International Emergency Nursing最新文献

Background

Using primary healthcare facilities can decrease the tension and workload in emergency departments (EDs). This study aim to examine the patient’s use of primary healthcare facilities before EDs visits and their expectations about the triage.

Methods

A cross-sectional design was utilized in at various EDs in different hospitals. A convenience sample of 726 patients were enrolled and completed a self-administrated questionnaire.

Results

The mean age of the participants was 38.1 (SD = 12.9). Most participants (68.2 %) did not have primary care physicians and did not want to know how long other patients waited (61.4 %). There are significant relationships between participants’ desired to know how long other patients have been waiting and their age (X² = 4.02, P < .05), education level (X² = 13.5, P < .001), and current job (X² = 9.90, p < .05). Also, periodic updates from EDs staff about the delays were significantly related to participants’ age (X² = 3.29), current job (X² = 28.4), marital status (X² = 8.93), and residency place (X² = 9.94).

Conclusion

Educating patients about the triage system and the importance of using primary healthcare facilities is recommended to reduce ED waiting times and overload.

Background

Effective communication plays a crucial role in establishing strong relationships and providing essential support in clinical situations. This study was conducted to investigate the mediator role of mindfulness in the relationship between the listening skills and anger management skills of healthcare professionals working in the emergency department (ED).

Method

This was a cross-sectional study, which was conducted with 230 emergency department healthcare professionals (EHCPs) working in adult EDs in Turkey. Sociodemographic Characteristics Data Collection Form, Mindful Attention Awareness Scale (MAAS), Listening Skills Assessment Scale (LSAS), and Anger Management Scale (AMS) were used for data collection. Descriptive statistics included frequency and percentage; t test and ANOVA test were used for statistical analyses, as was “Process Macro 3.5 Model 4”, which was used to study the effect of mediator variables.

Results

The participants had a mean MAAS score of 57.71 ± 12.38, a mean LSAS score of 45.36 ± 6.23, and a mean AMS score of 17.93 ± 3.39. There were significant positive correlations between LSAS and MAAS (r = 0.197, p < 0.001), between AMS and MAAS (r = 0.233p < 0.001), and between AMS and LSAS r = 0.24p < 0.001). In addition, the process model analysis results supported that MAAS had a partial mediator role in the correlation between LSAS and AMS, and that its indirect effects were predicted by LSAS and AMS. It was determined that 5.75 % of total change on AMS was predicted by LSAS (F = 13.918; p < 0.001).

Conclusion

The results of this study indicate that as the mindfulness level of EHCPs increases, their listening and anger management skills increased. Therefore, reinforcing mindfulness by integrating mindfulness interventions into in-service training and applying strategies that promote EHCPs’ listening skills and anger management skills would make it possible to provide quality health care with employees who are more efficient in conflict management and enjoy a higher level of satisfaction.

Introduction

This study aimed to investigate the effects of a ventriloquist nursing intervention, incorporating drama techniques, on pain, anxiety, and fear experienced by children aged 5 to 10 years undergoing painful medical procedures.

Methods

This study was designed as a time-series randomized controlled trial. Data were collected from the outpatient units of a Pediatric Hospital in a province in eastern Turkey between 24 May 2023 and 28 October 2023. This study involving a total of 72 children. Pain, anxiety, and fear levels were assessed before, during, and after intravenous cannula insertion.

Results

Randomization ensured that both groups had similar demographics, with an average age of 7.50 ± 1.73 years and an equal distribution of gender. During the painful procedure, it was observed that both groups experienced an increase in pain, anxiety, and fear, though this increase was statistically less significant in the ventriloquist group. Ultimately, in the post-procedure period, children in the ventriloquist group exhibited lower levels of pain, anxiety, and fear compared to the control group (p < 0.05).

Conclusion

The findings of this study suggest that ventriloquist nursing interventions, utilizing drama techniques, can effectively reduce pain, anxiety, and fear in children undergoing painful medical procedures.

Background

It is necessary to evaluate the accuracy of peripheral thermometer in outpatient and emergency temperature measurement of children by diagnostic meta-analysis, to provide evidence for clinical temperature measurement and nursing care of children.

Methods

Two authors searched PubMed, Web of science, CINAHL, EBSCO, OVID, Embase, CNKI, Wanfang and Weipu databases for studies on the temperature measurement accuracy of peripheral thermometer in children in outpatient and emergency department until November 20, 2023.

Results

10 studies involving 3448 children were included. The combined sensitivity was 82 % (95 % CI: 81 % ∼ 84 %), the combined specificity was 88 % (95 % CI: 87 % ∼ 89 %), the combined positive likelihood ratio was 11. 35 (95 % CI: 6. 07 ∼ 21). 20), the combined negative likelihood ratio was 0.20 (95 % CI: 0.14 ∼ 0.29). The odds ratio of combined diagnosis was 58.02 (95 % CI: 30.66 ∼ 109.76), and the area under ROC curve (AUC) was 0.95.

Conclusions

The peripheral temperature measurement can reflect a certain core temperature, among which the infrared tympanic membrane thermometer has the highest sensitivity, which is worthy of clinical application.

This integrative review is on emergency department nurses’ perceptions on mental health patients waiting for placement. Seven articles met inclusion criteria. Themes included violence and patient safety, psychiatry and mental health support, attitudes and beliefs, education and training, emergency department workflow and environment, and long waits in the emergency department. Future research focusing on the care of mental health patients boarding in the emergency department is needed to address this issue. A limitation was that there were no focused studies on mental health boarders in the emergency department, and information had to be gleaned from articles on caring for mental health patients in emergency departments in general.

Background

Emergency department (ED) triage is often patients’ first contact with a health service and a critical point for patient experience. This review aimed to understand patient experience of ED triage and the waiting room.

Methods

A systematic six-stage approach guided the integrative review. Medline, CINAHL, EmCare, Scopus, ProQuest, Cochrane Library, and JBI database were systematically searched for primary research published between 2000–2022 that reported patient experience of ED triage and/or waiting room. Quality was assessed using established critical appraisal tools. Data were analysed for descriptive statistics and themes using the constant comparison method.

Results

Twenty-nine articles were included. Studies were mostly observational (n = 17), conducted at a single site (n = 23), and involved low-moderate acuity patients (n = 13). Nine interventions were identified. Five themes emerged: ‘the who, what and how of triage’, ‘the patient as a person’, ‘to know or not to know’, ‘the waiting game’, and ‘to leave or not to leave’.

Conclusion

Wait times, initiation of assessment and treatment, information provision and interactions with triage staff appeared to have the most impact on patient experience, though patients’ desires for each varied. A person-centred approach to triage is recommended.