Journal of Emergency Nursing最新文献

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Investigating the Efficacy of a Handheld Fan Intervention in Children With Dyspnea: A Randomized Controlled Study 调查手持风扇对呼吸困难儿童的干预效果：随机对照研究

IF 1.8 4区医学 Q2 EMERGENCY MEDICINE

Journal of Emergency Nursing

Pub Date : 2024-11-01 DOI: 10.1016/j.jen.2024.06.009

Özge Eda Karadağ Aytemiz PhD, MSc, RN, Sermin Dinç PhD, MSc, RN, Duygu Gözen PhD, MSc, RN, Gökçe Çiçek MSc, RN

Introduction

Dyspnea associated with acute respiratory tract infections is a common cause of emergency admissions and can be distressing for children. This study aimed to evaluate the impact of a handheld fan intervention on physiological parameters in pediatric patients with dyspnea.

Methods

A total of 59 children aged 2 to 12 years presenting to an emergency department for upper respiratory tract infection between March 2022 and March 2023 were assigned to the experimental group (n = 32) or control group (n = 27) by urn randomization. Both groups received the hospital’s standard care, including 3 doses of inhaled bronchodilator at 20-minute intervals. The fan intervention consisted of parents applying a handheld electric fan to the child’s face at a distance of 15 cm for 5 minutes after each inhaler treatment. Oxygen saturation, heart rate, and respiratory rate were recorded before treatment and after the 3 inhaler treatments.

Results

There were no statistical differences in descriptive characteristics between the experimental and control groups (P > .05). Oxygen saturation values were significantly higher in the control group before treatment but showed greater increases in the intervention group after treatment (P < .001). The intervention group also exhibited greater reductions than the control group in both heart rate and respiratory rate after the third treatment than pretreatment values (P < .05).

Discussion

The handheld fan intervention effectively supports inhaler treatment for children with dyspnea. Further studies are recommended to assess its impact across different age groups and clinical conditions.

前言与急性呼吸道感染相关的呼吸困难是急诊入院的常见原因，可能会让儿童感到痛苦。本研究旨在评估手持风扇干预对呼吸困难儿科患者生理参数的影响：在2022年3月至2023年3月期间，共有59名2至12岁的儿童因上呼吸道感染到急诊科就诊，通过瓮式随机分配法将他们分配到实验组（32人）或对照组（27人）。两组均接受医院的标准护理，包括每隔 20 分钟使用 3 次吸入式支气管扩张剂。电风扇干预包括在每次吸入治疗后，家长在距离患儿脸部 15 厘米处用手持电风扇吹 5 分钟。在治疗前和 3 次吸入器治疗后记录血氧饱和度、心率和呼吸频率：实验组和对照组在描述性特征方面没有统计学差异（P > .05）。对照组在治疗前的血氧饱和度值明显更高，但干预组在治疗后的血氧饱和度值上升幅度更大（P < .001）。与对照组相比，干预组在第三次治疗后的心率和呼吸频率也比治疗前的值降低得更多（P 讨论）：手持风扇干预能有效支持呼吸困难儿童的吸入器治疗。建议进一步开展研究，以评估其对不同年龄组和临床状况的影响。

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Information for Readers 读者信息

IF 1.8 4区医学 Q2 EMERGENCY MEDICINE

Journal of Emergency Nursing

Pub Date : 2024-11-01 DOI: 10.1016/S0099-1767(24)00264-2

引用次数: 0

Unveiling Missed Nursing Care. A Commentary on “A New Perspective on Missed Nursing Care in the Emergency Department: A Descriptive Cross-Sectional Study,” Amritzer et al (JEN 2024) 揭开护理工作缺失的面纱。关于 "急诊科护理服务缺失的新视角：描述性横断面研究 "的评论，Amritzer 等（JEN 2024）。

IF 1.8 4区医学 Q2 EMERGENCY MEDICINE

Journal of Emergency Nursing

Pub Date : 2024-11-01 DOI: 10.1016/j.jen.2024.08.003

引用次数: 0

Emergency Nursing Review Questions: November 2024 急诊护理复习题：2024 年 9 月。

IF 1.8 4区医学 Q2 EMERGENCY MEDICINE

Journal of Emergency Nursing

Pub Date : 2024-11-01 DOI: 10.1016/j.jen.2024.05.004

Benny Marett EdD, MSN, CEN, TCRN, CCRN, COHN, NPD-C, NE-C, FAEN, FAHA

引用次数: 0

An Introduction to the Semantics and Statistics Behind the Firearm Policy Debates 枪支政策辩论背后的语义学和统计学简介。

IF 1.8 4区医学 Q2 EMERGENCY MEDICINE

Journal of Emergency Nursing

Pub Date : 2024-11-01 DOI: 10.1016/j.jen.2024.05.005

Elizabeth Stone PhD, RN, CHSE, FAEN, Dawn Peta BN, RN, ENC(C), Sharon-Vanairsdale Carrasco DNP, APRN, ACNS-BC, NP-C, CEN, FAEN, FAAN, FNAP

It is impossible to fully understand why the United States has consistently failed to protect its citizens from firearm violence until one understands some of the key discrepancies that exist at the center of the firearm policy debate. Differences in language, data categorization, and research related to firearms and their impacts in the United States contribute to confusion and debate between firearm policy advocates and opponents, ultimately stalling progress toward some common goals. As frontline health professionals, emergency nurses must be aware of these nuances in order to be informed advocates for the safety of their patients and their communities. Emergency nurses can use the information from this article to help inform screening and education related to firearm safety and injury prevention. They can also use this information to inform nursing research as well as local and national advocacy efforts related to firearm injuries and deaths.

在了解枪支政策辩论中心存在的一些关键分歧之前，我们不可能完全理解为什么美国一直未能保护其公民免受枪支暴力侵害。在美国，与枪支及其影响相关的语言、数据分类和研究方面的差异造成了枪支政策倡导者和反对者之间的混乱和争论，最终阻碍了一些共同目标的实现。作为一线医疗专业人员，急诊护士必须了解这些细微差别，才能在知情的情况下为患者和社区的安全代言。急诊护士可以利用本文提供的信息，帮助开展与枪支安全和伤害预防相关的筛查和教育。她们还可以利用这些信息为护理研究以及与枪支伤害和死亡有关的地方和国家宣传工作提供信息。

引用次数: 0

Leader Within 内心的领导者

IF 1.8 4区医学 Q2 EMERGENCY MEDICINE

Journal of Emergency Nursing

Pub Date : 2024-11-01 DOI: 10.1016/j.jen.2024.09.008

Chris Dellinger MBA, BSN, RN, FAEN

引用次数: 0

Board of Directors 董事会

IF 1.8 4区医学 Q2 EMERGENCY MEDICINE

Journal of Emergency Nursing

Pub Date : 2024-11-01 DOI: 10.1016/S0099-1767(24)00263-0

引用次数: 0

Measurement of Patient-Level Outcomes After Implementation of Trauma-Informed Care Training in the Emergency Department: A Pilot Study 在急诊科实施创伤知情护理培训后对患者层面结果的测量：试点研究。

IF 1.8 4区医学 Q2 EMERGENCY MEDICINE

Journal of Emergency Nursing

Pub Date : 2024-11-01 DOI: 10.1016/j.jen.2024.06.008

Christian D. Pulcini MD, MPH, Miles Lamberson BA, Samantha C. Collins BS, Caitlin Axtmayer LSW, MPH, Cecelia J. Mathon BSN, RN, Kay Della Grotta BS, Mark Bisanzo MD, Courtney Fleisher PhD, Meghan L. Marsac PhD

Introduction

Trauma-informed care has been posited as a framework to optimize patient care and engagement, but there is a paucity of data on patient-level outcomes after trauma-informed care training in health care settings. We sought to measure patient-level outcomes after a painful procedure after implementation of trauma-informed care training for ED staff.

Methods

As part of a quality improvement initiative, we trained 110 ED providers in trauma-informed care. Next, we prospectively recruited patients who had undergone a painful procedure to complete a survey to assess several patient-level outcomes, such as anxiety reduction and overall experience of care. We compared differences in patient outcomes for those who were treated by providers in the trauma-informed care intervention group with those who were treated by providers who did not complete the training (usual care).

Results

One-hundred forty-seven adult patients completed survey measures (n = 76 trauma-informed care intervention group; n = 71 usual care group) over a 1-month period. Most patients offered the highest rating for all ED staff-related questions. We found no significant differences in assessment of patient-reported outcomes based on intervention versus usual care.

Discussion

Our trauma-informed care training did not seem to have a significant effect on our selected patient outcomes. This may be caused by the training itself or the challenges in measurement of the patient-level impact of trauma-informed care training owing to the study design, setting, and lack of standardized tools. Recommendations for future study of trauma-informed care training and measuring its direct impact on patients in the ED setting are discussed.

导言：创伤知情护理被认为是优化患者护理和参与的一个框架，但在医疗机构开展创伤知情护理培训后，患者层面的治疗效果却鲜有数据。我们试图测量急诊室员工接受创伤知情护理培训后，患者在疼痛手术后的治疗效果：作为质量改进计划的一部分，我们对 110 名急诊室医护人员进行了创伤知情护理培训。接下来，我们对接受过疼痛手术的患者进行了前瞻性招募，让他们完成一项调查，以评估患者层面的几种结果，如焦虑减轻程度和整体护理体验。我们比较了接受创伤知情护理干预组治疗的患者与接受未完成培训的医疗服务提供者（常规护理）治疗的患者在治疗效果上的差异：147 名成年患者完成了为期 1 个月的调查（n = 76 名创伤知情护理干预组患者；n = 71 名常规护理组患者）。大多数患者对所有与急诊室工作人员相关的问题都给予了最高评价。我们发现，干预与常规护理对患者报告结果的评估没有明显差异：讨论：我们的创伤知情护理培训似乎并未对选定的患者结果产生显著影响。这可能是培训本身造成的，也可能是由于研究设计、环境和标准化工具的缺乏，在衡量创伤知情护理培训对患者的影响方面存在挑战。本文讨论了对创伤知情护理培训的未来研究以及衡量其对急诊室环境中患者的直接影响的建议。

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引用次数: 0

BackTrAC: A Digital Care Pathway for People Presenting to Emergency with Lower Back Pain. A Development and Feasibility Study Protocol BackTrAC：针对下背部疼痛急诊患者的数字化护理路径。开发与可行性研究计划

IF 1.8 4区医学 Q2 EMERGENCY MEDICINE

Journal of Emergency Nursing

Pub Date : 2024-11-01 DOI: 10.1016/j.jen.2024.06.005

Adam I. Semciw PhD, G Cert (Epidemiology), Emily C. Bell PhD, Nicole Alousis B Physio, Thomas Collins M Musc Physio, Katharine See MBBS, MBA, Tracey Webster RN1, B Sci Nursing, Andrew Hahne PhD, Matthew G. King PhD

Objectives

Back pain is a prevalent condition that affects 1 in 6 Australians at any time, with high associated health care costs. To date, there is limited information relating to symptom severity and recovery trajectory in people with back pain who present to the emergency department for care. A digital care pathway (DCP) can track patient outcomes following presentation with back pain. The primary aim of this protocol is to outline the co-development, implementation, and evaluation of a DCP for back pain patients who present to the emergency department.

Methods

The primary aim will be addressed in 3 overlapping phases:

Phase 1 (co-design) will include interviews with back pain patients and health care professionals from the Northern Hospital Emergency Department. Interview findings will inform education resources featured on the DCP and establish questionnaire content and frequency acceptability.

Phase 2 (implementation) will include the rollout of the DCP and tracking of patient-reported outcome measures, which will be collected over 12 weeks.

Phase 3 (evaluation) will include interviews with a subset of back pain patients who have participated in Phase 2 to evaluate the acceptability of the DCP and the barriers and facilitators of using the DCP.

Ethics and Dissemination

This project has been approved via the National Health and Medical Research Council of Australia’s National Mutual Acceptance Scheme by St Vincent’s Hospital Human Ethics Committee (2022/PID06476), La Trobe University Research Governance (HEC#206/22), and Northern Health Research Governance (NH-2023-372687). We plan to publish the findings in a peer-reviewed journal and present them at conferences.

目的：背痛是一种常见疾病，每 6 个澳大利亚人中就有 1 人随时会受到影响，相关的医疗费用也很高。迄今为止，有关背痛患者到急诊科就诊时的症状严重程度和康复轨迹的信息非常有限。数字护理路径（DCP）可以跟踪背痛患者的治疗效果。本方案的主要目的是概述针对急诊科背痛患者的 DCP 的共同开发、实施和评估：方法：将分三个重叠阶段实现主要目标：第 1 阶段（共同设计）将包括对北部医院急诊科的背痛患者和医护人员进行访谈。访谈结果将为 DCP 上的教育资源提供信息，并确定问卷内容和频率的可接受性。第 2 阶段（实施）将包括推出 DCP 和跟踪患者报告的结果指标，这些指标将在 12 周内收集。第 3 阶段（评估）将对参与第 2 阶段的部分背痛患者进行访谈，以评估 DCP 的可接受性以及使用 DCP 的障碍和促进因素：该项目已通过澳大利亚国家健康与医学研究委员会的国家相互认可计划，获得圣文森特医院人类伦理委员会（2022/PID06476）、拉筹伯大学研究管理委员会（HEC#206/22）和北方健康研究管理委员会（NH-2023-372687）的批准。我们计划在同行评审期刊上发表研究结果，并在会议上进行介绍。

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引用次数: 0

The New Street Adulterant Drug: What Clinicians Need to Know About Xylazine (Tranq) 新的街头掺杂药物：临床医生需要了解的赛拉嗪（Tranq）。

IF 1.8 4区医学 Q2 EMERGENCY MEDICINE

Journal of Emergency Nursing

Pub Date : 2024-11-01 DOI: 10.1016/j.jen.2024.06.001

Deborah A. Salani DNP, APRN, PMHNP-BC, NE-BC, Beatriz Valdes PhD, APRN, PMHNP-BC, CHSE, Christopher Weidlich PhD, APRN, PMHNP-BC, Martin M. Zdanowicz PhD, MPH, MAEd, MA, CPH

引用次数: 0

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