Pub Date : 2024-03-01DOI: 10.1016/S0099-1767(24)00030-8
{"title":"Thank You to Reviewers","authors":"","doi":"10.1016/S0099-1767(24)00030-8","DOIUrl":"https://doi.org/10.1016/S0099-1767(24)00030-8","url":null,"abstract":"","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140031181","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 : 2024-03-01DOI: 10.1016/j.jen.2023.10.004
Lisa Wolf PhD, RN, CEN, FAEN, FAAN, Victoria Nash BSN, RN, CEN, TCRN, Tania Strout PhD, RN, MS, Paul Clark PhD, RN, FAEN, Michael D. Moon PhD, MSN, RN, CNS-CC, CEN, FAEN
{"title":"Protecting the Physical and Psychological Safety of the Research Team","authors":"Lisa Wolf PhD, RN, CEN, FAEN, FAAN, Victoria Nash BSN, RN, CEN, TCRN, Tania Strout PhD, RN, MS, Paul Clark PhD, RN, FAEN, Michael D. Moon PhD, MSN, RN, CNS-CC, CEN, FAEN","doi":"10.1016/j.jen.2023.10.004","DOIUrl":"https://doi.org/10.1016/j.jen.2023.10.004","url":null,"abstract":"","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140031185","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 : 2024-03-01DOI: 10.1016/j.jen.2024.01.004
Dawn Peta BN, RN, ENC(C), Joanne E. Navarroli MSN, RN, CEN
{"title":"Supporting a Healthy Work Environment and Just Culture in the Emergency Care Setting","authors":"Dawn Peta BN, RN, ENC(C), Joanne E. Navarroli MSN, RN, CEN","doi":"10.1016/j.jen.2024.01.004","DOIUrl":"https://doi.org/10.1016/j.jen.2024.01.004","url":null,"abstract":"","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140030401","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}
Family members experience considerable physiological, psychological, and emotional pressure when accompanying a critically ill relative in the emergency department. The culture and context of care influence the needs of the family, and a thorough understanding of these needs by health care professionals is essential to providing patient- and family-centered care. This study aimed to compare nurses’ and family members’ perceptions of the priorities of family member needs and their satisfaction with meeting those needs in the emergency department.
Methods
A comparative, cross-sectional descriptive study was conducted. Participants were 140 family members of patients receiving care and 122 nurses working in the emergency department in hospitals of Tabriz University of Medical Science, in Iran. The data were collected through Critical Care Family Needs Inventory-ED and analyzed with SPSS Statistics software.
Results
Family members rated their care needs as significantly greater than did nurses (129.45 [31.5] vs 124.45 [24.8], P = .003). Families rated their needs as having been met significantly less than the nurses estimated (103.6 [17.6] vs 110.8 [19.61], P < .05).
Discussion
The perceived importance of the patient’s family’s needs differed from the viewpoints of the patient’s family members and the nurses. In addition, emergency nurses overestimated the extent to which family members’ needs were met compared with family members. To more adequately gauge and meet the needs of family members, nurses need to acquire more knowledge about patient family needs in the emergency department.
简介:家庭成员经历相当大的生理，心理和情绪压力时，陪同重症亲属在急诊科。护理的文化和环境影响着家庭的需求，卫生保健专业人员对这些需求的透彻理解对于提供以患者和家庭为中心的护理至关重要。本研究旨在比较急诊科护士与家庭成员对家庭成员需求优先次序的看法，以及他们对满足这些需求的满意度。方法:采用比较、横断面描述性研究。参与者是140名接受治疗的病人家属和122名在伊朗大不里士医科大学医院急诊科工作的护士。通过重症监护家庭需求量表(Critical Care Family Needs Inventory-ED)收集数据，采用SPSS统计软件进行分析。结果:家庭成员对护理需求的评价明显高于护士(129.45[31.5]比124.45 [24.8]，P = 0.003)。家庭认为他们的需求得到满足的评分明显低于护士的估计(103.6[17.6]比110.8 [19.61]，P < 0.05)。讨论:患者家属需求的重要性与患者家属和护士的观点不同。此外，与家庭成员相比，急诊护士高估了家庭成员需求得到满足的程度。为了更充分地衡量和满足家庭成员的需求，急诊科护士需要获得更多关于患者家庭需求的知识。
{"title":"A Cross-Sectional Comparative Study of Nurses’ and Family Members’ Perceptions on Priority and Satisfaction in Meeting the Needs of Family Members at the Emergency Department","authors":"Reza Abbaszadeh MSc, Faranak Jabbarzadeh Tabrizi PhD, Alehe Seyedrasooli MSc, Akram Ghahramanian PhD, Farzaneh Bagheriyeh PhD, Geoffrey Dickens PhD","doi":"10.1016/j.jen.2023.10.003","DOIUrl":"10.1016/j.jen.2023.10.003","url":null,"abstract":"<div><h3>Introduction</h3><p>Family members experience considerable physiological, psychological, and emotional pressure when accompanying a critically ill relative in the emergency department. The culture and context of care influence the needs of the family, and a thorough understanding of these needs by health care professionals is essential to providing patient- and family-centered care. This study aimed to compare nurses’ and family members’ perceptions of the priorities of family member needs and their satisfaction with meeting those needs in the emergency department.</p></div><div><h3>Methods</h3><p>A comparative, cross-sectional descriptive study was conducted. Participants were 140 family members of patients receiving care and 122 nurses working in the emergency department in hospitals of Tabriz University of Medical Science, in Iran. The data were collected through Critical Care Family Needs Inventory-ED and analyzed with SPSS Statistics software.</p></div><div><h3>Results</h3><p>Family members rated their care needs as significantly greater than did nurses (129.45 [31.5] vs 124.45 [24.8], <em>P</em> = .003). Families rated their needs as having been met significantly less than the nurses estimated (103.6 [17.6] vs 110.8 [19.61], <em>P</em> < .05).</p></div><div><h3>Discussion</h3><p>The perceived importance of the patient’s family’s needs differed from the viewpoints of the patient’s family members and the nurses. In addition, emergency nurses overestimated the extent to which family members’ needs were met compared with family members. To more adequately gauge and meet the needs of family members, nurses need to acquire more knowledge about patient family needs in the emergency department.</p></div>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136400165","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 : 2024-03-01DOI: 10.1016/S0099-1767(24)00028-X
{"title":"Board of Directors","authors":"","doi":"10.1016/S0099-1767(24)00028-X","DOIUrl":"https://doi.org/10.1016/S0099-1767(24)00028-X","url":null,"abstract":"","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140031147","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 : 2024-03-01DOI: 10.1016/S0099-1767(24)00029-1
{"title":"Information for Readers","authors":"","doi":"10.1016/S0099-1767(24)00029-1","DOIUrl":"https://doi.org/10.1016/S0099-1767(24)00029-1","url":null,"abstract":"","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140031182","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 : 2024-02-13DOI: 10.1016/j.jen.2023.12.013
Introduction
To determine anxiety and depression levels among pediatric acute care nurses and physicians before and after vaccine implementation during the coronavirus disease 2019 pandemic.
Methods
Prospective cross-sectional study of emergency medicine and urgent care providers at a metropolitan quaternary pediatric emergency department, including 2 satellite emergency departments and 7 urgent care sites. Anxiety and depression symptoms were assessed using the Generalized Anxiety Disorder-7 and the Patient Health Questionnaire-2. Nurses and physicians were surveyed twice using the Generalized Anxiety Disorder-7 in May 2020 and March 2021 and once with the Patient Health Questionnaire-2 in March 2021.
Results
In total, 189 surveys were completed in May 2020 (response rate 48%), and 243 surveys were completed in March 2021 (response rate 52%). Nurses reported higher Generalized Anxiety Disorder-7 scores compared to physicians for both years, though Patient Health Questionnaire-2 scores were similar. Mean Generalized Anxiety Disorder-7 scores decreased for both nurses and physicians between the 2 response periods. Amongst those who had a history of anxiety, chronic medical conditions, or were living with a high-risk individual, higher rates of anxiety were observed. Respondents endorsed the need for increased psychological support during a pandemic, with adequate and timely psychological support provided by the hospital, and stated their households were financially affected by the pandemic. Respondents reported fewer feelings of anxiety after self and public vaccination.
Discussion
Study findings support increased psychological support for frontline nurses and physicians during a pandemic, particularly for those with a history of anxiety or chronic medical conditions, or those living with a high-risk individual.
{"title":"Anxiety and Depression Among Pediatric Emergency Nurses and Physicians During the Coronavirus Disease 2019 Pandemic","authors":"","doi":"10.1016/j.jen.2023.12.013","DOIUrl":"10.1016/j.jen.2023.12.013","url":null,"abstract":"<div><h3>Introduction</h3><p><span>To determine anxiety and depression levels among pediatric acute care nurses and physicians before and after vaccine implementation during the </span>coronavirus disease 2019 pandemic.</p></div><div><h3>Methods</h3><p><span>Prospective cross-sectional study of emergency medicine and </span>urgent care<span> providers at a metropolitan quaternary pediatric emergency department<span>, including 2 satellite emergency departments and 7 urgent care sites. Anxiety and depression symptoms were assessed using the Generalized Anxiety Disorder-7 and the Patient Health Questionnaire-2. Nurses and physicians were surveyed twice using the Generalized Anxiety Disorder-7 in May 2020 and March 2021 and once with the Patient Health Questionnaire-2 in March 2021.</span></span></p></div><div><h3>Results</h3><p>In total, 189 surveys were completed in May 2020 (response rate 48%), and 243 surveys were completed in March 2021 (response rate 52%). Nurses reported higher Generalized Anxiety Disorder-7 scores compared to physicians for both years, though Patient Health Questionnaire-2 scores were similar. Mean Generalized Anxiety Disorder-7 scores decreased for both nurses and physicians between the 2 response periods. Amongst those who had a history of anxiety, chronic medical conditions, or were living with a high-risk individual, higher rates of anxiety were observed. Respondents endorsed the need for increased psychological support during a pandemic, with adequate and timely psychological support provided by the hospital, and stated their households were financially affected by the pandemic. Respondents reported fewer feelings of anxiety after self and public vaccination.</p></div><div><h3>Discussion</h3><p>Study findings support increased psychological support for frontline nurses and physicians during a pandemic, particularly for those with a history of anxiety or chronic medical conditions, or those living with a high-risk individual.</p></div>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139724834","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 : 2024-02-02DOI: 10.1016/j.jen.2023.12.009
Introduction
Musculoskeletal injury prevention for nurses is aimed at removing the need to manually position patients. In the ED, this is not always possible or practical. The purpose of this study is to compare the calculated estimated compressive force on the lumbar spine between recommended lifting techniques and the SHAPE lifting method during the horizontal transfer of a patient.
Methods
Twenty-one student nurses completed the horizontal transfer of a simulated patient while motion was collected using inertial measurement units. Motion data were analyzed to calculate an estimated compressive force on the lumbar spine while completing the movement based on current recommended lifting methods and while using the SHAPE lifting method.
Results
A significant reduction in estimated peak and average compressive force at the lumbar spine was found during both the push and the pull portions (P < .001) of the horizontal transfer.
Discussion
While the optimal way to limit musculoskeletal injury among nurses is to eliminate the need for manual handling of a patient, this is not always possible in the ED. It is critical that when emergency nurses must reposition a patient, they perform the movement in the most biomechanically sound method while using a friction reduction. These findings, coupled with the previous biomechanical risk factor reduction related to the SHAPE lifting intervention, gives promise to a safer lifting strategy for emergency nurses moving forward.
{"title":"Save Your Back: Comparison of the Compressive Force on the Lower Back Based on Differences in the Training Techniques","authors":"","doi":"10.1016/j.jen.2023.12.009","DOIUrl":"10.1016/j.jen.2023.12.009","url":null,"abstract":"<div><h3>Introduction</h3><p>Musculoskeletal injury prevention for nurses is aimed at removing the need to manually position patients. In the ED, this is not always possible or practical. The purpose of this study is to compare the calculated estimated compressive force on the lumbar spine between recommended lifting techniques and the SHAPE lifting method during the horizontal transfer of a patient.</p></div><div><h3>Methods</h3><p>Twenty-one student nurses completed the horizontal transfer of a simulated patient while motion was collected using inertial measurement units. Motion data were analyzed to calculate an estimated compressive force on the lumbar spine while completing the movement based on current recommended lifting methods and while using the SHAPE lifting method.</p></div><div><h3>Results</h3><p>A significant reduction in estimated peak and average compressive force at the lumbar spine was found during both the push and the pull portions (<em>P</em> < .001) of the horizontal transfer.</p></div><div><h3>Discussion</h3><p>While the optimal way to limit musculoskeletal injury among nurses is to eliminate the need for manual handling of a patient, this is not always possible in the ED. It is critical that when emergency nurses must reposition a patient, they perform the movement in the most biomechanically sound method while using a friction reduction. These findings, coupled with the previous biomechanical risk factor reduction related to the SHAPE lifting intervention, gives promise to a safer lifting strategy for emergency nurses moving forward.</p></div>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139661892","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}
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