International Emergency Nursing最新文献_第6页

Emergency nurses and the care of people who have self-harmed: A meta-ethnography 急救护士和自残者的护理：元人种志

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing

Pub Date : 2025-10-03 DOI: 10.1016/j.ienj.2025.101682

Luke Molloy , Hadwan Aldahmashi , Tammy Tran Merrick , Kelly Lewer , Faisal Khalaf Alanazi , Louise Doyle , Brian Keogh , Timothy Wand

Background

Self-harm is a significant public health issue and a key focus of health policies globally. Emergency departments (EDs) often see self-harm cases, with emergency nurses playing a crucial role. However, care is inconsistent and substandard due to a lack of evidence-based practices and mixed attitudes among nurses.

Objective

To understand the social context of emergency nurses’ practice with self-harm patients by synthesising qualitative research findings.

Method

Noblit and Hare’s meta-ethnography method was used to synthesise qualitative studies. Three databases (PsychINFO, CINAHL, and MEDLINE) were searched for relevant studies over the period October 2013 to July 2025. Five studies with rich qualitative data were included.

Results

Nurses often feel discomfort and uncertainty when caring for self-harm patients due to a lack of knowledge and confidence. Emotional responses like frustration and anger can negatively impact care quality. Service barriers, including time constraints, lack of privacy, and inadequate guidelines, further hinder optimal care. However, with experience and education, nurses develop greater comfort and skills. The presence of mental health specialists in EDs enhances nurses’ confidence and care quality. Focused education and training are crucial for changing attitudes and improving care for self-harm patients.

Conclusion

The meta-ethnography highlights the need for improved education and training for ED nurses in mental health care. Enhancing the physical environment of EDs and fostering a culture of shared responsibility for mental health care can improve service users’ outcomes and professional satisfaction for nurses.

自残是一个重大的公共卫生问题，也是全球卫生政策的重点。急诊科（EDs）经常看到自残病例，急救护士起着至关重要的作用。然而，由于缺乏循证实践和护士态度不一，护理不一致和不合格。目的综合定性研究结果，了解急诊护士护理自残患者的社会背景。方法采用noblit和Hare的元人种学方法进行综合定性研究。检索了2013年10月至2025年7月期间的三个数据库（PsychINFO、CINAHL和MEDLINE）的相关研究。纳入了5项定性资料丰富的研究。结果护士在护理自残患者时，由于缺乏知识和信心，往往会感到不舒服和不确定。沮丧和愤怒等情绪反应会对护理质量产生负面影响。服务障碍，包括时间限制、缺乏隐私和指南不充分，进一步阻碍了最佳护理。然而，有了经验和教育，护士会更舒适，技能也会更好。精神卫生专家在急诊科的存在提高了护士的信心和护理质量。有针对性的教育和培训对于改变态度和改善对自残患者的护理至关重要。结论元民族志强调了对急诊科护士进行精神卫生教育和培训的必要性。改善急诊科的物理环境，培养共同承担精神卫生保健责任的文化，可以改善服务使用者的结果和护士的职业满意度。

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引用次数: 0

Trauma assessment within people who identify as LGBTQ+ LGBTQ人群的创伤评估。

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing

Pub Date : 2025-10-01 DOI: 10.1016/j.ienj.2025.101687

Patrice Wade-Olson , Jeremiah Wade-Olson

Objective

Assess the prevalence of childhood and adulthood trauma in people who identify as LGBTQ+ as compared to people who identify as cisgender heterosexual.

Background

Trauma can have disastrous impacts on health. Much of the current trauma research is focused on childhood trauma and persons who identify as cis-gender heterosexuals. There is limited research regarding lifetime prevalence of trauma within people who identify as LGBTQ+.

Method

This study design is a survey and a quantitative, non-probability based, convenience sampling method was used to measures lifetime prevalence of trauma and discrimination in study participants. The survey was a combination of three validated instruments [[1], [2], [3]]. One hundred and fifty-five participants were enrolled across three community health primary care clinics within the United States and 141 surveys were analyzed.

Results

Participants who identified as LGBTQ+ had higher values of trauma across all measures as compared to participants who were cisgender heterosexual. African American respondents had higher trauma scores on two of the three trauma measures.

Conclusion

The widespread prevalence of trauma within the general population and the LGBTQ+ community suggests that the utilization of a trauma informed approach by emergency nurses can help to improve the health care experiences of people who identify as LGBTQ+ and prevent retraumatization. A trauma informed approach is recommended for persons who have experienced trauma.

目的：评估LGBTQ+人群与异性恋人群相比，儿童期和成年期创伤的患病率。背景：创伤会对健康造成灾难性的影响。目前的创伤研究大多集中在童年创伤和自认为是顺性异性恋者。关于LGBTQ+人群一生中创伤发生率的研究有限。方法：本研究设计为一项调查，采用定量、非概率、方便抽样的方法来测量研究参与者一生中创伤和歧视的发生率。该调查结合了三种经过验证的仪器[1-3]。在美国的三个社区初级保健诊所登记了155名参与者，并对141项调查进行了分析。结果：与异性恋者相比，LGBTQ+的参与者在所有测量中都有更高的创伤值。非裔美国人在三项创伤测试中的两项得分更高。结论：创伤在普通人群和LGBTQ+群体中普遍存在，急诊护士采用创伤知情方法有助于改善LGBTQ+人群的医疗保健体验，预防再创伤。对于经历过创伤的人，建议采用创伤知情方法。

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引用次数: 0

Using virtual reality to enhance procedure-related experiences in adult emergency departments: A qualitative study 使用虚拟现实增强成人急诊科手术相关体验：一项定性研究。

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing

Pub Date : 2025-10-01 DOI: 10.1016/j.ienj.2025.101692

Hui (Grace) Xu , Jed Duff , Vicki Binnie

Introduction

Needle phobia is a common issue affecting many patients in emergency departments (EDs), including adults. Virtual reality (VR) has rapidly advanced in recent years and is increasingly used in patient care. However, there is limited research exploring the subjective experiences of VR users in this context.

Aim

This study aims to explore the experiences of both patients and clinicians during painful needle-related procedures, as well as identify the barriers and facilitators associated with the use of VR to manage these procedures in ED.

Design

An exploratory qualitative study.

Method

The study was conducted in one adult ED in Australia in 2024. VR was used as an intervention to help manage needle phobia among adult patients with moderate or high anxiety levels. Semi-structured interviews were conducted with ten patients and seven ED clinicians. Thematic analysis was employed to analyse the data.

Findings

Overall, participants reported positive experiences with the innovative technology. Four themes developed from patient interviews included Communication with clinicians; The influence of current and past experiences; The VR experience; and Considerations for VR implementation. Three themes emerged from Clinician interviews including: Communication with patients; The VR experience; and Considerations for VR implementation.

Conclusion

This study offers valuable preliminary insight into VR experiences from both patient and clinician perspectives in the ED setting.

Implications

Clinicians and researchers should consider the identified barriers, facilitators, and potential solutions when incorporating VR interventions into their clinical practice and research.

针恐惧症是一个常见的问题，影响许多急诊科（ed）患者，包括成人。虚拟现实（VR）近年来发展迅速，越来越多地应用于患者护理。然而，在这种背景下探索VR用户主观体验的研究有限。目的：本研究旨在探讨患者和临床医生在疼痛针相关过程中的体验，并确定在ed中使用VR管理这些过程的障碍和促进因素。设计：一项探索性质的研究。方法：该研究于2024年在澳大利亚的一名成人ED中进行。VR被用作干预，以帮助管理中度或高度焦虑水平的成年患者的针头恐惧症。对10名患者和7名急诊科医生进行了半结构化访谈。采用主题分析法对数据进行分析。研究结果：总体而言，参与者报告了对创新技术的积极体验。从患者访谈中得出的四个主题包括：与临床医生的沟通；影响：当前和过去经验的影响；VR体验；以及VR实施的注意事项。临床医生访谈的三个主题包括：与患者的沟通；VR体验；以及VR实施的注意事项。结论：本研究从患者和临床医生的角度对急诊环境中的VR体验提供了有价值的初步见解。含义：临床医生和研究人员在将虚拟现实干预纳入临床实践和研究时，应考虑已确定的障碍、促进因素和潜在的解决方案。

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引用次数: 0

Audit and re-audit regarding the current practice of ABCDE approach in the emergency department at selected university hospitals in Syria 对叙利亚选定大学医院急诊科目前采用ABCDE方法的做法进行审计和再审计。

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing

Pub Date : 2025-09-29 DOI: 10.1016/j.ienj.2025.101691

Ahmad Batieh , Nagham Alsaid Abdullah Altwer , Abdulkader Mehli , Mohamed Amsha , Batoul Al Zoubi , Zafer Hadaki , Bayan Alsaid

Background

The ABCDE approach (Airway, Breathing, Circulation, Disability, Exposure) is crucial for the initial assessment and treatment of critically ill patients. However, previous studies have shown suboptimal adherence to this protocol, highlighting the need for clinical audits.

Aim

To evaluate the extent of application of the ABCDE approach and to discover the obstacles that prevent them from being applied in internal emergency Department at selected university hospitals in Syria.

Methods

A clinical audit was conducted over two cycles at two university hospitals (hospital A and B), involving 160 patients. The first cycle took place from November 6 to November 19, 2023, and the second one from March 31 to April 9, 2024. Twenty-nine criteria based on World Health Organization guidelines were assessed using a checklist completed by a data collection group. The snapshot sampling method was used in determining the sample size and the convenient method to select patients. After the first cycle, findings were presented locally, leading to formulated recommendations.

Results

Both Hospitals showed improvement in compliance rates over the second cycle. Hospital A achieved 17.2% in the second cycle, while hospital B reached 20.6%. Hospital B had fewer declines and more criteria met, indicating a more favourable trend in patient care standards overall.

Conclusion

The audit also identified barriers to adherence, such as issues related to wearing gloves and ensuring patient privacy. The study concluded that regular clinical audits enhance the application of the ABCDE approach and improve healthcare delivery, emphasizing the need for ongoing research in this area.

背景：ABCDE方法（气道、呼吸、循环、残疾、暴露）对危重患者的初步评估和治疗至关重要。然而，先前的研究表明，该方案的依从性不是最佳的，这突出了临床审计的必要性。目的：评估ABCDE方法的应用程度，并发现阻碍其在叙利亚选定大学医院的内部急诊科应用的障碍。方法：在两所大学附属医院（A医院和B医院）进行两个周期的临床审计，涉及160例患者。第一个周期发生在2023年11月6日至11月19日，第二个周期发生在2024年3月31日至4月9日。根据世界卫生组织准则的29项标准，使用由数据收集组完成的清单进行评估。采用快照抽样法确定样本量，方便选择患者。在第一个周期之后，在当地提出了调查结果，从而拟订了建议。结果：两家医院在第二周期的依从率均有改善。A医院第二周期达到17.2%，B医院达到20.6%。B医院的下降更少，符合的标准更多，表明患者护理标准总体上有更有利的趋势。结论：审计还发现了坚持的障碍，例如戴手套和确保患者隐私相关的问题。该研究的结论是，定期临床审计加强了ABCDE方法的应用，改善了医疗保健服务，强调了在这一领域进行持续研究的必要性。

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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 : 2025-09-27 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

Evaluation of an advanced nurse practitioner led emergency rapid assessment and treatment service 一名高级执业护士领导的紧急快速评估和治疗服务的评价

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing

Pub Date : 2025-09-26 DOI: 10.1016/j.ienj.2025.101684

Doireann Deay , Orla O’Keefe , Mary Byrne , Barry McBrien , Aileen McCabe

Background

Emergency Departments (EDs) globally face persistent challenges, including overcrowding and workforce shortages, which negatively impact care quality and efficiency. Advanced Nurse Practitioners (ANPs) have demonstrated value in improving patient satisfaction, reducing wait times, and delivering cost-effective care. In Ireland, the ANP role is well-defined and regulated, supporting autonomous clinical practice.

Local problem

At Tallaght University Hospital (TUH), a significant proportion of ED presentations—abdominal pain, and chest pain was found to consume disproportionate clinical hours. A new ANP-led Emergency Rapid Assessment and Treatment (ERAT) service was introduced to target these low-acuity, high-contact-hour cohorts and alleviate ED pressures.

Method

This service evaluation, conducted between September 2022 and April 2025, assessed ERAT’s feasibility, safety, impact on ED process times, and patient satisfaction.

Results

ERAT managed 2,518 patients, with no major adverse events or in-hospital deaths. Most patients (1,766, 74.8 %) were safely discharged. While overall ED length of stay did not differ, ERAT patients had significantly shorter clinician-to-discharge times (5.9 vs. 8.9 h, p < 0.05). Of the 56 abdominopelvic CT scans ordered, 42 scans (75 %) showed acute pathology. Eighty of the 85 (94.1 %) patients who completed a patient satisfaction questionnaire reported strong agreement that care met their expectations.

Conclusion

The ERAT service is a feasible, safe, and patient-centred model for managing targeted ED presentations. Findings support ANP-led services as an effective strategy to enhance ED efficiency, optimize care delivery, and improve patient satisfaction in acute care settings.

全球急诊科面临着持续的挑战，包括过度拥挤和劳动力短缺，这对护理质量和效率产生了负面影响。高级执业护士（ANPs）在提高患者满意度、减少等待时间和提供具有成本效益的护理方面已经证明了其价值。在爱尔兰，ANP的角色是明确和规范的，支持自主临床实践。在Tallaght大学医院（TUH），发现很大比例的急诊科表现——腹痛和胸痛——消耗了不成比例的临床时间。一项新的由anp领导的紧急快速评估和治疗（ERAT）服务针对这些低视力、高接触时间的人群，减轻了急诊科的压力。该服务评估于2022年9月至2025年4月进行，评估ERAT的可行性、安全性、对ED处理时间的影响以及患者满意度。结果serat共管理2518例患者，无重大不良事件或院内死亡。大多数患者（1766例，74.8%）安全出院。虽然总体ED住院时间没有差异，但ERAT患者的临床至出院时间显著缩短（5.9 h对8.9 h, p < 0.05）。在预定的56次骨盆CT扫描中，42次（75%）显示急性病理。85名患者中有80名（94.1%）完成了患者满意度问卷，报告强烈同意护理符合他们的期望。结论ERAT服务是一种可行的、安全的、以患者为中心的治疗ED的模式。研究结果支持anp主导的服务是提高急症室效率、优化护理服务和提高患者满意度的有效策略。

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引用次数: 0

Reasons for hospital admissions in children with chronic diseases during the COVID-19 pandemic: A retrospective study COVID-19大流行期间慢性疾病儿童住院的原因：一项回顾性研究

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing

Pub Date : 2025-09-26 DOI: 10.1016/j.ienj.2025.101689

Zehra Çapa , Gülendam Karadağ

Background

This study was conducted to investigate the reasons for hospital admissions in children with chronic diseases during the COVID-19 pandemic.

Objective

A descriptive and retrospective study design was employed.

Methods

The study included the records of children (1,018 children) who had been diagnosed with chronic diseases and had presented to the pediatric polyclinics, pandemic polyclinics, and emergency departments of a state hospital between April 1, 2020 and March 31, 2021. For the disease diagnoses of the children, the ICD 10 codes entered into the system for the most common diseases seen in children, like epilepsy, asthma, and cerebral palsy, were searched. Descriptive statistical methods (frequencies and percentages) were used to analyze the data; no statistical significance testing or group comparisons were conducted.

Results

The mean age was 8.74 ± 4.63 years. It was found that 32.58 % of the children with epilepsy and 19.77 % with asthma had presented to the pediatric emergency department with fever and 26.32 % of those with cerebral palsy had presented with nausea and vomiting. A total of 212 PCR samples had been taken from children, and PCR test results of 15.57 % were positive. The procedures applied to the children during outpatient clinic presentations were ‘examination’ for girls (38.88 %) and boys (37.41 %) with epilepsy, ‘examination and test requests’ for girls with asthma (23.35 %), and ‘examination and prescription’ for boys with asthma (22.35 %), and ‘examination’ for both girls (39.18 %) and boys (33.90 %) with cerebral palsy.

Conclusion

It was found that the majority of children diagnosed with epilepsy had presented to pediatric neurology, those with asthma to pediatric allergy, and those with cerebral palsy to pediatric neurology departments. The most frequently performed procedures in children with epilepsy, asthma, and cerebral palsy were physical examination, test requests, prescription issuance, disability report issuance, and preparation of medication reports.

本研究旨在调查COVID-19大流行期间慢性疾病儿童住院的原因。目的采用描述性和回顾性研究设计。方法研究纳入了2020年4月1日至2021年3月31日期间在某州立医院儿科综合诊所、流行病综合诊所和急诊科就诊的诊断为慢性疾病的儿童（1018名）的记录。对于儿童的疾病诊断，检索了进入系统的ICD 10代码，其中包括儿童最常见的疾病，如癫痫、哮喘和脑瘫。采用描述性统计方法（频率和百分比）对数据进行分析；未进行统计学显著性检验或组间比较。结果患者平均年龄8.74±4.63岁。结果发现，32.58%的癫痫患儿和19.77%的哮喘患儿就诊时伴有发热，26.32%的脑瘫患儿就诊时伴有恶心和呕吐。共采集儿童PCR样本212份，PCR检测阳性率为15.57%。儿童门诊就诊时，癫痫女生（38.88%）和男生（37.41%）采用“检查”方式；哮喘女生（23.35%）采用“检查和要求检查”方式；哮喘男生（22.35%）采用“检查和处方”方式；脑瘫女生（39.18%）和男生（33.90%）均采用“检查”方式。结论癫痫患儿以儿童神经内科就诊为主，哮喘患儿以儿童过敏就诊为主，脑瘫患儿以儿童神经内科就诊为主。在癫痫、哮喘和脑瘫患儿中，最常见的程序是体格检查、检查请求、处方开具、残疾报告开具和药物报告编写。

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引用次数: 0

Patterns of pediatric emergency department visits in a tertiary women’s and children’s hospital in China: A 2021 retrospective analysis 中国某三级妇幼医院儿科急诊科就诊模式：2021年回顾性分析

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing

Pub Date : 2025-09-25 DOI: 10.1016/j.ienj.2025.101690

Jing Zhao , Juan Hu , Liqing He

Background

This study aimed to evaluate the pediatric ED visits in a hospital in China.

Methods

This was a retrospective cross-sectional study of 198,628 pediatric ED visits to a women’s and children’s hospital in China from January 1 to December 31, 2021. Data concerning patient name, gender, age, registration number, home address, chief complaints, medical history, date of visit, time of visit, triage levels, wait time for treatment, physician name, diagnosis, and disposition were obtained from the hospital information system.

Results

There were more male patients (55.128 %) than female patients (44.872 %). The patients aged ≥3 years but <6 years accounted for the largest proportion (33.235 %). The numbers of patients triaged to levels 1, 2, 3, and 4 were 128 (0.06 %), 1164 (0.59 %), 14,560 (7.33 %), and 182,776 (92.02 %), respectively. Patients with diseases of the respiratory system accounted for 66.45 %. Pediatric diseases originating in the perinatal period were the primary ones in patients triaged to levels 1, 2, and 3.

Conclusions

Non-urgent patients accounted for a large proportion of pediatric ED patients. Dissemination of information concerning the prevention and treatment of common symptoms of pediatric diseases should be strengthened.

本研究旨在评估中国某医院儿科急诊科的就诊情况。方法：本研究是一项回顾性横断面研究，收集了2021年1月1日至12月31日在中国一家妇幼医院就诊的198,628例儿科急诊科就诊病例。从医院信息系统获取患者姓名、性别、年龄、挂号号、家庭住址、主诉、病史、就诊日期、就诊时间、分诊级别、等待治疗时间、医生姓名、诊断、处置等资料。结果男性患者（55.128%）多于女性患者（44.872%）。年龄≥3岁~ 6岁的患者占比最大（33.235%）。1、2、3、4级患者分别为128例（0.06%）、1164例（0.59%）、14560例（7.33%）、182776例（92.02%）。呼吸系统疾病占66.45%。1级、2级和3级患者的主要疾病为围产期儿科疾病。结论非急诊患者占儿科急诊科患者的比例较大。应加强宣传有关预防和治疗儿科常见症状的信息。

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引用次数: 0

When do emergencies happen? Exploring circadian, weekly, and seasonal trends in ambulance calls in Cyprus 什么时候会发生紧急情况？探索塞浦路斯救护车呼叫的昼夜、每周和季节性趋势

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing

Pub Date : 2025-09-25 DOI: 10.1016/j.ienj.2025.101686

Andreas Protopapas , Ioannis Mamais , Riana Constantinou , Stelios Iordanou , Maria Prodromou , Stelios Mappouras , Efthyvoulos Kyriacou

Objectives

The demand for ambulances has steadily risen over the past few decades, straining Emergency Medical Services (EMS) and emergency departments (EDs). Understanding the temporal patterns of emergency calls can improve ED patient flow. The aim of this study was to analyze the overall demand for emergency ambulance calls in Cyprus focusing on call reasons, time of day, day of the week, and year season.

Method

This retrospective descriptive study analyzed emergency call data from the Cyprus Ambulance Service (2018–2022). Descriptive statistics summarized emergency call distributions by priority level, year season, weekday, and time of day. Frequencies and percentages were reported, and chi-square tests assessed differences (p < 0.05). Statistical analysis was performed using STATA v14, with results presented in tables and figures.

Results

A total of 148,043 emergency calls were analyzed, with RED (32.5 %) (high priority) and BLACK (11.1 %) (lowest priority – dead patient) cases peaking in winter (27.9 %), followed by spring (27.7 %). Monday recorded the highest overall demand (14.9 %), while RED emergencies peaked on Fridays and Sundays (14.7 %). The highest call volume occurred between 8 am and 12 pm (25.1 %), reflecting increased daytime activity. The most common emergency categories were unwell patients (25 %), falls (11 %), respiratory problems (10 %), and road traffic accidents (9 %), with their frequency varying throughout the day. Notably, traffic accidents were most frequent between 1 pm and 7 pm, particularly on Mondays and Fridays, while other medical emergencies exhibited peak demand in the late morning and early evening hours.

Conclusion

Emergency ambulance calls in Cyprus peaked in winter, especially severe cases (despite the fact that Cyprus population is more than double during summer due to tourism). Weekly trends showed highest demand on Mondays, while life-threatening cases increased on Fridays and Sundays. The most frequent call reasons displayed distinct daily and weekly patterns.

目的在过去的几十年里，对救护车的需求稳步上升，给紧急医疗服务（EMS）和急诊科（EDs）带来了压力。了解紧急呼叫的时间模式可以改善急诊科的病人流量。本研究的目的是分析塞浦路斯紧急救护车呼叫的总体需求，重点是呼叫原因，一天中的时间，一周中的一天和一年的季节。方法回顾性描述性研究分析了塞浦路斯救护车服务中心（2018-2022）的紧急呼叫数据。描述性统计按优先级、年度季节、工作日和一天中的时间汇总了紧急呼叫分布。报告频率和百分比，卡方检验评估差异（p < 0.05）。采用STATA v14软件进行统计分析，结果以表格和图表的形式呈现。结果共分析急诊呼叫148043次，其中红色（32.5%）（高优先级）和黑色（11.1%）（最低优先级-死亡患者）在冬季最多（27.9%），其次是春季（27.7%）。周一的总需求最高（14.9%），而红色紧急情况在周五和周日达到峰值（14.7%）。最高的呼叫量发生在上午8点到下午12点之间（25.1%），反映了白天活动的增加。最常见的紧急类别是身体不适（25%）、跌倒（11%）、呼吸问题（10%）和道路交通事故（9%），其频率在一天中有所不同。值得注意的是，交通事故在下午1点至7点之间最频繁，特别是在周一和周五，而其他医疗紧急情况在上午晚些时候和傍晚早些时候出现高峰需求。结论塞浦路斯的紧急救护车呼叫在冬季达到高峰，特别是重症病例（尽管塞浦路斯人口在夏季由于旅游业增加了一倍多）。每周趋势显示，周一的需求最高，而危及生命的病例在周五和周日增加。最频繁的通话原因显示出明显的每日和每周模式。

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引用次数: 0

Factors influencing triage competence in emergency nurses: The role of resilience, social support, and work-related factors 影响急诊护士分诊能力的因素：心理弹性、社会支持和工作相关因素的作用

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing

Pub Date : 2025-09-23 DOI: 10.1016/j.ienj.2025.101681

JianMei Chen , JiaHui Ma , Ao Zhao , XueHuan Huang

Aims

This multi-center cross-sectional correlational study examined whether psychological resilience, perceived social support, and work-related factors were independently associated with triage competence among emergency nurses.

Background

Triage nurses play a vital role in emergency care, yet factors shaping their competence remain underexplored. Psychological resilience and social support may significantly impact performance. Understanding these influences is crucial for targeted interventions. Design:A cross-sectional study was conducted from May to December 2024, involving 291 emergency triage nurses from 30 hospitals across China.

Methods

Data were collected via self-administered questionnaires using multi-center convenience sampling. Instruments included the Triage Competence Scale, Psychological Resilience Scale, and Perceived Social Support Scale. Analyses comprised descriptive statistics, ANOVA, t-tests, and multiple linear regression.

Results

In the multivariable model including 14 candidate predictors, career development prospects (p = 0.001), work environment (p = 0.040), internal resilience (p < 0.001), and family support (p = 0.040) were independently associated with higher triage competence. The model explained 66.6 % of the variance (adjusted R² = 0.666; F (14, 276) = 42.219, p < 0.001).

Conclusion

Career prospects, a supportive work environment, resilience, and family support significantly influence triage competence. Improving triage competence requires targeted interventions, including resilience training, career development programs, and supportive work environments, to enhance nurse performance and ultimately improve patient outcomes.

目的本研究旨在探讨急诊护士的心理弹性、感知社会支持和工作相关因素是否与分诊能力独立相关。分类护士在急诊护理中发挥着至关重要的作用，但影响其能力的因素仍未得到充分探讨。心理弹性和社会支持对绩效有显著影响。了解这些影响对有针对性的干预至关重要。设计：横断面研究于2024年5月至12月进行，涉及来自中国30家医院的291名急诊分诊护士。方法采用自填问卷，采用多中心方便抽样。测试工具包括分诊能力量表、心理弹性量表和感知社会支持量表。分析包括描述性统计、方差分析、t检验和多元线性回归。结果在包含14个预测因子的多变量模型中，职业发展前景（p = 0.001）、工作环境（p = 0.040）、内部心理弹性（p < 0.001）和家庭支持（p = 0.040）与分诊能力的高低独立相关。该模型解释了66.6%的方差（调整后的R2 = 0.666; F (14,276) = 42.219, p < 0.001）。结论职业前景、支持性工作环境、心理弹性和家庭支持对分诊能力有显著影响。提高分诊能力需要有针对性的干预措施，包括弹性训练、职业发展计划和支持性工作环境，以提高护士的表现，最终改善患者的治疗效果。

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引用次数: 0