Pub Date : 2025-09-22DOI: 10.1016/j.ienj.2025.101683
Nadiye Barış Eren
Aim
This quasi-experimental single-group pretest–posttest study aimed to evaluate the effect of Z-track technique training on emergency nurses.
Methods
The study was conducted among 75 nurses working at a state hospital in Türkiye from July to October 2023. Participants completed a descriptive characteristics form, a knowledge suggestions form, a Z-track technique skill checklist, and a Z-track technique usage frequency form. Descriptive statistics and within-group changes in repeated measurements were analyzed using a dependent-samples t-test. The significance level was set at p < 0.05.
Results
Prior to training, the participants’ mean knowledge suggestions score was 5.720, which increased to 11.880 after training (p < 0.001). The mean Z-track technique skill checklist score also increased from 1.960 pre-training to 7.520 post-training (p < 0.001). In addition, the mean Z-track technique usage frequency increased from 0.150 before training to 3.670 1 month after training (p < 0.001).
Conclusion
This study demonstrated that training improved the nurses’ knowledge and skills related to the Z-track technique, leading to increased usage frequency 1 month later. Retention of knowledge and skills was supported by applying the technique in clinical practice. Since theoretical and practical training is often forgotten without regular application, implementing evidence-based standard procedures and in-service training programmes is essential to keep nurses’ competencies up to date. These programmes should focus on critical steps for safe injection practices, include hands-on training, and utilize positive reinforcements to enhance professional competence and ensure patient safety.
{"title":"Evaluation of the effect of Z-track technique training on emergency nurses: A single-group pretest–posttest study","authors":"Nadiye Barış Eren","doi":"10.1016/j.ienj.2025.101683","DOIUrl":"10.1016/j.ienj.2025.101683","url":null,"abstract":"<div><h3>Aim</h3><div>This quasi-experimental single-group pretest–posttest study aimed to evaluate the effect of Z-track technique training on emergency nurses.</div></div><div><h3>Methods</h3><div>The study was conducted among 75 nurses working at a state hospital in Türkiye from July to October 2023. Participants completed a descriptive characteristics form, a knowledge suggestions form, a Z-track technique skill checklist, and a Z-track technique usage frequency form. Descriptive statistics and within-group changes in repeated measurements were analyzed using a dependent-samples <em>t</em>-test. The significance level was set at p < 0.05.</div></div><div><h3>Results</h3><div>Prior to training, the participants’ mean knowledge suggestions score was 5.720, which increased to 11.880 after training (p < 0.001). The mean Z-track technique skill checklist score also increased from 1.960 pre-training to 7.520 post-training (p < 0.001). In addition, the mean Z-track technique usage frequency increased from 0.150 before training to 3.670 1 month after training (p < 0.001).</div></div><div><h3>Conclusion</h3><div>This study demonstrated that training improved the nurses’ knowledge and skills related to the Z-track technique, leading to increased usage frequency 1 month later. Retention of knowledge and skills was supported by applying the technique in clinical practice. Since theoretical and practical training is often forgotten without regular application, implementing evidence-based standard procedures and in-service training programmes is essential to keep nurses’ competencies up to date. These programmes should focus on critical steps for safe injection practices, include hands-on training, and utilize positive reinforcements to enhance professional competence and ensure patient safety.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"83 ","pages":"Article 101683"},"PeriodicalIF":1.8,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145109322","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}
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.
{"title":"Effectiveness of AI-assisted ESI triage on accuracy and selected outcomes in emergency nursing: A systematic review","authors":"Aekkachai Fatai , Chakrit Sattayarom , Wiwat Laochai , Ekkalak Faksook","doi":"10.1016/j.ienj.2025.101680","DOIUrl":"10.1016/j.ienj.2025.101680","url":null,"abstract":"<div><h3>Aims</h3><div>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.</div></div><div><h3>Design</h3><div>Systematic review.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Data Sources</h3><div>Search was performed in CINAHL, Medline, PsycINFO, PubMed, and Google Scholar for English-language articles published between 2018 and 2025.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"83 ","pages":"Article 101680"},"PeriodicalIF":1.8,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145097130","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}
Pub Date : 2025-09-17DOI: 10.1016/j.ienj.2025.101678
Melih Yüksel, Mehmet Oğuzhan Ay, Fatma Betül Çalışkan, Ayşe Kılıç, Mustafa Tolga Özdal, Atakan Aydoğan, Yeşim İşler, Halil Kaya
Background
This study aims to investigate whether prehospital shock index (SI), modified shock index (MSI), age-adjusted shock index (ASI), Rapid Emergency Medicine Score (REMS), and Triage in Emergency Department Early Warning Score (TREWS) are effective in predicting the need for blood replacement, emergency surgical intervention, and first 24 h and 28 days mortality in high-energy trauma patients.
Methods
Patients brought to a single-center, tertiary care emergency department by ambulance due to high-energy trauma between 01.08.2023 and 31.01.2024 were prospectively analyzed.
Results
A total of 209 patients meeting the study criteria were included. In blood replacement estimation in the emergency department, the area under the curve (AUC) value of MSI was found to be 0.789 (p < 0.001), SI was 0.783 (p < 0.001), and ASI was 0.688 (p = 0.016). For the prediction of emergency surgical intervention, the AUC value of SI was 0.784 (p < 0.001), MSI was 0.760 (p < 0.001) and TREWS was 0.641 (p = 0.043). As for the first 24 h mortality prediction, the AUC value of ASI was 0.872 (p < 0.001), MSI was 0.768 (p = 0.007), TREWS was 0.980 (p < 0.001), and REMS was 0.831 (p = 0.001). Finally, in the first 28-day mortality prediction, the AUC value of ASI was 0.759 (p = 0.001), TREWS was 0.942 (p < 0.001), and REMS was 0.826 (p < 0.001).
Conclusions
In high-energy trauma patients, prehospital SI and MSI indicated the best performance in predicting both blood replacement in the emergency department and emergency surgical intervention. We found that the prehospital TREWS showed the best performance in predicting mortality in the first 24 h and 28 days.
{"title":"“Are prehospital shock, modified shock, age-adjusted shock indices and some scoring systems effective in predicting the prognosis of high-energy trauma Patients?”","authors":"Melih Yüksel, Mehmet Oğuzhan Ay, Fatma Betül Çalışkan, Ayşe Kılıç, Mustafa Tolga Özdal, Atakan Aydoğan, Yeşim İşler, Halil Kaya","doi":"10.1016/j.ienj.2025.101678","DOIUrl":"10.1016/j.ienj.2025.101678","url":null,"abstract":"<div><h3>Background</h3><div>This study aims to investigate whether prehospital shock index (SI), modified shock index (MSI), age-adjusted shock index (ASI), Rapid Emergency Medicine Score (REMS), and Triage in Emergency Department Early Warning Score (TREWS) are effective in predicting the need for blood replacement, emergency surgical intervention, and first 24 h and 28 days mortality in high-energy trauma patients.</div></div><div><h3>Methods</h3><div>Patients brought to a single-center, tertiary care emergency department by ambulance due to high-energy trauma between 01.08.2023 and 31.01.2024 were prospectively analyzed.</div></div><div><h3>Results</h3><div>A total of 209 patients meeting the study criteria were included. In blood replacement estimation in the emergency department, the area under the curve (AUC) value of MSI was found to be 0.789 (p < 0.001), SI was 0.783 (p < 0.001), and ASI was 0.688 (p = 0.016). For the prediction of emergency surgical intervention, the AUC value of SI was 0.784 (p < 0.001), MSI was 0.760 (p < 0.001) and TREWS was 0.641 (p = 0.043). As for the first 24 h mortality prediction, the AUC value of ASI was 0.872 (p < 0.001), MSI was 0.768 (p = 0.007), TREWS was 0.980 (p < 0.001), and REMS was 0.831 (p = 0.001). Finally, in the first 28-day mortality prediction, the AUC value of ASI was 0.759 (p = 0.001), TREWS was 0.942 (p < 0.001), and REMS was 0.826 (p < 0.001).</div></div><div><h3>Conclusions</h3><div>In high-energy trauma patients, prehospital SI and MSI indicated the best performance in predicting both blood replacement in the emergency department and emergency surgical intervention. We found that the prehospital TREWS showed the best performance in predicting mortality in the first 24 h and 28 days.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"83 ","pages":"Article 101678"},"PeriodicalIF":1.8,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145087952","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}
Burn continues to be a major public health problem, resulting in thousands of preventable deaths and disabilities each year. Therefore, this review and meta-analysis aimed to assess the national prevalence of poor treatment outcome and its determinants.
Methods
This systematic review was conducted according to the guidelines of Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and has been registered with PROSPERO. A structured search of databases (Medline/PubMed, Google Scholar, CINAHL, EMBASE, HINARI, and Web of Science) was undertaken. The quality of the studies was assessed using the Joanna Briggs Institute (JBI) critical appraisal tool. A meta-analysis using a random-effects model was performed to estimate the pooled prevalence and associated factors. The I2 statistics was used to assess the heterogeneity of studies, and to identify the possible causes of heterogeneity, subgroup analysis and meta-regression were used. Egger’s test and funnel plots were used to assess publication bias.
Results
This systematic review and meta-analysis included eight studies involving a total of 9255 burn patients. The pooled national prevalence of poor treatment outcome among burn patients in Ethiopia was 20.1 % (95 %CI: 14.14, 26.06). Regional subgroup analysis showed that the pooled estimate of poor outcome was 13.12 %, 29.24 %, 26.2 %, 25.6 %, and 12.37 % in Tigray, Amhara, Oromia, Southern Nation Nationalities and People, and Addis Ababa, respectively. Moreover, subgroup analysis based on patients’ age revealed that the pooled estimate of poor outcome among adults and children was 18.87 % and 21.58 %, respectively. This meta-analysis demonstrated that being a rural resident (OR = 3.24, 95 % CI: 1.66, 6.33), malnourished (OR = 3.17, 95 % CI: 1.93, 5.19), extent of burn > 10 % of TBSA (OR = 2.60, 95 % CI: 1.73, 3.90), and didn’t get adequate fluid resuscitation (OR = 2.86; 95 % CI: 1.36, 6.00) were determinants of poor clinical outcome for burn patients.
Conclusion and recommendations
One in every five burn patients in Ethiopia had poor treatment outcome. Being a rural resident, malnourished, extent of burn > 10 %, and no getting adequate fluid resuscitation were significant predictors of poor treatment outcome. Special attention should be given to burn injured patients from rural area, malnourished, and with larger TBSA.
{"title":"Poor treatment outcome and its determinants among patients with burn injuries in Ethiopia. A systematic review and meta-analysis","authors":"Mengistu Abebe Messelu , Baye Tsegaye Amlak , Tadesse Yirga Akalu , Getnet Nibret Alemie , Salelign Amlaku Matebe , Mamaru Getie Fetene , Bekele Getenet Tiruneh , Ashenafi Fekad Getahun , Makda Fekadie Tewelgne , Tadesse Miretie Dessie , Yasab Leykun , Temesgen Ayenew","doi":"10.1016/j.ienj.2025.101676","DOIUrl":"10.1016/j.ienj.2025.101676","url":null,"abstract":"<div><h3>Background</h3><div>Burn continues to be a major public health problem, resulting in thousands of preventable deaths and disabilities each year. Therefore, this review and <em>meta</em>-analysis aimed to assess the national prevalence of poor treatment outcome and its determinants.</div></div><div><h3>Methods</h3><div>This systematic review was conducted according to the guidelines of Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and has been registered with PROSPERO. A structured search of databases (Medline/PubMed, Google Scholar, CINAHL, EMBASE, HINARI, and Web of Science) was undertaken. The quality of the studies was assessed using the Joanna Briggs Institute (JBI) critical appraisal tool. A <em>meta</em>-analysis using a random-effects model was performed to estimate the pooled prevalence and associated factors. The I<sup>2</sup> statistics was used to assess the heterogeneity of studies, and to identify the possible causes of heterogeneity, subgroup analysis and <em>meta</em>-regression were used. Egger’s test and funnel plots were used to assess publication bias.</div></div><div><h3>Results</h3><div>This systematic review and <em>meta</em>-analysis included eight studies involving a total of 9255 burn patients. The pooled national prevalence of poor treatment outcome among burn patients in Ethiopia was 20.1 % (95 %CI: 14.14, 26.06). Regional subgroup analysis showed that the pooled estimate of poor outcome was 13.12 %, 29.24 %, 26.2 %, 25.6 %, and 12.37 % in Tigray, Amhara, Oromia, Southern Nation Nationalities and People, and Addis Ababa, respectively. Moreover, subgroup analysis based on patients’ age revealed that the pooled estimate of poor outcome among adults and children was 18.87 % and 21.58 %, respectively. This <em>meta</em>-analysis demonstrated that being a rural resident (OR = 3.24, 95 % CI: 1.66, 6.33), malnourished (OR = 3.17, 95 % CI: 1.93, 5.19), extent of burn > 10 % of TBSA (OR = 2.60, 95 % CI: 1.73, 3.90), and didn’t get adequate fluid resuscitation (OR = 2.86; 95 % CI: 1.36, 6.00) were determinants of poor clinical outcome for burn patients.</div></div><div><h3>Conclusion and recommendations</h3><div>One in every five burn patients in Ethiopia had poor treatment outcome. Being a rural resident, malnourished, extent of burn > 10 %, and no getting adequate fluid resuscitation were significant predictors of poor treatment outcome. Special attention should be given to burn injured patients from rural area, malnourished, and with larger TBSA.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"83 ","pages":"Article 101676"},"PeriodicalIF":1.8,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145049653","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}
Pub Date : 2025-09-11DOI: 10.1016/j.ienj.2025.101679
Hailong Hou , Yan Jiang , Mingmin Luo , Tianjiao Dong , Shiqi Xiao
Background
Emergency nursing is an essential component of the healthcare system, with its effectiveness directly impacting patient clinical outcomes. With the advancement of evidence-based nursing, the application of Implementation Science (IS) in emergency nursing has become a key factor in enhancing nursing quality and patient safety. However, the scope and effect of IS application within emergency nursing are not fully understood.
Aim(s)
To map and synthesize the depth and breadth of research on implementation science in the field of emergency nursing.
Methods
This scoping review followed the Arksey and O’Malley’s scoping review methodology. Systematic searches were conducted in databases including PubMed, Web of Science, Cochrane Library, CINAHL, and Embase. The search covered study up to November 2023, with included studies summarized and analyzed.
Results
A total of 24 studies were included, indicating the preliminary application of IS in emergency nursing. Applications ranged from common disease care, emergency care for special populations, improvements in patient care processes, and enhancements in emergency nursing quality.
Conclusion
The application of IS in emergency nursing shows potential, contributing to improved nursing quality, patient safety, and treatment outcomes. Further exploration and promotion of IS in emergency nursing can enhance the efficiency of the entire emergency care system.
背景急诊护理是医疗保健系统的重要组成部分，其有效性直接影响患者的临床结果。随着循证护理的发展，实施科学（IS）在急诊护理中的应用已成为提高护理质量和患者安全的关键因素。然而，IS在急诊护理中的应用范围和效果尚不完全清楚。目的总结和综合急诊护理领域实施科学研究的深度和广度。方法本综述遵循Arksey和O 'Malley的综述方法。系统检索PubMed、Web of Science、Cochrane Library、CINAHL、Embase等数据库。检索涵盖了截至2023年11月的研究，并对纳入的研究进行了总结和分析。结果共纳入24项研究，表明IS在急诊护理中的初步应用。应用范围包括常见病护理、特殊人群的急诊护理、患者护理流程的改进以及急诊护理质量的提高。结论信息系统在急诊护理中的应用具有一定的潜力，有助于提高护理质量、患者安全和治疗效果。进一步探索和推广IS在急诊护理中的应用，可以提高整个急诊护理系统的效率。
{"title":"Implementation science in the field of emergency nursing practice: A scoping review","authors":"Hailong Hou , Yan Jiang , Mingmin Luo , Tianjiao Dong , Shiqi Xiao","doi":"10.1016/j.ienj.2025.101679","DOIUrl":"10.1016/j.ienj.2025.101679","url":null,"abstract":"<div><h3>Background</h3><div>Emergency nursing is an essential component of the healthcare system, with its effectiveness directly impacting patient clinical outcomes. With the advancement of evidence-based nursing, the application of Implementation Science (IS) in emergency nursing has become a key factor in enhancing nursing quality and patient safety. However, the scope and effect of IS application within emergency nursing are not fully understood.</div></div><div><h3>Aim(s)</h3><div>To map and synthesize the depth and breadth of research on implementation science in the field of emergency nursing.</div></div><div><h3>Methods</h3><div>This scoping review followed the Arksey and O’Malley’s scoping review methodology. Systematic searches were conducted in databases including PubMed, Web of Science, Cochrane Library, CINAHL, and Embase. The search covered study up to November 2023, with included studies summarized and analyzed.</div></div><div><h3>Results</h3><div>A total of 24 studies were included, indicating the preliminary application of IS in emergency nursing. Applications ranged from common disease care, emergency care for special populations, improvements in patient care processes, and enhancements in emergency nursing quality.</div></div><div><h3>Conclusion</h3><div>The application of IS in emergency nursing shows potential, contributing to improved nursing quality, patient safety, and treatment outcomes. Further exploration and promotion of IS in emergency nursing can enhance the efficiency of the entire emergency care system.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"83 ","pages":"Article 101679"},"PeriodicalIF":1.8,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145049652","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}
Pub Date : 2025-09-11DOI: 10.1016/j.ienj.2025.101667
Selin Salmak , Abdülkadir Utar , Alkan Bal , Dilek Ergin , Halil Dönmez
Introduction
Transfer of pediatric patients from the emergency department to in-hospital units is often inevitable. Since emergency departments are the first point of admission for patients, transfers are risky in terms of adverse events. The aim of this study was to evaluate the effect of the in-hospital transfer checklist in the pediatric emergency department on transfer success.
Methods
This study is an interventional observational study. The study was conducted in the pediatric emergency department of a university hospital in western Turkey between January 01 and March 31, 2024. After the control data (n = 120) were obtained retrospectively, a checklist for in-hospital transfer was created. Then, the data of the intervention group (n = 120) in which the checklist was used were obtained. The data between the two groups were compared using SPSS.
Results
The in-hospital transfer time of pediatric emergency department patients decreased from 12 min (median) to 10 min (median) after the checklist was applied (p < 0.05). The rate of adverse events decreased from 46.7 % to 10.8 % depending on the use of the checklist (p > 0.05). The intervention group had a significantly lower impact score (p < 0.05) in terms of clinical and non-clinical adverse events compared to the control group.
Conclusion
Transporting pediatric patients from the emergency department to other units is an issue that requires attention. Using trained personnel, appropriate equipment, standardized protocols, and checklists will effectively reduce the frequency of adverse events.
{"title":"The effect on intra-hospital transfer success of checklist in the pediatric emergency department: An interventional observational study","authors":"Selin Salmak , Abdülkadir Utar , Alkan Bal , Dilek Ergin , Halil Dönmez","doi":"10.1016/j.ienj.2025.101667","DOIUrl":"10.1016/j.ienj.2025.101667","url":null,"abstract":"<div><h3>Introduction</h3><div>Transfer of pediatric patients from the emergency department to in-hospital units is often inevitable. Since emergency departments are the first point of admission for patients, transfers are risky in terms of adverse events. The aim of this study was to evaluate the effect of the in-hospital transfer checklist in the pediatric emergency department on transfer success.</div></div><div><h3>Methods</h3><div>This study is an interventional observational study. The study was conducted in the pediatric emergency department of a university hospital in western Turkey between January 01 and March 31, 2024. After the control data (n = 120) were obtained retrospectively, a checklist for in-hospital transfer was created. Then, the data of the intervention group (n = 120) in which the checklist was used were obtained. The data between the two groups were compared using SPSS.</div></div><div><h3>Results</h3><div>The in-hospital transfer time of pediatric emergency department patients decreased from 12 min (median) to 10 min (median) after the checklist was applied (p < 0.05). The rate of adverse events decreased from 46.7 % to 10.8 % depending on the use of the checklist (p > 0.05). The intervention group had a significantly lower impact score (p < 0.05) in terms of clinical and non-clinical adverse events compared to the control group.</div></div><div><h3>Conclusion</h3><div>Transporting pediatric patients from the emergency department to other units is an issue that requires attention. Using trained personnel, appropriate equipment, standardized protocols, and checklists will effectively reduce the frequency of adverse events.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"83 ","pages":"Article 101667"},"PeriodicalIF":1.8,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145049651","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}
Pub Date : 2025-09-08DOI: 10.1016/j.ienj.2025.101677
Amina Yasser Al Balushi , Lin Zhao , Karen Livesay
Background
ST-segment elevation myocardial infarction (STEMI) demands aggressive and rapid medical intervention. Delays in Door-to-balloon time (DTB) of more than 90 min cause progressive damage to the cardiac tissue and require immediate medical intervention, including percutaneous coronary intervention (PCI). Nurses and doctors in STEMI management face several challenges that result in a delay in DTB time.
Aim
To investigate challenges nurses and doctors encounter in managing Door to Balloon (DTB) time for ST-elevation Myocardial Infarction (STEMI) patients.
Method
An online survey using Qualtrics software was distributed to all nurses and doctors working in the Emergency Room and Cardiac Catheterization Laboratory at the study site, which included a total of 150 staff members. The survey was conducted in August 2023 and lasted for one month. The questionnaire online link was sent to the participants and filled out by them through their smartphones.
Results
A total of 83 nurses and doctors responded to the questionnaire. The survey revealed several challenges encountered by nurses and doctors in STEMI management from highest to lowest based on response items in the Likert scale. In ER, the reported challenges related to the ECG interpretation (mean = 33, 47.8 %), followed by Process (mean = 31.5, 45.6 %), Resources (mean = 30.0, 43.5 %), Communication (mean = 28.8, 41.7 %), and Healthcare setting (28, 40.6 %). In CCL, the most reported challenges were related to Communication (mean = 10, 71.4 %). Followed by Resources (mean = 7.5, 53.5 %), and Healthcare setting (mean = 28, 40.6 %).
The primary outcomes showed no statistically significant association of predictable variables of Age groups with a p value of 0.612 (21–30 years, mean 3.31 ± 0.95, 31–40 years, mean 3.62 ± 1.17, 41–50 years, mean 3.7 ± 1.22), Educational groups with a p value of 0.481(Diploma 3.60 ± 1.23, Bachelor 3.33 ± 0.97, Postgraduate 3.79 ± 1.18), Years of experience groups with a p value of 0.659, two-tailed (10 years of experience 3.65 ± 1.23, and More than 10 years of experience 3.65 ± 1.23), and groups of certified with an ECG interpretation course with a p value of 0.583, two-tailed (Certified with an ECG interpretation course 3.62 ± 1.16 and not Certified with an ECG interpretation course 3.42 ± 1.08) on the Knowledge variable. Similarly, the outcomes showed no statistically significant association of predictable variables of Age with a p value of 0.615 (21–30 years, mean 31.91 ± 5.43, 31–40 years, mean 32.61 ± 6.38, 41–50 years, mean 30.31 ± 8.08) Educational groups with a p value of 0.325(Diploma 29.87 ± 7.75, Bachelor 31.93 ± 5.95, Postgraduate 33.41 ± 6.02), Years of experience groups with a p value of 0.813, two-tailed (10 years of experience 32 ± 6.283, and More than 10 years of experience 31.53 ± 7.27), certified with an ECG interpretation course with
{"title":"Challenges encountered by healthcare workers in managing door-to-balloon time of myocardial infarction: A survey","authors":"Amina Yasser Al Balushi , Lin Zhao , Karen Livesay","doi":"10.1016/j.ienj.2025.101677","DOIUrl":"10.1016/j.ienj.2025.101677","url":null,"abstract":"<div><h3>Background</h3><div>ST-segment elevation myocardial infarction (STEMI) demands aggressive and rapid medical intervention. Delays in Door-to-balloon time (DTB) of more than 90 min cause progressive damage to the cardiac tissue and require immediate medical intervention, including percutaneous coronary intervention (PCI). Nurses and doctors in STEMI management face several challenges that result in a delay in DTB time.</div></div><div><h3>Aim</h3><div>To investigate challenges nurses and doctors encounter in managing Door to Balloon (DTB) time for ST-elevation Myocardial Infarction (STEMI) patients.</div></div><div><h3>Method</h3><div>An online survey using Qualtrics software was distributed to all nurses and doctors working in the Emergency Room and Cardiac Catheterization Laboratory at the study site, which included a total of 150 staff members. The survey was conducted in August 2023 and lasted for one month. The questionnaire online link was sent to the participants and filled out by them through their smartphones.</div></div><div><h3>Results</h3><div>A total of 83 nurses and doctors responded to the questionnaire. The survey revealed several challenges encountered by nurses and doctors in STEMI management from highest to lowest based on response items in the Likert scale. In ER, the reported challenges related to the ECG interpretation (mean = 33, 47.8 %), followed by Process (mean = 31.5, 45.6 %), Resources (mean = 30.0, 43.5 %), Communication (mean = 28.8, 41.7 %), and Healthcare setting (28, 40.6 %). In CCL, the most reported challenges were related to Communication (mean = 10, 71.4 %). Followed by Resources (mean = 7.5, 53.5 %), and Healthcare setting (mean = 28, 40.6 %).</div><div>The primary outcomes showed no statistically significant association of predictable variables of Age groups with a p value of 0.612 (21–30 years, mean 3.31 ± 0.95, 31–40 years, mean 3.62 ± 1.17, 41–50 years, mean 3.7 ± 1.22), Educational groups with a p value of 0.481(Diploma 3.60 ± 1.23, Bachelor 3.33 ± 0.97, Postgraduate 3.79 ± 1.18), Years of experience groups with a p value of 0.659, two-tailed (10 years of experience 3.65 ± 1.23, and More than 10 years of experience 3.65 ± 1.23), and groups of certified with an ECG interpretation course with a p value of 0.583, two-tailed (Certified with an ECG interpretation course 3.62 ± 1.16 and not Certified with an ECG interpretation course 3.42 ± 1.08) on the Knowledge variable. Similarly, the outcomes showed no statistically significant association of predictable variables of Age with a p value of 0.615 (21–30 years, mean 31.91 ± 5.43, 31–40 years, mean 32.61 ± 6.38, 41–50 years, mean 30.31 ± 8.08) Educational groups with a p value of 0.325(Diploma 29.87 ± 7.75, Bachelor 31.93 ± 5.95, Postgraduate 33.41 ± 6.02), Years of experience groups with a p value of 0.813, two-tailed (10 years of experience 32 ± 6.283, and More than 10 years of experience 31.53 ± 7.27), certified with an ECG interpretation course with","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"83 ","pages":"Article 101677"},"PeriodicalIF":1.8,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145020657","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}
Pub Date : 2025-09-01DOI: 10.1016/j.ienj.2025.101664
Hussam Al Nusair , Mariezl Fonbuena , Caitriona Chew , Rafi Alnjadat , Nishad Nellikunnel Muhammed , Saleem Perinchery , Mezzani Mayo , Maha Ali Rashid , Maryam Dadalla , Mona Ibrahim Nada , Hisham Abdelmotaleb
{"title":"Corrigendum to “Exploring staff perceptions regarding alarm fatigue and practices among nurses: A multicentre study in the Northern Emirates” [Int. Emerg. Nurs. 79 (2025) 101584]","authors":"Hussam Al Nusair , Mariezl Fonbuena , Caitriona Chew , Rafi Alnjadat , Nishad Nellikunnel Muhammed , Saleem Perinchery , Mezzani Mayo , Maha Ali Rashid , Maryam Dadalla , Mona Ibrahim Nada , Hisham Abdelmotaleb","doi":"10.1016/j.ienj.2025.101664","DOIUrl":"10.1016/j.ienj.2025.101664","url":null,"abstract":"","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"82 ","pages":"Article 101664"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144975519","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}
Pub Date : 2025-09-01DOI: 10.1016/j.ienj.2025.101663
C.M. Edwards , S. Veenje , E. Visser , D. Dammers , M.I. de Haan-Lauteslager , H. Lameijer
{"title":"Corrigendum to “Comfort scores instead of pain scores as a possible tool for pain and analgesia reduction in the emergency department: a randomized controlled clinical trial” [Int. Emerg. Nurs. 82 (2025) 101657]","authors":"C.M. Edwards , S. Veenje , E. Visser , D. Dammers , M.I. de Haan-Lauteslager , H. Lameijer","doi":"10.1016/j.ienj.2025.101663","DOIUrl":"10.1016/j.ienj.2025.101663","url":null,"abstract":"","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"82 ","pages":"Article 101663"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144975510","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}
Pub Date : 2025-08-29DOI: 10.1016/j.ienj.2025.101666
Atiye Erbaş , Selin Keskin Kiziltepe , Ümit Kiliç
Introduction
Effective handover skills play a crucial role in communication between pre-hospital and hospital staff. However, nursing and paramedic students rarely have the opportunity to practice them.
Objective
Our study aimed to evaluate the effectiveness of the Situation-Background-Assessment-Recommendation (SBAR) method in emergency settings using simulation-based education for nursing and paramedic students.
Methods
We conducted a single-group quasi-experimental study involving 39 nursing and 42 paramedic students. The students’ patient handover skills were evaluated through simulation-based training using a structured handover method. Data were collected using the Personal Data Form, Patient Handover Information Form, Patient Handover Skill Evaluation Form, and Video Observation and Evaluation Form. For data analysis, we used the Mann–Whitney U test, the Friedman test, the Cohen’s kappa coefficient, and the Pearson correlation test.
Results
The knowledge scores of nursing (N) and paramedic (P) students (N: 16 [11–20]; P: 15 [10–19] pre-training) increased post-training (N: 18 [15–20]; P: 18 [10–21]), post-simulation (N: 18 [14–21]; P: 17 [13–20]), and one-month after the post-simulation (N: 18 [14–21]; P: 17 [14–20]). The group participants, 50%, received scores between 12.50 and 16.25 and acquired medium handover skills.
Conclusion
We found that theoretical education and simulation-based applications were effective in enhancing students’ knowledge level of handover processes, which are critical for patient safety, and that simulation supported their learning. It is recommended that patient handover training be conducted using simulation-based methods with different student groups, integrated into educational curricula, and updated regularly.
{"title":"Effectiveness of the Situation-Background-Assessment-Recommendation method in emergencies with simulation-based education for nursing and paramedic students","authors":"Atiye Erbaş , Selin Keskin Kiziltepe , Ümit Kiliç","doi":"10.1016/j.ienj.2025.101666","DOIUrl":"10.1016/j.ienj.2025.101666","url":null,"abstract":"<div><h3>Introduction</h3><div>Effective handover skills play a crucial role in communication between pre-hospital and hospital staff. However, nursing and paramedic students rarely have the opportunity to practice them.</div></div><div><h3>Objective</h3><div>Our study aimed to evaluate the effectiveness of the Situation-Background-Assessment-Recommendation (SBAR) method in emergency settings using simulation-based education for nursing and paramedic students.</div></div><div><h3>Methods</h3><div>We conducted a single-group quasi-experimental study involving 39 nursing and 42 paramedic students. The students’ patient handover skills were evaluated through simulation-based training using a structured handover method. Data were collected using the Personal Data Form, Patient Handover Information Form, Patient Handover Skill Evaluation Form, and Video Observation and Evaluation Form. For data analysis, we used the Mann–Whitney <em>U</em> test, the Friedman test, the Cohen’s kappa coefficient, and the Pearson correlation test.</div></div><div><h3>Results</h3><div>The knowledge scores of nursing (N) and paramedic (P) students (N: 16 [11–20]; P: 15 [10–19] pre-training) increased post-training (N: 18 [15–20]; P: 18 [10–21]), post-simulation (N: 18 [14–21]; P: 17 [13–20]), and one-month after the post-simulation (N: 18 [14–21]; P: 17 [14–20]). The group participants, 50%, received scores between 12.50 and 16.25 and acquired medium handover skills.</div></div><div><h3>Conclusion</h3><div>We found that theoretical education and simulation-based applications were effective in enhancing students’ knowledge level of handover processes, which are critical for patient safety, and that simulation supported their learning. It is recommended that patient handover training be conducted using simulation-based methods with different student groups, integrated into educational curricula, and updated regularly.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"82 ","pages":"Article 101666"},"PeriodicalIF":1.8,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144912207","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}
扫码关注我们
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号