Australasian Emergency Care最新文献_第10页

Factors influencing emergency nurses’ infection control practices related to coronavirus disease 2019 in Korea 2019年韩国影响急诊护士感染控制实践的因素

IF 1.8 4区医学 Q1 Nursing

Australasian Emergency Care

Pub Date : 2023-03-01 DOI: 10.1016/j.auec.2022.07.004

Sang Ok Kim , Kon Hee Kim

Background

When an infectious disease breaks out, emergency nurses are the front-line specialists. Infection control by emergency nurses is important to minimize the risk of infectious disease and to improve the infection control practices of emergency nurses. Therefore, it is crucial to identify the factors influencing infection control practice related to COVID-19.

Methods

For this cross-sectional study design used survey methods for data collection, a questionnaire survey was conducted with 161 emergency nurses working in five hospitals selected through convenience sampling. Data were collected from November 10 to November 26 in 2020.

Results

Infection control practice related to COVID-19 was affected by the infection prevention environment (β = 0.24, p = .002), monitoring of wearing Personal Protective Equipment (β = 0.19, p = .006), knowledge about COVID-19 (β = 0.18, p = .009), perceived severity related to COVID-19 (β = 0.18, p = .010), and perceived barrier related to COVID-19 (β = −0.15, p = .033).

Conclusion

Creating safe infection prevention measures and revitalizing personal protective equipment monitoring are necessary to improve infection control practices. A systematic infection control education program is needed to improve knowledge about COVID-19, emphasize its perceived severity, and identify and eliminate perceived barriers.

背景当传染病爆发时，急救护士是一线专家。急诊护士的感染控制对于最大限度地降低传染病风险和改进急诊护士感染控制实践至关重要。因此，确定影响COVID-19感染控制实践的因素至关重要。数据收集于2020年11月10日至11月26日。结果与新冠肺炎相关的感染控制实践受到感染预防环境（β=0.24，p=.002）、个人防护装备佩戴监测（β=0.19，p=.006）、新冠肺炎知识（β=0.18，p=.009）、，以及与新冠肺炎相关的感知障碍（β=−0.15，p=.033）。结论制定安全的感染预防措施和恢复个人防护设备监测对于改进感染控制实践是必要的。需要一个系统的感染控制教育计划来提高对新冠肺炎的认识，强调其严重性，并识别和消除感知障碍。

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引用次数: 1

Air ambulance retrievals of patients with suspected appendicitis and acute abdominal pain: The patients’ journeys, referral pathways and appendectomy outcomes using linked data in Central Queensland, Australia 疑似阑尾炎和急性腹痛患者的空中救护检索:患者的旅程，转诊途径和阑尾切除术结果使用澳大利亚昆士兰州中部的相关数据

IF 1.8 4区医学 Q1 Nursing

Australasian Emergency Care

Pub Date : 2023-03-01 DOI: 10.1016/j.auec.2022.07.002

Kristin H. Edwards , Mark T. Edwards , Richard C. Franklin , Sankalp Khanna , Petra M. Kuhnert , Rhondda Jones

Introduction

Acute appendicitis is the most common cause of acute abdominal pain presentations to the ED and common air ambulance transfer. Aims: describe how linked data can be used to explore patients’ journeys, referral pathways and request-to-activation responsiveness of patients’ appendectomy outcomes (minor vs major complexity).

Methods

Data sources were linked: aeromedical, hospital and death. Request-to-activation intervals showed strong right-tailed skewness. Quantile regression examined whether the longest request-to-activation intervals were associated with appendicitis complexity in patients who underwent an appendectomy.

Results

There were 684 patients in three referral pathways based on hospital capability levels. In total, 5.6 % patients were discharged from ED. 83.3 % of all rural origins entered via the ED. 3.8 % of appendicitis patients were triaged to tertiary hospitals. Appendectomy patients with major complexity outcomes were less likely to have longer request-to-activation wait times & had longer lengths of stay than patients with minor complexity outcomes.

Conclusions

Linked data highlighted four aspects of a functioning referral system: appendectomy outcomes of major complexity were less likely to have longer request-to-activation intervals compared to minor (sicker patients were identified); few were discharged from EDs (validated transfer); few were triaged to tertiary hospitals (appropriate level for need), and no deaths relating to appendectomy.

引言急性阑尾炎是引起急性腹痛最常见的原因，向急诊科和普通空中救护车转移。目的：描述如何使用关联数据来探索患者的旅程、转诊途径以及患者阑尾切除术结果的激活反应请求（次要与主要复杂性）。方法将数据来源联系起来：航空医学、医院和死亡。请求激活间隔显示出强烈的右尾偏斜度。分位数回归检验了接受阑尾切除术的患者中最长的激活间隔请求是否与阑尾炎复杂性相关。结果根据医院能力水平，共有684名患者采用三种转诊途径。总的来说，5.6%的患者从ED出院。83.3%的农村地区通过ED进入。3.8%的阑尾炎患者被分诊到三级医院。具有主要复杂性结果的阑尾切除术患者不太可能有更长的激活请求等待时间&；与具有轻微复杂性结果的患者相比，患者的住院时间更长。结论关联数据突出了转诊系统的四个方面：与次要患者相比，复杂性较大的阑尾切除术结果不太可能有更长的激活间隔（发现病情较重的患者）；很少有人从ED出院（经验证的转移）；很少有人被分诊到三级医院（根据需要适当级别），也没有与阑尾切除术有关的死亡。

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引用次数: 2

A scoping review of metaverse in emergency medicine 急诊医学中元verse的范围综述

IF 1.8 4区医学 Q1 Nursing

Australasian Emergency Care

Pub Date : 2023-03-01 DOI: 10.1016/j.auec.2022.08.002

Tzu-Chi Wu , Chien-Ta Bruce Ho

Background

Interest in the metaverse has been growing worldwide as the virtual environment provides opportunities for highly immersive and interactive experiences. Metaverse has gradually gained acceptance in the medical field with the advancement of technologies such as big data, the Internet of Things, and 5 G mobile networks. The demand for and development of metaverse are different in diverse subspecialties owing to patients with varying degrees of clinical disease. Hence, we aim to explore the application of metaverse in acute medicine by reviewing published studies and the clinical management of patients.

Method

Our review examined the published articles about the concept of metaverse roadmap, and four additional domains were extracted: education, prehospital and disaster medicine, diagnosis and treatment application, and administrative affairs.

Results

Augmented reality (AR) and virtual reality (VR) integration have broad applications in education and clinical training. VR-related studies surpassed AR-related studies in the emergency medicine field. The metaverse roadmap revealed that lifelogging and mirror world are still developing fields of the metaverse.

Conclusion

Our findings provide insight into the features, application, development, and potential of a metaverse in emergency medicine. This study will enable emergency care systems to be better equipped to face future challenges.

背景随着虚拟环境为高度沉浸式和交互式体验提供了机会，全球对元宇宙的兴趣一直在增长。随着大数据、物联网和5G移动网络等技术的进步，Metaverse在医疗领域逐渐获得认可。由于患者患有不同程度的临床疾病，不同亚专业对元宇宙的需求和发展各不相同。因此，我们旨在通过回顾已发表的研究和患者的临床管理，探索元宇宙在急性医学中的应用。方法我们的综述检查了已发表的关于元宇宙路线图概念的文章，并提取了四个额外的领域：教育、院前和灾难医学、诊断和治疗应用以及行政事务。结果增强现实（AR）与虚拟现实（VR）的融合在教育和临床培训中有着广泛的应用。在急诊医学领域，VR相关研究超过了AR相关研究。元宇宙路线图显示，生活日志和镜像世界仍在元宇宙的发展领域。结论我们的研究结果深入了解了元宇宙在急诊医学中的特点、应用、发展和潜力。这项研究将使急救系统能够更好地应对未来的挑战。

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引用次数: 0

Inter-rater reliability of the occupational violence risk assessment tool for emergency departments 急诊科职业暴力风险评估工具的信度分析

IF 1.8 4区医学 Q1 Nursing

Australasian Emergency Care

Pub Date : 2023-03-01 DOI: 10.1016/j.auec.2022.07.007

C.J. Cabilan , Robert Eley , Centaine Snoswell , Andrew T. Jones , Amy N.B. Johnston

Background

The three-item occupational violence (OV) risk assessment tool was developed and validated for use in emergency departments (EDs). It prompts review of each patient’s aggression history, behaviours, and clinical presentation. However, confidence around representativeness and generalisability are needed before widescale adoption; hence we measured the inter-rater reliability of the tool among a large group of emergency nurses.

Methods

A cross-sectional study was conducted between Sep 2021 and Jan 2022. Nurses were directed to a website that hosted an e-learning module about the tool. They were asked to apply the tool to two video scenarios of typical patient presentations. Demographic data, including years of emergency experience, were collected to contextualise their responses. Gwet’s Agreement Coefficients (AC1) were calculated to determine inter-rater reliability.

Results

There were 135 participants: typically female, under the age of 40 years, with more than 3 years of emergency nursing experience. Overall, there was excellent inter-rater agreement (AC1 =0.752, p = 0.001). This was consistent when years of ED experience was stratified: 0–2 years, AC1 = 0.764, p = 0.002; 3–5 years, AC1 = 0.826, p = 0.001; 6–10 years, AC1 = 0.751, p < 0.001; 11–15 years, AC1 = 0.659, p = 0.004; ≥ 16 years, AC1 = 0.799, p < 0.001.

Conclusion

The three-item OV risk assessment tool has excellent inter-rater reliability across a large sample of emergency nurses.

背景开发并验证了三项职业暴力（OV）风险评估工具，供急诊科使用。它提示对每位患者的攻击史、行为和临床表现进行回顾。然而，在大规模采用之前，需要对代表性和普遍性抱有信心；因此，我们在一大群急诊护士中测量了该工具的评分者间可靠性。方法在2021年9月至2022年1月期间进行横断面研究。护士们被引导到一个网站，该网站上有一个关于该工具的电子学习模块。他们被要求将该工具应用于典型患者演示的两个视频场景。收集了人口统计数据，包括多年的应急经验，以了解他们的应对措施。计算Gwet协议系数（AC1）以确定评分者之间的可靠性。结果共有135名参与者：典型的女性，年龄在40岁以下，有3年以上的急诊护理经验。总体而言，评分者之间存在良好的一致性（AC1=0.752，p=0.001）。当ED经验年限分层时，这是一致的：0-2年，AC1=0.764，p=0.002；3-5年，AC1=0.826，p=0.001；6-10年，AC1=0.751，p<；0.001；11-15年，AC1=0.659，p=0.004；≥16年，AC1=0.799，p<；0.001.结论三项OV风险评估工具在大样本急诊护士中具有良好的评分者间可靠性。

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引用次数: 3

Barriers to, and enablers of, paramedics responding to suspected or confirmed COVID-19 cases: An integrative review 护理人员应对疑似或确诊COVID-19病例的障碍和推动因素:综合综述

IF 1.8 4区医学 Q1 Nursing

Australasian Emergency Care

Pub Date : 2023-03-01 DOI: 10.1016/j.auec.2022.08.001

Ursula Howarth , Peta-Anne Zimmerman , Thea van de Mortel , Nigel Barr

Background

The coronavirus pandemic (COVID-19) has focused attention on healthcare workers’ concerns about working during a pandemic, yet research on the effect of the pandemic specifically on paramedics is lacking. This literature review aims to critically examine the current knowledge of paramedics’ experience of barriers to, and enablers of, responding to suspected or confirmed COVID-19 cases.

Methods

An integrative review was undertaken using articles found by a systematic search of four research databases. Inclusion criteria included paramedics or emergency medical technicians who had experience of barriers or enablers responding to patients during the coronavirus pandemic.

Results

Nine articles met the inclusion and exclusion criteria. Barriers included communication and poor leadership, fear of infection to self and family, frequent changes in guidelines and inconsistencies across agencies, stress/burnout, and concerns with personal protective equipment. Enablers included job security, perceived social support, solidarity with other paramedics, and use of modern technologies for communication.

Conclusions

There are unique experiences of working during the COVID-19 pandemic in the prehospital environment. Particular challenges occurred with leadership, communication within the organisation and between agencies, and working in an unpredictable environment.

背景冠状病毒大流行（新冠肺炎）将注意力集中在医护人员对在大流行期间工作的担忧上，但缺乏关于大流行对医护人员的影响的研究。这篇文献综述旨在批判性地检查护理人员对应对疑似或确诊新冠肺炎病例的障碍和促成因素的经验的现有知识。方法利用系统检索四个研究数据库中的文章进行综合评价。纳入标准包括有在冠状病毒大流行期间应对患者的障碍或使能因素经验的护理人员或急救医疗技术人员。结果9篇文章符合纳入和排除标准。障碍包括沟通和领导能力差、对自我和家人感染的恐惧、指导方针的频繁变化和各机构之间的不一致、压力/倦怠以及对个人防护设备的担忧。促成因素包括工作保障、感知到的社会支持、与其他护理人员的团结以及现代通信技术的使用。结论新冠肺炎大流行期间，在院前环境中有独特的工作经验。领导能力、组织内部和机构之间的沟通以及在不可预测的环境中工作都面临着特殊的挑战。

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引用次数: 3

Challenges to recognising patients at risk of out-of-hospital clinical deterioration 识别有院外临床恶化风险的患者的挑战

IF 1.8 4区医学 Q1 Nursing

Australasian Emergency Care

Pub Date : 2023-03-01 DOI: 10.1016/j.auec.2022.07.003

Emma Bourke-Matas , Emma Bosley , Karen Smith , Ben Meadley , Kelly-Ann Bowles

Background

The acute derangement of physiological function is a time-critical medical emergency requiring prompt recognition. As autonomous practitioners in resource scarce, high-risk environments, clinical deterioration can impose complex and increased clinical demands on paramedics. Early recognition is imperative to facilitating proactive responses to mitigate adverse effects. This study aimed to determine if clinicians can meet consensus regarding meaningful clinical factors for recognising to out-of-hospital (OOH) clinical deterioration risk.

Methods

A three-round electronic Delphi study was conducted between June 2020 and January 2021. The expert panel was composed of 30 clinicians, including paramedics and emergency physicians. Participants were presented with eight clinically diverse case vignettes addressing various clinical factors related to OOH clinical deterioration.

Results

Participants identified various challenges related to the recognition of OOH clinical deterioration. Although participants were able to meet consensus on most clinical factors related to deterioration, consensus was not achieved where cases had a combination of factors including: medical aetiology, subtle vital sign changes, non-specific complaints, age-extreme patients, and presence of co-morbidities.

Conclusions

This study demonstrated that clinicians face various challenges to recognising clinical deterioration in the OOH setting. Better understanding these challenging patient cohorts could assist to increase awareness and improve early recognition of OOH clinical deterioration.

背景急性生理功能紊乱是一种需要及时识别的时间紧迫的医疗紧急情况。作为资源稀缺、高风险环境中的自主从业者，临床恶化可能会给护理人员带来复杂且不断增加的临床需求。早期认识对于促进积极应对以减轻不利影响至关重要。本研究旨在确定临床医生是否能够就识别院外（OOH）临床恶化风险的有意义的临床因素达成共识。方法在2020年6月至2021年1月期间进行三轮德尔菲电子研究。专家小组由30名临床医生组成，其中包括护理人员和急诊医生。向参与者展示了八个临床上不同的病例小插曲，涉及与OOH临床恶化相关的各种临床因素。结果参与者发现了与OOH临床恶化识别相关的各种挑战。尽管参与者能够在与病情恶化相关的大多数临床因素上达成共识，但在病例具有多种因素的情况下，没有达成共识，这些因素包括：医学病因、细微的生命体征变化、非特异性主诉、年龄极端的患者、，结论本研究表明，临床医生在OOH环境中识别临床恶化面临各种挑战。更好地了解这些具有挑战性的患者群体有助于提高对OOH临床恶化的认识和早期认识。

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引用次数: 2

Can degrading information about patient symptoms in vignettes alter clinical reasoning in paramedics and paramedic students? An experimental application of fuzzy trace theory 小插曲中关于患者症状的有辱人格的信息会改变护理人员和护理学生的临床推理吗？模糊轨迹理论的实验应用。

IF 1.8 4区医学 Q1 Nursing

Australasian Emergency Care

Pub Date : 2023-02-13 DOI: 10.1016/j.auec.2023.02.002

Toby Keene , Eryn Newman , Kristen Pammer

Background

Research has shown paramedics form rapid intuitive impressions on first, meeting a patient and these impressions subsequently affected their clinical reasoning. We report an experiment where theory-based interventions are developed with the goal of reducing reliance on intuitive reasoning by paramedics and paramedic students in simulated patients.

Method

Australian paramedics (n = 213; 49% female) and paramedicine students (n = 83; 55% female) attending paramedic conferences completed a 2 × 2 fully between participants experiment. They saw a written clinical vignette designed to be representative of Acute Coronary Syndrome (ACS) in which key clinical information was precise or degraded (stimulus), they then either chose the single most likely diagnosis from a list, or ranked competing diagnoses (response). Outcome variables were diagnostic rate and response time.

Results

There were no differences in the proportion of participants choosing ACS across the four stimulus-response conditions (0.75 [0.65, 0.84] vs 0.79 [0.68, 0.87] vs, 0.78 [0.65, 0.87] vs 0.72 [0.59, 0.82], p = 0.42)

Conclusion

This is the first study attempting to experimentally examine clinical reasoning in paramedics using a theory-based intervention. Neither of the interventions tested succeeded in altering measures of clinical reasoning. Similar to previous research on physicians, paramedic reasoning appears robust to manipulation.

背景：研究表明，医护人员在第一次见到病人时会形成快速的直觉印象，这些印象随后会影响他们的临床推理。我们报告了一项实验，在该实验中，开发了基于理论的干预措施，目的是减少护理人员和护理学生在模拟患者中对直觉推理的依赖。方法：参加护理人员会议的澳大利亚护理人员（n=213；49%为女性）和护理专业学生（n=83；55%为女性）完成了一项2×2的完全参与者间实验。他们看到了一份旨在代表急性冠状动脉综合征（ACS）的书面临床小插曲，其中关键的临床信息是精确的或退化的（刺激），然后他们要么从列表中选择最有可能的诊断，要么对竞争诊断进行排名（反应）。结果变量为诊断率和反应时间。结果：在四种刺激反应条件下，选择ACS的参与者比例没有差异（0.75[0.65，0.84]vs 0.79[0.68，0.87]vs 0.78[0.65，0.8 7]vs 0.72[0.59，0.82]，p=0.42）结论：这是第一项尝试使用基于理论的干预对护理人员的临床推理进行实验性检验的研究。测试的两种干预措施都没有成功地改变临床推理的衡量标准。与之前对医生的研究类似，护理人员的推理似乎对操纵很有力。

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引用次数: 0

The impact of an educational video about the role of an emergency nurse, viewed by emergency nurses’ support systems, on emergency nurses’ wellbeing 由急诊护士支持系统观看的关于急诊护士角色的教育视频对急诊护士福祉的影响

IF 1.8 4区医学 Q1 Nursing

Australasian Emergency Care

Pub Date : 2022-12-01 DOI: 10.1016/j.auec.2022.01.005

Alexandra Nevill , Kathryn Pristupa , Gerard O’Reilly

Background

High stress daily events contribute to burnout in emergency nurses. Strong and informed support systems are essential in ensuring emergency nurses are actively dealing with their workplace-generated stress, through informal social support.

Methods

A pre and post intervention design over a 6-month period in a single ED. A video was created by emergency nurses to orientate their support system to their role and work environment. Its impact on nurse well-being was assessed.

Results

More than half of the participants considered their spouse/partner to be their main support system (n = 52, 58%). The majority of participants found their support system: (i) had a greater understanding of their everyday work (n = 79, 88%), (ii) were more engaged when talking about work (n = 72, 80%), (iii) asked more questions about work (n = 63, 70%), and (iv) reported they had an improved ability to debrief with their support system (n = 67, 74%). The median total World Health Organization wellbeing score improved by two points (7%, p < 0.001).

Conclusion

Emergency nurses’ support systems had a greater understanding of the emergency nurse's role and work environment following exposure to the video. This in turn improved the emergency nurses' ability to debrief at home, experience of support, and ultimately their wellbeing.

背景:日常高压力事件会导致急诊护士的职业倦怠。强大和知情的支持系统对于确保急诊护士通过非正式的社会支持积极应对工作场所产生的压力至关重要。方法在单个急诊科进行为期6个月的干预前后设计。由急诊护士制作视频，以使其支持系统适应其角色和工作环境。评估了其对护士幸福感的影响。结果超过一半的参与者认为他们的配偶/伴侣是他们的主要支持系统(n = 52,58%)。大多数参与者发现他们的支持系统:(i)对他们的日常工作有了更深入的了解(n = 79,88%)， (ii)在谈论工作时更投入(n = 72,80%)， (iii)问了更多关于工作的问题(n = 63,70%)， (iv)报告说他们与支持系统汇报的能力有所提高(n = 67,74%)。世界卫生组织幸福感得分中位数提高了2分(7%，p <0.001)。结论急诊护士支持系统对急诊护士的角色和工作环境有了更好的理解。这反过来又提高了急诊护士在家汇报的能力、获得支持的经验，并最终提高了她们的健康水平。

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引用次数: 0

The effect of 20 minutes of cool running water first aid within three hours of thermal burn injury on patient outcomes: A systematic review and meta-analysis 热烧伤后3小时内20分钟冷水急救对患者预后的影响:一项系统回顾和荟萃分析。

IF 1.8 4区医学 Q1 Nursing

Australasian Emergency Care

Pub Date : 2022-12-01 DOI: 10.1016/j.auec.2022.05.004

Bronwyn Griffin , C.J. Cabilan , Bassel Ayoub , Hui (Grace) Xu , Tina Palmieri , Roy Kimble , Yvonne Singer

Background

Burn injuries are a leading cause of morbidity that can result in devastating disability and poor quality of life for survivors. This systematic review aimed to synthesise evidence regarding the effect of 20 minutes of cool running water (CRW) within three hours of injury on outcomes of patients with thermal burn injuries.

Methods

This systematic review was conducted in reference to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Multiple databases (PubMed, EMBASE, CENTRAL, CINAHL Complete via EBSCO, PROQUEST Dissertations and Theses), and the Australia New Zealand Clinical Trial Registry were searched for eligible studies published in English and Chinese, without date restriction. Meta-analyses were undertaken Methodological quality of studies was assessed by using Downs and Black Checklist.

Results

Of 323 records, seven studies were included. The majority (67%) of studies were conducted in Australia and New Zealand. The methodological quality was ranked between ‘fair’ and ‘good’. Twenty minutes of CRW within the first three hours of burn injury significantly decreased the odds of patients requiring skin grafting and surgical intervention for wound management.

Conclusions

There is considerable evidence suggesting the application of 20 min of CRW within the first three hours of injury improves outcomes for patients with burn injury. Consensus between burn organisations and collaborative efforts to translate evidence into practice are needed to optimise burn first aid care which can improve patient outcomes globally.

背景:烧伤是发病的主要原因，可导致严重残疾和幸存者生活质量下降。本系统综述旨在综合有关热烧伤患者受伤后3小时内20分钟冷水(CRW)对预后影响的证据。方法参照系统评价和荟萃分析的首选报告项目进行系统评价。检索多个数据库(PubMed, EMBASE, CENTRAL, CINAHL Complete via EBSCO, PROQUEST Dissertations and Theses)和澳大利亚新西兰临床试验注册中心，检索中英文发表的符合条件的研究，没有日期限制。采用Downs和Black检查表评估研究的方法学质量。结果323例病例中，纳入7项研究。大多数(67%)的研究在澳大利亚和新西兰进行。研究方法的质量在“一般”和“良好”之间。烧伤后3小时内进行20分钟的CRW治疗可显著降低患者需要植皮和手术治疗的几率。结论有大量证据表明，在烧伤后3小时内应用20分钟的CRW可改善烧伤患者的预后。烧伤组织之间的共识和合作的努力，将证据转化为实践需要优化烧伤急救护理，这可以改善全球患者的结果。

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引用次数: 6

Charge nurses’ perceived experience in managing daily work and major incidents in emergency departments: A qualitative study 急诊科主管护士对日常工作和重大事件管理的感知经验:一项定性研究

IF 1.8 4区医学 Q1 Nursing

Australasian Emergency Care

Pub Date : 2022-12-01 DOI: 10.1016/j.auec.2022.02.003

Cecilia Holmgren , Susanne Jussèn , Magnus Andersson Hagiwara , Monica Rådestad

Background

Emergency department charge nurses are expected to oversee the quality of patient care, direct work, and the allocation of resources. The charge nurse is the unit’s frontline leader, and he/she must have proper leadership training and support to carry out duties effectively. This study explores how charge nurses perceive their role in managing daily work and major incidents at the emergency department.

Methods

A qualitative study based on focus group discussions using a semi-structured interview. Participants were 12 charge nurses from four Swedish emergency departments.

Results

For data analysis, a systematic text condensation method was used. The analysis of data generated four categories: (1) Coping with chaos; (2) Need for further training; (3) Feeling of inadequacy; and (4) Lack of strategies.

Conclusions

The study concluded that the emergency department charge nurse has frontline duties that are diverse, multifaceted, require good leadership qualities, and lack detailed job description. Charge nurses confront many challenges in their daily work, often with little training or the opportunity to develop in their professional. This study provides understanding of the concerns charge nurses hold about working as frontline leaders and that departmental heads must support the education and training of their charge nurses.

背景:急诊科主管护士被期望监督病人护理的质量、指导工作和资源分配。主管护士是单位的一线领导，他/她必须接受适当的领导培训和支持，才能有效地履行职责。本研究探讨主管护士如何看待他们在管理日常工作和重大事件在急诊科的角色。方法采用半结构化访谈法进行焦点小组讨论的定性研究。参与者是来自四个瑞典急诊科的12名主管护士。结果采用系统的文本浓缩法进行数据分析。分析产生的数据有四大类:(1)应对混乱;(2)需要继续培训的;(3)不足感;(4)缺乏策略。结论急诊科主管护士的一线职责多样化、多面性强，需要良好的领导素质，缺乏详细的岗位描述。主管护士在日常工作中面临许多挑战，往往很少接受培训或有机会在专业上发展。本研究旨在了解主管护士作为一线领导的顾虑，以及部门主管必须支持其主管护士的教育和培训。

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引用次数: 3