Pub Date : 2026-03-01Epub Date: 2026-03-07DOI: 10.1016/j.jen.2025.10.002
Kate Williams Wiltshire DNP, RN, NPD-BC, NEA-BC, Marlene Torres Porter PhD, RN, CEN, NPD-BC, CCRN
{"title":"Promoting Health Equity: Integrating Social Determinants of Learning and Health Into Emergency Nursing Education","authors":"Kate Williams Wiltshire DNP, RN, NPD-BC, NEA-BC, Marlene Torres Porter PhD, RN, CEN, NPD-BC, CCRN","doi":"10.1016/j.jen.2025.10.002","DOIUrl":"10.1016/j.jen.2025.10.002","url":null,"abstract":"","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"52 2","pages":"Pages 290-293"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147379627","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 : 2026-03-01Epub Date: 2026-01-19DOI: 10.1016/j.jen.2025.12.003
Jessica P. Sherman PhD, MSN, RN, FNP-BC, Nathaniel Albright PhD, RN, FNP-BC, AAHIVS, Brent Emerson PhD, MPH, Chelsea Cobranchi MTDA, Jennifer L. Brown PhD, Ethan Morgan PhD, Gordon L. Gillespie PhD, DNP, RN, CEN, FAEN, David Spatholt MCP, MHI, CCRP, Rebekah Richards MD, MPH, Brittany E. Punches PhD, MPH, RN, CEN, FAEN
Introduction
Housing instability increases chronic pain risk and creates care barriers, making emergency departments the primary points of health care for people experiencing housing instability. Although it is clear that housing instability contributes to chronic pain, the patient’s experience of pain is less understood. This study examines differences in pain characteristics by housing status.
Methods
This secondary analysis used data from the Decision-Making Factors for Therapeutic Opioid Use after Emergency Care. In the original study, randomly selected eligible participants self-reported housing status, in addition to validated measures of pain interference, pain self-efficacy, pain anxiety, depression, and sleep disturbances. Regression models explored the relationship between housing status and pain-related outcomes adjusting for demographics.
Results
Among participants (N = 496), 47 (9.5%) reported unstable housing. Compared with stably housed patients, those with unstable housing had higher adjusted odds of current (adjusted odds ratio, 2.05; 95% CI, 1.11-3.86) and lifetime chronic pain (adjusted odds ratio, 2.40; 95% CI, 1.28-4.58) and higher pain-related anxiety scores (β = 13.43; 95% CI, 6.51-20.35), depressive symptoms (β = 4.62; 95% CI, 2.83-6.41), and sleep disturbance (β = 2.37; 95% CI, 1.07-3.54). No differences were found in pain self-efficacy (β = −0.78; 95% CI, −6.88 to 3.62).
Discussion
Unstably housed emergency department patients experience higher rates of chronic pain and pain-related anxiety while maintaining similar pain self-efficacy. Systems-level interventions that address social and structural barriers to pain management among unstably housed patients are needed to improve pain management and reduce emergency department burden. The results should be interpreted with caution given the small sample size and large confidence intervals.
{"title":"No Place to Rest: Housing Instability and Pain Experiences in the Emergency Department","authors":"Jessica P. Sherman PhD, MSN, RN, FNP-BC, Nathaniel Albright PhD, RN, FNP-BC, AAHIVS, Brent Emerson PhD, MPH, Chelsea Cobranchi MTDA, Jennifer L. Brown PhD, Ethan Morgan PhD, Gordon L. Gillespie PhD, DNP, RN, CEN, FAEN, David Spatholt MCP, MHI, CCRP, Rebekah Richards MD, MPH, Brittany E. Punches PhD, MPH, RN, CEN, FAEN","doi":"10.1016/j.jen.2025.12.003","DOIUrl":"10.1016/j.jen.2025.12.003","url":null,"abstract":"<div><h3>Introduction</h3><div>Housing instability increases chronic pain risk and creates care barriers, making emergency departments the primary points of health care for people experiencing housing instability. Although it is clear that housing instability contributes to chronic pain, the patient’s experience of pain is less understood. This study examines differences in pain characteristics by housing status.</div></div><div><h3>Methods</h3><div>This secondary analysis used data from the Decision-Making Factors for Therapeutic Opioid Use after Emergency Care. In the original study, randomly selected eligible participants self-reported housing status, in addition to validated measures of pain interference, pain self-efficacy, pain anxiety, depression, and sleep disturbances. Regression models explored the relationship between housing status and pain-related outcomes adjusting for demographics.</div></div><div><h3>Results</h3><div>Among participants (N = 496), 47 (9.5%) reported unstable housing. Compared with stably housed patients, those with unstable housing had higher adjusted odds of current (adjusted odds ratio, 2.05; 95% CI, 1.11-3.86) and lifetime chronic pain (adjusted odds ratio, 2.40; 95% CI, 1.28-4.58) and higher pain-related anxiety scores (β = 13.43; 95% CI, 6.51-20.35), depressive symptoms (β = 4.62; 95% CI, 2.83-6.41), and sleep disturbance (β = 2.37; 95% CI, 1.07-3.54). No differences were found in pain self-efficacy (β = −0.78; 95% CI, −6.88 to 3.62).</div></div><div><h3>Discussion</h3><div>Unstably housed emergency department patients experience higher rates of chronic pain and pain-related anxiety while maintaining similar pain self-efficacy. Systems-level interventions that address social and structural barriers to pain management among unstably housed patients are needed to improve pain management and reduce emergency department burden. The results should be interpreted with caution given the small sample size and large confidence intervals.</div></div>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"52 2","pages":"Pages 513-526"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145999651","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 : 2026-03-01Epub Date: 2026-01-19DOI: 10.1016/j.jen.2025.12.006
Nicolas Fürer BScN, Evelyne Giacobbe BScN, Eleni Ress BScN
Introduction
Discrimination and stigmatization in emergency departments continue to threaten equitable and safe patient care, particularly for individuals with psychiatric disorders and other marginalized groups. This could include people who are homeless or who are discriminated against because of their sexuality or gender or for other reasons. Traditional education focused solely on knowledge transfer has proven insufficient to address these issues. Person-centered practice, grounded in values, beliefs, and authentic relationships, offers a promising framework to foster equity, inclusion, and reflection among health care professionals. This project explored how person-centered, active learning strategies, facilitated by clinical nurse specialists, can promote awareness of bias and discrimination within emergency care teams.
Methods
A practice development project titled “The Year of Education” was implemented in the emergency department of the University Hospital Basel in January 2024. Rooted in McCormack’s person-centered practice framework, the initiative integrated active learning, reflection, and person-centered approaches across monthly educational themes. Two immersive learning interventions are described: (1) a self-experience simulation contrasting stigmatizing and inclusive handovers and (2) a reflective listening exercise using audio recordings of former psychiatric patients describing their experiences with coercive interventions. Each session was facilitated by clinical nurse specialists and followed by group discussions and qualitative evaluations using written reflections and team feedback.
Results
Participants showed increased self-awareness of stigmatizing behaviors. The learning interventions fostered empathy and critical reflection, prompting staff to reconsider routine practices such as the presence of too many people during psychiatric crises or giving handovers behind closed curtains. Staff expressed that these experiences deepened their understanding of patient perspectives and strengthened person-centered approaches in daily practice.
Discussion
The interventions demonstrated that person-centered, reflective education can meaningfully shift attitudes and communication patterns within emergency care. Although the project lacked a formal quantitative evaluation, its perceived impact led to its continuing as the emergency department’s educational strategy. Embedding advanced practice nurse roles focused on health equity may be a further step toward less stigmatization and more equity in the emergency department.
{"title":"Person-Centered Strategies to Promote Health Equity and Tackle Stigmatization: The Role of the Clinical Nurse Specialist","authors":"Nicolas Fürer BScN, Evelyne Giacobbe BScN, Eleni Ress BScN","doi":"10.1016/j.jen.2025.12.006","DOIUrl":"10.1016/j.jen.2025.12.006","url":null,"abstract":"<div><h3>Introduction</h3><div>Discrimination and stigmatization in emergency departments continue to threaten equitable and safe patient care, particularly for individuals with psychiatric disorders and other marginalized groups. This could include people who are homeless or who are discriminated against because of their sexuality or gender or for other reasons. Traditional education focused solely on knowledge transfer has proven insufficient to address these issues. Person-centered practice, grounded in values, beliefs, and authentic relationships, offers a promising framework to foster equity, inclusion, and reflection among health care professionals. This project explored how person-centered, active learning strategies, facilitated by clinical nurse specialists, can promote awareness of bias and discrimination within emergency care teams.</div></div><div><h3>Methods</h3><div>A practice development project titled “The Year of Education” was implemented in the emergency department of the University Hospital Basel in January 2024. Rooted in McCormack’s person-centered practice framework, the initiative integrated active learning, reflection, and person-centered approaches across monthly educational themes. Two immersive learning interventions are described: (1) a self-experience simulation contrasting stigmatizing and inclusive handovers and (2) a reflective listening exercise using audio recordings of former psychiatric patients describing their experiences with coercive interventions. Each session was facilitated by clinical nurse specialists and followed by group discussions and qualitative evaluations using written reflections and team feedback.</div></div><div><h3>Results</h3><div>Participants showed increased self-awareness of stigmatizing behaviors. The learning interventions fostered empathy and critical reflection, prompting staff to reconsider routine practices such as the presence of too many people during psychiatric crises or giving handovers behind closed curtains. Staff expressed that these experiences deepened their understanding of patient perspectives and strengthened person-centered approaches in daily practice.</div></div><div><h3>Discussion</h3><div>The interventions demonstrated that person-centered, reflective education can meaningfully shift attitudes and communication patterns within emergency care. Although the project lacked a formal quantitative evaluation, its perceived impact led to its continuing as the emergency department’s educational strategy. Embedding advanced practice nurse roles focused on health equity may be a further step toward less stigmatization and more equity in the emergency department.</div></div>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"52 2","pages":"Pages 342-347"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145999623","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 : 2026-03-01Epub Date: 2025-11-25DOI: 10.1016/j.jen.2025.10.021
Susie B. Baldwin MD, MPH, FACPM, Holly A. Gibbs BA, Leigh LaChapelle BA, Anil Johanis BS, Laura Hancock MPH, Sandra Marquez MSN, RN, Marc Wirtz MSN, RN
Introduction
Trafficked persons commonly experience adverse health consequences. Despite presenting to hospitals, they often are not appropriately assisted. A health care system and community-based organization partnered to employ a survivor to support patients identified as victims, offering education and community resources.
Methods
The “Survivor Advocate” was available to respond to referral requests from health care professionals, engaging in supportive bedside education with interested patients. For patients confirmed as trafficked persons, the Survivor Advocate offered assistance in accessing specialized community resources. To evaluate the program’s impact, descriptive data were collected and analyzed on patients served, including sociodemographic characteristics, presenting complaints, perceived indicators of trafficking, and discharge outcomes. Semistructured interviews were also conducted with stakeholders to explore program operations, successes, and limitations, analyzing text with reflexive thematic analysis.
Results
The advocate served 146 unduplicated patients at 20 hospitals. Nearly half came from 1 hospital at which the advocate was primarily based. Of patients served, 48 (32.9%) were confirmed as trafficked, and 98 (66.1%) were not. Among those confirmed, 42 (87.5%) experienced sex trafficking, 2 (4.2%) experienced labor trafficking, and 4 (8.3%) experienced both. In 17 stakeholder interviews, participants described various ways in which the program was beneficial.
Discussion
The Survivor Advocate program benefited patients, emergency nurses, and other health care professionals. Although most patients served were not confirmed as trafficked, engaging the advocate improved nurses’ and social workers’ ability to address indicators of violence and trauma and engage compassionately with patients, resulting in referrals to vital resources for numerous individuals.
{"title":"Human Trafficking Survivor Advocate: Observational Evaluation of a Community-Based Pilot Program to Support Trafficked Persons in the Hospital Setting","authors":"Susie B. Baldwin MD, MPH, FACPM, Holly A. Gibbs BA, Leigh LaChapelle BA, Anil Johanis BS, Laura Hancock MPH, Sandra Marquez MSN, RN, Marc Wirtz MSN, RN","doi":"10.1016/j.jen.2025.10.021","DOIUrl":"10.1016/j.jen.2025.10.021","url":null,"abstract":"<div><h3>Introduction</h3><div>Trafficked persons commonly experience adverse health consequences. Despite presenting to hospitals, they often are not appropriately assisted. A health care system and community-based organization partnered to employ a survivor to support patients identified as victims, offering education and community resources.</div></div><div><h3>Methods</h3><div>The “Survivor Advocate” was available to respond to referral requests from health care professionals, engaging in supportive bedside education with interested patients. For patients confirmed as trafficked persons, the Survivor Advocate offered assistance in accessing specialized community resources. To evaluate the program’s impact, descriptive data were collected and analyzed on patients served, including sociodemographic characteristics, presenting complaints, perceived indicators of trafficking, and discharge outcomes. Semistructured interviews were also conducted with stakeholders to explore program operations, successes, and limitations, analyzing text with reflexive thematic analysis.</div></div><div><h3>Results</h3><div>The advocate served 146 unduplicated patients at 20 hospitals. Nearly half came from 1 hospital at which the advocate was primarily based. Of patients served, 48 (32.9%) were confirmed as trafficked, and 98 (66.1%) were not. Among those confirmed, 42 (87.5%) experienced sex trafficking, 2 (4.2%) experienced labor trafficking, and 4 (8.3%) experienced both. In 17 stakeholder interviews, participants described various ways in which the program was beneficial.</div></div><div><h3>Discussion</h3><div>The Survivor Advocate program benefited patients, emergency nurses, and other health care professionals. Although most patients served were not confirmed as trafficked, engaging the advocate improved nurses’ and social workers’ ability to address indicators of violence and trauma and engage compassionately with patients, resulting in referrals to vital resources for numerous individuals.</div></div>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"52 2","pages":"Pages 500-512"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145607228","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 : 2026-03-01Epub Date: 2026-03-07DOI: 10.1016/j.jen.2025.11.008
Jamla Rizek DNP, MBA, RN, CEN, CPEN, NHDP-BC, NRP, FAAN, FAEN, Luis E. Caso Vega MBA, BSN, RN, CEN, CPEN, NE-BC, TCRN
Disasters magnify existing health disparities, disproportionately affecting marginalized populations. Emergency nurses, frequently serving as the first point of contact during disaster response, are uniquely positioned to address these inequities through the delivery of safe, equitable, and culturally congruent care. The literature underscores several evidence-based strategies to advance health equity in disaster nursing, including equity-focused training, trauma-informed practice, structural competency, and culturally safe approaches. At both the individual and systems levels, interventions such as community partnerships, equity-informed simulation, and application of the 4S surge capacity model (staff, stuff, structure, and systems) strengthen equitable outcomes during crises. Integrating these practices into disaster preparedness and response situates emergency nurses to reduce disparities and promote just outcomes for vulnerable groups.
{"title":"Advancing Health Equity in Disaster Response","authors":"Jamla Rizek DNP, MBA, RN, CEN, CPEN, NHDP-BC, NRP, FAAN, FAEN, Luis E. Caso Vega MBA, BSN, RN, CEN, CPEN, NE-BC, TCRN","doi":"10.1016/j.jen.2025.11.008","DOIUrl":"10.1016/j.jen.2025.11.008","url":null,"abstract":"<div><div>Disasters magnify existing health disparities, disproportionately affecting marginalized populations. Emergency nurses, frequently serving as the first point of contact during disaster response, are uniquely positioned to address these inequities through the delivery of safe, equitable, and culturally congruent care. The literature underscores several evidence-based strategies to advance health equity in disaster nursing, including equity-focused training, trauma-informed practice, structural competency, and culturally safe approaches. At both the individual and systems levels, interventions such as community partnerships, equity-informed simulation, and application of the 4S surge capacity model (staff, stuff, structure, and systems) strengthen equitable outcomes during crises. Integrating these practices into disaster preparedness and response situates emergency nurses to reduce disparities and promote just outcomes for vulnerable groups.</div></div>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"52 2","pages":"Pages 286-289"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147379643","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 : 2026-03-01Epub Date: 2025-01-18DOI: 10.1016/j.jen.2024.12.012
Clara Pavesi-Krieger MD, Rachel Yang MD, Alex Plezia MD, Veena Hamill MD, Tatiana Barriga MD, Megan A. Rech PharmD, MS, Theresa Nguyen MD
Introduction
Emergency department encounters include an increasing number of patients with limited English proficiency, yet little is known about the impact of interpreter services on unplanned revisits to the emergency department. This study aims to assess interpreters’ utilization and unplanned ED revisits, serving as an indicator of care quality.
Methods
This was a single-center, retrospective chart review of ED visits at an urban academic center between January and April 2019. Inclusion criteria involved patients aged >18, discharged after evaluation, and with at least 1 ED revisit in the study period. Demographic data, interpreter modality, and revisit incidences within 72 hours and 30 days were analyzed using Chi-squared and Wilcoxon rank-sum tests.
Results
Of 786 reviewed charts, 401 limited English proficiency patients and 294 controls matched by gender, race, and ethnicity were included. Among limited English proficiency patients, the majority identified as Hispanic (84.8% vs 36%, P<.01) and showed higher 72-hour unplanned revisit rates (2.8% vs 0.7%, P = .05). Interpreter documentation for limited English proficiency patients was only 49.6%, with in-person modality prevailing (45.8%). Trained interpreters were underutilized (13% in-person vs 7.7% video, P<.0001). Only 78% (P<.01) of patients with limited English proficiency received discharge instructions in their preferred language.
Discussion
This study reveals a higher unplanned ED revisit rate among limited English proficiency patients, potentially linked to varying interpreter modality effectiveness and underutilization of trained interpreters. Emphasizing the critical role of trained interpreters, these findings offer an opportunity to enhance care quality for limited English proficiency patients in the emergency department.
{"title":"Interpreter Modalities and Unplanned Emergency Department Revisits in Limited English Proficiency Patients","authors":"Clara Pavesi-Krieger MD, Rachel Yang MD, Alex Plezia MD, Veena Hamill MD, Tatiana Barriga MD, Megan A. Rech PharmD, MS, Theresa Nguyen MD","doi":"10.1016/j.jen.2024.12.012","DOIUrl":"10.1016/j.jen.2024.12.012","url":null,"abstract":"<div><h3>Introduction</h3><div>Emergency department encounters include an increasing number of patients with limited English proficiency, yet little is known about the impact of interpreter services on unplanned revisits to the emergency department. This study aims to assess interpreters’ utilization and unplanned ED revisits, serving as an indicator of care quality.</div></div><div><h3>Methods</h3><div>This was a single-center, retrospective chart review of ED visits at an urban academic center between January and April 2019. Inclusion criteria involved patients aged >18, discharged after evaluation, and with at least 1 ED revisit in the study period. Demographic data, interpreter modality, and revisit incidences within 72 hours and 30 days were analyzed using Chi-squared and Wilcoxon rank-sum tests.</div></div><div><h3>Results</h3><div>Of 786 reviewed charts, 401 limited English proficiency patients and 294 controls matched by gender, race, and ethnicity were included. Among limited English proficiency patients, the majority identified as Hispanic (84.8% vs 36%, <em>P</em><.01) and showed higher 72-hour unplanned revisit rates (2.8% vs 0.7%, <em>P</em> = .05). Interpreter documentation for limited English proficiency patients was only 49.6%, with in-person modality prevailing (45.8%). Trained interpreters were underutilized (13% in-person vs 7.7% video, <em>P</em><.0001). Only 78% (<em>P</em><.01) of patients with limited English proficiency received discharge instructions in their preferred language.</div></div><div><h3>Discussion</h3><div>This study reveals a higher unplanned ED revisit rate among limited English proficiency patients, potentially linked to varying interpreter modality effectiveness and underutilization of trained interpreters. Emphasizing the critical role of trained interpreters, these findings offer an opportunity to enhance care quality for limited English proficiency patients in the emergency department.</div></div>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"52 2","pages":"Pages 437-446"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015471","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 : 2026-03-01Epub Date: 2026-03-07DOI: 10.1016/S0099-1767(26)00041-3
{"title":"Information for Readers","authors":"","doi":"10.1016/S0099-1767(26)00041-3","DOIUrl":"10.1016/S0099-1767(26)00041-3","url":null,"abstract":"","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"52 2","pages":"Page A10"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147419172","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 : 2026-03-01Epub Date: 2025-09-30DOI: 10.1016/j.jen.2025.08.015
Emre Bülbül PhD, MD, Ali Kaplan PhD, RN
Introduction
Chronic pain often brings patients to emergency departments. Management of chronic pain is influenced by health care providers’ attitudes. The first aim of the study was to measure the attitudes of emergency nurses and physicians toward patients with chronic pain in relation to the nurses’ and physicians’ individual and professional characteristics. The second aim was to measure the differences in attitudes between emergency nurses and physicians at varying levels of interaction with patients.
Methods
This descriptive and cross-sectional study was conducted with 201 nurses and 140 physicians employed in the emergency department of public and private hospitals in Turkey. Data were collected using a descriptive characteristics form, the Health Personnel–Patient Relationship Survey, and the Attitudes Toward Patients With Chronic Pain Scale.
Results
Nurses demonstrated significantly more positive attitudes toward patients with chronic pain than did physicians. Nurses and physicians who reported job satisfaction in the emergency department had significantly higher scores in both their attitudes toward patients with chronic conditions and the staff–patient relationship levels. Among nurses, sex and willingness to work in the emergency department were significantly associated with attitude scores, whereas, among physicians, weekly working hours were a significant factor. A strong positive correlation was observed between the 2 scales in nurses (r = 0.615) and a moderate correlation in physicians (r = 0.543) (P < .001).
Discussion
Emergency nurses and physicians demonstrated attitudes and staff–patient interaction levels that were slightly above average. Positive attitudes of emergency nurses and physicians were associated with better interactions with patients. Factors such as job satisfaction and work conditions influenced the attitudes and interactions of emergency nurses and physicians. Enhancing these attitudes and interactions among providers may improve chronic pain care in emergency settings.
{"title":"Emergency Nurses’ and Physicians’ Attitudes Toward Patients With Chronic Pain and Staff–Patient Relationship Levels","authors":"Emre Bülbül PhD, MD, Ali Kaplan PhD, RN","doi":"10.1016/j.jen.2025.08.015","DOIUrl":"10.1016/j.jen.2025.08.015","url":null,"abstract":"<div><h3>Introduction</h3><div>Chronic pain often brings patients to emergency departments. Management of chronic pain is influenced by health care providers’ attitudes. The first aim of the study was to measure the attitudes of emergency nurses and physicians toward patients with chronic pain in relation to the nurses’ and physicians’ individual and professional characteristics. The second aim was to measure the differences in attitudes between emergency nurses and physicians at varying levels of interaction with patients.</div></div><div><h3>Methods</h3><div>This descriptive and cross-sectional study was conducted with 201 nurses and 140 physicians employed in the emergency department of public and private hospitals in Turkey. Data were collected using a descriptive characteristics form, the Health Personnel–Patient Relationship Survey, and the Attitudes Toward Patients With Chronic Pain Scale.</div></div><div><h3>Results</h3><div>Nurses demonstrated significantly more positive attitudes toward patients with chronic pain than did physicians. Nurses and physicians who reported job satisfaction in the emergency department had significantly higher scores in both their attitudes toward patients with chronic conditions and the staff–patient relationship levels. Among nurses, sex and willingness to work in the emergency department were significantly associated with attitude scores, whereas, among physicians, weekly working hours were a significant factor. A strong positive correlation was observed between the 2 scales in nurses (r = 0.615) and a moderate correlation in physicians (r = 0.543) (<em>P</em> < .001).</div></div><div><h3>Discussion</h3><div>Emergency nurses and physicians demonstrated attitudes and staff–patient interaction levels that were slightly above average. Positive attitudes of emergency nurses and physicians were associated with better interactions with patients. Factors such as job satisfaction and work conditions influenced the attitudes and interactions of emergency nurses and physicians. Enhancing these attitudes and interactions among providers may improve chronic pain care in emergency settings.</div></div>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"52 2","pages":"Pages 476-485"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145202120","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 : 2026-03-01Epub Date: 2026-03-07DOI: 10.1016/j.jen.2025.10.024
Lisa Wolf PhD, RN, CEN, FAEN, FAAN, Altair Delao MPH, Claire Simon ScD, DNP, RN, Francine M. Jodelka BS
{"title":"The Importance of Diverse Perspectives in Emergency Nursing Research","authors":"Lisa Wolf PhD, RN, CEN, FAEN, FAAN, Altair Delao MPH, Claire Simon ScD, DNP, RN, Francine M. Jodelka BS","doi":"10.1016/j.jen.2025.10.024","DOIUrl":"10.1016/j.jen.2025.10.024","url":null,"abstract":"","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"52 2","pages":"Pages 294-296"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147379629","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 : 2026-03-01Epub Date: 2026-03-07DOI: 10.1016/j.jen.2026.01.001
Abdullah Y. Shihab PhD, Sadeq AL. Fayyadh PhD
{"title":"From Heat Waves to Health Equity: Nurses as Agents of Climate Adaptation","authors":"Abdullah Y. Shihab PhD, Sadeq AL. Fayyadh PhD","doi":"10.1016/j.jen.2026.01.001","DOIUrl":"10.1016/j.jen.2026.01.001","url":null,"abstract":"","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"52 2","pages":"Pages 254-256"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147379631","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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