
This exploratory qualitative study reports the perspectives of 16 Registered Nurses working in the ED during the 2021 COVID-19 outbreak.
Results
The implementation of disaster plans helped staff feel supported. Rapid deployment of tents provided much-needed extra space but increased challenges due to heat and shortages of human and material resources. High-volume mortality meant extended delays in adequately managing the deceased. Absence from family for patients and staff led to mental stress; this experience was ameliorated for nurses by support from the ED manager and clinical colleagues.
Conclusion
Planning and training are crucial prior to any disaster. In future, surge capacity and emergency response must be implemented by including clinicians in planning and delivery. It is crucial that provision of extra space is matched with sufficient extra staff. Adequate and early management of dead bodies is also vital.
{"title":"Impact of COVID-19 and the hospital disaster response on nurses working in a Fijian emergency department","authors":"Keshni Singh , Mamatuki Sosefo , Antony Robinson , Chris Rossiter , Di Brown","doi":"10.1016/j.ienj.2025.101638","DOIUrl":"10.1016/j.ienj.2025.101638","url":null,"abstract":"<div><h3>Objective</h3><div>This research examined the impact of the COVID-19 pandemic on Registered Nurses working in the Emergency Department (ED) of a major Fijian hospital. It explored the role of formal disaster response and highlighted lessons that can be learned for future disasters, especially in low-resource settings.</div></div><div><h3>Methods</h3><div>This exploratory qualitative study reports the perspectives of 16 Registered Nurses working in the ED during the 2021 COVID-19 outbreak.</div></div><div><h3>Results</h3><div>The implementation of disaster plans helped staff feel supported. Rapid deployment of tents provided much-needed extra space but increased challenges due to heat and shortages of human and material resources. High-volume mortality meant extended delays in adequately managing the deceased. Absence from family for patients and staff led to mental stress; this experience was ameliorated for nurses by support from the ED manager and clinical colleagues.</div></div><div><h3>Conclusion</h3><div>Planning and training are crucial prior to any disaster. In future, surge capacity and emergency response must be implemented by including clinicians in planning and delivery. It is crucial that provision of extra space is matched with sufficient extra staff. Adequate and early management of dead bodies is also vital.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"81 ","pages":"Article 101638"},"PeriodicalIF":1.8,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144563295","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}
Pub Date : 2025-07-05DOI: 10.1016/j.ienj.2025.101645
Elizabeth Burgess Dowdell , Daniel Wala , Madison Matella , Sue Ellen Alderman , Paul W. Bernhardt
Introduction
Sleep is increasingly recognized as fundamental to health across the lifespan. Nurses who experience compassion fatigue often report being sleep deprived, having poor sleep habits, and experiencing poor sleep quality. Increasingly, the use of technology is a factor associated with poor sleep.
Methods
This descriptive, correlational study used a convenience sample of registered nurses who worked full-time in a Level I trauma center emergency department. Nurses were asked about their sleep, technology use during sleep, and levels of compassion fatigue using the 30-question Professional Quality of Life Scale (ProQOL v5).
Results
Emergency nurses who recounted answering their cell phone during sleep were more likely to report being startled and having had intrusive, frightening thoughts. Quality of sleep showed a relationship with being preoccupied with people taken care of at work. Although only a small number of nurses reported texting in their sleep, those who did were more likely to be younger, report feeling worn out, and with high compassion fatigue scores.
Discussion
Many healthcare professionals experience a variety of sleep difficulties from technology use ranging from lack of sleep to poor sleep quality. Nurses and providers may underestimate the impact of chronic sleep loss on their job performance, especially those who practice ED settings and are experiencing compassion fatigue. Prioritizing sleep through the implementation and use of evidence-based strategies aimed at improving sleep quality is essential in managing sleep patterns by emergency nurses, providers, and staff.
{"title":"The use of technology during sleep by emergency department nurses","authors":"Elizabeth Burgess Dowdell , Daniel Wala , Madison Matella , Sue Ellen Alderman , Paul W. Bernhardt","doi":"10.1016/j.ienj.2025.101645","DOIUrl":"10.1016/j.ienj.2025.101645","url":null,"abstract":"<div><h3>Introduction</h3><div>Sleep is increasingly recognized as fundamental to health across the lifespan. Nurses who experience compassion fatigue often report being sleep deprived, having poor sleep habits, and experiencing poor sleep quality. Increasingly, the use of technology is a factor associated with poor sleep.</div></div><div><h3>Methods</h3><div>This descriptive, correlational study used a convenience sample of registered nurses who worked full-time in a Level I trauma center emergency department. Nurses were asked about their sleep, technology use during sleep, and levels of compassion fatigue using the 30-question Professional Quality of Life Scale (ProQOL v5).</div></div><div><h3>Results</h3><div>Emergency nurses who recounted answering their cell phone during sleep were more likely to report being startled and having had intrusive, frightening thoughts. Quality of sleep showed a relationship with being preoccupied with people taken care of at work. Although only a small number of nurses reported texting in their sleep, those who did were more likely to be younger, report feeling worn out, and with high compassion fatigue scores.</div></div><div><h3>Discussion</h3><div>Many healthcare professionals experience a variety of sleep difficulties from technology use ranging from lack of sleep to poor sleep quality. Nurses and providers may underestimate the impact of chronic sleep loss on their job performance, especially those who practice ED settings and are experiencing compassion fatigue. Prioritizing sleep through the implementation and use of evidence-based strategies aimed at improving sleep quality is essential in managing sleep patterns by emergency nurses, providers, and staff.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"81 ","pages":"Article 101645"},"PeriodicalIF":1.8,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144563637","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}
Pub Date : 2025-07-05DOI: 10.1016/j.ienj.2025.101643
Kimia Mataei , Salam Vatandost , Namegh Dousti , Kamal Salehi
Background
Triage decision-making is a critical task for nurses in emergency departments, influenced by various factors, including burnout. This study aimed to explore the relationship between burnout and triage decision-making.
Method
A descriptive-analytical, cross-sectional study included 114 emergency nurses selected through total population sampling. Participants met criteria of voluntary participation, a nursing bachelor’s degree, and at least one year of emergency department experience. Data were gathered using a demographic form, the Maslach Burnout Inventory (MBI), and a triage decision-making questionnaire. Analysis was conducted in SPSS-22 using t-tests, ANOVA, and Pearson correlation, with significance set at P < 0.05.
Results
Participants had an average age of 32 years and 5 years of work experience. Of the group, 60 % were married, 72 % were childless, and 91 % held bachelor’s degrees. The mean triage decision-making score was 122.73 ± 16.13. Burnout prevalence was 32.1 %, with 52.6 % reporting high emotional exhaustion, 48.2 % high depersonalization, and only 1 % experiencing reduced job accomplishment. Triage decision-making showed an inverse correlation with burnout (r = -0.361, P = 0.001).
Conclusion
Burnout adversely impacts triage decision-making. Efforts to mitigate burnout—such as reducing workload, shortening work hours, increasing staffing, and offering stress management programs—may enhance decision-making quality.
分诊决策是急诊科护士的一项重要任务，受多种因素的影响，包括职业倦怠。本研究旨在探讨职业倦怠与分诊决策的关系。方法对114名急诊护士进行描述性分析、横断面研究。参与者符合自愿参与、护理学士学位和至少一年急诊科工作经验的标准。数据收集使用人口统计表格，马斯拉克职业倦怠量表（MBI）和分诊决策问卷。采用SPSS-22进行分析，采用t检验、方差分析和Pearson相关，显著性设置为P <；0.05.结果调查对象平均年龄32岁，工作经验5年。在这些人中，60%已婚，72%没有孩子，91%拥有学士学位。分诊决策平均分为122.73±16.13分。倦怠患病率为32.1%，其中52.6%的人报告有高度情绪衰竭，48.2%的人报告有高度人格解体，只有1%的人报告工作成就感降低。分诊决策与职业倦怠呈负相关（r = -0.361, P = 0.001）。结论职业倦怠对分诊决策有不利影响。减轻倦怠的努力——比如减少工作量、缩短工作时间、增加人手、提供压力管理项目——可能会提高决策质量。
{"title":"Triage decision-making and its relationship with burnout among nurses in Iranian emergency departments","authors":"Kimia Mataei , Salam Vatandost , Namegh Dousti , Kamal Salehi","doi":"10.1016/j.ienj.2025.101643","DOIUrl":"10.1016/j.ienj.2025.101643","url":null,"abstract":"<div><h3>Background</h3><div>Triage decision-making is a critical task for nurses in emergency departments, influenced by various factors, including burnout. This study aimed to explore the relationship between burnout and triage decision-making.</div></div><div><h3>Method</h3><div>A descriptive-analytical, cross-sectional study included 114 emergency nurses selected through total population sampling. Participants met criteria of voluntary participation, a nursing bachelor’s degree, and at least one year of emergency department experience. Data were gathered using a demographic form, the Maslach Burnout Inventory (MBI), and a triage decision-making questionnaire. Analysis was conducted in SPSS-22 using t-tests, ANOVA, and Pearson correlation, with significance set at P < 0.05.</div></div><div><h3>Results</h3><div>Participants had an average age of 32 years and 5 years of work experience. Of the group, 60 % were married, 72 % were childless, and 91 % held bachelor’s degrees. The mean triage decision-making score was 122.73 ± 16.13. Burnout prevalence was 32.1 %, with 52.6 % reporting high emotional exhaustion, 48.2 % high depersonalization, and only 1 % experiencing reduced job accomplishment. Triage decision-making showed an inverse correlation with burnout (r = -0.361, P = 0.001).</div></div><div><h3>Conclusion</h3><div>Burnout adversely impacts triage decision-making. Efforts to mitigate burnout—such as reducing workload, shortening work hours, increasing staffing, and offering stress management programs—may enhance decision-making quality.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"81 ","pages":"Article 101643"},"PeriodicalIF":1.8,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144556587","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}
Pub Date : 2025-07-05DOI: 10.1016/j.ienj.2025.101634
K. Souffront , C. Shubeck , G.T. Loo , L.D. Richardson
{"title":"Corrigendum to “Telehealth Referral to Improve Outcomes (TRIO) Intervention for Asymptomatic Hypertension in the Emergency Department: A Randomized Pilot Feasibility Study” [Int. Emerg. Nurs. 81 (2025) 101622]","authors":"K. Souffront , C. Shubeck , G.T. Loo , L.D. Richardson","doi":"10.1016/j.ienj.2025.101634","DOIUrl":"10.1016/j.ienj.2025.101634","url":null,"abstract":"","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"81 ","pages":"Article 101634"},"PeriodicalIF":1.8,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576785","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}
Pub Date : 2025-07-04DOI: 10.1016/j.ienj.2025.101646
Gülseren Keskin , Süreyya Gümüşsoy , Aysun Babacan Gümüş
Background
The COVID-19 pandemic has affected not only people’s daily lives but also their interpersonal relationships.
Aims
It is aimed to evaluate the anxiety levels and ways of distress tolerance of female and male nurses in terms of their interpersonal relationship styles during the COVID-19 pandemic period.
Methods
This descriptive and comparative study was conducted with 525 nurses. Interpersonal Relationship Styles Scale (IRSS), Beck Anxiety Inventory (BAI) and Distress Tolerance Scale (DTS) were used to collect study data.
Results
A significant difference was found between male and female nurses in terms of BAI (p > 0.05) and DTS (p > 0.05) scale scores. A weak, positive and statistically significant relationship was found between IRSS, dominant, avoidant, insensitive, manipulative, belittling styles and BAI in women.
Conclusion
It was found that the anxiety scores of female nurses were higher than those of male nurses, while male nurses had higher distress tolerance scale scores than female nurses.
Implications for nursing practice and policies
Therapeutic and gender-sensitive interventions that strengthen nurses’ interpersonal relationship skills during crises can reduce distress and anxiety, improve team communication, and support emotional resilience in clinical settings.
{"title":"Variables affecting interpersonal relationship styles in the emergency department: Female male nurses difference in Turkey","authors":"Gülseren Keskin , Süreyya Gümüşsoy , Aysun Babacan Gümüş","doi":"10.1016/j.ienj.2025.101646","DOIUrl":"10.1016/j.ienj.2025.101646","url":null,"abstract":"<div><h3>Background</h3><div>The COVID-19 pandemic has affected not only people’s daily lives but also their interpersonal relationships.</div></div><div><h3>Aims</h3><div>It is aimed to evaluate the anxiety levels and ways of distress tolerance of female and male nurses in terms of their interpersonal relationship styles during the COVID-19 pandemic period.</div></div><div><h3>Methods</h3><div>This descriptive and comparative study was conducted with 525 nurses. Interpersonal Relationship Styles Scale (IRSS), Beck Anxiety Inventory (BAI) and Distress Tolerance Scale (DTS) were used to collect study data.</div></div><div><h3>Results</h3><div>A significant difference was found between male and female nurses in terms of BAI (p > 0.05) and DTS (p > 0.05) scale scores. A weak, positive and statistically significant relationship was found between IRSS, dominant, avoidant, insensitive, manipulative, belittling styles and BAI in women.</div></div><div><h3>Conclusion</h3><div>It was found that the anxiety scores of female nurses were higher than those of male nurses, while male nurses had higher distress tolerance scale scores than female nurses.</div></div><div><h3>Implications for nursing practice and policies</h3><div>Therapeutic and gender-sensitive interventions that strengthen nurses’ interpersonal relationship skills during crises can reduce distress and anxiety, improve team communication, and support emotional resilience in clinical settings.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"81 ","pages":"Article 101646"},"PeriodicalIF":1.8,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144556586","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}
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