International Emergency Nursing最新文献_第6页

Development of the mixed reality-based Korean advanced life support leadership training module 基于混合现实的韩国先进生命支持领导力培训模块的开发

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing

Pub Date : 2026-02-01 Epub Date: 2025-12-24 DOI: 10.1016/j.ienj.2025.101734

Seungwon Kim , Jinkyung Park , Jihye Shin , Ye-ji Shin , Bo-Gyeong Seo , Do-Won Ha , Sun-Hee Moon

引用次数: 0

Enhancing quality and efficiency: The impact of patient experience officers on teamwork and staff experience in Australian emergency departments 提高质量和效率：病人体验官对澳大利亚急诊科团队合作和工作人员经验的影响。

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing

Pub Date : 2026-02-01 Epub Date: 2025-12-09 DOI: 10.1016/j.ienj.2025.101718

Jodie Brabin , Sharon Laver , Rosemary Phillips , Rachel Rossiter , Samantha Jakimowicz

Background

The Patient Experience Officer (PEO) position was implemented into Emergency Department (ED) waiting rooms to address increased rates of occupational aggression and improve patient experience.

Rising ED presentations have lengthened patient wait times, increased risk of clinical deterioration and aggression and violence towards ED staff.

Methods

This study used a mixed-methods approach including staff surveys, focus groups and semi-structured interviews with a range of ED staff. Data was analysed using content analysis and descriptive statistics.

Results

Staff benefit from the PEO’s presence in the waiting room through improved communication with patients, fewer disruptions and humanising the atmosphere within the traditionally chaotic ED environment.

Workflow and teamwork is improved through preparing patients for treatment, supporting ED clinicians in managing the waiting room and streamlining processes.

The PEO position improves patient safety for those in the waiting room through proactive escalation of possible deterioration and early communication with patients, which decreases aggression and anxiety.

Conclusion

Based on this evaluation, the PEO position contributes to improving the safety of staff and patients by providing an important point of contact, a calming presence for patients and, supporting ED staff through improved communication, and escalation of care needs.

背景：急诊科（ED）候诊室设立患者体验官（PEO）职位，以解决职业攻击率上升的问题，改善患者体验。越来越多的急诊科报告延长了病人的等待时间，增加了临床恶化的风险，以及对急诊科工作人员的攻击和暴力。方法：本研究采用混合方法，包括员工调查、焦点小组和对一系列急诊科员工的半结构化访谈。数据分析采用内容分析和描述性统计。结果：员工受益于PEO在候诊室的存在，通过改善与患者的沟通，减少干扰，并使传统混乱的急诊科环境中的气氛人性化。通过为患者准备治疗，支持急诊科临床医生管理等候室和简化流程，工作流程和团队合作得到改善。PEO姿势通过主动升级可能的病情恶化和与患者的早期沟通，减少了攻击和焦虑，提高了候诊室患者的安全。结论：基于这一评估，PEO职位有助于提高工作人员和患者的安全性，因为它提供了一个重要的接触点，为患者提供了一个平静的存在，并通过改善沟通和增加护理需求来支持ED工作人员。

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引用次数: 0

Comparative effectiveness of the Buzzy®, ShotBlocker® and Helfer skin tap technique in reducing pain and fear during pediatric intramuscular injections: A randomized controlled trial 一项随机对照试验：Buzzy®、ShotBlocker®和Helfer皮肤轻拍技术在儿童肌肉注射中减少疼痛和恐惧的比较效果

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing

Pub Date : 2026-02-01 Epub Date: 2026-01-08 DOI: 10.1016/j.ienj.2026.101744

Şadiye Dur , Özge Eda Karadağ Aytemiz , Sermin Dinç

Aim

This randomized controlled trial aimed to compare the effectiveness of three non-pharmacological methods—the Helfer Skin Tap technique (HST), ShotBlocker®, and Buzzy®—in reducing pain and fear in children aged 4–12 years during intramuscular (IM) injections in a pediatric emergency unit.

Methods

Conducted between January and October 2024, the study included 90 children aged 4–12 years. Participants were randomly assigned to the HST (n = 30), ShotBlocker® (n = 30), or Buzzy® (n = 30) group. Each child received an IM ceftriaxone injection using the designated technique. Pain and fear were assessed by the child, parent, and observer nurse one minute before and after the procedure using the Wong–Baker FACES Pain Rating Scale, Faces Pain Scale-Revised, and Child Fear Scale.

Results

The mean age was 7.91 ± 2.71 years. Pain and fear scores were comparable between the groups before the procedure (p > 0.05). After injection, pain and fear scores were lowest in the Buzzy® group, followed by the ShotBlocker® and HST groups.

Conclusion

All three methods effectively reduced pain and fear during IM injections, with Buzzy® being the most effective. These simple, low-cost techniques are suitable to enhance comfort and reduce fear in pediatric emergency units.

目的：本随机对照试验旨在比较三种非药物方法（Helfer Skin Tap technology， HST）、ShotBlocker®和Buzzy®)在减少4-12岁儿童在儿科急诊科进行肌肉注射（IM）时疼痛和恐惧的有效性。方法研究于2024年1月至10月进行，包括90名4-12岁的儿童。参与者被随机分配到HST （n = 30）、ShotBlocker®（n = 30）或Buzzy®（n = 30）组。每个儿童使用指定的技术注射IM头孢曲松。疼痛和恐惧分别由患儿、家长和观察护士在手术前后一分钟使用Wong-Baker面部疼痛评定量表、面部疼痛评定量表修订版和儿童恐惧评定量表进行评估。结果患者平均年龄7.91±2.71岁。手术前两组间疼痛和恐惧评分具有可比性（p > 0.05）。注射后，Buzzy®组的疼痛和恐惧评分最低，其次是ShotBlocker®组和HST组。结论三种方法均能有效减轻注射过程中的疼痛和恐惧，其中以Buzzy®方法效果最好。这些简单、低成本的技术适用于提高儿童急诊室的舒适度和减少恐惧。

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引用次数: 0

Perceived involvement in emergency department care: An observational study of nurse-led bedside shift handover 感知参与急诊护理：护士主导的床边轮班交接的观察性研究。

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing

Pub Date : 2026-02-01 Epub Date: 2026-01-06 DOI: 10.1016/j.ienj.2025.101739

M.C. (Christien) Van Der Linden , R. (Roukayya) Oueslati , A.R. (Rianne) C. Lam , H. (Helma) Krapels , S. (Sanne) Van Vliet , A. Aimee De Graaf , N. (Naomi) Van Der Linden

Background

Involving patients in their care is an important aspect of quality emergency nursing, but remains difficult to achieve in busy and time-pressured settings. Bedside shift handover (BSH), where nurses exchange information in the patient’s presence, may support engagement, yet evidence from emergency departments (EDs) is limited.

Aim

To explore how patients perceived their involvement in communication and care during their ED stay, and whether exposure to nurse-led BSH, structured using the Situation-Background-Assessment-Recommendation (SBAR) format, was associated with higher perceived involvement.

Methods

A cross-sectional telephone survey was conducted among 104 recently discharged ED patients. Perceived involvement was assessed with the three-item CollaboRATE questionnaire. Additional data included patient and visit characteristics, crowding levels, and BSH exposure based on nursing documentation.

Results

Patients reported moderate-to-high perceived involvement (mean CollaboRATE 21.8 of 27), though only 11.5 % gave top scores across all items. BSH was documented in 36 % of eligible cases. No significant association was observed between documented BSH and perceived involvement (p = 0.81), nor between crowding and involvement (r = –.05, p = 0.59).

Conclusion

Most patients felt involved, yet optimal engagement was uncommon. No association was found between BSH and perceived involvement, likely reflecting variation in implementation. Consistent and inclusive handover practices may help support patient engagement, but this requires further study.

背景：让患者参与护理是高质量急诊护理的一个重要方面，但在繁忙和时间紧张的环境中仍然难以实现。床边轮班交接（BSH），护士在患者面前交换信息，可能支持参与，但来自急诊科（ed）的证据有限。目的：探讨患者在急诊科住院期间如何感知他们对沟通和护理的参与，以及暴露于护士主导的BSH（使用情境-背景评估-建议（SBAR）格式）是否与更高的感知参与相关。方法：对104例新近出院的急诊科患者进行横断面电话调查。感知参与用三项合作问卷进行评估。其他数据包括患者和就诊特征、拥挤程度和基于护理文件的BSH暴露。结果：患者报告了中度至高度的感知参与（27人中平均协作21.8），尽管只有11.5%的患者在所有项目中获得最高分。在符合条件的病例中，有36%的病例记录了BSH。记录在案的BSH和受累感之间没有显著的关联（p = 0.81），拥挤和受累之间也没有显著的关联（r = - 0.05, p = 0.59）。结论：大多数患者感觉受累，但最佳受累并不常见。BSH和感知参与之间没有关联，可能反映了实施的差异。一致和包容的交接实践可能有助于支持患者参与，但这需要进一步研究。

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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

International Emergency Nursing

Pub Date : 2025-12-01 Epub 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。

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引用次数: 0

The impact of person-centered care on pain control and experiences of trauma patients in the emergency department: a clinical trial study 以人为本的护理对急诊科创伤患者疼痛控制和体验的影响：一项临床试验研究

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing

Pub Date : 2025-12-01 Epub Date: 2025-09-27 DOI: 10.1016/j.ienj.2025.101685

Nesa Khademi , Mohammad Gholami , Behzad Moradi , Ayat Ghasemi , Yaser Mokhayeri , Hamid Taheri

Background

Although person-centered care is a fundamental aspect of nursing, its effective implementation in acute healthcare settings remains challenging. The current study aimed to determine the impact of person-centered care on pain control and the experiences of trauma patients in the emergency department (ED).

Methods

This randomized clinical trial included 88 trauma patients admitted to the ED, who were allocated via block randomization into two groups: the intervention group (n = 44) and the control group (n = 44). The intervention group received person-centered care focusing on two components: 1) pain management and 2) therapeutic communication/trauma-informed care. The control group received routine emergency care. Outcomes were measured using the Numerical Rating Scale (NRS) for pain, the Pain Management Satisfaction Scale (PMSS), and the Accident and Emergency Department Questionnaire (AEDQ). Data were analyzed using STATA-14 software, with Repeated Measure and paired t-tests applied for statistical analysis.

Results

The results showed no statistically significant difference in pain intensity during triage between the two groups (P = 0.091). However, upon discharge from the ED, the mean scores for pain management satisfaction and patient experiences were significantly higher in the intervention group (22.61 and 20.88, respectively) compared to the control group (8.40 and 39.99, respectively) (P < 0.001).

Conclusion

The findings suggest that incorporating principles of person-centered care such as patient participation, attention to preferences, and nurse-led pain management during triage, can enhance satisfaction and foster positive experiences among trauma patients in the ED.

尽管以人为本的护理是护理的一个基本方面，但其在急性医疗保健环境中的有效实施仍然具有挑战性。本研究旨在确定以人为本的护理对急诊科创伤患者疼痛控制和经历的影响。方法将88例急诊外伤患者随机分为干预组（n = 44）和对照组（n = 44）。干预组接受以人为本的护理，重点关注两个方面：1)疼痛管理和2)治疗性沟通/创伤知情护理。对照组接受常规急诊护理。结果采用疼痛数值评定量表（NRS）、疼痛管理满意度量表（PMSS）和急诊科问卷（AEDQ）进行测量。数据分析采用STATA-14软件，统计分析采用Repeated Measure和配对t检验。结果两组患者分诊时疼痛强度差异无统计学意义（P = 0.091）。然而，在出院时，干预组疼痛管理满意度和患者体验的平均得分（分别为22.61分和20.88分）明显高于对照组（分别为8.40分和39.99分）（P < 0.001）。结论在分诊过程中，结合以人为本的护理原则，如患者参与、关注偏好和护士主导的疼痛管理，可以提高创伤患者在急诊科的满意度，并培养积极的体验。

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引用次数: 0

Nasal high flow therapy in the emergency department – A prospective study 急诊科鼻高流量治疗的前瞻性研究

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing

Pub Date : 2025-12-01 Epub Date: 2025-10-04 DOI: 10.1016/j.ienj.2025.101699

Esra Türe

引用次数: 0

The use of machine learning in predicting clinical outcomes in emergency pre-examination triage: A systematic review of the literature 机器学习在预测紧急检查前分诊临床结果中的应用：文献系统综述。

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing

Pub Date : 2025-12-01 Epub Date: 2025-10-28 DOI: 10.1016/j.ienj.2025.101705

Yao Jiang , Jing Zhao , Hu Juan

Objective

To investigate the application status of machine learning model in the prediction of clinical outcomes in emergency pre-examination and triage, and to analyze its characteristics, advantages and disadvantages, so as to add an objective tool for medical staff to predict the clinical outcome of patients in the process of pre-examination and triage.

Methods

The literature review method was used to search PubMed, Web of Science, Embase, Cochrane Library, China Biomedical Literature Database, CNKI, Wanfang, VIP and other databases, and the literature that met the inclusion criteria was screened and the specific information of the machine learning model in the literature was extracted.

Results

A total of 12 articles that met the criteria were included, including 5 machine learning models, which were mainly used in clinical outcomes such as hospital admission, death, intensive care unit admission, hospital transfer, and home.

Conclusion

The overall sensitivity of the machine learning model is high, but there are few literature studies on the prediction of clinical outcomes for pre-test triage, so relevant large-sample studies should be carried out in clinical practice to achieve the combination of subjective and objective evaluation tools to improve the accuracy of prediction and ensure patient safety.

目的：探讨机器学习模型在急诊预诊分诊临床结果预测中的应用现状，分析其特点、优缺点，为医务人员在预诊分诊过程中预测患者临床结果增加一个客观的工具。方法：采用文献综述法，检索PubMed、Web of Science、Embase、Cochrane Library、中国生物医学文献数据库、CNKI、万方、VIP等数据库，筛选出符合纳入标准的文献，提取文献中机器学习模型的具体信息。结果：共纳入符合标准的文献12篇，包括5个机器学习模型，主要用于住院、死亡、重症监护病房入住、转院、回家等临床结局。结论：机器学习模型整体敏感性较高，但对预试分诊临床结局预测的文献研究较少，在临床实践中应开展相关大样本研究，实现主客观评价工具的结合，提高预测准确性，保障患者安全。

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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

International Emergency Nursing

Pub Date : 2025-12-01 Epub 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

Effectiveness of AI-assisted ESI triage on accuracy and selected outcomes in emergency nursing: A systematic review 人工智能辅助ESI分诊对急诊护理准确性和选择结果的有效性：一项系统综述

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing

Pub Date : 2025-12-01 Epub Date: 2025-09-20 DOI: 10.1016/j.ienj.2025.101680

Aekkachai Fatai , Chakrit Sattayarom , Wiwat Laochai , Ekkalak Faksook

Aims

To evaluate the effectiveness of artificial intelligence (AI) assisted Emergency Severity Index (ESI) triage systems in improving triage accuracy, selected outcomes including under-triage and over-triage, waiting time and patient workflow, and barriers to implementation in emergency nursing.

Design

Systematic review.

Methods

A narrative synthesis was used to evaluate findings from eligible studies. The Mixed Methods Appraisal Tool (MMAT) was applied for quality assessment. Studies were included if they examined AI-assisted ESI triage systems involving emergency nurses and reported on triage performance and implementation challenges.

Data Sources

Search was performed in CINAHL, Medline, PsycINFO, PubMed, and Google Scholar for English-language articles published between 2018 and 2025.

Results

Ten studies met the inclusion criteria. AI-assisted ESI triage systems improved accuracy, demonstrating higher AUC, F1 score, sensitivity, and specificity compared to traditional triage nursing. These systems also reduced rates of over-triage and under-triage, minimized long waiting times, and enhanced patient flow. However, barriers included reliance on retrospective data, the need for model validation, and potential resistance from nurses.

Conclusion

AI-assisted ESI triage systems demonstrate promising benefits in enhancing triage accuracy and efficiency in emergency nursing. While AI can be a valuable decision-support tool, it should complement rather than replace clinical judgment. Integrating AI into emergency triage may streamline workflows, reduce workload, and improve the accuracy of patient assessments.

目的评估人工智能（AI）辅助急诊严重程度指数（ESI）分诊系统在提高分诊准确性、选择结果（包括分诊不足和分诊过度）、等待时间和患者工作流程以及急诊护理实施障碍方面的有效性。DesignSystematic审查。方法采用叙事综合法对符合条件的研究结果进行评价。采用混合方法评价工具（MMAT）进行质量评价。如果研究检查了涉及急诊护士的人工智能辅助ESI分诊系统，并报告了分诊表现和实施挑战，则纳入研究。在CINAHL、Medline、PsycINFO、PubMed和谷歌Scholar中检索2018年至2025年间发表的英语文章。结果10项研究符合纳入标准。与传统的分诊护理相比，人工智能辅助ESI分诊系统提高了准确性，显示出更高的AUC、F1评分、敏感性和特异性。这些系统还降低了分诊过度和分诊不足的比率，最大限度地减少了漫长的等待时间，并提高了患者流量。然而，障碍包括对回顾性数据的依赖、模型验证的需要以及护士的潜在阻力。结论人工智能辅助ESI分诊系统在提高急诊护理分诊的准确性和效率方面具有良好的应用前景。虽然人工智能可以成为一种有价值的决策支持工具，但它应该补充而不是取代临床判断。将人工智能集成到紧急分类中可以简化工作流程，减少工作量，并提高患者评估的准确性。

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引用次数: 0