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Turkish validity and reliability of the parental competence questionnaire in the paediatric hospital emergency setting (ECP-U) 土耳其儿科医院急诊环境中父母能力问卷的效度和信度
IF 1.8 4区 医学 Q2 NURSING Pub Date : 2025-11-22 DOI: 10.1016/j.ienj.2025.101716
Aylin Kurt , Fatma Dinç , Emine Güneş Şan , Ahmet Butun , Meltem Catalbas Acarsoy

Aim

The aim of this study is to conduct Turkish validity and reliability study of the parental competence questionnaire in the paediatric hospital emergency setting.

Methods

This study is a descriptive, cross-sectional, correlational and methodological study. Participants were 624 parents with children aged 0–14 who presented to the paediatric emergency department between December 2023 and July 2024. The study was carried out in the emergency department of three hospitals in three different regions of Turkey. The data were collected by using the “demographic information form” and “parental competence questionnaire in the paediatric hospital emergency setting”, “state and trait anxiety inventory”, and “parental stress questionnaire”. Explanatory and confirmatory factor analysis, Horn’s parallel analysis, Catell’s scree test, Cronbach’s ordinal alpha coefficients and Pearson correlation were used in the data analysis.

Results

The mean age of the mothers included in the study was 34.63 ± 6.94, and the mean age of the fathers was 37.88 ± 7.83. The scale consisted of 18 items and three sub-dimensions: emotional management and expression, social support, and parental agency, explaining 60 % of the total variance. It was determined that the Cronbach’s ordinal alpha coefficients of the scale factors were greater than 0.745. There is a negative correlation between the parental stress questionnaire, the state and trait anxiety inventory, and the parental competence questionnaire in the paediatric hospital emergency setting.

Conclusions

According to the results of this study, the parental competence questionnaire in the paediatric hospital emergency setting is a valid and reliable measurement tool for the Turkish population.
目的本研究的目的是在儿科医院急诊环境中进行土耳其语父母能力问卷的效度和信度研究。方法采用描述性、横断面、相关性和方法学研究。参与者是624名0-14岁儿童的父母,他们在2023年12月至2024年7月期间到儿科急诊科就诊。这项研究是在土耳其三个不同地区的三家医院的急诊科进行的。采用“人口统计信息表”、“儿科医院急诊环境父母能力问卷”、“状态与特质焦虑量表”和“父母压力问卷”收集数据。数据分析采用解释性和验证性因子分析、Horn’s平行分析、Catell’s筛选检验、Cronbach’s序数α系数和Pearson相关。结果本组母亲平均年龄为34.63±6.94岁,父亲平均年龄为37.88±7.83岁。量表包括18个条目和3个子维度:情绪管理与表达、社会支持和父母代理,解释了总方差的60%。确定各量表因子的Cronbach’s序数alpha系数均大于0.745。在儿科医院急诊环境中,父母压力问卷、状态与特质焦虑问卷与父母胜任力问卷存在负相关。结论根据本研究的结果,儿科医院急诊环境中的父母能力问卷是一种有效和可靠的测量工具。
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引用次数: 0
Letter to the editor regarding “The effect on intra-hospital transfer success of checklist in the pediatric emergency department: An interventional observational study” 关于“检查表对儿科急诊科院内转院成功率的影响:一项介入性观察研究”致编辑的信
IF 1.8 4区 医学 Q2 NURSING Pub Date : 2025-11-22 DOI: 10.1016/j.ienj.2025.101717
Ahmet Kağan Özkaya , Elif Nur İldeş
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引用次数: 0
Determining healthy lifestyle beliefs of adolescents presenting to the pediatric emergency department: A cross-sectional study 确定儿童急诊科青少年的健康生活方式信念:一项横断面研究。
IF 1.8 4区 医学 Q2 NURSING Pub Date : 2025-11-18 DOI: 10.1016/j.ienj.2025.101713
Sibel Girginer , İlknur Yıldız

Introduction

Adolescence is a critical developmental period in which healthy lifestyle beliefs are shaped. Existing studies in the literature have generally been conducted on adolescents without any health problems. This study aims to determine the healthy lifestyle beliefs of adolescents who present to the pediatric emergency department, thus filling an important gap in the literature.

Method

This descriptive cross-sectional study was conducted with 389 adolescents who presented to the Pediatric Emergency Department of a public hospital in Turkey between 01 February 2023 and 31 July 2023. Data were collected using the Introductory Information Form and the Healthy Lifestyle Belief Scale for Adolescents (HLBSA), and were evaluated using descriptive statistics, independent samples t-test, and ANOVA variance analysis.

Results

The average age of the adolescents was 16.17 ± 0.81, and 61.4 % were female. 15.2 % of the adolescents had a chronic illness, and 51.4 % had been hospitalized previously. The mean total score of the Healthy Lifestyle Belief Scale was 62.03 ± 11.25; the Health Belief subscale was 27.36 ± 5.70, the Physical Activity subscale was 20.59 ± 4.00, and the Nutrition subscale was 14.07 ± 3.70. A significant difference was found between the adolescents’ academic achievement, peer relationships, nutritional habits, physical activity levels, happiness status, interest in health issues, and their mean total healthy lifestyle belief scores (p < 0.05).

Conclusion

The healthy lifestyle beliefs of adolescents presenting to the pediatric emergency department are at a high level. Considering individual and environmental factors that shape health beliefs and behaviors is of great importance in protecting and improving adolescent health.
青少年是形成健康生活方式信念的关键发育时期。现有文献中的研究一般都是针对没有任何健康问题的青少年进行的。本研究旨在确定到儿科急诊科就诊的青少年的健康生活方式信念,从而填补文献中的一个重要空白。方法:对2023年2月1日至2023年7月31日期间在土耳其一家公立医院儿科急诊科就诊的389名青少年进行了描述性横断面研究。采用《青少年健康生活方式信念量表》(HLBSA)和《介绍信息表》收集资料,采用描述性统计、独立样本t检验和方差分析进行评价。结果:青少年平均年龄为16.17±0.81岁,女性占61.4%。15.2%的青少年患有慢性疾病,51.4%的青少年曾住院治疗。健康生活方式信念量表总分平均为62.03±11.25分;健康信念量表得分27.36±5.70分,体育活动量表得分20.59±4.00分,营养量表得分14.07±3.70分。青少年的学业成绩、同伴关系、营养习惯、体育活动水平、幸福状况、对健康问题的兴趣及其健康生活方式信念平均总分存在显著差异(p)。结论:就诊于儿科急诊科的青少年健康生活方式信念处于较高水平。考虑影响健康信念和行为的个人和环境因素对于保护和改善青少年健康非常重要。
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引用次数: 0
Empowering emergency nurses in crisis response – A quality improvement framework for enhanced preparedness and decision-making 在危机应对中赋予急救护士权力——加强准备和决策的质量改进框架。
IF 1.8 4区 医学 Q2 NURSING Pub Date : 2025-11-17 DOI: 10.1016/j.ienj.2025.101711
Hesam Seyedin , Shandiz Moslehi , Sajjad Narimani

Introduction

Emergency nurses face significant challenges in crisis response, including cognitive overload and institutional barriers, which compromise patient outcomes. This quality improvement (QI) initiative aimed to enhance crisis preparedness through evidence-based interventions, addressing gaps in risk perception, decision-making, and self-efficacy.

Method

A pre/post-intervention study was conducted at two academic medical centers (Level I trauma centers)150 emergency nurses. Interventions included simulation-based training, AI-driven decision-support tools, and protocol reforms. Data were collected at baseline, post-intervention, and six-month follow-up. Primary outcomes included risk perception accuracy, decision latency, and self-efficacy, which were analyzed using paired t-tests, repeated measures ANCOVA, control charts, and chi-square tests.

Results

Post-intervention, nurses demonstrated a 32 % improvement in risk perception accuracy (p < 0.01) and a 26 % reduction in decision-making time (p < 0.05). Self-efficacy scores nearly doubled, rising from 45 % to 89 %. ED-specific process outcomes included a 40 % reduction in triage errors and a 35 % decrease in missed deteriorations with AI support. Improvements were sustained at the 6-month follow-up.

Discussion

The multimodal approach yielded statistically and clinically significant improvements, surpassing single-intervention studies. Sustainable implementation requires institutional support for technology integration and policy reforms. These findings advocate for widespread adoption of combined simulation, AI, and protocol strategies to empower nurses in crisis response.
急诊护士在危机应对中面临着重大挑战,包括认知超载和制度障碍,这些都会影响患者的预后。这一质量改进(QI)倡议旨在通过基于证据的干预措施加强危机准备,解决风险认知、决策和自我效能方面的差距。方法:对两所专科医疗中心(一级创伤中心)的150名急诊护士进行干预前/干预后研究。干预措施包括基于模拟的培训、人工智能驱动的决策支持工具和协议改革。在基线、干预后和6个月随访时收集数据。主要结局包括风险感知准确性、决策延迟和自我效能,采用配对t检验、重复测量ANCOVA、控制图和卡方检验进行分析。结果:干预后,护士的风险感知准确性提高了32% (p)。讨论:多模式方法在统计学和临床上都取得了显著的改善,超过了单一干预研究。可持续实施需要对技术整合和政策改革提供体制支持。这些发现提倡广泛采用模拟、人工智能和协议相结合的策略,以增强护士在危机应对中的能力。
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引用次数: 0
Pediatric emergency nurses’ knowledge, competence, and barriers in trauma-informed care: A cross-sectional study 儿科急诊护士在创伤知情护理中的知识、能力和障碍:一项横断面研究。
IF 1.8 4区 医学 Q2 NURSING Pub Date : 2025-11-16 DOI: 10.1016/j.ienj.2025.101714
Amina Elzeiny , Ahmed Loutfy , Sameer A. Alkubati , Mohamed Ali Zoromba , Ahmed Hashem El-Monshed , Ahmed Salah Ali , Fatma Sayed Abdelaziz Mohamed

Background

pediatric emergency nurses play a critical role in caring for children who have experienced traumatic events in the emergency departments. Trauma-informed care (TIC) is an essential approach that considers the psychological, behavioral, and social implications of trauma. This study aims to assess pediatric emergency nurses’ knowledge, perceived competence, and barriers related to TIC in emergency departments (EDs).

Methods

A cross-sectional design was conducted with 106 pediatric emergency nurses working in the pediatric emergency departments of three public hospitals in Egypt. Data was collected through an interview questionnaire with permission using the TIC Provider Survey Version 2.0 – Pediatric Survey. Descriptive statistics and multiple regression analysis were used to analyze the data.

Results

Most pediatric emergency nurses in emergency departments were female (69.8 %). Their mean knowledge score was 39.16 (SD = 9.03), and they expressed favorable opinions about TIC with a mean score of 22.37 (SD = 4.26) (range: 9 to 28). Self-rated competence in specific TIC aspects varied, but providers demonstrated favorable views toward incorporating TIC into their practice overall. The top three significant barriers to TIC implementation were: (1) “Confusing or unclear information on TIC” (67 %), (2) “Scope of practice constraints” (46.2 %), and (3) “Lack of training” (66 %).

Conclusions

Although pediatric emergency nurses in emergency departments demonstrated limited knowledge, with only 4 out of 13 items answered correctly by more than 50% of participants, their overall mean score suggests moderate awareness TIC. However, their practical application emained deficient. Prioritizing enhanced education and training can improve recognition and management of psychosocial and behavioral consequences, positively impacting children’s and parents’ outcomes while fostering a trauma-sensitive culture among pediatric emergency nurses.
背景:儿科急诊护士在急诊科照顾经历创伤性事件的儿童方面发挥着关键作用。创伤知情护理(TIC)是一种必要的方法,考虑心理,行为和社会影响的创伤。本研究旨在评估急诊科儿科急诊科护士的TIC相关知识、感知能力及障碍。方法:采用横断面设计对埃及3家公立医院儿科急诊科106名儿科急诊护士进行调查。数据是通过访谈问卷收集的,并获得许可使用TIC提供者调查2.0版-儿科调查。采用描述性统计和多元回归分析对数据进行分析。结果:急诊科儿科急诊护士以女性为主(69.8%)。他们的平均知识得分为39.16 (SD = 9.03),对TIC的平均评价得分为22.37 (SD = 4.26)(范围为9 ~ 28)。在特定的议会方面,自评能力各不相同,但提供者对将议会纳入其整体实践表现出良好的看法。实施议会的三大主要障碍是:(1)“议会资料混乱或不清楚”(67%),(2)“业务范围受限制”(46.2%),以及(3)“缺乏培训”(66%)。结论:虽然急诊科的儿科急诊护士表现出有限的知识,超过50%的参与者在13个项目中只有4个回答正确,但他们的总体平均得分表明他们对TIC有中等程度的认识。然而,它们的实际应用仍然不足。优先加强教育和培训可以提高对心理社会和行为后果的认识和管理,对儿童和父母的结果产生积极影响,同时在儿科急诊护士中培养对创伤敏感的文化。
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引用次数: 0
The applicability of artificial intelligence in managing emergency patients: An umbrella review 人工智能在急诊病人管理中的适用性:综述
IF 1.8 4区 医学 Q2 NURSING Pub Date : 2025-11-15 DOI: 10.1016/j.ienj.2025.101710
Wesam Taher Almagharbeh , Maryam Alharrasi , Moustaq Karim Khan Rony , Sarmin Kabir , Daifallah M. Alrazeeni , Fazila Akter

Background

Artificial intelligence (AI) is increasingly reshaping emergency medicine and nursing by enabling faster, more accurate, and scalable decision-making. In high-pressure settings such as emergency departments (EDs), AI technologies have shown promise in improving triage, diagnostics, clinical decision-making, and operational efficiency. Despite this potential, the current body of evidence remains fragmented, with a lack of comprehensive synthesis across diverse AI applications.

Aim

This umbrella review aimed to synthesize existing review-level evidence on the applicability of artificial intelligence in managing emergency patients.

Methods

A systematic umbrella review was conducted following PRISMA guidelines. Systematic reviews, scoping reviews, and narrative syntheses focusing on AI in emergency settings were identified through comprehensive searches in five major databases. The search covered studies published between January 2013 and March 2025. Data were extracted on AI types, clinical focus areas, implementation strategies, outcomes, and barriers. The Joanna Briggs Institute (JBI) checklist was used for quality assessment, and findings were synthesized thematically.

Results

A total of 24 eligible reviews were included. The analysis revealed AI’s significant impact across four major domains: triage and risk stratification, diagnostic support, clinical decision-making, and workflow optimization. Tools such as machine learning and deep learning improved diagnostic accuracy, decision consistency, and patient flow. However, barriers such as interoperability issues, lack of explainability, data privacy concerns, and legal ambiguity were consistently reported.

Conclusion

AI holds transformative potential in emergency patient management. While clinical benefits are clear, widespread adoption depends on addressing technical, ethical, and regulatory challenges. Future efforts should focus on explainable, validated, and user-integrated AI systems to ensure responsible and equitable implementation in emergency care.
人工智能(AI)通过实现更快、更准确和可扩展的决策,正在日益重塑急诊医学和护理。在诸如急诊科(ed)等高压环境中,人工智能技术在改善分类、诊断、临床决策和运营效率方面显示出了希望。尽管有这种潜力,但目前的证据仍然是碎片化的,缺乏对各种人工智能应用的全面综合。目的本综述旨在综合现有关于人工智能在急诊患者管理中的适用性的综述级证据。方法按照PRISMA指南进行系统的综合评价。通过对五个主要数据库的全面搜索,确定了以紧急情况下人工智能为重点的系统评价、范围评价和叙事综合。该研究涵盖了2013年1月至2025年3月期间发表的研究。提取有关人工智能类型、临床重点领域、实施策略、结果和障碍的数据。乔安娜布里格斯研究所(JBI)的检查表用于质量评估,并对结果进行主题综合。结果共纳入符合条件的评价24篇。分析显示,人工智能在四个主要领域产生了重大影响:分诊和风险分层、诊断支持、临床决策和工作流程优化。机器学习和深度学习等工具提高了诊断准确性、决策一致性和患者流程。然而,诸如互操作性问题、缺乏可解释性、数据隐私问题和法律模糊性等障碍一直被报道。结论人工智能在急诊患者管理中具有变革潜力。虽然临床效益很明显,但广泛采用取决于解决技术、伦理和监管方面的挑战。未来的努力应侧重于可解释的、经过验证的和用户集成的人工智能系统,以确保在急诊护理中负责任和公平地实施。
{"title":"The applicability of artificial intelligence in managing emergency patients: An umbrella review","authors":"Wesam Taher Almagharbeh ,&nbsp;Maryam Alharrasi ,&nbsp;Moustaq Karim Khan Rony ,&nbsp;Sarmin Kabir ,&nbsp;Daifallah M. Alrazeeni ,&nbsp;Fazila Akter","doi":"10.1016/j.ienj.2025.101710","DOIUrl":"10.1016/j.ienj.2025.101710","url":null,"abstract":"<div><h3>Background</h3><div>Artificial intelligence (AI) is increasingly reshaping emergency medicine and nursing by enabling faster, more accurate, and scalable decision-making. In high-pressure settings such as emergency departments (EDs), AI technologies have shown promise in improving triage, diagnostics, clinical decision-making, and operational efficiency. Despite this potential, the current body of evidence remains fragmented, with a lack of comprehensive synthesis across diverse AI applications.</div></div><div><h3>Aim</h3><div>This umbrella review aimed to synthesize existing review-level evidence on the applicability of artificial intelligence in managing emergency patients.</div></div><div><h3>Methods</h3><div>A systematic umbrella review was conducted following PRISMA guidelines. Systematic reviews, scoping reviews, and narrative syntheses focusing on AI in emergency settings were identified through comprehensive searches in five major databases. The search covered studies published between January 2013 and March 2025. Data were extracted on AI types, clinical focus areas, implementation strategies, outcomes, and barriers. The Joanna Briggs Institute (JBI) checklist was used for quality assessment, and findings were synthesized thematically.</div></div><div><h3>Results</h3><div>A total of 24 eligible reviews were included. The analysis revealed AI’s significant impact across four major domains: triage and risk stratification, diagnostic support, clinical decision-making, and workflow optimization. Tools such as machine learning and deep learning improved diagnostic accuracy, decision consistency, and patient flow. However, barriers such as interoperability issues, lack of explainability, data privacy concerns, and legal ambiguity were consistently reported.</div></div><div><h3>Conclusion</h3><div>AI holds transformative potential in emergency patient management. While clinical benefits are clear, widespread adoption depends on addressing technical, ethical, and regulatory challenges. Future efforts should focus on explainable, validated, and user-integrated AI systems to ensure responsible and equitable implementation in emergency care.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"83 ","pages":"Article 101710"},"PeriodicalIF":1.8,"publicationDate":"2025-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145519700","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
Emergency nurses’ roles in supporting surrogate decision-making through remote family meetings: Insights from COVID-19 visitation restrictions 急诊护士在通过远程家庭会议支持替代决策中的作用:来自COVID-19探视限制的见解
IF 1.8 4区 医学 Q2 NURSING Pub Date : 2025-11-14 DOI: 10.1016/j.ienj.2025.101709
Sadami Momiyama , Hayato Katayanagi , Makoto Nakabayashi , Tomoko Fujino , Yoshiko Sato , Takafumi Noguchi , Hidekazu Hishinuma
{"title":"Emergency nurses’ roles in supporting surrogate decision-making through remote family meetings: Insights from COVID-19 visitation restrictions","authors":"Sadami Momiyama ,&nbsp;Hayato Katayanagi ,&nbsp;Makoto Nakabayashi ,&nbsp;Tomoko Fujino ,&nbsp;Yoshiko Sato ,&nbsp;Takafumi Noguchi ,&nbsp;Hidekazu Hishinuma","doi":"10.1016/j.ienj.2025.101709","DOIUrl":"10.1016/j.ienj.2025.101709","url":null,"abstract":"","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"83 ","pages":"Article 101709"},"PeriodicalIF":1.8,"publicationDate":"2025-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145519699","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
Development of a core competency assessment framework for frontline nurses responding to infectious disease emergencies: A three-year initiative at a regional medical center 为应对传染病紧急情况的一线护士制定核心能力评估框架:一个区域医疗中心的三年倡议
IF 1.8 4区 医学 Q2 NURSING Pub Date : 2025-11-01 DOI: 10.1016/j.ienj.2025.101703
Shen-Ting Xu , Rui-Lan Li , Jian-Feng Zhang , Jian-Qin Chen , Qin-Fang Chen , Jian-Ying Zhou , Zhen-Juan Dai

Objective

The aim of this study was to develop a scientifically grounded core competency assessment framework for frontline nurses engaged in infectious disease emergency response.

Methods

An initial index system for evaluating core competencies was formulated through a comprehensive review of the literature and structured group discussions. The Delphi method was used to conduct two rounds of expert consultation between August and November 2024, involving 18 experts in the field.

Results

The expert response rate was 100% in both consultation rounds. The authority coefficients for the experts were 0.886 and 0.953 for the first and second rounds, respectively. Coefficients of variation ranged from 0 to 0.357 in the first round and from 0 to 0.115 in the second. The Kendall’s concordance coefficients for the first to fourth-level indicators were 0.222, 0.210, 0.330, and 0.339 in the first round, and 0.325, 0.307, 0.389, and 0.374 in the second round. The finalized framework consisted of 3 first-level indicators, 13 second-level indicators, 42 third-level indicators, and 106 fourth-level indicators.

Conclusion

The resulting core competency assessment framework demonstrates scientific rigor and comprehensiveness. It offers a practical reference for the selection and training of primary care nursing personnel during infectious disease emergencies and supports the development of emergency nursing teams coordinated by regional medical centers.
目的建立传染病应急一线护士核心能力评估体系。方法通过对文献的全面回顾和有组织的小组讨论,制定了评估核心竞争力的初步指标体系。采用德尔菲法,于2024年8月至11月进行了两轮专家咨询,共有18名专家参与。结果两轮咨询专家应答率均为100%。第一轮和第二轮专家的权威系数分别为0.886和0.953。第一轮的变异系数为0 ~ 0.357,第二轮的变异系数为0 ~ 0.115。第一、四级指标的肯德尔一致性系数分别为0.222、0.210、0.330和0.339,第二轮的肯德尔一致性系数分别为0.325、0.307、0.389和0.374。最终确定的框架包括3个一级指标、13个二级指标、42个三级指标和106个四级指标。结论构建的核心能力评估框架具有科学性、严谨性和全面性。为传染病突发事件中基层护理人员的选拔和培训提供了实践参考,支持了区域医疗中心协调的急诊护理队伍的发展。
{"title":"Development of a core competency assessment framework for frontline nurses responding to infectious disease emergencies: A three-year initiative at a regional medical center","authors":"Shen-Ting Xu ,&nbsp;Rui-Lan Li ,&nbsp;Jian-Feng Zhang ,&nbsp;Jian-Qin Chen ,&nbsp;Qin-Fang Chen ,&nbsp;Jian-Ying Zhou ,&nbsp;Zhen-Juan Dai","doi":"10.1016/j.ienj.2025.101703","DOIUrl":"10.1016/j.ienj.2025.101703","url":null,"abstract":"<div><h3>Objective</h3><div>The aim of this study was to develop a scientifically grounded core competency assessment framework for frontline nurses engaged in infectious disease emergency response.</div></div><div><h3>Methods</h3><div>An initial index system for evaluating core competencies was formulated through a comprehensive review of the literature and structured group discussions. The Delphi method was used to conduct two rounds of expert consultation between August and November 2024, involving 18 experts in the field.</div></div><div><h3>Results</h3><div>The expert response rate was 100% in both consultation rounds. The authority coefficients for the experts were 0.886 and 0.953 for the first and second rounds, respectively. Coefficients of variation ranged from 0 to 0.357 in the first round and from 0 to 0.115 in the second. The Kendall’s concordance coefficients for the first to fourth-level indicators were 0.222, 0.210, 0.330, and 0.339 in the first round, and 0.325, 0.307, 0.389, and 0.374 in the second round. The finalized framework consisted of 3 first-level indicators, 13 second-level indicators, 42 third-level indicators, and 106 fourth-level indicators.</div></div><div><h3>Conclusion</h3><div>The resulting core competency assessment framework demonstrates scientific rigor and comprehensiveness. It offers a practical reference for the selection and training of primary care nursing personnel during infectious disease emergencies and supports the development of emergency nursing teams coordinated by regional medical centers.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"83 ","pages":"Article 101703"},"PeriodicalIF":1.8,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145416385","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
Response to the comments on “A systematic review on suction-based airway clearance devices for foreign body airway obstruction” 对“以吸痰为基础的异物气道阻塞清除装置系统综述”评论的回应
IF 1.8 4区 医学 Q2 NURSING Pub Date : 2025-10-30 DOI: 10.1016/j.ienj.2025.101708
Francesco Limonti , Natalino Palermo , Miguel Angel Paludi , Angelica Semeraro , Daniele Ermanno , Sandro Ganzino , Nicola Ramacciati
{"title":"Response to the comments on “A systematic review on suction-based airway clearance devices for foreign body airway obstruction”","authors":"Francesco Limonti ,&nbsp;Natalino Palermo ,&nbsp;Miguel Angel Paludi ,&nbsp;Angelica Semeraro ,&nbsp;Daniele Ermanno ,&nbsp;Sandro Ganzino ,&nbsp;Nicola Ramacciati","doi":"10.1016/j.ienj.2025.101708","DOIUrl":"10.1016/j.ienj.2025.101708","url":null,"abstract":"","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"83 ","pages":"Article 101708"},"PeriodicalIF":1.8,"publicationDate":"2025-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145416531","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
Noise sensitivity, attention deficit-hyperactivity levels and individualized care behaviors of nurses working in the emergency department: A descriptive and cross-sectional multicenter study 急诊科护士的噪声敏感性、注意缺陷-多动水平和个性化护理行为:一项描述性和横断面的多中心研究
IF 1.8 4区 医学 Q2 NURSING Pub Date : 2025-10-30 DOI: 10.1016/j.ienj.2025.101701
Ezgi Yıldız , Tuba Karabey , Şerife Karagözoğlu

Aim

This study was conducted to determine the noise sensitivity, attention deficit-hyperactivity level, and individualized care behaviors of nurses working in the emergency department.

Methods

The descriptive and cross-sectional multicenter study was conducted with 232 nurses working in the emergency department between December 2023 and February 2024. Data were collected using the Personal Information Form, Weinstein Noise Sensitivity Scale, Individualised Care Scale, and Adult Attention Deficit-Hyperactivity Disorder Self-Report Scale. We adhered to the STROBE checklist for reporting.

Results

The mean age of the nurses was 30.33 ± 7.12 years (Min:23; Max:62) and 63.4 % were female. The mean total score of the Weinstein Noise Sensitivity Scale was 91.09 ± 16.06, the mean total score of Individualised Care Scale-A was 3.56 ± 0.70, the mean total score of Individualised Care Scale-B was 3.72 ± 0.74, and the mean total score of Attention Deficit-Hyperactivity Disorder Self-Report Scale was 28.40 ± 9.57.

Conclusion

It was found that nurses had high levels of noise sensitivity, individualized care behaviors, and attention deficit hyperactivity. In the emergency department, high noise levels, distraction and the need for rapid intervention may make nursing care difficult. It is recommended that noise sources be identified and noise reduction interventions be made.
目的了解急诊科护士的噪声敏感性、注意缺陷-多动水平及个性化护理行为。方法对2023年12月至2024年2月在急诊科工作的232名护士进行描述性、横断面多中心研究。数据采用个人信息表、温斯坦噪声敏感量表、个性化护理量表和成人注意缺陷-多动障碍自述量表收集。我们坚持使用STROBE检查表进行报告。结果护理人员平均年龄30.33±7.12岁(最小23岁,最大62岁),女性占63.4%。温斯坦噪声敏感量表的平均总分为91.09±16.06分,个性化护理量表- a的平均总分为3.56±0.70分,个性化护理量表- b的平均总分为3.72±0.74分,注意缺陷-多动障碍自述量表的平均总分为28.40±9.57分。结论护理人员存在较高的噪声敏感性、个性化护理行为和注意缺陷多动。在急诊科,高噪音、干扰和需要快速干预可能使护理困难。建议找出噪声源,并采取措施减低噪音。
{"title":"Noise sensitivity, attention deficit-hyperactivity levels and individualized care behaviors of nurses working in the emergency department: A descriptive and cross-sectional multicenter study","authors":"Ezgi Yıldız ,&nbsp;Tuba Karabey ,&nbsp;Şerife Karagözoğlu","doi":"10.1016/j.ienj.2025.101701","DOIUrl":"10.1016/j.ienj.2025.101701","url":null,"abstract":"<div><h3>Aim</h3><div>This study was conducted to determine the noise sensitivity, attention deficit-hyperactivity level, and individualized care behaviors of nurses working in the emergency department.</div></div><div><h3>Methods</h3><div>The descriptive and cross-sectional multicenter study was conducted with 232 nurses working in the emergency department between December 2023 and February 2024. Data were collected using the Personal Information Form, Weinstein Noise Sensitivity Scale, Individualised Care Scale, and Adult Attention Deficit-Hyperactivity Disorder Self-Report Scale. We adhered to the STROBE checklist for reporting.</div></div><div><h3>Results</h3><div>The mean age of the nurses was 30.33 ± 7.12 years (Min:23; Max:62) and 63.4 % were female. The mean total score of the Weinstein Noise Sensitivity Scale was 91.09 ± 16.06, the mean total score of Individualised Care Scale-A was 3.56 ± 0.70, the mean total score of Individualised Care Scale-B was 3.72 ± 0.74, and the mean total score of Attention Deficit-Hyperactivity Disorder Self-Report Scale was 28.40 ± 9.57.</div></div><div><h3>Conclusion</h3><div>It was found that nurses had high levels of noise sensitivity, individualized care behaviors, and attention deficit hyperactivity. In the emergency department, high noise levels, distraction and the need for rapid intervention may make nursing care difficult. It is recommended that noise sources be identified and noise reduction interventions be made.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"83 ","pages":"Article 101701"},"PeriodicalIF":1.8,"publicationDate":"2025-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145416384","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
期刊
International Emergency Nursing
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