International Emergency Nursing[JOURNAL]
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200 papers
Patients' experiences of community care after ambulance assessment: A scoping review'.
Bowling P, de Jong G
Int Emerg Nurs · 2025 Aug · PMID 40544721 · Publisher ↗
INTRODUCTION: The changing role of ambulance clinicians has come with a focus on providing tailored care to patients within the community, thus preventing the need for transport to an emergency department. AIM: The aim o...
INTRODUCTION: The changing role of ambulance clinicians has come with a focus on providing tailored care to patients within the community, thus preventing the need for transport to an emergency department. AIM: The aim of this scoping review was to identify and analyse patient experiences of receiving community care following ambulance assessment. METHODS: A scoping literature review was conducted guided by the PRISMA Extension for Scoping Reviews. Four electronic databases were searched: MEDLINE, CINAHL, ProQuest, and Scopus. Thematic analysis was used for exploring key codes, themes, and sub-themes. RESULTS: The search led to an initial list of 930 articles of which ultimately 10 were selected for narrative analysis. Three key themes and eight subthemes were identified. First, the perceived benefits of community ambulance care which according to participants improved: health status and literacy; created a safety net; and provided holistic care. Second, ambulance professionals that were regarded as excellent clinicians due to: their interpersonal and communication skills; the importance they put on building rapport; and their ability to provide reassurance for vulnerable patients. Finally, participants preferred to be treated within the community instead of the hospital as such treatment provided: timely and accessible care in the home environment; and is better aligned with the principles of patient and family-centred care. CONCLUSION: The patient-clinician bond allows for a trusting and collaborative relationship in ambulance services with both patients and family, as a unit of care, resulting in a more personalised, and functional approach to care provision.
The low-flow mask oxygen could be a more effective, comfortable, and easy-to-follow treatment for psychogenic hyperventilation syndrome: A double-blind, randomized controlled trial.
Yang L, Yuan D, Luo Z … +2 more , Li Y, Zhu X
Int Emerg Nurs · 2025 Aug · PMID 40532319 · Publisher ↗
OBJECTIVES: To compare the effect of low-flow mask oxygenation (LFMO) with breathing training (BT) for psychogenic hyperventilation syndrome (PHVS), providing more options and evidence for clinical treatment. METHODS: Th...
OBJECTIVES: To compare the effect of low-flow mask oxygenation (LFMO) with breathing training (BT) for psychogenic hyperventilation syndrome (PHVS), providing more options and evidence for clinical treatment. METHODS: The randomized double-blinded controlled trial was prospectively registered in the Chinese Clinical Trial Registry on 1 June 2023 under the defined number (ChiCTR2300072044) and subsequently approved by the Ethics Committee (REDACT) (GYZXLL2023070). From 10 May 2024 to 23 November 2024, participants with PHVS were recruited and blindly randomized into the LFMO group and the BT group, then the LFMO group inhaled 3L/minute oxygen with the oxygen mask and breathed freely, while the BT group performed the breath training led by researchers face-to-face. The recovery length from PHVS, the Nijmegen Questionnaire score at fifteen minutes since the intervention, the Nijmegen Questionnaire score at the end of the intervention, and the comfort/tolerance score (participant rating via NRS) were collected as the primary outcome. The secondary outcome was measured by the mean breath rate during the recovery (Calculated by dividing the total number of breaths during the intervention by time) and laboratory results, including the PH, lactate, K+, Ca2+, PO, and PCo. RESULTS: Forty-five participants (all Asian) completed the study and were included in the analysis (21 for the LFMO group and 24 for the BT group), mainly female (75 %, n = 33). All demographic characteristics between the two groups are within the reasonable range and show no significant difference. However, significant differences were measured among the outcomes, including the oxygen index (480.22 ± 29.64, 311.01 ± 15.45, p < 0.001), Mean breath rate during recovery (19.17 ± 1.74, 28.24 ± 2.53, p < 0.001), and the LFMO group showed significant advantages in both the length of recovery (22.94 ± 2.81, p < 0.001) and comfort/tolerance (5.86 ± 1.24, p < 0.001). CONCLUSION: Compared to breath training therapy, the low-flow mask oxygenation could be a more effective, comfortable, and easy-to-follow treatment for PHVS.
Strategies to improve the quality of nurse triage in emergency departments: A systematic review.
Ouellet S, Gallani MC, Fontaine G … +5 more , Mercier É, Lapierre A, Severino F, Gélinas C, Bérubé M
Int Emerg Nurs · 2025 Aug · PMID 40532318 · Publisher ↗
AIM: This systematic review aimed to assess the impact of implementation strategies for nursing triage on quality outcomes and to examine barriers and facilitators to their implementation in the emergency department (ED)...
AIM: This systematic review aimed to assess the impact of implementation strategies for nursing triage on quality outcomes and to examine barriers and facilitators to their implementation in the emergency department (ED). DATA SOURCES: Embase, PubMed, CINAHL, Cochrane Library, Web of Science, PsycINFO and ProQuest Dissertations & Theses. METHODS: This systematic review included quantitative and qualitative studies published from January 1990 to April 2024 that evaluated strategies to improve ED triage. Study quality was assessed with the Mixed Methods Appraisal Tool (MMAT). The benefits of the strategies were reported using descriptive statistics (quantitative studies) and themes and subthemes (qualitative studies). Barriers and facilitators were identified using the Behavior Change Wheel framework. RESULT: Three main implementation strategy categories to improve the quality of nursing triage were identified: education (64%), technology (30%), and audit and feedback (6%). All strategies demonstrated short-term benefits, including increased triage accuracy and improved triage knowledge and skills. The most frequently reported barriers were workload and overcrowding, while facilitators included nurses' experience, interprofessional collaboration, and a culture of continuous improvement. CONCLUSION: Comprehensive approaches, including education, technology, and regular audits with feedback, are associated with improved triage quality outcomes. Continuous training, active nurse participation in tool development, and the use of validated audit tools are essential. These measures could ensure rigorous nursing triage in EDs and enhance care safety by optimizing patient prioritization as they enter healthcare systems. This review underscores the need for further research on implementation strategies to enhance effective and safe patient prioritization in the ED.
Comment on "A systematic review on suction-based airway clearance devices for foreign body airway obstruction".
Kumar S, Mehta R, Sah R
Int Emerg Nurs · 2025 Aug · PMID 40482627 · Publisher ↗
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Letter to "Perceptions of alarm fatigue among nurses in Emergency Departments, Intensive Care Units, and Medical-Surgical Wards in the Northern Emirates".
Yu R, Li G, Tang Y
Int Emerg Nurs · 2025 Aug · PMID 40466408 · Publisher ↗
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Factors associated with disposition of patients transferred to an emergency department in a district hospital in Botswana.
Mamalelala TT, Holzemer W, Maleho ME … +1 more , Mokone DJ
Int Emerg Nurs · 2025 Aug · PMID 40440779 · Publisher ↗
BACKGROUND: The Emergency Department (ED) at the district hospital or primary hospital serves as a point of entry for patients with various medical needs from health posts and community clinics. A delayed or inaccurate d...
BACKGROUND: The Emergency Department (ED) at the district hospital or primary hospital serves as a point of entry for patients with various medical needs from health posts and community clinics. A delayed or inaccurate disposition can result in a transfer to a lower level of care and a possible return to the health system. The study aimed to investigate the factors associated with disposition of patients from district hospital ED. METHODS: A retrospective descriptive study using 1,565 triage charts and admitting medical records was conducted for the period June through December 2020. A binomial logistic regression investigated patient and facility factors related to patient disposition. The moderated mediation model evaluated the effect of patients' urgency on the disposition of the patients from the ED. RESULTS: Referring facility, HIV status, patient-level of acuity, length of stay in the ED, and the waiting time for the doctor were predictors of the disposition of the patients from the ED (p = 0000). Waiting time for a doctor's consultation is positively and significantly associated with length of stay in the ED (p < 0.001). CONCLUSION: The findings highlight the need for an efficient triage system, as delays in care can adversely affect patient outcomes. Addressing challenges related to prolonged length of stay (LOS) and doctors waiting time are also essential for optimizing patient flow. Enhancing triage processes and conducting further research are crucial for improving emergency care efficiency and safety.
Telehealth Referral to Improve Outcomes (TRIO) Intervention for Asymptomatic Hypertension in the Emergency Department: A Randomized Pilot Feasibility Study.
Souffront K, Shubeck C, Loo GT … +1 more , Richardson LD
Int Emerg Nurs · 2025 Aug · PMID 40435554 · Publisher ↗
Abstract loading — click title to view on PubMed.
Strengthening healthcare readiness: Lessons from frontline nurses in a South African tertiary hospital for future pandemic preparedness.
Bell SA, Inloes JB, Brysiewicz P
Int Emerg Nurs · 2025 Jun · PMID 40409111 · Full text
BACKGROUND: The World Health Organization and the International Council of Nurses both support nurses' involvement in health policymaking, including readiness planning for public health emergencies. South Africa's frontl...
BACKGROUND: The World Health Organization and the International Council of Nurses both support nurses' involvement in health policymaking, including readiness planning for public health emergencies. South Africa's frontline nurses often have limited involvement in healthcare policymaking, even though nurses comprise 56% of the country's total public healthcare workforce and 87% of its skilled health professionals. This has implications for the quality and safety of nursing care provided during past and anticipated future pandemic events. OBJECTIVE: This purpose of this study was to evaluate frontline healthcare professionals' perspectives on pandemic preparedness in South Africa to inform policy improvements. METHODS: Four focus groups with registered nurses (n = 11) and semi-structured interviews with disaster committee members (n = 4) were conducted. A review of existing disaster policies contextualized the findings, which were analyzed using qualitative content analysis guided by a health policy framework. RESULTS: Four key categories emerged that described barriers to working in a disaster context: working outside of role and scope, insufficient staffing, mental health impacts, and lack of training for disasters and pandemics, all of which contribute to challenges in pandemic preparedness. CONCLUSIONS: Despite being the majority of the health workforce, South African nurses often lack influence in disaster planning. This study highlights how systemic challenges in a resource-limited hospital setting-such as chronic staffing shortages, insufficient inclusion of nurses in disaster policy development, and lack of tailored mental health support-compromised pandemic preparedness. Interventions such as peer-led mental health support, bedside microteaching, and nurse-informed policies could strengthen future pandemic readiness. These findings offer practical, scalable solutions for similar low-resource settings and underscore the importance of involving frontline nurses in disaster policymaking.
The relationship between intervention and transport times in pre-hospital emergency medical services and resuscitation success.
Turan A, Ekşi A, Gümüşsoy S … +2 more , Tay B, Bilgin EÇ
Int Emerg Nurs · 2025 Jun · PMID 40409110 · Publisher ↗
OBJECTIVE: This study aimed to evaluate the relationship between pre-hospital emergency medical services' intervention and transport times at the scene of cardiac arrest cases and resuscitation success. METHOD: The study...
OBJECTIVE: This study aimed to evaluate the relationship between pre-hospital emergency medical services' intervention and transport times at the scene of cardiac arrest cases and resuscitation success. METHOD: The study retrospectively analyzed six years of data from the Çanakkale Provincial Ambulance Service Chief Physician's office between January 1, 2018, and December 31, 2023. Descriptive statistical methods were employed in the data analysis. The normality of the data distribution was tested, and for quantitative data comparison, an independent t-test was used for normally distributed data, while the Mann-Whitney U test was used for non-normally distributed data. A p-value of <0.05 was considered statistically significant. RESULTS: In the study, 2,940 cases involving resuscitation in pre-hospital emergency medical services were evaluated. The EMS teams provided an average of 18.12 min of on-scene intervention for cardiac arrest cases, while the average duration of intervention during transport from the scene to the hospital was 11.23 min. Of these cases, 6.3 % (n = 186) involved witnessed sudden cardiac arrest. The rate of successful resuscitation was 21.5 % in witnessed sudden cardiac arrest cases, whereas it was 12.7 % in unwitnessed cases. No statistically significant difference was found between successful resuscitation outcomes and the durations of on-scene intervention or transport to the hospital (p > 0.05). CONCLUSION: In witnessed cardiac arrest cases receiving pre-hospital emergency medical services, the intervention and transport times generally did not show a significant difference compared to other cases, and interventions are typically completed within 20 min. This duration is also considered a threshold for good neurological recovery in cases of successful resuscitation. Further studies are needed to make clear recommendations regarding optimal time values for intervention in cardiac arrest cases at the scene.
Construction of emergency competency models for nurses in emerging high-consequence infectious disease outbreaks: Behavioural event interview approach.
Liu S, Li Y, Zhou C … +4 more , Zhao J, Guo J, Luo L, Jiang Y
Int Emerg Nurs · 2025 Jun · PMID 40393204 · Publisher ↗
BACKGROUND: Emerging high-consequence infectious disease outbreaks (EHCIDs) have significantly impacted healthcare systems worldwide. Nurses specialising in outbreak response nurses play an important role in the preventi...
BACKGROUND: Emerging high-consequence infectious disease outbreaks (EHCIDs) have significantly impacted healthcare systems worldwide. Nurses specialising in outbreak response nurses play an important role in the prevention and control of EHCIDs. However, the specific competencies required for these nurses remain undefined. This study aims to develop a competency model for nurses involved in managing EHCIDs, providing a foundation for the training and organisation of specialised nurse response teams. METHODS: We recruited a geographically stratified sample of nurses from tertiary hospitals in four representative regions of China (Eastern, Western, Northern, Southern) for this cross-sectional study, conducted from April 2021 to April 2023. Using the validated Behavioural Event Interview (BEI) methodology, we conducted qualitative research with 40 nurses from hospitals designated for COVID-19 treatment. Participants were asked to describe three successful scenarios and three challenging experiences they encountered during recent pandemic responses with semi-structured interviews. We analysed the qualitative data using an iterative constant comparison method, employing a three-phase coding process (open, axial, selective) facilitated by NVivo 12.0 software. This analysis culminated in an evidence-based competency model. To ensure the model's reliability and validity, we performed categorical consistency checks and synchronous cross-validity testing. RESULTS: The study included 20 excellent nurses and 20 average nurses. We developed a tailored nursing competency model comprising 20 total competencies, categorised into core (6 competencies), critical (7 competencies), and foundational (7 competencies). Inter-coder reliability was robust, with Cohen's κ ranging from 0.741 to 0.830, and an overall agreement of 0.773. Significant differences in competency scores (p < 0.05) were noted between high-performing and adequately-performing nurses, particularly in core and critical competencies. CONCLUSIONS: The competency model for outbreak response nursing is scientifically robust and practically applicable. It is particularly crucial for effective nursing management in the face of sudden and uncertain infectious disease outbreaks.
Addressing documentation deficiencies in emergency department records: Implications for fall risk assessment and holistic care in older adults.
Bergström S, Rosengren K, Wallengren C … +2 more , Schenell R, Falk Erhag H
Int Emerg Nurs · 2025 Jun · PMID 40375417 · Publisher ↗
BACKGROUND: Falls are a substantial threat to public health globally and the leading cause of unintentional injury and death among individuals aged 65 years and older. This study aimed to review the medical records of ol...
BACKGROUND: Falls are a substantial threat to public health globally and the leading cause of unintentional injury and death among individuals aged 65 years and older. This study aimed to review the medical records of older patients in an ED after an accidental fall to summarize their documented care process and identify factors associated with hospitalization or discharge to home. METHODS: A retrospective review of medical records (n = 778) was conducted at a university hospital emergency department (ED) in Sweden. Descriptive statistics were used to report patient characteristics and differences in proportions based on information sources, the patient's inability to state the reason for the fall, and health- care interventions. RESULTS: The medical records documentation of all professionals focused on medical conditions but lacked information on social background, screening, and status in the ED. Being discharged after a fall accident (55%) was more common than being hospitalized (45%), and most hospitalizations were attributed to medical reasons. There were differences in documentation between hospitalized and discharged. Overall, the medical records of the hospitalized group had more information of patient's social situations and walking aids than the discharged group. CONCLUSION: The results highlight deficiencies in documenting critical patient information within ED medical records. These gaps in medical records hinder the effective assessment and management of fall risk in older adults. Therefore, implementing person-centered care (PCC) with a holistic approach along with fall prevention is essential.
Nursing staff's perceptions of and reasons for missed nursing care in patients with traumatic injuries.
Lundin A, Unbeck M, Andersson AC … +2 more , Enocson A, Berg LM
Int Emerg Nurs · 2025 Jun · PMID 40375416 · Publisher ↗
INTRODUCTION: Trauma causes nearly six million deaths annually and is the leading cause of death in the working-age population. Systematic, multidisciplinary, team-based initial care is vital. Trauma nursing addresses co...
INTRODUCTION: Trauma causes nearly six million deaths annually and is the leading cause of death in the working-age population. Systematic, multidisciplinary, team-based initial care is vital. Trauma nursing addresses complex physical and psychological needs, enhancing patient outcomes and preventing complications. However, acute care settings have challenges, such as heavy workloads and high patient-to-nurse ratios. AIM: This study aimed to explore nursing staff́s perceptions of reasons for missed nursing care for patients with traumatic injuries. METHODS: Four semi-structured group interviews were conducted with 22 registered and assistant nurses caring for trauma patients in a level one trauma center. The data were analyzed using thematic analysis and an inductive approach. RESULTS: The main findings revealed that complex organizational challenges hinder consistent nursing care. Factors such as patient characteristics and team composition necessitate prioritizing medical interventions over nursing care, leading to feelings of inadequacy among nurses when they are unable to provide timely care. CONCLUSION: Our findings indicate that essential nursing care is frequently overlooked in the trauma ward, often taking a backseat to medical interventions. This trend arises from the intricate dynamics of patient characteristics, team composition, and the organizational environment.
The experiences of patients and family members after being discharged at scene following an emergency ambulance attendance. A rapid evidence review.
Doran S, Ortega M, Whitley GA
Int Emerg Nurs · 2025 Jun · PMID 40375415 · Publisher ↗
INTRODUCTION: A large proportion of emergency calls to the ambulance service are non-life-threatening, resulting in some patients being discharged by paramedics at the scene. Negative patient and family member experience...
INTRODUCTION: A large proportion of emergency calls to the ambulance service are non-life-threatening, resulting in some patients being discharged by paramedics at the scene. Negative patient and family member experiences during a clinical encounter may have lasting effects. We aimed to explore the experiences of patients and family members who were discharged on scene after ambulance attendance. METHODS: A rapid evidence review was conducted. MEDLINE and CINAHL Complete databases were searched simultaneously for all articles published before the 15th March 2024. Study screening and data extraction was performed. The included studies were critically appraised, and a thematic synthesis was conducted. RESULTS: Five papers representing patients and family members from Australia, Sweden, Finland, and Denmark were included. Patients and family members experienced: fear and uncertainty at transitional points; reassurance from sharing responsibility; relief from a normal physical assessment; confidence from informative worsening advice; being listened to and validated; reliance on each other; and empowerment through being involved in decision making. CONCLUSION: Patients and family members have varied experiences when being discharged at scene. The limited number of available studies highlights the need for further research to be conducted internationally.
Emergency Department overnight deflection of low acuity patients: A 6-month evaluation of a quality improvement project.
Fenwick R, Bassett N, Revell-Jones C … +3 more , Bowen R, Bloor L, Roop R
Int Emerg Nurs · 2025 Jun · PMID 40367694 · Publisher ↗
BACKGROUND AND PROBLEM STATEMENT: Emergency care services in the United Kingdom (UK) are currently under unprecedented pressure which has resulted in long patient delays. Alternative approaches are therefore required to...
BACKGROUND AND PROBLEM STATEMENT: Emergency care services in the United Kingdom (UK) are currently under unprecedented pressure which has resulted in long patient delays. Alternative approaches are therefore required to improve patient experience. PROJECT AIMS: Deflection is the process where patients with low acuity presentations are offered the option of returning to an appointment. This project aimed to reduce the Length Of Stay (LOS) by introducing deflection into our Emergency Department (ED). METHODS: Patients with suitable conditions were identified and their predicted ED-LOS was recorded which was then compared to their actual ED-LOS when they returned along with a satisfaction score. RESULTS: 147 overnight patients were deflected in a 6-month period (1.8%). The mean reduction in the predicted patient ED LOS was 5 h (300 min). The patient reported satisfaction was 4.79 out of 5. DISCUSSION: Whilst only suitable for a subset of patients presenting overnight to our ED, deflection empowered the nursing team to be able to offer alternatives to waiting. CONCLUSION: Within our ED, overnight deflection of patients with low acuity conditions has reduced the overall LOS and improved the experience for suitable patients. This may additionally benefit the wider ED system by reducing congestion in waiting areas and the need for nursing care whilst patients wait.
The effect of the vein imaging device used in peripheral intravenous catheterization on the initial vascular access of the procedure in patients admitted to the children's emergency department: A randomized controlled trial.
Karaarslan D, Ergin D, Bal A … +1 more , Utar A
Int Emerg Nurs · 2025 Jun · PMID 40349486 · Publisher ↗
INTRODUCTION: The intravenous cannulation of children in emergency can be extremely challenging. This study was aimed at investigating the effect of the vein-imaging device used in peripheral intravenous catheterization...
INTRODUCTION: The intravenous cannulation of children in emergency can be extremely challenging. This study was aimed at investigating the effect of the vein-imaging device used in peripheral intravenous catheterization on the success of the procedure in patients who presented to the children's emergency department. METHODS: In this randomized controlled study, 70 6- to 12-year-old children who presented to the emergency department were enrolled in the study. Then, they were randomly assigned to the vein imaging group (experimental group, n = 35) and to the standard group (control group, n = 35). The primary outcome measure was the success of the first attempt. Secondary outcome measures were the number of intravenous attempts and time allocated to the peripheral intravenous catheter placement. RESULTS: Seventy children completed the study. Of them, 35 were girls and 35 were boys. The total time for the attempts per patient were shorter in the vein imaging group than it was in the standard group (29.48 ± 10.21 vs 35.00 ± 24.65). There was a significant difference between the children in the vein imaging device and standard groups in terms of the mean difficult intravenous access scores during the procedure (p < 0.05). The children in the vein imaging device group obtained higher mean scores than did the children in the standard group. DISCUSSION: The use of new AccuVein AV500 technology assisted with peripheral intravenous catheterization access in children improves the first time success rate. Improved visualization of veins also reduced the number of attempts and the time required for the placement.
Further definition of critical incidents in paramedics' work.
Nordquist H
Int Emerg Nurs · 2025 Jun · PMID 40347794 · Publisher ↗
INTRODUCTION: Paramedics operate in unpredictable, fast-paced, and high-risk environments, yet their profession is profoundly centered on human interaction. This study aimed to define, through a unifying analysis, the cr...
INTRODUCTION: Paramedics operate in unpredictable, fast-paced, and high-risk environments, yet their profession is profoundly centered on human interaction. This study aimed to define, through a unifying analysis, the critical incidents in paramedic work. METHODS: This qualitative study utilized three previously published listings of critical incidents among paramedics from the United States, Germany, and Denmark and e-survey data of Finnish paramedics. A directed content analysis was applied. RESULTS: The previously identified critical incidents formed two main categories. The first, 'Challenging situations or circumstances faced during Emergency Medical Service (EMS) missions', had five categories: 'Accidents, threats, and violence targeting EMS personnel'; 'Mistakes'; 'EMS missions identified within one's own personal life'; 'Psychologically challenging interaction situations'; and 'Working conditions that involve experiences of failure or unreasonableness'. The second main category, 'Ethically burdensome and professionally demanding patient outcomes', also had five categories: 'Facing mutilated bodies and death'; 'Children and youth as victims of illness, severe accidents, or crimes'; 'Tragic patient outcomes involving injustice and misfortune'; 'Mass casualty incidents'; and 'Situations caused by intentional acts of others'. The unifying analysis proposed 34 critical incidents. The largest number of different critical incidents was identified in categories of 'Accidents, threats, and violence targeting EMS personnel' (7), 'Psychologically challenging interaction situations' (6), and 'Children and youth as victims of illness, severe accidents, or crimes' (6). CONCLUSIONS: The unified listing should be tested in various countries to assess its comprehensiveness and, if necessary, refine and supplement the critical incidents in paramedic work.
Traumatic incident among nurses in the emergency department: A concept analysis.
Fatai A
Int Emerg Nurs · 2025 Jun · PMID 40327976 · Publisher ↗
BACKGROUND: The term "traumatic incidents" (TI) has been utilized in the healthcare setting; however, the definition and dimensions among emergency department (ED) nurses remain unclear. This concept analysis was to clar...
BACKGROUND: The term "traumatic incidents" (TI) has been utilized in the healthcare setting; however, the definition and dimensions among emergency department (ED) nurses remain unclear. This concept analysis was to clarify the concept of TI among nurses in the ED by defining its attributes, antecedents, consequences, and empirical references specifically tailored to nurses in the ED. METHODS: A concept analysis using the Walker and Avant approach was conducted to investigate TI among nurses in the ED. RESULTS: TI among nurses in the ED encompasses physically and emotionally distressing events encountered during their duties. The two defining attributes include nurses in the ED frequently exposed to sudden and unexpected events involving patients' suffering or life-threatening conditions and subjective reactions and the experiences of ED nurses. CONCLUSION: A clarified understanding of antecedents, attributes, consequences, and the definition of TI among nurses in the ED can pave the way for a robust and reliable measurement tool, facilitating the assessment of such incidents within this specific nursing context. This contribution holds significant promise for advancing nursing and research.
"Psychometric validation and cultural adaptation of the Italian version of the ambulance nurse competence scale [Letter]".
Luthfiyah S, Triwiyanto T, Sumasto H
Int Emerg Nurs · 2025 Jun · PMID 40319509 · Publisher ↗
Abstract loading — click title to view on PubMed.
Translation and cultural adaptation of the DE-STRESS survey into Danish - Measuring stress, coping, and intention to leave among Emergency department Nurses, Nurse Assistants, and Physicians.
Raun M, Skov CS, Stroier J … +5 more , Jensen CM, Moos CM, Gudex C, Elder E, Østervang C
Int Emerg Nurs · 2025 Jun · PMID 40286485 · Publisher ↗
AIM: This study aimed to translate and culturally adapt the DE-STRESS (Emergency Department Stress, Coping, and Intention to Leave Survey) to the Danish emergency context. BACKGROUND: Clinicians (nurses, nurse assistants...
AIM: This study aimed to translate and culturally adapt the DE-STRESS (Emergency Department Stress, Coping, and Intention to Leave Survey) to the Danish emergency context. BACKGROUND: Clinicians (nurses, nurse assistants, and physicians) in an emergency department (ED) undertake psychologically demanding work, and the high-pressure environment combined with occupational stressors has made retention of ED clinicians a major issue. A suitable measure of stress and coping would contribute to the development of practices to support clinicians working in these high-stress environments. METHOD: The translation process was undertaken using the ISPOR principles of good practice for the translation and cultural adaptation of patient-reported outcomes, including forward translation, back translation, and cognitive debriefing through individual interviews with ED clinicians (n = 5). The study took place in a large teaching hospital in Southern Denmark and involved three forward translators, two backward translators, a key in-country person from both Australia and Denmark, and a project lead. RESULTS: The translation and cultural adaptation process was successfully conducted. Some concepts were difficult to translate, such as the terms ED and organization and the role of an ED supervisor. It was necessary to omit some demographic questions to ensure respondent anonymity, so the final Danish version has 123 questions versus the original 133 questions. CONCLUSION: The ED clinicians found the survey relevant and comprehensive as it addressed key factors in their work. We concluded that the Danish version of DE-STRESS is appropriate for use; however, a future study employing confirmatory factor analysis and assessing internal reliability is necessary to further investigate its psychometric properties.
Advanced practice nursing competence profile in emergencies: insights from Spain.
Jimenez-Garcia A, Cuevas-Budhart MA, Perez-Romero G … +3 more , Barneto-Valero C, Montoya-Juárez R, Del Pulgar MG
Int Emerg Nurs · 2025 Jun · PMID 40267753 · Publisher ↗
INTRODUCTION: The development of Advanced Practice Nursing roles in Emergency Care is crucial due to the growing demand for healthcare services, driven by the rising prevalence of chronic diseases, the impact of the COVI...
INTRODUCTION: The development of Advanced Practice Nursing roles in Emergency Care is crucial due to the growing demand for healthcare services, driven by the rising prevalence of chronic diseases, the impact of the COVID-19 pandemic on healthcare systems, and the need for cost-effective solutions amid workforce shortages in various healthcare professions. AIM: To establish a well-defined competency profile for Advanced Practice Nursing in emergency care using the Delphi method, ensuring that the identified competencies are relevant, clearly articulated, and systematically structured for effective practice in urgent and emergency settings. METHODOLOGY: A mixed-methods design, structured in three phases, was implemented to develop a competency profile for Advanced Practice Nursing in emergency care in Spain. The first phase utilized qualitative focus groups with experienced nurses to identify foundational competencies. The second phase applied a modified Delphi method with a panel of 42 experts to refine and validate these competencies through iterative feedback and consensus-building. Finally, a quantitative approach was employed, incorporating statistical techniques such as the Content Validity Index and Cronbach's alpha to ensure the clarity, coherence, and relevance of the competency items. RESULTS: The study identified eight competency units, comprising 17 competency criteria and 99 descriptors, of which 25 correspond to various competency units. CONCLUSIONS: The validated competency units, criteria, and descriptors serve as a cornerstone for establishing a comprehensive Advanced Practice Nursing in Emergency Care framework. This framework plays a crucial role in standardizing practices, improving care quality, and ensuring that nurses are well-equipped to address the complex challenges of emergency settings.
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