Journal of Emergency Nursing最新文献

英文中文

Moral Resilience and Its Association With Predictors in Emergency Nurses: A Latent Profile Analysis 急诊护士的道德弹性及其与预测因子的关联：一项潜在特征分析。

IF 2.3 4区医学 Q2 EMERGENCY MEDICINE

Journal of Emergency Nursing

Pub Date : 2026-01-01 Epub Date: 2025-10-01 DOI: 10.1016/j.jen.2025.08.018

Shirong Wu MSN, Zhipeng Zhong BSN, Huanmei Li BSN, Yurong Xiong BSN, Liying Li BSN, Banghan Ding MD, Qiuying Deng MSN

Introduction

Emergency nurses require strong moral resilience to maintain professional ethics and provide quality care, even when facing challenges and work-related stress. This study sought to investigate the factors influencing moral resilience profiles among emergency nurses and provide recommendations to nursing managers for their enhancement.

Methods

In January to April 2024, a total of 543 emergency nurses from 28 tertiary hospitals in Guangdong Province were surveyed. The measurements included the General Demographic Questionnaire, Rushton Moral Resilience Scale, Simplified Coping Style Questionnaire, and Hospital Ethical Climate Survey. Data analysis was conducted using Mplus 8.3 to examine different moral resilience profiles. Multiple logistic regression was used to explore each profile’s influencing factors.

Results

The participating emergency nurses were categorized into 4 groups: low moral resilience group (25.6%), moral resilience potential group (31.0%), moral adversity challenge group (17.5%), and high moral resilience group (25.9%). Compared with the low moral resilience group, sex, professional title, physical health, hospital’s ethical climate, and negative coping style were common influencing factors for the other 3 groups (P<.05). Supportive friends affected the moral resilience potential group and moral adversity challenge group (P<.05). Monthly income and positive coping style affected the moral adversity challenge group (P<.05). The average monthly night shifts, participation in hospital ethics courses, marital status, and positive coping style affected the high moral resilience group (P<.05).

Discussion

Nursing managers can use the study’s findings to develop targeted strategies to help emergency nurses enhance moral resilience, reduce work pressure, and improve emergency care quality.

简介：即使面临挑战和工作压力，急诊护士也需要强大的道德韧性来保持职业道德并提供高质量的护理。本研究旨在探讨急诊护士道德弹性的影响因素，并为护理管理者提供提高道德弹性的建议。方法：于2024年1 - 4月对广东省28所三级医院543名急诊护士进行调查。测量方法包括一般人口统计问卷、拉什顿道德弹性量表、简化应对方式问卷和医院伦理风气调查。使用Mplus 8.3进行数据分析，以检验不同的道德弹性特征。采用多元逻辑回归探讨各剖面的影响因素。结果：参与调查的急诊护士分为4组：低道德弹性组（25.6%）、道德弹性潜力组（31.0%）、道德逆境挑战组（17.5%）和高道德弹性组（25.9%）。与低道德弹性组相比，性别、职称、身体健康状况、医院伦理氛围、消极应对方式是其他3组常见的影响因素(p)。讨论：护理管理者可以根据研究结果制定有针对性的策略，帮助急诊护士增强道德弹性，减轻工作压力，提高急诊护理质量。

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引用次数: 0

Author reply to Yu Letter Regarding “Cognitive Task Analysis for Developing a Clinical Decision Support System for Emergency Triage” by Agius et al 关于Agius等人“基于认知任务分析的急诊分诊临床决策支持系统开发”的回复

IF 2.3 4区医学 Q2 EMERGENCY MEDICINE

Journal of Emergency Nursing

Pub Date : 2026-01-01 Epub Date: 2026-01-03 DOI: 10.1016/j.jen.2025.08.007

Steve Agius PhD, MBA, BSc

引用次数: 0

Board of Directors 董事会

IF 2.3 4区医学 Q2 EMERGENCY MEDICINE

Journal of Emergency Nursing

Pub Date : 2026-01-01 Epub Date: 2026-01-03 DOI: 10.1016/S0099-1767(25)00501-X

引用次数: 0

Crowding, Boarding, and Patient Throughput in the Emergency Department 急诊科的拥挤、登机和病人吞吐量

IF 2.3 4区医学 Q2 EMERGENCY MEDICINE

Journal of Emergency Nursing

Pub Date : 2026-01-01 Epub Date: 2026-01-03 DOI: 10.1016/j.jen.2025.08.005

Dawn Peta BN, RN, ENC(C) (Past President, National Emergency Nurses Association, and Clinical Educator, SZ Rural Acute), Sharon Vanairsdale Carrasco DNP, RN, APRN, NP, CNS, CEN, ACNS-BC, NP-C, FAEN, FAAN (Clinical Professor)

引用次数: 0

Enhancing the Psychiatric Emergency Department Triage Process to Optimize Patient Care 加强精神科急诊科分诊流程以优化病人护理。

IF 2.3 4区医学 Q2 EMERGENCY MEDICINE

Journal of Emergency Nursing

Pub Date : 2026-01-01 Epub Date: 2025-09-09 DOI: 10.1016/j.jen.2025.07.018

Kristen Edmunds BSN, RN, PMH-BC, Michelle Olshan-Perlmutter APRN, PMHCNS, FNP, Nicholas Archer MSN, RN, PMH-BC, Marquita Boggess DNP, MHA, FNP-C, PMHNP-BC, Jared Ruggieri DPT, PT, CLSSGB, Jason Roberge PhD, MPH

Introduction

Emergency departments have seen a steady increase in patients presenting with mental health and substance use disorders, leading to overcrowding, prolonged length of stay, patients leaving without being seen, and diminished staff satisfaction. To address these issues, a behavioral health psychiatric emergency department redesigned its triage process to include a fast-track protocol for low-complexity patients, eliminate treatment redundancies, and incorporate a provider in triage to improve patient outcomes and staff satisfaction.

Methods

Using the Plan-Do-Study-Act methodology, a revised triage process was implemented to streamline workflows and reduce waste. Time metrics from pre- and postintervention periods were compared.

Results

Reductions were observed in all phases of the ED encounter. The median total length of stay decreased by 110 minutes (38% reduction; P<.001). Time from rooming to provider was reduced from 98 to 43 minutes (56% reduction; P<.001), and the median time from arrival to provider was halved, from 152 to 76 minutes (52% reduction; P<.001). The leaving without being seen rate dropped from 10.5% to 6.3% (40% reduction; P<.001).

Discussion

The findings suggest that a fast-track triage system, combined with provider in triage, can improve length of stay, reduce leaving without being seen, and enhance staff satisfaction. This model could be beneficial for other emergency departments managing patients with behavioral health concerns.

导读：急诊科出现精神健康和物质使用障碍的患者稳步增加，导致过度拥挤，住院时间延长，患者离开而没有被看到，以及工作人员满意度下降。为了解决这些问题，行为健康精神科急诊科重新设计了其分诊流程，包括针对低复杂性患者的快速通道协议，消除治疗冗余，并将提供者纳入分诊，以提高患者的治疗效果和员工满意度。方法：采用计划-行动-研究-行动方法，实施修订后的分诊流程，以简化工作流程并减少浪费。比较干预前后的时间指标。结果：在ED接触的所有阶段都观察到减少。总住院时间中位数减少了110分钟（减少了38%）。讨论：研究结果表明，快速分诊系统与提供者分诊相结合，可以缩短住院时间，减少未就医就离开的情况，并提高员工满意度。该模型可用于其他急诊科管理行为健康问题患者。

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引用次数: 0

Patients’ and Family Members’ Perspectives on Family Presence During Adult Resuscitation in Asian Hospital Settings: A Scoping Review 亚洲医院成人复苏过程中患者和家庭成员对家庭存在的看法：一项范围综述。

IF 2.3 4区医学 Q2 EMERGENCY MEDICINE

Journal of Emergency Nursing

Pub Date : 2026-01-01 Epub Date: 2025-10-02 DOI: 10.1016/j.jen.2025.08.019

Mohammad Syafar Sangkala MANP, RN, Diane Chamberlain PhD, RN, FACN, FACCCN, GAICD, Nina Sivertsen PhD, RN, Mulhaeriah Mulhaeriah MN, CNS, RN

Introduction

Family presence during resuscitation has been examined for more than 4 decades. Although many studies describe potential benefits, debate persists regarding its effects on patients, family members, and clinicians. Effective implementation also hinges on cultural and religious norms and contextual features of care settings, which require careful consideration and further study. This scoping review maps the evidence and identifies family presence during resuscitation knowledge gaps in Asian hospital contexts, focusing on studies that enrolled patients and their family members.

Methods

This scoping review adhered to the JBI methodology and is reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews guidelines. In August 2024, a total of 11 databases were systematically searched for primary studies conducted in Asian hospital settings. Eligible studies were published in English or Indonesian, which included adult patients and/or family members aged 18 years or older.

Results

Twenty-three articles met the inclusion criteria and were included in the review: 1 focused on patients, and 22 involved family members. Findings from the family member studies were synthesized into 5 themes: support for family presence during resuscitation, neutrality or opposition toward family presence during resuscitation, cultural and spiritual matters, family members’ needs during resuscitation, and recommendations for family presence during resuscitation implementation.

Discussion

Overall, the analysis of reviewed articles found that most family members support family presence during resuscitation. However, patient-derived evidence remains limited, underscoring the need for further research centered on patients’ perspectives.

引言：在复苏过程中的家庭存在已经进行了40多年的研究。尽管许多研究描述了潜在的益处，但关于其对患者、家庭成员和临床医生的影响仍存在争议。有效的实施还取决于文化和宗教规范以及护理环境的背景特征，这些都需要仔细考虑和进一步研究。这篇范围综述绘制了证据图，并确定了亚洲医院背景下复苏知识缺口中的家庭存在，重点是纳入患者及其家庭成员的研究。方法：该范围评价遵循JBI方法，并按照系统评价的首选报告项目和范围评价的元分析扩展指南进行报告。2024年8月，共有11个数据库系统地检索了在亚洲医院环境中进行的初步研究。符合条件的研究以英语或印尼语发表，包括18岁或以上的成年患者和/或家庭成员。结果：23篇文章符合纳入标准，纳入本综述：1篇针对患者，22篇涉及家属。家庭成员研究的结果被综合为5个主题：支持复苏期间的家庭在场，中立或反对复苏期间的家庭在场，文化和精神问题，复苏期间家庭成员的需求，以及实施复苏期间家庭在场的建议。讨论：总体而言，对综述文章的分析发现，大多数家庭成员支持在复苏期间有家人在场。然而，患者来源的证据仍然有限，强调需要进一步研究以患者的观点为中心。

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引用次数: 0

Outcomes of the Use of Intuition in Nurses’ Decision Making for Critical Care Patients: Scoping Review Protocol 在护士对重症病人的决策中使用直觉的结果：范围审查方案。

IF 2.3 4区医学 Q2 EMERGENCY MEDICINE

Journal of Emergency Nursing

Pub Date : 2026-01-01 Epub Date: 2025-10-28 DOI: 10.1016/j.jen.2025.09.012

Maria Margarida Assis RN, Maria João Lopes RN, Susana Miguel PhD, MSN, RN, Filipa Veludo PhD, MSN, RN

Introduction

Intuition plays a crucial role in nursing decision making, particularly in high-pressure environments such as emergency departments and intensive care units. Nursing decision making, especially in highly complex contexts, such as caring for patients in critical care, may involve intuition as a form of aesthetic knowledge that complements logical reasoning. Intuition enables the recognition of patterns, the anticipation of complications, and prompt action, thereby influencing the quality and safety of the care. Despite growing recognition of its relevance, the outcomes associated with the use of intuition remain insufficiently systematized, highlighting the need to map the available evidence within advanced nursing.

Objective

This study aimed to map the available scientific evidence regarding the outcomes of using intuition in nurses’ decision making for critical care patients.

Methods

This scoping review will be conducted using the JBI methodology. The search will be performed across 5 databases: CINAHL Complete, PubMed/MEDLINE, Web of Science Core Collection (Web of Science), ProQuest Dissertations & Theses Citation Index (Web of Science), and Scopus. No date restriction will be applied. The studies will be screened using Rayyan software by 2 independent blind reviewers, following a 2-stage process: an initial screening of titles and abstracts, followed by full-text reading of potentially eligible articles, based on predefined inclusion and exclusion criteria. The study protocol was registered on the Open Science Framework (DOI 10.17605/OSF.IO/VUZWX).

Discussion

By mapping outcomes linked to the use of intuition in nurses’ decision making, this review will provide insights into how intuition contributes to patient safety, care quality, and clinical practice.

导读：直觉在护理决策中起着至关重要的作用，特别是在高压环境中，如急诊科和重症监护病房。护理决策，特别是在高度复杂的情况下，如护理危重病患者，可能涉及直觉作为一种补充逻辑推理的美学知识形式。直觉能够识别模式，预测并发症，并迅速采取行动，从而影响护理的质量和安全。尽管越来越多的人认识到其相关性，但与使用直觉相关的结果仍然不够系统化，这突出了在高级护理中绘制现有证据的必要性。目的：本研究的目的是绘制现有的科学证据关于使用直觉在护士对重症病人的决策结果。方法：本次范围审查将使用JBI方法进行。检索将在5个数据库中进行：CINAHL Complete， PubMed/MEDLINE， Web of Science核心合集（Web of Science）， ProQuest学位论文和论文引文索引（Web of Science）和Scopus。不受日期限制。研究将由两名独立的盲审人员使用Rayyan软件进行筛选，流程分为两个阶段：首先对标题和摘要进行初步筛选，然后根据预先确定的纳入和排除标准对可能符合条件的文章进行全文阅读。研究方案已在开放科学框架（DOI 10.17605/OSF.IO/VUZWX）上注册。讨论：通过绘制与护士决策中使用直觉相关的结果，本综述将深入了解直觉如何有助于患者安全、护理质量和临床实践。

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引用次数: 0

Psychiatric Nursing Attitudes in Emergency Departments: An Explorative Study Among Italian Nurses 急诊科精神科护理态度：意大利护士的探索性研究

IF 2.3 4区医学 Q2 EMERGENCY MEDICINE

Journal of Emergency Nursing

Pub Date : 2026-01-01 Epub Date: 2025-08-20 DOI: 10.1016/j.jen.2025.07.010

Yun-Chen Chang PhD, RN, Rocco Mea RN, Wen-Yu Hu PhD, FAAN, RN, Elsa Vitale PhD, RN

Background

In emergency settings, nurses should have knowledge and skills to manage both physical and psychological diseases, including psychiatric disorders. This study aimed to explore the perceived level of knowledge among nurses regarding key topics in the training and management of psychiatric emergencies and, specifically, to determine any associations between the education level and work experience of nurses and their self-perceived competence in managing psychiatric emergencies and examine their knowledge of these areas, with a particular focus on topics considered most critical in the contemporary literature.

Methods

An observational, cohort, cross-sectional, and multicenter study was conducted from August to September 2022 to all registered nurses who were employed both in private and public emergency departments, using the “Snowball sampling” technique.

Results

A total of 413 Italian nurses were surveyed. Significant differences were reported in item no. 2 (P = .016), “How do you assess your current knowledge of issues relevant to emergency psychiatry?” according to work experience; item no. 5 (P = .001), “Have you ever been a victim of assault by the psychiatric patient during his shift?” according to work experience; and item no. 9 “How often do you resort to the use of counseling/hospitalization in psychiatry wards?” according to nursing education (P = .008). Several arguments were identified as important for in-depth knowledge in psychiatric emergencies.

Discussion

Given the rising prevalence and complexity of mental health crises presenting in emergency settings, there is an urgent need to integrate targeted psychiatric emergency training into both undergraduate nursing curricula and ongoing professional development programs.

背景：在急诊环境中，护士应该具备处理包括精神疾病在内的生理和心理疾病的知识和技能。本研究旨在探讨护士在培训和管理精神病学紧急情况的关键主题方面的认知知识水平，特别是确定护士的教育水平和工作经验与他们在管理精神病学紧急情况方面的自我认知能力之间的联系，并检查他们对这些领域的知识，特别关注当代文献中最重要的主题。方法：采用“雪球抽样”技术，于2022年8月至9月对所有在私立和公立急诊科工作的注册护士进行观察性、队列、横断面和多中心研究。结果：共调查意大利护士413名。第1项报告有显著差异。2 (P = .016)，根据工作经验，“你如何评估你目前对急诊精神病学相关问题的了解？”项目编号5 (P = .001)，根据工作经验，“你是否曾在精神病患者当班期间受到他的攻击？”项目编号。9根据护理教育调查，“你在精神科病房接受心理咨询/住院治疗的频率是多少？”有几个论点被认为对深入了解精神紧急情况很重要。讨论：鉴于在紧急情况下出现的精神健康危机日益普遍和复杂，迫切需要将有针对性的精神病学应急培训纳入本科护理课程和正在进行的专业发展计划。

{"title":"Psychiatric Nursing Attitudes in Emergency Departments: An Explorative Study Among Italian Nurses","authors":"Yun-Chen Chang PhD, RN, Rocco Mea RN, Wen-Yu Hu PhD, FAAN, RN, Elsa Vitale PhD, RN","doi":"10.1016/j.jen.2025.07.010","DOIUrl":"10.1016/j.jen.2025.07.010","url":null,"abstract":"<div><h3>Background</h3><div>In emergency settings, nurses should have knowledge and skills to manage both physical and psychological diseases, including psychiatric disorders. This study aimed to explore the perceived level of knowledge among nurses regarding key topics in the training and management of psychiatric emergencies and, specifically, to determine any associations between the education level and work experience of nurses and their self-perceived competence in managing psychiatric emergencies and examine their knowledge of these areas, with a particular focus on topics considered most critical in the contemporary literature.</div></div><div><h3>Methods</h3><div>An observational, cohort, cross-sectional, and multicenter study was conducted from August to September 2022 to all registered nurses who were employed both in private and public emergency departments, using the “Snowball sampling” technique.</div></div><div><h3>Results</h3><div>A total of 413 Italian nurses were surveyed. Significant differences were reported in item no. 2 (<em>P</em> = .016), “How do you assess your current knowledge of issues relevant to emergency psychiatry?” according to work experience; item no. 5 (<em>P</em> = .001), “Have you ever been a victim of assault by the psychiatric patient during his shift?” according to work experience; and item no. 9 “How often do you resort to the use of counseling/hospitalization in psychiatry wards?” according to nursing education (<em>P</em> = .008). Several arguments were identified as important for in-depth knowledge in psychiatric emergencies.</div></div><div><h3>Discussion</h3><div>Given the rising prevalence and complexity of mental health crises presenting in emergency settings, there is an urgent need to integrate targeted psychiatric emergency training into both undergraduate nursing curricula and ongoing professional development programs.</div></div>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"52 1","pages":"Pages 81-92"},"PeriodicalIF":2.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976587","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}

引用次数: 0

Human Factors in Simulation-Based Education for Emergency Nursing in Disasters 灾害急救护理模拟教学中的人为因素

IF 2.3 4区医学 Q2 EMERGENCY MEDICINE

Journal of Emergency Nursing

Pub Date : 2026-01-01 Epub Date: 2026-01-03 DOI: 10.1016/j.jen.2025.09.004

Lt. Jamla Rizek DNP, MBA, RN, CEN, CPEN, NHDP-BC, NRP, FAEN, Sarah Wells MSN, RN, CEN, CNL, Mirza Aun Muhammad Baig MBBS, MCAI, MRCPI Pediatrics, PgDip Clinical Education, CPHFH (IHI), Luis E. Caso Vega MBA, BSN, RN, CEN, CPEN, NE-BC, TCRN, Muhammed Fawzi Aljerari

引用次数: 0

Enhancing Emergency Triage Clinical Decision Support System: Further Considerations on Cognitive Task Analysis Findings 加强急诊分诊临床决策支持系统：对认知任务分析结果的进一步思考

IF 2.3 4区医学 Q2 EMERGENCY MEDICINE

Journal of Emergency Nursing

Pub Date : 2026-01-01 Epub Date: 2026-01-03 DOI: 10.1016/j.jen.2025.07.011

Zekai Yu BEng

引用次数: 0

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