International Emergency Nursing最新文献_第6页

The effectiveness of a gate channel device on pain in the pediatric emergency department: A randomized controlled trial 门通道装置在儿科急诊科治疗疼痛的有效性：一项随机对照试验。

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing

Pub Date : 2025-10-27 DOI: 10.1016/j.ienj.2025.101704

Ted J. Andrews , Jill Fennell , Brian H. Wrotniak , Heather Territo

Objectives

Phlebotomy is an important source of self-reported pain in the pediatric emergency department. The purpose of this study was to compare the effectiveness of Buzzy®, a vibrating cold device, to vapocoolant and control in reducing child-reported and parent-perceived pain during IV placement in the pediatric emergency department.

Methods

Patients ages 6–18 years who required IV insertion in the emergency department were randomized to Buzzy, vapocoolant or control groups. The Faces Pain Scale – Revised was used to assess both patient pain and parent perceived pain.

Results

171 patients were randomized into the 3 groups: 56 in the Buzzy group, 57 in the vapocoolant group and 58 in the control group. Patient-reported FACES pain scores decreased significantly from pre- to post-intervention in the Buzzy group (5.41 ± 2.90 to 3.58 ± 2.87, p < 0.01) but not in the vapocoolant group (4.54 ± 2.65 to 3.84 ± 3.12, not significant), or the control group (5.03 ± 3.01 to 4.57 ± 3.43, not significant). Guardian-reported pain scores also showed significant reductions in the Buzzy group (3.46 ± 2.88 to 1.69 ± 2.28, p < 0.01) and vapocoolant group (3.06 ± 2.93 to 2.24 ± 2.56, p < 0.05), with no significant change in the control group (2.86 ± 2.85 to 2.79 ± 2.84).

Conclusions

This study supports the utility of Buzzy® as a clinically effective resource in the management of phlebotomy related pain and demonstrates that it is as good or better than vapocoolant in the pediatric emergency department.

目的：在儿科急诊科，静脉切开术是自我报告疼痛的一个重要来源。本研究的目的是比较Buzzy®（一种振动冷却装置）与蒸汽冷却剂和控制剂在减少儿童报告和家长感知的儿科急诊科静脉输液疼痛方面的有效性。方法：6-18岁急诊科需要静脉滴注的患者随机分为Buzzy组、vapocoolant组和对照组。面部疼痛量表-修订版用于评估患者疼痛和家长感知疼痛。结果：171例患者随机分为3组：Buzzy组56例，汽化剂组57例，对照组58例。Buzzy组患者报告的面部疼痛评分从干预前到干预后显著下降（5.41±2.90至3.58±2.87,p）。结论：本研究支持Buzzy®作为治疗静脉切开术相关疼痛的临床有效资源的实用性，并证明它在儿科急诊科与蒸汽冷却剂一样好或更好。

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引用次数: 0

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

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing

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

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

Introduction

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

Methods

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

Results

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

Conclusion

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

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

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引用次数: 0

Lessons learned from health and disaster operations during the 2023 Turkey earthquake: Perspectives of foreign relief and health teams 2023年土耳其地震期间卫生和灾害行动的经验教训：外国救济和卫生工作队的观点

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing

Pub Date : 2025-10-18 DOI: 10.1016/j.ienj.2025.101688

Hamid Karimi kivi , Saeed Nazari , Elham Zamani , Hosein Mahdian

Background

The 2023 Turkey earthquake represented a significant challenge for health and disaster management systems, necessitating a coordinated response to address the urgent needs of affected populations. This paper explores the experiences and insights of foreign relief and health teams deployed during the disaster, highlighting the challenges encountered, strategies employed, and lessons learned.

Methodology

Utilizing a mixed-methods approach, this study incorporates in-depth, semi-structured interviews with health professionals and disaster response workers. Additionally, operational functions and assessments were observed to provide a comprehensive understanding of the response mechanisms employed during the earthquake. Data collection continued until data saturation and collected data were analyzed using the thematic analysis method, and the results were classified into different categories and sub-categories.

Findings

Extracting experiences in the earthquake of Turkey in 2023; after conducting 26 interviews and data saturation, was reached. The obtained data were divided into 8 categories and 47 sub-categories. Categories include; Response operations, international aid, social partnership, disease care system, planning and response to health emergencies, environmental health, communication and cooperation, coordination, leadership, and control in health operations.

Conclusion

The lessons learned from the health and disaster operations during the 2023 Turkey earthquake provide valuable insights for improving disaster response frameworks worldwide. Understanding the complexities of such emergencies is essential for enhancing the resilience of health systems in the face of future disasters. Additionally, Rapid response teams in the healthcare sector must be thoroughly equipped and ready for action, as they often encounter a myriad of challenges during the complex response process of international missions. Their preparedness is critical in effectively addressing emergent health crises, ensuring timely and appropriate interventions in high-pressure situations.

2023年土耳其地震对卫生和灾害管理系统构成重大挑战，需要采取协调一致的应对措施，以满足受影响人口的迫切需求。本文探讨了在灾难期间部署的外国救援和医疗团队的经验和见解，重点介绍了遇到的挑战、采用的策略和吸取的教训。本研究采用混合方法，对卫生专业人员和救灾工作人员进行了深入的半结构化访谈。此外，还观察了操作功能和评估，以全面了解地震期间采用的响应机制。持续收集数据，直到数据饱和，使用专题分析方法对收集到的数据进行分析，并将结果划分为不同的类别和子类别。2023年土耳其地震的经验提取经过26次访谈和数据饱和，达到。所得资料分为8大类47小类。类别包括:应对行动、国际援助、社会伙伴关系、疾病保健系统、突发卫生事件的规划和应对、环境卫生、卫生行动中的沟通与合作、协调、领导和控制。结论：从2023年土耳其地震期间的卫生和灾害行动中吸取的经验教训为改进全球灾害应对框架提供了宝贵的见解。了解这类紧急情况的复杂性对于加强卫生系统面对未来灾害的复原力至关重要。此外，医疗保健部门的快速反应小组必须配备齐全，随时准备采取行动，因为他们在国际特派团的复杂反应过程中经常遇到无数挑战。他们的准备对于有效应对紧急卫生危机，确保在高压情况下及时采取适当干预措施至关重要。

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引用次数: 0

Barriers and enablers to evidence-based practice for the initial management of women with early pregnancy bleeding in the Emergency Department 障碍和促进证据为基础的做法，初步管理妇女妊娠早期出血在急诊科。

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing

Pub Date : 2025-10-16 DOI: 10.1016/j.ienj.2025.101693

Baylie Trostian , Kate Curtis , Sameer Dikshit , Simon Binks , Anne Smith , Belinda Munroe , Geoff Hicks , Andrea McCloughen

Background

Women with early pregnancy bleeding experience care variations. We developed a guideline based on best available evidence to guide Emergency Department (ED) management.

Aim

To identify the barriers and enablers to the use of an evidence-based guideline for initial management of women with early pregnancy bleeding in the ED.

Methods

A mixed methods survey was distributed to 476 staff from four EDs and one Urgent Care Centre, across a health district. Quantitative data were analysed using jamovi (version 2.3.28) and qualitative data were coded and grouped into subcategories and categories. Enablers and barriers were identified, and quantitative and qualitative results were integrated.

Findings

One hundred and four staff completed the survey (response rate 21.8%). Two barriers to evidence-based practice were identified: knowledge and training gap; and ED resources and workload. Two enablers: ED clinician belief about appropriateness of care; and women are willing to stay, wait and/or request care. Two functioned as both enablers and barriers: guideline is available, however elements are absent or not applicable; and ED clinicians are confident in some but not all aspects of care.

Conclusion

Multiple enablers and barriers were identified that may affect the implementation of evidence-based practice for the management of early pregnancy bleeding.

背景：妊娠早期出血妇女经历不同的护理。我们根据现有的最佳证据制定了指导急诊科管理的指南。目的：确定使用循证指南对急诊科早期妊娠出血妇女进行初步管理的障碍和促进因素。方法：对来自四个急诊科和一个紧急护理中心的476名工作人员进行了一项混合方法调查。使用jamovi （version 2.3.28）对定量数据进行分析，对定性数据进行编码并分组为子类和类。确定了促成因素和障碍，并整合了定量和定性结果。调查结果：共有104名员工完成问卷调查，回复率为21.8%。确定了循证实践的两个障碍：知识和培训差距；以及ED的资源和工作量。两个促成因素：ED临床医生对护理适当性的信念；女性愿意留下来，等待和/或要求护理。两种既是促成因素又是障碍：指导方针是可用的，但是要素缺失或不适用；急诊科的临床医生对护理的某些方面有信心，但不是所有方面。结论：确定了可能影响实施以证据为基础的妊娠早期出血管理实践的多个促成因素和障碍。

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引用次数: 0

South African emergency nurses’ perceptions and experiences of workplace violence: A qualitative study 南非急救护士对工作场所暴力的认知和经历：一项定性研究。

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing

Pub Date : 2025-10-07 DOI: 10.1016/j.ienj.2025.101694

Khutso Brian MAIMELA , Alhassan Sibdow ABUKARI , Emmanuel Kwame KORSAH , Shelley SCHMOLLGRUBER

Background

Workplace violence (WPV) is a persistent challenge in emergency departments (EDs), exacerbated by complex sociocultural dynamics, institutional shortcomings, and insufficient support systems. Emergency healthcare providers in South Africa work in high-pressure environments, frequently encountering aggression from patients and families who misunderstand the nature of emergency care.

Aim

To explore nurses’ perceptions and experiences of workplace violence in the emergency departments in South Africa.

Methods

This study used a qualitative descriptive design. Five semi-structured focus group discussions with 20 emergency nurses in South Africa. Data were analysed using thematic analysis. The study followed the COREQ guidelines.

Findings

Three themes emerged: contributors to violence, barriers to reporting workplace violence, and environmental and institutional challenges. Contributors to violence were frequently fuelled by public misconceptions about emergency care procedures, particularly unrealistic triage expectations and staff confrontational behaviours. Barriers to reporting were evidenced by unclear reporting protocols, fear of retaliation or futility, and a culture of managerial indifference. The identified environmental and institutional challenges included insufficient security presence, hazardous physical environments, and a lack of structured support mechanisms.

Conclusion

In South African EDs, WPV is exacerbated by socio-cultural misunderstandings, managerial complacency, and structural weaknesses. Addressing these issues will necessitate comprehensive strategies, such as improved institutional leadership, formalised reporting systems, and proactive safety interventions.

背景：工作场所暴力（WPV）是急诊科（ed）持续面临的挑战，复杂的社会文化动态、制度缺陷和支持系统不足加剧了这一挑战。南非的紧急医疗保健提供者在高压环境中工作，经常遇到误解紧急护理性质的患者和家属的攻击。目的：探讨南非急诊科护士对工作场所暴力的看法和经历。方法：本研究采用定性描述设计。在南非与20名急诊护士进行了5次半结构化焦点小组讨论。采用专题分析对数据进行分析。这项研究遵循了COREQ的指导方针。调查结果：出现了三个主题：导致暴力的因素、报告工作场所暴力的障碍以及环境和体制挑战。公众对急救程序的误解，特别是不切实际的分诊期望和工作人员的对抗行为，往往助长了暴力行为。报告的障碍体现在不明确的报告协议、对报复或徒劳的恐惧以及管理冷漠的文化。确定的环境和体制挑战包括安全存在不足、危险的物理环境和缺乏结构化的支助机制。结论：在南非的EDs中，社会文化误解、管理自满和结构性弱点加剧了WPV。解决这些问题需要全面的战略，如改进机构领导、正式的报告系统和积极的安全干预措施。

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引用次数: 0

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

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing

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

Kaisa Seppänen , Antti Tanninen , Anu Venesoja

Background

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

Methods

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

Findings

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

Conclusion

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

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

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引用次数: 0

Emergency nurses’ experiences of caring for critically ill patients requiring intensive care in the emergency department 急诊护士在急诊科护理需要重症监护的危重病人的经验。

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing

Pub Date : 2025-10-06 DOI: 10.1016/j.ienj.2025.101697

Duygu Akbaş Uysal , Ebru Ekiz

Background

Emergency departments’ red zones are complex clinical environments requiring both emergency interventions and intensive care-level services, representing a critical area of focus in this special issue on emergency critical care. Nurses working in these settings face multifaceted challenges, including role ambiguity, time constraints, and limited resources. However, few studies have explored these experiences through theoretical models.

Objective

This study aims to provide an in-depth exploration of nurses’ experiences delivering intensive care-level care to critically ill patients in the red zones of emergency departments, within a theoretical framework.

Method

Using a phenomenological qualitative approach, semi-structured interviews were conducted with 21 emergency nurses from various regions in Turkey. Data were analyzed using Braun and Clarke’s six-step thematic analysis, and findings were conceptually interpreted through Meleis’s Transition Theory and Tanner’s Clinical Judgment Model.

Findings

Four main themes and eleven subthemes emerged, including challenges in clinical judgment, role incompatibilities, and systemic shortages. Guided by Meleis’s framework, findings indicate that adherence to intensive care standards and clinical education enhances competence, confidence, and reflective practice, informing nursing practice and policy.

Conclusion

Nurses in emergency department red zones face multifaceted challenges, including the demands of multitasking, complexities in decision-making, and structural limitations in providing care for critically ill patients. The study emphasizes that clinical judgment is shaped not only by individual competencies but also by the availability of systemic support. These results underscore the necessity of establishing clear clinical guidelines, implementing structured team-based care models, and developing practice-oriented training programs to facilitate nurses’ transition between emergency and intensive care settings.

背景：急诊科的红色区域是复杂的临床环境，需要紧急干预和重症监护级别的服务，是本期关于紧急重症监护的特刊关注的关键领域。在这些环境中工作的护士面临多方面的挑战，包括角色模糊、时间限制和资源有限。然而，很少有研究通过理论模型来探讨这些经验。目的：在理论框架下，深入探讨急诊科红色区域护士对危重病人进行重症监护的经验。方法：采用现象学定性方法，对来自土耳其不同地区的21名急诊护士进行半结构化访谈。数据分析采用Braun和Clarke的六步主题分析，研究结果通过Meleis的过渡理论和Tanner的临床判断模型进行概念解释。结果：出现了四个主要主题和十一个次要主题，包括临床判断的挑战，角色不相容和系统短缺。在Meleis框架的指导下，研究结果表明，坚持重症监护标准和临床教育可以提高能力，信心和反思实践，为护理实践和政策提供信息。结论：急诊科红色区域的护士面临多重挑战，包括多任务处理的需求、决策的复杂性以及提供危重病人护理的结构性限制。该研究强调，临床判断不仅受到个人能力的影响，还受到系统支持的影响。这些结果强调了建立明确的临床指南、实施结构化的团队护理模式和制定以实践为导向的培训计划的必要性，以促进护士在急诊和重症监护环境之间的过渡。

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引用次数: 0

Nurses’ perspectives on providing analgesia in the Italian prehospital emergency setting: A phenomenological study 护士在意大利院前急救中提供镇痛的观点：一项现象学研究。

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing

Pub Date : 2025-10-06 DOI: 10.1016/j.ienj.2025.101696

Francesca Sandroni , Martina Pia Pugliese , Silvia Magagna , Stefano Sebastiani , Boaz Gedaliahu Samolsky Dekel , Guglielmo Imbriaco

Background

Effective pain management is a fundamental aspect of prehospital emergency care. However, numerous barriers, including inconsistent protocols, limited pharmacological options, and documentation gaps, hinder optimal pain relief. Emergency medical services (EMS) nurses play a crucial role in assessing and managing pain, yet their perspectives on prehospital analgesia remain underexplored.

Objective

This study aims to explore the experiences and perceptions of Italian EMS nurses regarding prehospital pain management, identifying key challenges and potential improvements.

Methods

A qualitative study was conducted using an interpretative phenomenological approach. Semi-structured interviews were performed with 14 EMS nurses from various Italian regions. Data was analyzed through thematic analysis, identifying recurring themes related to pain assessment, treatment, and documentation.

Results

Five main themes emerged: (1) variability in analgesia protocols and pharmacological options, (2) inconsistent pain assessment and documentation, (3) challenges in pain management related to specific patient populations or environmental and logistical factors, (4) nurses’ personal experiences shaping their approach to pain management, and (5) interprofessional collaboration challenges. While nurses emphasized the importance of systematic pain evaluation, barriers such as legal restrictions, inconsistent protocols, and limited pharmacological options were frequently reported.

Conclusion

Prehospital pain management by EMS nurses in Italy faces significant challenges. Expanding protocol-approved pharmacological options, improving documentation practices, and enhancing training for pain management in vulnerable populations could improve care. A standardized, evidence-based national framework is needed to optimize pain relief and ensure equitable patient outcomes.

背景：有效的疼痛管理是院前急救的一个基本方面。然而，许多障碍，包括不一致的方案，有限的药理学选择和文献空白，阻碍了最佳的疼痛缓解。急诊医疗服务（EMS）护士在评估和管理疼痛方面发挥着至关重要的作用，但他们对院前镇痛的看法仍未得到充分探讨。目的：本研究旨在探讨意大利EMS护士在院前疼痛管理方面的经验和看法，确定主要挑战和潜在的改进。方法：采用解释性现象学方法进行定性研究。对来自意大利不同地区的14名EMS护士进行了半结构化访谈。通过专题分析分析数据，确定与疼痛评估、治疗和记录相关的反复出现的主题。结果：出现了五个主要主题：(1)镇痛方案和药物选择的可变性；(2)不一致的疼痛评估和记录；(3)与特定患者群体或环境和后勤因素相关的疼痛管理挑战；(4)护士的个人经历塑造了他们的疼痛管理方法；(5)跨专业合作挑战。虽然护士强调系统疼痛评估的重要性，但法律限制、不一致的方案和有限的药物选择等障碍经常被报道。结论：意大利急诊护士院前疼痛管理面临重大挑战。扩大方案批准的药理学选择，改进文献实践，加强对弱势群体疼痛管理的培训，可以改善护理。需要一个标准化的、以证据为基础的国家框架来优化疼痛缓解并确保公平的患者结果。

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引用次数: 0

Adaptation and validation of the critical care family needs inventory – Emergency department (CCFNI-ED) in Indonesian emergency care settings 印度尼西亚紧急护理机构急诊科（CCFNI-ED）重症监护家庭需求清单的适应和验证

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing

Pub Date : 2025-10-05 DOI: 10.1016/j.ienj.2025.101695

Rafi Achmad Rukhama , Raditya Bagus Septian , Desy Listyaningrum

Objectives

This study aimed to assess the validity, reliability, and cultural adaptation of the Critical Care Family Needs Inventory – Emergency Department (CCFNI-ED) into the Indonesian language.

Methods

The study was conducted in three phases, including the translation and cultural adaptation process, content and face validation by six emergency nursing experts, and construct validity and reliability testing through a cross-sectional survey of 120 family members of patients in three emergency departments in Indonesia. Data analysis included the item-level content validity index (I-CVI), Cronbach’s alpha, item-total correlation, and exploratory factor analysis (EFA).

Results

The results showed a total Cronbach’s alpha value of 0.931, with all subscales having values greater than 0.70. The I-CVI value for all items was 1, indicating excellent content validity. EFA yielded six factors from 24 items, explaining 64.7 % of the total variance, with all items showing loadings ≥ 0.50 and communalities > 0.50. The correlations between subscales were significant (p < 0.01), with the strongest relationship observed between participation and communication (r = 0.720).

Conclusions

The CCFNI-ED instrument is valid and reliable for assessing family needs in patient care within emergency settings. This can enhance the quality of family-centered services in emergency departments.

目的：本研究旨在评估急诊科重症监护家庭需求清单（CCFNI-ED）在印度尼西亚语中的效度、信度和文化适应性。方法：研究分三个阶段进行，包括翻译和文化适应过程，由6名急诊护理专家进行内容和面部验证，并通过对印度尼西亚3个急诊科120名患者家属的横断面调查进行结构效度和信度检验。数据分析包括项目水平内容效度指数（I-CVI）、Cronbach’s alpha、项目-总量相关和探索性因子分析（EFA）。结果：结果显示Cronbach's alpha值为0.931，所有子量表的值均大于0.70。所有条目的I-CVI值均为1，表明内容效度极佳。全民教育从24个项目中得出6个因素，解释了总方差的64.7%，所有项目的负荷≥0.50，社区> 0.50。结论：CCFNI-ED量表用于评估急诊患者护理中的家庭需求是有效和可靠的。这可以提高急诊科以家庭为中心的服务质量。

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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 : 2025-10-04 DOI: 10.1016/j.ienj.2025.101699

Esra Türe

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