Journal of Emergency Nursing最新文献

{"title":"Sources of Discomfort and Treatment Strategies for Trauma Patients in the Pre-Hospital Setting: A Scoping Review","authors":"Filipe Melo MScN, RN,&nbsp;Margarida Reis Santos PhD, RN,&nbsp;Miguel Castelo-Branco Sousa PhD, MD,&nbsp;Cátia Mota MScPsych,&nbsp;Mauro Mota PhD, RN","doi":"10.1016/j.jen.2025.08.014","DOIUrl":"10.1016/j.jen.2025.08.014","url":null,"abstract":"<div><h3>Introduction</h3><div>Trauma remains a leading cause of mortality and long-term disability worldwide, often causing significant discomfort during prehospital care. Addressing these discomforts effectively is crucial for improving patient outcomes. This scoping review aimed to identify and categorize the types of discomforts experienced by adult trauma victims in prehospital settings and map the pharmacologic and nonpharmacologic interventions used to mitigate them.</div></div><div><h3>Methods</h3><div>This scoping review followed the Joanna Briggs Institute framework and Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews guidelines. A comprehensive search was performed in databases including MEDLINE, CINAHL, Scopus, Embase, PsycINFO, Joanna Briggs Institute Evidence Synthesis, Cochrane Database, and relevant gray literature sources. Studies involving adult trauma patients (≥18 years) in prehospital care that reported on discomfort and interventions were included without restrictions on publication date.</div></div><div><h3>Results</h3><div>Seventeen studies met the inclusion criteria, covering various international contexts. Acute pain was the most frequently reported discomfort, followed by anxiety, fear, cold-induced discomfort, and discomfort caused by immobilization. Pharmacologic interventions predominantly included opioids, nonsteroidal anti-inflammatory drugs, paracetamol, ketamine, and methoxyflurane, whereas nonpharmacologic interventions comprised acupressure, transcutaneous electrical nerve stimulation, cryotherapy, warming measures, communication strategies, and emotional support. Nonpharmacologic interventions, especially acupressure and communication techniques, showed promising results in reducing pain and anxiety.</div></div><div><h3>Discussion</h3><div>The findings underline the multidimensional nature of discomfort in prehospital trauma care and highlight effective interventions, including pharmacologic and complementary nonpharmacologic strategies. However, significant gaps remain regarding standardized assessment tools for non–pain-related discomforts and combined interventions. This review underscores the necessity for comprehensive management protocols and further research to optimize patient comfort and care outcomes in trauma settings.</div></div>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"52 1","pages":"Pages 218-238.e5"},"PeriodicalIF":2.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145226307","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":"Auricular Hematoma and Development of Cauliflower Ear","authors":"Joo Shiang Ang MBBS,&nbsp;Wan San Angeline Tan MN, APN, RN,&nbsp;Wai Jian Lionel Ang RN,&nbsp;Xinyi Lin MBBS","doi":"10.1016/j.jen.2025.07.012","DOIUrl":"10.1016/j.jen.2025.07.012","url":null,"abstract":"","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"52 1","pages":"Pages 46-48"},"PeriodicalIF":2.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145886353","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 Nursing Review Questions: January 2026","authors":"Benjamin E. Marett EdD, MSN, CEN, CCRN, COHN-S, NPD-C, NE-BC, TCRN, FAEN, FAHA,&nbsp;Luis E. Caso Vega MBA, BSN, RN, CEN, CPEN, NE-BC, TCRN","doi":"10.1016/j.jen.2025.08.011","DOIUrl":"10.1016/j.jen.2025.08.011","url":null,"abstract":"","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"52 1","pages":"Pages 239-241"},"PeriodicalIF":2.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145886354","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":"What Would Mother Say? Whole Blood and RhD Alloimmunization in Trauma Resuscitation","authors":"John Ramos MMS, PA-C, CAQ-EM","doi":"10.1016/j.jen.2025.09.005","DOIUrl":"10.1016/j.jen.2025.09.005","url":null,"abstract":"<div><div>Low-titer type O whole blood has demonstrated survival benefits and improved hemostatic resuscitation compared with component-based transfusion. Although alloimmunization is a concern for women of childbearing potential, more recent evidence suggests that the absolute risk is low compared with the need to preserve maternal life. The administration of whole blood to women of childbearing potential is safer with postexposure Rh immunoprophylaxis and modern advances in the management of fetal anemia.</div></div>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"52 1","pages":"Pages 28-33"},"PeriodicalIF":2.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145886415","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":"Artificial Intelligence: Implications for Emergency Nursing Practice","authors":"Jordan Rose DNP, RN, PHN, FNP-BC,&nbsp;Anna Valdez PhD, RN, PHN, CEN, CFRN, FAEN, FAADN","doi":"10.1016/j.jen.2025.11.001","DOIUrl":"10.1016/j.jen.2025.11.001","url":null,"abstract":"","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"52 1","pages":"Pages 2-4"},"PeriodicalIF":2.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145886416","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":"Charting the Course: Exploring the Dynamic Impact of Mentorship Programs on Nurse Practitioner Satisfaction and Health Care Outcomes","authors":"Tiffany D. Reabold DNP, FNP-BC,&nbsp;Veronica Quattrini DNP, MS, FNP-BC, FAANP","doi":"10.1016/j.jen.2025.07.014","DOIUrl":"10.1016/j.jen.2025.07.014","url":null,"abstract":"<div><h3>Introduction</h3><div>This project aimed to address high turnover rates among novice nurse practitioners in the emergency department, attributable to low job satisfaction. Dissatisfaction among nurse practitioner staff is linked to decreased engagement, productivity, and suboptimal patient outcomes and negatively affects both novice and seasoned staff morale. Low job satisfaction correlates with higher turnover rates, increased departmental costs, and a decline in the overall quality of patient care. Outcomes from this project confirmed that mentoring positively affects job satisfaction and the transition of novice nurse practitioners.</div></div><div><h3>Methods</h3><div>Conducted in a large urban academic medical center, this project involved 7 novice nurse practitioner participants. Inspired by the National Association of Neonatal Nurse Practitioners Mentoring Toolkit, a 10-week Knowledge to Action Framework structured mentorship program was devised. It included an introductory session, individual mentor-protégé meetings, and a wrap-up session. Pre- and postintervention evaluations used the Misener Nurse Practitioner Job Satisfaction Scale.</div></div><div><h3>Results</h3><div>Preintervention Misener Nurse Practitioner Job Satisfaction Scale scores averaged 176.3, increasing to 206.4 after the intervention, with a statistically significant improvement (T = −1.82; <em>P</em> = .046).</div></div><div><h3>Discussion</h3><div>Mentorship programs offer significant benefits to nurse practitioners, contributing to improved clinical practice and more efficient health care systems by improving job satisfaction, reducing turnover rates, enhancing patient outcomes, and curbing costs. However, further research is needed to establish definitive evidence of their long-term impact.</div></div>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"52 1","pages":"Pages 66-71"},"PeriodicalIF":2.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977764","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":"Effect of Distracting Methods on Procedure-Related Fear, Anxiety, and Pain During Intramuscular Injection: A Randomized Controlled Trial","authors":"Elfidan Gülduran MSc, RN,&nbsp;Gülçin Özalp Gerçeker PhD, RN","doi":"10.1016/j.jen.2025.08.003","DOIUrl":"10.1016/j.jen.2025.08.003","url":null,"abstract":"<div><h3>Introduction</h3><div>Distraction methods such as virtual reality and cold vibration devices (Buzzy) are recommended during vascular access. Few studies focused on distraction during intramuscular injection.</div></div><div><h3>Methods</h3><div>This study evaluated the effect of distraction methods on procedure-related pain, fear, and anxiety during the intramuscular injection in children aged 5 to 12 years in the pediatric emergency department. In the study, children (n = 126) were assigned to 4 groups: virtual reality, manual pressure vibration, Buzzy, and control groups. Heart rate, respiration, blood pressure, and partial oxygen saturation were measured before, during, and after the procedure. Emotional behavior was evaluated using the Children’s Emotional Manifestation Scale before the procedure. After the procedure, pain, fear, and anxiety were evaluated using the Child Fear Scale, Child Anxiety Scale–State, Wong-Baker FACES Pain Scale, and Color Analog Scale. The mean scores obtained from the scales were compared using the Kruskal–Wallis analysis (Clinical Trials number: NCT04847934).</div></div><div><h3>Results</h3><div>The diastolic and median blood pressure values were higher, and the partial oxygen value was lower in the control group after the procedure. There was no statistical difference among the groups in terms of emotional behavior before the procedure. There was a statistical difference among the groups in terms of pain scores, but no difference was found in terms of fear and anxiety.</div></div><div><h3>Discussion</h3><div>Virtual reality, manual pressure vibration, and Buzzy distractions were effective on intramuscular injection–related pain. Future studies should also focus on intramuscular injection–related fear and anxiety.</div></div>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"52 1","pages":"Pages 127-142"},"PeriodicalIF":2.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024744","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":"Perceived Relationships Between Emergency Department Staffing Patterns and Missed Care, Missed Decompensation, and Delays in Care","authors":"Lisa Wolf PhD, RN, CEN, FAEN, FAAN,&nbsp;Ellen Benjamin PhD, RN, CEN,&nbsp;Paul Clark PhD, RN, FAEN,&nbsp;Michael Callihan PhD, RN, CEN, NRP, FAEN","doi":"10.1016/j.jen.2025.08.002","DOIUrl":"10.1016/j.jen.2025.08.002","url":null,"abstract":"<div><h3>Introduction</h3><div>When emergency department staffing is inadequate, patient care may be missed. Information regarding the association between missed care and staffing is lacking in the emergency department setting. This study aimed to explore considerations for and configurations of staffing patterns and their relationship to missed care, missed decompensation, and delays in care.</div></div><div><h3>Methods</h3><div>This study used an exploratory qualitative approach with data derived from focus groups and analyzed using qualitative content analysis. A total of 39 emergency nurses in varied roles attending a national conference were recruited. The Consolidated Criteria for Reporting Qualitative Research checklist was used to guide the reporting of this study.</div></div><div><h3>Results</h3><div>Participants reported information grouped into 5 major categories: <em>ratios</em>, <em>staffing patterns</em>, <em>work ethic</em>, <em>role of administration</em>, and <em>missed care</em>. Both staff and charge nurses reported a preference for a 1:3 nurse-to-patient ratio, with higher patient ratios described as leading to missed care, missed decompensation, and delays in care.</div></div><div><h3>Discussion</h3><div>The individual and institutional elements of staffing decisions may have a significant impact on patient outcomes in the form of missed care, missed diagnoses, and delayed care. Staffing decisions may also affect the psychological health of emergency nurses by fostering burnout. Across roles, nurses perceive a disconnect between the ED environment and staffing plans generated by persons outside the department. Future research should focus quantitatively on relationships between staffing patterns and patient and nursing outcomes.</div></div>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"52 1","pages":"Pages 143-157"},"PeriodicalIF":2.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145030882","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":"Identifying the High-Risk Obstetric Patient at Triage","authors":"Lisa Wolf PhD, RN, CEN, FAEN, FAAN","doi":"10.1016/j.jen.2025.07.013","DOIUrl":"10.1016/j.jen.2025.07.013","url":null,"abstract":"","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"52 1","pages":"Pages 24-27"},"PeriodicalIF":2.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145886351","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":"Code Malignant Hyperthermia: Malignant Hyperthermia in the Emergency Department—Implications for Nursing","authors":"Marlene Porter PhD, RN, CEN, NPD-BC, CCRN","doi":"10.1016/j.jen.2025.07.016","DOIUrl":"10.1016/j.jen.2025.07.016","url":null,"abstract":"<div><div>Malignant hyperthermia is a rare, life-threatening hypermetabolic reaction that can strike unexpectedly in the emergency department, demanding swift recognition and intervention to save lives. This syndrome can be fatal if not treated and occurrs in 1 in 100,000 adults and 1 in 30,000 children, with a 3% to 5% mortality rate. Although often associated with perioperative environments, malignant hyperthermia should remain on the radar for emergency nurses, especially when patients exhibit sudden hyperthermia, muscle rigidity, and tachycardia after intubation or procedural sedation. This article emphasizes early recognition, rapid intervention strategies, and preparedness protocols tailored to the ED context to improve outcomes for patients with malignant hyperthermia.</div></div>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"52 1","pages":"Pages 49-52"},"PeriodicalIF":2.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145030864","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}