Journal of Emergency Nursing最新文献

{"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}

{"title":"Response to Valdez Health Equity Editorial","authors":"Fatma Refaat Ahmed, Nabeel Al-Yateem, Heba Khalil, Ahmed Rajeh Saifan","doi":"10.1016/j.jen.2025.07.001","DOIUrl":"10.1016/j.jen.2025.07.001","url":null,"abstract":"","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"52 2","pages":"Pages 251-252"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147379615","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}

{"title":"Advancing Pediatric Readiness in the Emergency Department: A Call to Action for Emergency Nurses","authors":"Robin Goodman MSN, RN, CPEN, Sally K. Snow BSN, RN, CPEN, FAEN","doi":"10.1016/j.jen.2025.10.010","DOIUrl":"10.1016/j.jen.2025.10.010","url":null,"abstract":"","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"52 2","pages":"Pages 248-250"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147379671","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}

{"title":"Board of Directors","authors":"","doi":"10.1016/S0099-1767(26)00040-1","DOIUrl":"10.1016/S0099-1767(26)00040-1","url":null,"abstract":"","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"52 2","pages":"Page A7"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147419187","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}

{"title":"Evaluating the Experiences of Lesbian, Gay, Bisexual, Transgender, Queer, Intersex, and Asexual Nurses in the Emergency Department Setting","authors":"Victoria D. Nash MSN, RN, CEN, TCRN,&nbsp;Michael D. Moon PhD, MSN, APRN, CNS-CC, CEN, FAEN","doi":"10.1016/j.jen.2026.01.008","DOIUrl":"10.1016/j.jen.2026.01.008","url":null,"abstract":"<div><h3>Introduction</h3><div>Despite the significant number of lesbian, gay, bisexual, transgender, queer, intersex, and asexual nurses (estimated 170,000-340,000), there is scant literature describing their experiences in health care. Although most health care organizations are beginning to address diversity and inclusion, for these efforts to be successfully implemented within organizations it is important to understand the experiences of those individuals who may be marginalized. This study aimed to explore the experiences of lesbian, gay, bisexual, transgender, queer, intersex, and asexual nurses in the emergency department setting.</div></div><div><h3>Methods</h3><div>A qualitative descriptive study was performed incorporating 3 focus group interviews with a total of 4 participants.</div></div><div><h3>Results</h3><div>Interview data yielded 4 main themes: (1) concern for safety, (2) employer and coworker support, (3) discrimination, and (4) importance of lesbian, gay, bisexual, transgender, queer, intersex, and asexual identity.</div></div><div><h3>Discussion</h3><div>All participants identified concern for their safety and episodes of discrimination in the workplace by patients, colleagues, or leadership. Participants expressed that they were uncomfortable disclosing their lesbian, gay, bisexual, transgender, queer, intersex, and asexual status at work. However, all participants also identified colleagues who were supportive of them even if those colleagues were not supportive of the lesbian, gay, bisexual, transgender, queer, intersex, and asexual community.</div></div>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"52 2","pages":"Pages 372-379"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146182604","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}

{"title":"Unconscious Bias Influence on the Identification of Child Abuse","authors":"Patricia A. Normandin DNP, RN, CEN, CPN, CPEN, FAEN","doi":"10.1016/j.jen.2025.10.019","DOIUrl":"10.1016/j.jen.2025.10.019","url":null,"abstract":"<div><div>The urgency of this article is to underscore the pressing need to address the inequities and biases in child abuse reporting by health care professionals, including emergency nurses. Child abuse is a pervasive issue that crosses all countries, cultures, races, and socioeconomic groups. A lack of standardized protocols in most health care systems leaves children and their families vulnerable to the unconscious biases of health care professionals during emergency care. The implementation of standardized protocols is crucial to ensure unbiased, family-centered care and facilitate discussions about whether bias is affecting health care professionals’ decision making. Traditionally, it is at the discretion of the provider to report child abuse if a child is seen in the emergency department with injuries or other signs of mistreatment. Health care professionals may not have protocols to evaluate for child abuse. Without well-defined protocols, health care professionals are left to their own judgment about whether to make a report to child protective services. This can result in children who are not safe at home being discharged home from the hospital. These children, who were not identified owing to the health care professionals’ beliefs, may later return with sentinel child abuse injuries. Alternatively, clinician bias could lead to children who are not being abused or mistreated being referred for further evaluation.</div></div>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"52 2","pages":"Pages 297-300"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147379597","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}

{"title":"Sexual Assault Nurse Examiner’s Confidence to Care for Black, Indigenous, and Transgender Survivors: Development and Preliminary Content Validity of Practice Vignettes","authors":"Kate Walsh PhD,&nbsp;L.B. Klein PhD, MSW, MPA,&nbsp;Jeneile Luebke PhD, RN,&nbsp;Kaylen M. Moore BSN, RN, CCRN, SANE-A, SANE-P,&nbsp;Ashley M. Ruiz PhD, RN,&nbsp;Kimberly Curran DNP, FNP-BC, APNP, SANE-A, SANE-P,&nbsp;Jessica Melnik BA","doi":"10.1016/j.jen.2024.12.005","DOIUrl":"10.1016/j.jen.2024.12.005","url":null,"abstract":"<div><h3>Introduction</h3><div>This paper developed and used practice vignettes to understand sexual assault nurse examiners’ perceptions of self-confidence to provide care for Black, Indigenous, and transgender sexual violence survivors. Sexual assault nurse examiners are uniquely positioned to provide patient-centered postsexual violence health care but not all sexual assault nurse examiners receive culturally specific and identity-affirming training. Black/African American, Indigenous, and/or transgender people disproportionately experience sexual violence but may receive poorer health care after sexual violence compared with white cisgender people. Understanding sexual assault nurse examiner confidence to provide this care is paramount to improving sexual assault nurse examiner training and patient outcomes.</div></div><div><h3>Methods</h3><div>In collaboration with a nurse advisory board, researchers developed and validated 3 case vignettes that manipulated the race or gender of the patient. A fourth previously validated vignette that assessed sexual assault nurse examiner care for a transgender patient also was administered. Sexual assault nurse examiners then answered questions about their confidence to provide (1) a patient-centered safety plan, (2) patient-centered referrals, and (3) care without personal biases influencing care. The current study used a cross-sectional online self-report survey with 4 sexual assault nurse examiner patient vignettes randomized across a convenience sample of 70 sexual assault nurse examiners recruited from a midwestern state.</div></div><div><h3>Results</h3><div>On average, sexual assault nurse examiners rated the vignettes as realistic. Sexual assault nurse examiners reported lower confidence to develop a patient-centered safety plan, provide care without allowing personal biases to influence that care, and provide patient-centered referrals for Black, Indigenous, and/or transgender survivors compared with white cisgender survivors.</div></div><div><h3>Discussion</h3><div>Training and mentorship programs could improve sexual assault nurse examiner confidence to provide trauma- and violence-informed care for Black, Indigenous, and transgender survivors, and vignettes could be used to measure changes in confidence owing to training.</div></div>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"52 2","pages":"Pages 447-459"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980618","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}

{"title":"Interventions for Reducing Mental Health–Related Stigma in Emergency Medicine: An Integrative Review","authors":"Geurt Van de Glind PhD,&nbsp;Niek Galenkamp MSc,&nbsp;Bart Schut,&nbsp;Lisette Schoonhoven PhD,&nbsp;Floortje E. Scheepers PhD,&nbsp;Rachel Muir PhD,&nbsp;David Baden PhD, MD,&nbsp;Lente Werner MSc,&nbsp;Mark van Veen PhD, CMHN,&nbsp;Julia Crilly PhD,&nbsp;Wietske H.W. Ham PhD, RN","doi":"10.1016/j.jen.2025.02.013","DOIUrl":"10.1016/j.jen.2025.02.013","url":null,"abstract":"<div><h3>Introduction</h3><div>The prevalence and impact of mental health disorders are increasing worldwide. A growing number of people with mental health problems require ambulance and emergency department care, many of whom face stigmatization from health care professionals in these environments. Interpersonal stigma comprises insufficient knowledge (ignorance or misinformation), negative attitudes (negative emotional reactions, such as prejudice), and negative behaviors (such as avoidance or rejection).</div></div><div><h3>Methods</h3><div>An integrative review was conducted to assess the current landscape of interventions aimed at reducing stigmatization among health care professionals in ambulance and emergency department settings.</div></div><div><h3>Results</h3><div>Of the 18 publications included, 1 targeted stigma reduction. Although 2 additional studies examined interventions not specifically aimed at reducing stigma, these studies have examined the impact of interventions on stigma. The other included studies reported measures of attitudes. One study involved patients evaluating the intervention, whereas the rest relied on assessments by health care professionals. Four studies mentioned patient involvement in the development of interventions. The predominant approach in these studies involved educational and training interventions associated with improvements in knowledge levels and attitudes. However, the direct impact of these changes on reducing stigmatizing behavior remains unclear. It is concerning that national practice guidelines in ambulance and emergency care hardly address mental health–related stigma despite longstanding awareness of this issue.</div></div><div><h3>Discussion</h3><div>The findings underscore the urgent need for concerted efforts in practice, research, and policy within ambulance and emergency department settings to address and combat stigmatizing behaviors toward patients with mental health challenges by enhancing knowledge and reshaping attitudes.</div></div>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"52 2","pages":"Pages 403-428"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058144","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}

{"title":"A Qualitative Analysis of Patient Beliefs and Acceptability of Social Risk Screening in the Emergency Department","authors":"Kaytlena Stillman MD, MPH,&nbsp;Bianca Luna-Lupercio BS,&nbsp;Antonina Caudill MPH,&nbsp;Susan Jackman RN, MS,&nbsp;Joel Geiderman MD,&nbsp;Sam Torbati MD,&nbsp;Celina H. Shirazipour PhD","doi":"10.1016/j.jen.2025.04.009","DOIUrl":"10.1016/j.jen.2025.04.009","url":null,"abstract":"<div><h3>Introduction</h3><div>The emergency department is an appropriate location to screen for social risks because it serves as a safety net for some of the most vulnerable patients. Several institutions nationwide have adopted this practice, but little is known about patient attitudes toward such screening. The objective of this study was to qualitatively assess patient experience and acceptability of social risk screening in the emergency department.</div></div><div><h3>Methods</h3><div>This was a qualitative study conducted in the emergency department at an urban quaternary hospital. Semistructured interviews were conducted at the bedside with 17 patients who had undergone social risk screening. Reflexive thematic analysis was conducted to explore participants’ experiences and attitudes toward social risks and the screening process.</div></div><div><h3>Results</h3><div>Patients were able to appreciate the ways in which social risks in their own lives affect their physical health. Despite the general perception that patients may find questions about social risks too sensitive, participants in this study overwhelmingly expressed feeling comfortable answering the screening questions. Four themes were identified encompassing these perspectives: (1) social risks affect physical health, (2) social risk screening benefits vulnerable patients, (3) patients feel comfortable answering social risk questions, and (4) screening questions are comprehensive. Patients identified previous health care experience as a missing component that was not evaluated by the screener despite this not traditionally being considered a social need.</div></div><div><h3>Discussion</h3><div>The findings from this study provide insight into patient attitudes and perspectives on social risk screening in the emergency department. Further work is needed to understand how questions about previous health care experience may contribute to the screening process.</div></div>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"52 2","pages":"Pages 393-402.e3"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144163837","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}

{"title":"Accessibility, Barriers, and Care: An Integrative Literature Review of Deaf and Hard-of-Hearing Patients in Emergency Departments","authors":"Sarah Hazelwood RN, MHlthSc (Clinical Education), PGCert (Critical Care),&nbsp;Jennifer Dermer PhD, BSN, RN, PGDipHealthSciences,&nbsp;Neil Wood,&nbsp;Jana Waldmann BA, GradDipLbryInfMgmt,&nbsp;Stephen Neville PhD, BA (Nursing), MA (Hons), RN, FCNA(NZ)","doi":"10.1016/j.jen.2025.10.018","DOIUrl":"10.1016/j.jen.2025.10.018","url":null,"abstract":"<div><h3>Introduction</h3><div>Deaf and hard-of-hearing individuals encounter persistent barriers in emergency departments, where care often relies on rapid, spoken exchanges, auditory dominance, and limited willingness to adapt communication approaches. Without access to signed or visual communication, patient safety is compromised, informed consent becomes uncertain, and equitable care cannot be guaranteed.</div></div><div><h3>Methods</h3><div>This integrative review critically synthesizes empirical literature on the communication experiences of Deaf and hard-of-hearing patients in emergency settings. A systematic search of peer-reviewed and gray literature was conducted (1970 to March 10, 2025). Identifying 1929 records (967 after duplication), 7 studies met the inclusion criteria. Studies were appraised using the Joanna Briggs Institute and Mixed Methods Appraisal Tool checklists. Thematic synthesis followed the principles of critical interpretive synthesis and the weight of evidence framework.</div></div><div><h3>Results</h3><div>Five key themes emerged: (1) communication barriers, (2) delays and disparities in care, (3) patient care experiences, (4) systemic exclusion, and (5) strategies for accessible care. Across the literature, interpreter provision was inconsistent, Deaf cultural awareness was limited, and few systems embedded protocols to support language access.</div></div><div><h3>Discussion</h3><div>Equitable emergency care for Deaf and hard-of-hearing patients requires systemic reform. Key priorities include Deaf awareness training, timely interpreter provision, and the codesign of communication-access protocols led by Deaf communities. These measures are essential for delivering lawful, safe, and patient-centered emergency care.</div></div>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"52 2","pages":"Pages 486-499"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145589870","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}