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Caring for Women in an Active War Zone 关爱战区妇女。
IF 1.8 4区 医学 Q2 EMERGENCY MEDICINE Pub Date : 2024-11-01 DOI: 10.1016/j.jen.2024.08.002
Abeerah Muhammad MSN, RN, CEN, Jamla Rizek MBA, MSN, RN, CEN, CPEN, NHDP-BC, NRP
Emergency nursing in Gaza’s war zone presents innumerable challenges when caring for female patients in a depleted health care system. Negative health outcomes specifically impact women of all ages due to lack of access to menstrual products, prenatal and primary care, private bathrooms, medication, essential nutrition, and clean water. The massive destruction of infrastructure and consequent internal displacement of millions has led to a rise in infectious diseases. The few remaining functional hospitals depend heavily on foreign medical delegations for supplies, which results in a lack of standardized treatment for women’s health complaints. Emergency departments must also navigate overcrowding, lack of basic supplies and specialists, and prioritization of daily mass casualty incidents from nearby explosions. These obstacles make treatment, discharge teaching, and follow-up care for women’s health difficult to implement. Despite these arduous circumstances, Gazan health care professionals find innovative solutions to improve outcomes and reduce harm while honoring the cultural and religious preferences of their female patients.
在加沙战区,急诊护理工作面临着无数挑战,因为要在一个资源枯竭的医疗保健系统中照顾女性病人。由于无法获得月经用品、产前护理和初级护理、私人浴室、药物、基本营养和清洁水,不利的健康结果特别影响到所有年龄段的妇女。由于基础设施遭到大规模破坏,数百万人在境内流离失所,导致传染病增加。仅存的几家功能性医院严重依赖外国医疗代表团的供应,这导致妇女健康投诉缺乏标准化治疗。急诊科还必须应对过度拥挤、缺乏基本用品和专家,以及每天都要优先处理附近爆炸造成的大规模伤亡事件等问题。这些障碍使得妇女健康方面的治疗、出院指导和后续护理难以实施。尽管条件艰苦,加沙的医疗保健专业人员还是找到了创新的解决方案,在尊重女性患者的文化和宗教偏好的同时,改善治疗效果,减少伤害。
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引用次数: 0
A Nursing Student’s Perspective on the Value of Prelicensure Clinical Experience in the Emergency Department 护理专业学生对急诊科执业前临床经验价值的看法。
IF 1.8 4区 医学 Q2 EMERGENCY MEDICINE Pub Date : 2024-11-01 DOI: 10.1016/j.jen.2024.09.001
Gabrielle L. Allman BSN Student, Fabrice I. Mowbray PhD, RN
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引用次数: 0
Beyond Cellulitis: Unveiling the Urgency of Infectious Flexor Tenosynovitis 超越蜂窝织炎:揭开传染性屈肌腱鞘炎的神秘面纱
IF 1.8 4区 医学 Q2 EMERGENCY MEDICINE Pub Date : 2024-11-01 DOI: 10.1016/j.jen.2024.08.009
Shin-Yi Wu MD, Jie-Ming Chen MD, Yu-Tsung Chen RN, Yi-Chien Chen NP, RN, Kuang-Chau Tsai MD, MSc, Chih-Jung Chang MD
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引用次数: 0
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 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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引用次数: 0
Information for Readers 读者信息
IF 1.8 4区 医学 Q2 EMERGENCY MEDICINE Pub Date : 2024-11-01 DOI: 10.1016/S0099-1767(24)00264-2
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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 Pub Date : 2024-11-01 DOI: 10.1016/j.jen.2024.08.003
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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 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
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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 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。
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引用次数: 0
Leader Within 内心的领导者
IF 1.8 4区 医学 Q2 EMERGENCY MEDICINE Pub Date : 2024-11-01 DOI: 10.1016/j.jen.2024.09.008
Chris Dellinger MBA, BSN, RN, FAEN
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引用次数: 0
Board of Directors 董事会
IF 1.8 4区 医学 Q2 EMERGENCY MEDICINE Pub Date : 2024-11-01 DOI: 10.1016/S0099-1767(24)00263-0
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引用次数: 0
期刊
Journal of Emergency Nursing
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