Journal of Emergency Nursing最新文献

{"title":"Increasing Pediatric Emergency Nurse Readiness in Mass Casualty Incidents","authors":"Melony Murray DNP, RN, CPEN, CPN","doi":"10.1016/j.jen.2025.11.016","DOIUrl":"10.1016/j.jen.2025.11.016","url":null,"abstract":"<div><div>Pediatric emergency nurses play a central role in mass casualty incident response, yet persistent gaps in readiness remain. This quality improvement project evaluated baseline mass casualty incident readiness among registered nurses in a large pediatric emergency department and assessed the impact of an educational intervention combining didactic review and simulation-based functional exercises. Using a pre-/postintervention design, nurses completed a readiness survey and participated in timed functional tasks to assess knowledge, confidence, and efficiency. The intervention comprised a didactic review of institutional protocols, a practical review of supply locations, and 30-minute functional simulation drills focused on zone leader responsibilities. A total of 63 nurses completed preassessments, and 64 completed postassessments. After the intervention, 92% accurately identified supply locations, 98% described zone leader roles, and 100% reported feeling at least neutral in preparedness. Knowledge gains in this project were statistically significant (<em>P</em> &lt; .001). The results indicate that structured education combined with simulation improved pediatric emergency nurses’ readiness for mass casualty incidents within this setting. The intervention’s effectiveness was further demonstrated when it was applied successfully during an actual mass casualty incident. Incorporating pediatric-focused mass casualty incident training into ongoing ED education may continue to enhance nurse competence, support team performance, and strengthen institutional disaster preparedness.</div></div>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"52 2","pages":"Pages 326-331"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145745573","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":"Pediatric Readiness in the Emergency Department: Policy Statement","authors":"Katherine Remick MD, FAAP, FACEP, FAEMS,&nbsp;Ashley A. Foster MD, FAAP, FACEP,&nbsp;Aaron R. Jensen MD, MEd, MS, FACS, FAAP,&nbsp;Regan F. Williams MD, MS, FACS, FAAP,&nbsp;Elizabeth Stone PhD, RN, CHSE, FAEN,&nbsp;Madeline Joseph MD, FAAP, FACEP,&nbsp;Gregory Conners MD, MPH, FAAP,&nbsp;Kathleen Brown MD, FAAP, FACEP,&nbsp;Marianne Gausche-Hill MD, FAAP, FACEP, FAEMS","doi":"10.1016/j.jen.2025.09.011","DOIUrl":"10.1016/j.jen.2025.09.011","url":null,"abstract":"<div><div>This is a revision of the previous joint policy statement titled “Pediatric Readiness in the Emergency Department.” This is a joint policy statement from the American Academy of Pediatrics, the American College of Emergency Physicians, the American College of Surgeons, and the Emergency Nurses Association. These updated recommendations are intended to serve as a resource for clinical and administrative leadership of emergency departments as they strive to improve their readiness for the emergency care of children of all ages.</div></div>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"52 2","pages":"Pages 257-270"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146013288","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":"Emergency Departmental Barriers to Caring for Mental Health Boarders","authors":"Rachel Keslar PhD, RN, CEN,&nbsp;Cindy Bacon PhD, RN, CNE, NE-BC,&nbsp;Audrey Snyder PhD, RN, FAANP, FAEN, FAAN,&nbsp;Denise Rhew PhD, RN, CNS, CEN,&nbsp;Crystal Epstein PhD, NP, CNE","doi":"10.1016/j.jen.2025.01.009","DOIUrl":"10.1016/j.jen.2025.01.009","url":null,"abstract":"<div><h3>Introduction</h3><div>Patients often seek care for mental health conditions through the emergency department, however, there are many concerns with the provision of mental health care in the emergency department. This includes workflow issues at odds with mental health care needs, a challenging environment, staffing issues, and long waits for definitive mental health care in a practice known as boarding. While there are several articles on emergency nurses’ perceptions of caring for mental health patients in general, there is little research on non-mental health aspects of emergency department care for mental health boarders.</div></div><div><h3>Methods</h3><div>This qualitative descriptive study aimed to explore bedside emergency nurses’ perceptions on non-mental health aspects of emergency department care that impact the care of mental health boarders. A purposive sample of current bedside emergency registered nurses in the United States was used. Data collection occurred via 1-on-1 semi-structured interviews with an interview guide informed by the Theory of Planned Behavior.</div></div><div><h3>Results</h3><div>Eighteen emergency nurses participated in this study. Four themes were discovered: emergency department workflow and overcrowding, emergency department physical environment, activities of daily living, and lack of distractions.</div></div><div><h3>Discussion</h3><div>Adequate resources including staffing and supportive workflows are needed to provide quality care to mental health boarders. Safe, calming environments are needed to prevent deterioration, which may require structural changes to emergency departments or the use of spaces outside the emergency department.</div></div>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"52 2","pages":"Pages 429-436"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568700","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":"The Language of Bias: Labeling and Its Impact on Emergency Department Patients","authors":"Luis E. Caso Vega MBA, BSN, RN, CEN, CPEN, NE-BC, TCRN,&nbsp;Vicente E. Figueroa Feliciano MBA, BSN, RN, CEN, CPEN","doi":"10.1016/j.jen.2025.12.004","DOIUrl":"10.1016/j.jen.2025.12.004","url":null,"abstract":"<div><div>Stigmatizing language is prevalent in emergency nursing practice and has significant implications for patient care, clinical judgment, and health equity. Labels such as “drug-seeker,” “frequent flyer,” and “non-compliant” are often applied without comprehensive assessment and can lead to delayed treatment, inadequate pain management, misdiagnosis, and erosion of trust between patients and emergency clinicians. These terms disproportionately affect marginalized populations, including individuals with substance use disorders, individuals with mental health conditions, racialized minorities, and people experiencing homelessness, thereby reinforcing existing inequities in emergency care. This article examines the ethical, clinical, and systemic implications of stigmatizing language in the emergency setting, with a focus on nursing practice. It explores how bias may be introduced during triage, documentation, and interdisciplinary communication and how such language conflicts with core nursing ethical principles of dignity, justice, and patient-centered care. Evidence-informed strategies are presented, including adoption of person-first language, integration of cultural humility and implicit bias education, application of harm reduction principles, and institutional approaches such as documentation audits and peer accountability.</div></div>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"52 2","pages":"Pages 301-305"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145935950","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":"Disability as Strength: Promoting Inclusion in Emergency Nursing Teams","authors":"Vanessa Cameron PhD, RN, NPD-BC, CEN, CNL","doi":"10.1016/j.jen.2025.12.005","DOIUrl":"10.1016/j.jen.2025.12.005","url":null,"abstract":"","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"52 2","pages":"Pages 245-247"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147379578","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":"Ageism and Its Impact on Health Equity","authors":"Joan Somes PhD, RN-BC, CEN, CPEN, FAEN, NRP","doi":"10.1016/j.jen.2025.11.010","DOIUrl":"10.1016/j.jen.2025.11.010","url":null,"abstract":"","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"52 2","pages":"Pages 271-277"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147379645","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":"The Power of Positive Self-Affirmation","authors":"Michael Dustin Bass DNP, MHA, RN, CEN, NEA-BC","doi":"10.1016/j.jen.2025.12.012","DOIUrl":"10.1016/j.jen.2025.12.012","url":null,"abstract":"","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"52 2","pages":"Pages 243-244"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147379657","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":"Improving the Care of Transgender/Gender-Nonconforming Patients in the Emergency Department Through Quality Improvement: An Educational Intervention for Emergency Clinicians","authors":"Brian E. Martinez DNP, APRN-CNS, AGCNS-BC, NEA-BC, GERO-BC, NHDP-BC, CEN,&nbsp;Darleen Williams DNP","doi":"10.1016/j.jen.2025.02.010","DOIUrl":"10.1016/j.jen.2025.02.010","url":null,"abstract":"<div><h3>Background</h3><div>There is a significant gap in the provision of care for transgender or gender-nonconforming patients. This population experiences a multitude of disparate health outcomes. Studies have demonstrated a clear knowledge gap among ED clinicians regarding the care for transgender or gender-nonconforming patients.</div></div><div><h3>Context</h3><div>A significant number of ED clinicians reported caring for transgender or gender-nonconforming patients during their careers. Currently, many ED clinicians report receiving minimal or no training in the care of transgender or gender-nonconforming patients. This lack of competency contributes to ED care avoidance in this population.</div></div><div><h3>Methods</h3><div>This quality improvement project aimed to evaluate the effectiveness of improving clinicians’ knowledge and skills, openness and support, and oppression awareness in transgender or gender-nonconforming patients through a targeted educational intervention. This study included 4 community hospital-based emergency departments. Performance in the domains of knowledge and skill, openness and support, and oppression awareness was measured using the Ally Identity Measure questionnaire and a paired <em>t</em> test analysis of scored results.</div></div><div><h3>Intervention</h3><div>The intervention for this quality improvement project was a synchronous, in-person education session delivered once in each of the respective hospital-based emergency departments that addressed key components of understanding transgender or gender-nonconforming patient care. These topics include relevant terminology, assessment recommendations, common gender-affirming therapies, and local resources for follow-up. It also incorporated audio/video testimonies of transgender or gender-nonconforming patients and a case study.</div></div><div><h3>Results</h3><div>Improvement was demonstrated in all 3 domains when comparing the pre- and postintervention Ally Identity Measure scores. Knowledge and skills demonstrated the most significant increase from pre- (mean, 25.3) to postintervention (mean, 34.6). Openness and support and oppression awareness demonstrated almost equal improvement when comparing pre- (openness and support mean, 27.0; oppression awareness mean, 16.9) and postintervention performance (openness and support mean, 29.2; oppression awareness mean, 18.4).</div></div><div><h3>Conclusion</h3><div>Transgender or gender-nonconforming patients represent a unique clinical cohort that requires specialized knowledge to provide competent patient care. ED clinicians demonstrated knowledge deficits regarding transgender or gender-nonconforming patient care. These findings support the need for formalized training in the care of transgender or gender-nonconforming patients and its effectiveness in addressing the existing ED clinician education gap.</div></div>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"52 2","pages":"Pages 355-362"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607115","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":"Unequal Ground: A Review of Socioeconomic Disparities in Falls","authors":"Megan Tidd MS, MBA,&nbsp;Rochelle R. Flayter PhD(c), RN, CCRN-K, TCRN","doi":"10.1016/j.jen.2025.11.009","DOIUrl":"10.1016/j.jen.2025.11.009","url":null,"abstract":"<div><div>Falls among older adults are a leading cause of injury and hospitalization, with socioeconomic status emerging as a significant but often underrecognized risk factor. This review examined 9 studies and 1 narrative review across multiple countries, revealing that lower socioeconomic status is associated with an increase in fall risk through potential pathways, such as limited access to safety modifications, poor nutrition, reduced health literacy, and social isolation. However, some studies presented context-dependent findings, suggesting that cultural and environmental factors may moderate socioeconomic status–fall associations. Emergency nurses are uniquely positioned to intervene early, given that the emergency department often serves as the first point of contact after a fall. By incorporating a social determinants of health screening, initiating referrals, and providing targeted education, emergency nurses can help prevent repeat falls and improve recovery outcomes. Integrating social determinants of health assessments into emergency care is needed for advancing equitable, patient-centered strategies that address both clinical and socioeconomic contributors to fall risk.</div></div>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"52 2","pages":"Pages 278-285"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147379651","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":"Comment on “Human Trafficking Survivor Advocate: Observational Evaluation of a Community-Based Pilot Program to Support Trafficked Persons in the Hospital Setting”","authors":"Kanishka Harariya MD,&nbsp;Thakur Rohit Singh PhD,&nbsp;Ankita Kalra PhD,&nbsp;Swarupanjali Padhi PhD,&nbsp;Fayaz Ahamed MBBS","doi":"10.1016/j.jen.2025.12.010","DOIUrl":"10.1016/j.jen.2025.12.010","url":null,"abstract":"","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"52 2","pages":"Pages 253-254"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147379594","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}