International Emergency Nursing[JOURNAL]
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200 papers
The association between artificial intelligence anxiety and occupational anxiety among emergency department healthcare workers.
Ataseven M, Ersoz Z, Kahvecı B
Int Emerg Nurs · 2026 May · PMID 42139853 · Publisher ↗
INTRODUCTION: While the integration of artificial intelligence (AI) into healthcare services has the potential to improve the quality of patient care and the efficiency of clinical processes, it can also lead to increase...
INTRODUCTION: While the integration of artificial intelligence (AI) into healthcare services has the potential to improve the quality of patient care and the efficiency of clinical processes, it can also lead to increased concerns among healthcare professionals in areas such as changes in professional roles, job security, and the sharing of ethical responsibilities. Emergency department personnel, who are already exposed to heavy workloads, time pressure, and rapid decision-making processes, are particularly vulnerable in this regard. In this context, the study aimed to examine the relationship between AI-related anxiety and occupational anxiety. METHODS: A descriptive cross-sectional study was conducted with 250 nurses and paramedics working in emergency departments in Istanbul between January and April 2025. Data were collected using the Healthcare Worker Information Form, the Artificial Intelligence Anxiety Scale, and the Professional Anxiety Scale. Nonparametric tests and correlation analyses were performed. RESULTS: The mean AI anxiety scale score was 43.27, indicating moderate anxiety, while sociotechnical blindness received the highest score. The average score on the Occupational Anxiety Scale was 78.02, reflecting moderate to high levels of anxiety. A significant positive correlation was found between AI anxiety and occupational anxiety, with the strongest correlation observed in socio-technical blindness. CONCLUSION: AI anxiety is significantly associated with higher levels of occupational anxiety among emergency healthcare workers. Interventions aimed at reducing AI anxiety, enhancing confidence, and promoting professional autonomy are essential during AI implementation.
Real-time Geolocation Platforms for Access to Automated External Defibrillators in Out-of-Hospital Cardiac Arrest: A Scoping Review.
Rios-Garcia W, Via-Y-Rada-Torres AD, Perales-Ledesma DA … +5 more , Fuentes Mendoza JM, Quintana-Garcia LA, Ramírez-Meyhuay DC, Váscones-Román FF, Rios-Garcia AA
Int Emerg Nurs · 2026 May · PMID 42134053 · Publisher ↗
BACKGROUND: Out-of-hospital cardiac arrest remains a major cause of preventable death. Rapid defibrillation is essential, yet access to automated external defibrillators is often delayed due to poor visibility and limite...
BACKGROUND: Out-of-hospital cardiac arrest remains a major cause of preventable death. Rapid defibrillation is essential, yet access to automated external defibrillators is often delayed due to poor visibility and limited availability. Real-time geolocation platforms have emerged to improve access and shorten response times. METHODS: A scoping review was conducted following Joanna Briggs Institute and PRISMA-ScR guidelines. Four databases: PubMed, Scopus, Embase, and Web of Science were searched from inception to April 2025. Studies reporting on real-time geolocation platforms designed to support early defibrillation in community or prehospital settings were included. RESULTS: Fourteen studies from seven countries were included. Most systems were smartphone-based or web applications integrated with emergency medical services. These platforms demonstrated potential to optimize early response: citizen responders arrived before emergency teams in 13-42% of cases, performed cardiopulmonary resuscitation in up to 69%, and delivered defibrillation in nearly 50%. Reported survival ranged from 8% to 88%, and restoration of spontaneous circulation occurred in approximately 30-39% of cases. However, inadequate device visibility (67%), restricted access (36%), and limited geographic coverage remained major operational barriers. CONCLUSIONS: Geolocation-based systems may improve community response to cardiac arrest and enhance survival through earlier defibrillation. Rigorous prospective studies are required to evaluate their long-term impact and determine their applicability across different emergency care systems.
Impact of practical-based education on paramedic students' confidence and competence in assessing and managing mental health conditions.
Taylor-Hall A, Hemingway L, Ross L
Int Emerg Nurs · 2026 May · PMID 42127829 · Publisher ↗
BACKGROUND: Mental health presentations are an increasing component of out-of-hospital care, requiring paramedics to develop confidence and skills in assessment and management. Practical-based education (PBE) and Objecti...
BACKGROUND: Mental health presentations are an increasing component of out-of-hospital care, requiring paramedics to develop confidence and skills in assessment and management. Practical-based education (PBE) and Objective Structured Clinical Examinations (OSCEs) have been proposed as effective approaches to support this development. AIM: To evaluate the impact of mental health-focused PBE and OSCEs on paramedic students' self-perceived confidence, and to examine the relationship between confidence and performance in a simulated assessment context. METHODS: A retrospective pre-post survey design was used to assess changes in self-perceived confidence among second-year paramedic students enrolled in a mental health unit at an Australian university. Confidence was measured across assessment, communication, and management domains using a 10-point Likert scale. OSCE performance scores were also collected. Changes in confidence were analysed using Wilcoxon signed-rank tests, and the relationship between confidence and performance was examined using Spearman's correlation. RESULTS: Ninety-four students participated. Statistically significant increases in self-perceived confidence were observed across all domains (p < 0.01), with the largest gains in assessment and management skills, including mental status assessment, suicide risk assessment, and pharmacological interventions. Small to moderate positive correlations were identified between confidence and OSCE performance, particularly in communication and interpersonal domains such as rapport and patient-centred interviewing. CONCLUSION: PBE and OSCEs were associated with increased self-perceived confidence and improved performance in simulated assessment contexts. These findings support the use of experiential learning approaches in paramedic mental health education. Future research should explore long-term skill development and the mechanisms underlying simulation-based learning.
A simulation-based network analysis of intervention targets for vicarious trauma among tertiary hospital emergency nurses in China.
Wei L, Chong MC, Gunarathne NS … +2 more , Lu X, Luo C
Int Emerg Nurs · 2026 May · PMID 42127828 · Publisher ↗
AIMS: To explore the interplay of vicarious trauma (VT) among emergency nurses and identify optimal intervention targets. METHODS: Between August and October 2025, a cross-sectional observational study was conducted amon...
AIMS: To explore the interplay of vicarious trauma (VT) among emergency nurses and identify optimal intervention targets. METHODS: Between August and October 2025, a cross-sectional observational study was conducted among 755 emergency nurses from 12 tertiary hospitals in Jiangsu Province, who completed a General Information Questionnaire and the Vicarious Traumatization Questionnaire. Network analysis mapped interactions among VT symptoms, and the NodeIdentifyR algorithm simulated alleviating and aggravating interventions to determine potential intervention targets. RESULTS: Mean VT score was 76.92 ± 21.265. Mental exhaustion when facing stress emerged as the core symptom and primary intervention target. In simulations, weakening it reduced the total VT score from 16.90 to 15.10 (-1.80), while enhancing it increased the score to 18.23 (+1.33). Several physiological symptoms, including nightmares, fatigue, nausea, and chest tightness or palpitations, were identified as secondary intervention targets. CONCLUSION: Computer-simulated interventions offer a precise approach for exploring VT among emergency nurses. Identifying core targets, such as mental exhaustion and key physiological symptoms, may help inform the development of tailored strategies aimed at addressing VT and supporting psychological well-being and occupational resilience.
Interruptions during triage: Characteristics and nurses' perception.
Ferrara P, Terzoni S, Nardese E … +4 more , Bisesti A, Calegari J, Ruta F, D'Antuono A
Int Emerg Nurs · 2026 May · PMID 42107171 · Publisher ↗
BACKGROUND: Triage is the first point of contact for individuals presenting to the Emergency Department. An accurate initial assessment is essential to ensure an appropriate care pathway; however, interruptions during th...
BACKGROUND: Triage is the first point of contact for individuals presenting to the Emergency Department. An accurate initial assessment is essential to ensure an appropriate care pathway; however, interruptions during this phase may compromise nurses' decision-making. AIM: To investigate the characteristics of interruptions during triage activities and the perception of nursing staff. MATERIALS AND METHODS: A descriptive observational study was conducted in the Emergency Department of a major teaching hospital in Milan, Italy. Interruptions were identified by direct field observation, while nurses' perceptions of the phenomenon were explored through a specifically designed questionnaire. RESULTS: 573 triage activities were assessed, of which 131 (22.86%) were interrupted; 23 activities (4.01%) were interrupted more than once. The median duration of interruptions was 17 s [10;37]. Twenty-four nurses completed the questionnaire. All respondents reported having been interrupted at least once during their professional activity; 87.5% of respondents believe that interruptions have become more frequent over the years. CONCLUSIONS: Our results confirm the multifaceted nature of the problem. The development of targeted strategies to prevent interruptions during the triage process is a key challenge for reducing nurses' exposure to the risk of clinical assessment errors and safeguarding patient safety.
Coping resources for nursing interruptions among emergency nurses in China: A multicenter cross-sectional study.
Lin T, Gao Y
Int Emerg Nurs · 2026 May · PMID 42105532 · Publisher ↗
BACKGROUND: Emergency nursing involves frequent interruptions threatening patient safety and nurses' well-being. Nurses' coping resources for managing interruptions remain understudied, particularly in Chinese emergency...
BACKGROUND: Emergency nursing involves frequent interruptions threatening patient safety and nurses' well-being. Nurses' coping resources for managing interruptions remain understudied, particularly in Chinese emergency settings. OBJECTIVE: To test Conservation of Resources theory hypotheses on the associations between objective resources, work demands, and coping resources among Chinese emergency nurses. DESIGN: Theory-driven cross-sectional survey with hypothesis testing. SETTING AND PARTICIPANTS: 2149 emergency nurses from 126 hospitals in seven Chinese regions (November-December 2024). METHODS: Coping resources were measured with a validated 26-item scale. Task load was assessed with NASA-TLX. Interruption frequency was assessed with the 12-item Workplace Interruption Measurement Scale. Bivariate correlations and multiple linear regression identified associated factors. RESULTS: Coping resources were moderately low. In the regression model, higher coping resources were independently associated with emergency specialist certification, interruption training, higher education, and professional title. Task load and interruption frequency were negatively associated. Age, marital status, experience, and hospital size were not significant predictors. CONCLUSIONS: Chinese emergency nurses report moderately low coping resources for interruptions. These resources related more to formal qualifications than to demographics or work experience. Credential-based education and targeted training may enhance nurses' capacity to manage interruptions. Longitudinal research is needed to establish causality and test interventions.
Corrigendum to "Safety precautions and perceived safety: A cross-sectional study of emergency department nurses" [Int. Emerg. Nurs. 86 (2026) 101815].
Mohammad H, Burnie J, Johnson KD
Int Emerg Nurs · 2026 Jun · PMID 42091354 · Publisher ↗
Abstract loading — click title to view on PubMed.
Patient loyalty in the emergency department: An extended SERVPERF approach comparing first-visit and return patients.
Chen CC, Tsai YT, Chen WC
Int Emerg Nurs · 2026 Jun · PMID 42066722 · Publisher ↗
BACKGROUND: Emergency departments (EDs) often experience unpredictable patient flows, high-stress environments, and asymmetric information, which make it highly challenging for hospitals to establish patient trust and lo...
BACKGROUND: Emergency departments (EDs) often experience unpredictable patient flows, high-stress environments, and asymmetric information, which make it highly challenging for hospitals to establish patient trust and loyalty and protect their reputations. This study investigated which service quality indicators would affect patient loyalty and the differential impact of service quality on loyalty among first-visit and return patients, a critical distinction in patient relationship management. METHODS: Responses from 199 emergency patients were collected from the emergency department of a regional hospital in central Taiwan. A two-phase analytical approach was employed. First, Partial Least Squares Structural Equation Modeling (PLS-SEM) was used to validate the extended SERVPERF model and analyze the influence of service quality on patient loyalty. Second, the Brunner-Munzel test was used to examine differences between first-visit and return patients. RESULTS: The results showed that assurance (β = 0.268, p < 0.001) was the most critical construct of medical service quality. Medical service quality significantly affected both revisits (β = 0.268 = 0.587) and word-of-mouth (WOM) intention (β = 0.222). First-visit patients exhibited a significantly higher WOM intention (p < 0.01), whereas return patients showed a significantly higher revisit intention (p < 0.01). CONCLUSION: This study confirmed that medical service quality is a key driver of patient loyalty in the ED. This study provides the first empirical evidence that first-visit and return patients form loyalty through different pathways (WOM versus retention), offering a new perspective on developing targeted patient relationship management strategies.
Organizational justice and clinical decision-making among emergency nurses: A cross-sectional correlational study.
Alharbi A, Alkubati SA, Albaqawi H … +8 more , Ali AZ, Hamed LA, Mohammed S, Cornejo LTO, Almazan JU, Altheban AS, Alotaibi NE, Mutair AA
Int Emerg Nurs · 2026 Jun · PMID 42066721 · Publisher ↗
INTRODUCTION: Clinical decision making (CDM) is a vital competence required by nurses, particularly emergency nurses. This study aimed to investigate the relationship between organizational justice and CDM among emergenc...
INTRODUCTION: Clinical decision making (CDM) is a vital competence required by nurses, particularly emergency nurses. This study aimed to investigate the relationship between organizational justice and CDM among emergency nurses. METHODS: A cross-sectional correlational design was used with 221 emergency nurses from three major public hospitals in Hai'l City, Northeastern Saudi Arabia, from April to June 2025. Data were collected using a sociodemographic characteristics survey, Nursing Decision-Making Scale, and Organizational Justice Questionnaire. The direction and strength of the association between nurses' CDM and organizational justice were measured using Pearson's correlation coefficient (r). Multiple linear regression analysis was used to identify predictors of CDM. RESULTS: Registered nurses, charge nurses, staff working more than five days per week, and staff who reported higher organizational justice demonstrated significantly higher levels of nursing CDM (p < 0.05). In contrast, regular night shifts were significantly associated with lower CDM (p = 0.009). A significant positive correlation was found between nursing CDM and organizational justice (r = 0.320, p < 0.001), with a corresponding linear R value of 0.102, indicating that approximately 10.2% of the variance in nursing CDM can be explained by organizational justice. CONCLUSION: This study demonstrates the vital role of organizational justice in influencing emergency nurses' CDM. The findings indicated that nurses' perceptions of procedural justice significantly influenced their engagement and satisfaction in clinical settings.
Update, validation and cultural adaptation of the Spanish version of the TEAM questionnaire for emergency teams.
Pedrosa R, Castillo J, Gallart A
Int Emerg Nurs · 2026 Jun · PMID 42066720 · Publisher ↗
BACKGROUND: The Team Emergency Assessment Measure (TEAM) questionnaire is widely used to assess non-technical skills (NTS) in emergency care. An updated and culturally adapted version is needed to ensure continued releva...
BACKGROUND: The Team Emergency Assessment Measure (TEAM) questionnaire is widely used to assess non-technical skills (NTS) in emergency care. An updated and culturally adapted version is needed to ensure continued relevance, particularly for Spanish-speaking professionals working in emergency care settings. AIM: To translate, culturally adapt, and validate the TEAM questionnaire for Spanish-speaking emergency teams in a high-fidelity simulated environment. METHODS: A back-translation and cross-cultural adaptation process was conducted. Twelve Emergency Medical Services (EMS) professionals (nurses, physicians, and Emergency Medical Technicians (EMT)) participated in high-fidelity simulation scenarios. Two evaluators used the translated tool to assess team performance, generating 700 ratings. Psychometric analyses included internal consistency, exploratory factor analysis, inter-rater reliability, and Bland-Altman plots. RESULTS: The Spanish TEAM (s-TEAM) questionnaire showed acceptable psychometric performance in this pilot sample. Four factors explained 80.8% of the variance. Internal consistency was high (α and ω > 0.90). Item 6 showed poor performance; its removal improved reliability. Inter-rater agreement exceeded 80%, though some items had lower ICC and kappa values. CONCLUSIONS: The updated s-TEAM shows promising preliminary validity and reliability for assessing NTS in Spanish-speaking emergency teams under simulated conditions. Removing items 6 and 12 and using a standardised 1-10 scale may enhance precision and usability. However, these findings should be interpreted as preliminary pilot evidence, and further validation in real-world emergency settings is required before broader clinical implementation.
Diagnostic accuracy of Skrining Politrauma Universitas Indonesia - Cipto Mangunkusumo (SPIC): A screening tool for code trauma activation in triage.
Nurlaelah S, Kamal AF, Irawati D … +2 more , Mansyur M, Putri AF
Int Emerg Nurs · 2026 Jun · PMID 42061042 · Publisher ↗
BACKGROUND: Appropriateness of code trauma activation is one of the important factors for successfully managing polytrauma patients. However, no sensitive and specific indicator is available to activate code trauma. The...
BACKGROUND: Appropriateness of code trauma activation is one of the important factors for successfully managing polytrauma patients. However, no sensitive and specific indicator is available to activate code trauma. The study aims to develop and examine the diagnostic value of Skrining Politrauma Universitas Indonesia - Cipto Mangunkusumo (SPIC). METHOD: A mixed-method sequential exploratory design was used. This study consisted of two steps. The first step aims to develop SPIC using four methods: literature review, qualitative exploration, expert consultation, and predictive logistic regression. The second step aims to examine the diagnostic value of SPIC using a quantitative approach. RESULTS: The SPIC was developed based on seven indicators, including the level of consciousness, airway, breathing, circulation, injury mechanism, injury location, and organ involved. The diagnostic test results showed that SPIC is a good instrument for screening polytrauma patients in Triage, with a sensitivity of 91%. CONCLUSIONS: SPIC is a sensitive instrument to screen polytrauma patients in Triage. SPIC can be used to activate the code trauma team.
Feasibility and compliance with quality indicators for pediatric respiratory care in Jordanian emergency departments: A mixed-methods study.
Alkhazali IE, Alrawashdeh A, Fauzi MH … +1 more , Nik Ab Rahman NH
Int Emerg Nurs · 2026 Jun · PMID 42054816 · Publisher ↗
BACKGROUND: Evaluating and improving the quality of care requires efficient and accurate data collection. This study aimed to evaluate the feasibility and compliance of quality indicators (QIs) for pediatric patients wit...
BACKGROUND: Evaluating and improving the quality of care requires efficient and accurate data collection. This study aimed to evaluate the feasibility and compliance of quality indicators (QIs) for pediatric patients with asthma, bronchiolitis, and croup in emergency departments (EDs), to compare QI measurement using prospective direct observation and chart audit, and to explore factors influencing QI feasibility and compliance. METHODS: A mixed-methods study was conducted in two EDs between September and October 2024. The feasibility and compliance of 26 QIs were assessed through prospective observation of ED care for asthma (n = 249), bronchiolitis (n = 91), and croup (n = 147), alongside retrospective chart audits. Semi-structured interviews with nine pediatric residents were conducted to explore factors influencing QI feasibility and compliance. RESULTS: All 26 QIs were feasible during prospective observation, whereas only 16 (61.5%) were feasible using chart audits. Compliance varied across indicators, with consistently higher estimates observed using prospective observation and marked discrepancies for several clinical assessment and treatment indicators. Overuse of radiography and antibiotics was identified across all three conditions. Thematic analysis identified eight themes and 17 subthemes related to documentation practices, workload, and system-level challenges. CONCLUSIONS: QIs based on electronically recorded clinician orders were consistently captured using both methods, whereas those relying on physical assessment and clinical documentation were not reliably captured in chart audits. Compliance was generally acceptable but lower for clinical evaluation and diagnostic indicators, highlighting the need for complementary data collection methods.
The relationship between earthquake anxiety and disaster preparedness perception in emergency nurses after the Kahramanmaraş earthquake.
Altunsoy M, Tastan S
Int Emerg Nurs · 2026 Jun · PMID 42034076 · Publisher ↗
BACKGROUND: Emergency nurses' preparedness for disasters and psychological well-being play an important role in disaster management. AIM: This study aims to examine the relationship between earthquake anxiety and disaste...
BACKGROUND: Emergency nurses' preparedness for disasters and psychological well-being play an important role in disaster management. AIM: This study aims to examine the relationship between earthquake anxiety and disaster preparedness perception among emergency nurses. METHODS: The research, conducted in a descriptive and correlational design, included 280 nurses working in emergency departments in Türkiye and in the northern region of Cyprus. Data were collected using a Personal Information Form, the Nurses' Disaster Preparedness Perception Scale (NDPPS), and the Earthquake Anxiety Scale. Data were analyzed using non-parametric statistical methods (Mann-Whitney U, Kruskal-Wallis, and Spearman's correlation) based on normality assessment. RESULTS: Among the 280 nurses included in the study, disaster preparedness perception was found to be high. Nurses who held a postgraduate degree, had longer professional experience, received disaster-related training, and participated in disaster drills demonstrated higher disaster preparedness perceptions. Female nurses, those who had previously experienced a severe disaster, and those who lost a loved one in a disaster had higher earthquake anxiety scores. A low-level positive correlation was found between disaster preparedness perception and earthquake anxiety (r = 0.141, p = 0.018). CONCLUSION: Increasing disaster preparedness training and expanding disaster drills can enhance nurses' disaster management skills. Developing psychological support mechanisms for disaster situations may help nurses manage their anxiety levels.
The intersection of trauma-informed care and pediatric emergency nursing in Ghana: A critical interpretive synthesis.
Mbamba CR, Mankir MMS
Int Emerg Nurs · 2026 Jun · PMID 42025076 · Publisher ↗
This critical interpretive synthesis (CIS) examines how trauma-informed care can be embedded in pediatric emergency nursing in Ghana to reduce pediatric medical traumatic stress in resource-limited settings. CIS is a qua...
This critical interpretive synthesis (CIS) examines how trauma-informed care can be embedded in pediatric emergency nursing in Ghana to reduce pediatric medical traumatic stress in resource-limited settings. CIS is a qualitative synthesis methodology that integrates diverse literature through iterative interpretation to generate new conceptual understandings beyond what any single study provides. The review maps evidence on the psychological impact of pediatric acute care, identifies major knowledge and implementation gaps among nurses in low- and middle-income countries, and distills core trauma-informed principles into concrete, low-cost communication and care strategies feasible in overcrowded Ghanaian emergency departments. Particular attention is given to developmentally appropriate explanations, non-pharmacological pain and anxiety management, psychological first aid, and family involvement, alongside organizational barriers and opportunities for task-shifting and quality improvement. It should be noted that some intervention-level recommendations, including narrative therapy and psychological first aid, are primarily derived from non-Ghanaian contexts and require culturally adapted validation before generalization. Drawing on evidence spanning qualitative, observational, and review study designs, the synthesis concludes with three prioritized recommendations: (1) embedding trauma-informed communication training within existing pre-service and in-service nursing education; (2) integrating brief, validated psychological screening into emergency discharge workflows; and (3) building sustained multi-system collaboration between emergency departments, community health workers, and traditional support networks.
Vein Enlargement Induced by Normal Saline (VEINS) technique: A prospective evaluation of a novel approach to venodilation.
Thorne JL, King G, Eubank M … +2 more , Kostyun R, Herbst MK
Int Emerg Nurs · 2026 Jun · PMID 42001532 · Publisher ↗
OBJECTIVE: To evaluate whether the Vein Enlargement Induced by Normal Saline (VEINS) technique safely increased antecubital fossa (AC) vein diameter among Emergency Department patients. METHODS: In this single-site prosp...
OBJECTIVE: To evaluate whether the Vein Enlargement Induced by Normal Saline (VEINS) technique safely increased antecubital fossa (AC) vein diameter among Emergency Department patients. METHODS: In this single-site prospective cohort, consenting adult patients with hand, wrist, or distal forearm peripheral intravenous catheters (PIVs) were enrolled from 12/10/24-1/25/25. Difficult intravenous access (DIVA) status was determined, and vein diameter was measured near the AC before and after tourniquet placement and following each of six saline infusions of 10 mL via a distal PIV while the tourniquet remained in place. Adverse effects were recorded. The VEINS effect on AC vein diameter was analyzed using a one-way repeated measures ANOVA. RESULTS: Sixty-three patients were analyzed; 42 (66.7%) had DIVA. Before tourniquet placement, mean vein diameter proximal and distal to the AC were 4.0 mm (SD 1.3) and 3.4 mm (SD 1.1). After tourniquet placement, diameters increased by 0.5 mm (SD 0.7) and 0.6 mm (SD 0.6), respectively (p < 0.001). After 60 mL saline infusion, diameters increased an additional 0.7 mm (SD 0.6) and 0.6 mm (SD 0.5), respectively (p < 0.001). No difference occurred between DIVA and non-DIVA patients, p > 0.05. Two patients reported discomfort (one tourniquet-related, another saline administration-related); none lost PIV patency. CONCLUSION: The VEINS technique safely and effectively increased AC vein diameter.
Comment on "Assessment of patient safety culture perceptions among healthcare personnel in emergency services in Türkiye: Validity and application of the EMS-SAQ".
Thakor BG, Damar S, Rameshbhai GJ
Int Emerg Nurs · 2026 Jun · PMID 41997044 · Publisher ↗
Abstract loading — click title to view on PubMed.
Research trends and hotspots in emergency trauma nursing: A bibliometric study and visualization analysis.
Dong T, Ma R, Wang W … +2 more , Zhang Q, Zhou K
Int Emerg Nurs · 2026 Jun · PMID 41997043 · Publisher ↗
OBJECTIVE: This study aims to conduct a visual analysis of the research progress in the field of emergency trauma nursing over the past five years by applying bibliometric methods, focusing on the current research status...
OBJECTIVE: This study aims to conduct a visual analysis of the research progress in the field of emergency trauma nursing over the past five years by applying bibliometric methods, focusing on the current research status and development trends from the perspective of the nursing discipline. The study aims to reveal the research status, core hotspots, cooperation networks, and research hotspots in this field, and provide references for future research. METHODS: Relevant studies on emergency trauma care published in the Web of Science Core Collection were retrieved. The search period covered from January 1, 2019, to October 20, 2024. A visual analysis of the authors, institutional affiliations, and keywords of the included articles was conducted using CiteSpace 6.3.R1 software. RESULTS: After screening, a total of 4,975 articles were included in the analysis. The annual publication volume over the past five years has fluctuated. Research hotspots have primarily focused on trauma mortality and prognosis, traumatic brain injury, pediatric trauma, and epidemiological analysis. CONCLUSION: The field of emergency trauma care continues to attract research attention, with studies deepening progressively. This highlights the need for future research to enhance collaboration between countries and institutions, facilitate the exchange of established techniques and experiences, and further explore context-specific assessment tools and intervention protocols. Such efforts are expected to improve the quality of trauma care and promote the advancement of this field.
Prevalence and screening of orthostatic hypotension in older adults presenting to the emergency department: A systematic review.
Sattler L, Castro M, Ellem R … +5 more , Gough S, Sweeny A, Senyard T, Kuilboer A, Alsaba N
Int Emerg Nurs · 2026 Jun · PMID 41980511 · Publisher ↗
BACKGROUND: Orthostatic hypotension (OH) affects up to one in five older adults, yet its prevalence and screening practices in emergency departments (EDs) remain poorly characterised. This systematic review synthesised e...
BACKGROUND: Orthostatic hypotension (OH) affects up to one in five older adults, yet its prevalence and screening practices in emergency departments (EDs) remain poorly characterised. This systematic review synthesised evidence on OH prevalence, screening rates, and clinical outcomes among older adults presenting to the ED. METHODS: Four databases were searched on 9 July 2025, no date restrictions were applied. Studies involving adults aged ≥ 65 years presenting to the ED reporting OH prevalence or screening rates were included. Methodological quality was assessed using Joanna Briggs Institute critical appraisal tools. RESULTS: Six studies encompassing 2543 older adults presenting to the ED with falls, syncope, or dizziness across five countries met inclusion criteria. OH screening rates varied from 5 to 100% and prevalence ranged from 5 to 42%. Secondary outcomes included hospital admission rates (26-48%), traumatic complications (16-37%), and associations with Parkinson's disease and cardiovascular medications. Intra-ED mortality was less than 1% in one study; 24-month mortality was 11% in a separate syncope cohort. CONCLUSION: Findings reveal gaps between clinical guidelines recommending routine OH screening in at-risk populations and current practice. Elevated OH prevalence among both falls and syncope presentations supports targeted, risk-stratified screening approaches. Quality improvement initiatives and implementation research may improve outcomes for older adults presenting to the ED.
Using online reviews to assess important healthcare components in Ohio emergency care facilities.
Johnson KD, Bader K, Lee RC … +4 more , Punches B, McCabe EE, Qi M, Koshoffer A
Int Emerg Nurs · 2026 Jun · PMID 41980510 · Publisher ↗
STUDY OBJECTIVE: The objective of this project was to collect publicly available online reviews of urgent care facilities and emergency departments in Ohio to identify important components of the patient experience. METH...
STUDY OBJECTIVE: The objective of this project was to collect publicly available online reviews of urgent care facilities and emergency departments in Ohio to identify important components of the patient experience. METHOD: Webscraping, a method of collecting internet data, was conducted on all Google and Yelp reviews for emergency departments and urgent care facilities in Ohio. Extracted data included: facility location, date, review text, and star rating. Content analysis was conducted on data along with inferential statistics, then leveraged to identify trends. The Model of Models platform was used to guide topic analysis of online reviews and assess how the content aligned with categories and sentiments that influence the patient experience in the emergency department. RESULTS: A total of 33,316 reviews were collected between January 2008 and June 2021. During this time, 29,023 reviews posted were based on visits to urgent care facilities and 4,293 were from emergency departments. Most comments were related to "Personal" and "Technological" issues. There were delineations in the data noting distinctions between staff and physicians. Where staff issues frequently were associated with behaviors and attitudes such as "friendliness", comments referring to physicians were more commonly mentioned when describing healthcare access or process issues. CONCLUSIONS: Online ratings of the healthcare facilities reflect the patient's satisfaction and how well expectations are being met. Through careful analysis of online ratings, we can better understand the commonalities and disparities in the patient experience. Used in conjunction with standardized satisfaction surveys currently in use by hospitals, online reviews of healthcare facilities contribute to a more robust picture of care quality and describe the patient experience beyond the capacity of satisfaction surveys. However, hospitals without access to standardized surveys would benefit from freely analyzing patient feedback from online reviews.
Child-centred nursing education in disaster preparedness: Strengthening knowledge and awareness.
Özarslan S, Yayan EH, Günay U
Int Emerg Nurs · 2026 Jun · PMID 41967429 · Publisher ↗
BACKGROUND: Children are among the groups most affected by disasters. Therefore, the assessment and management of children in disaster situations should not be the same as the standard approach for adults. This study eva...
BACKGROUND: Children are among the groups most affected by disasters. Therefore, the assessment and management of children in disaster situations should not be the same as the standard approach for adults. This study evaluated the effectiveness of the Disaster Paediatric Emergency Nursing education programme for undergraduate nursing students. METHOD: This research was conducted using a mixed-methods design incorporating both qualitative and quantitative approaches. In the quantitative part of the study, which consisted of two stages, students' knowledge and educational status regarding approaches to children in disasters were examined before training sessions. In the qualitative dimension, field observations during disasters and experiences during the training process were examined using the descriptive phenomenological method. Thirty students who had taken the paediatric nursing course participated in the study. RESULTS: It has been found that, prior to their education, nursing students frequently mention emergency services and field issues in disasters. They had considered the importance of managing children in disasters, but had not anticipated the possible risks. Following the training programme, it was observed that the students' perspectives had changed and developed with regard to child-centred disaster management, strategic planning, a systematic approach, multidisciplinary work, the effective management of the acute phase, paediatric emergency organisation and the development and reorganization of the existing strategic plan. CONCLUSION: As a result of the study, it was determined that the training provided for the assessment of the child in disasters increased the level of knowledge of undergraduate nursing students and created awareness about determining the priorities of intervention to the child and managing the process. Enriching the disaster nursing education programs of nursing students in terms of content of approach to children in disasters will ensure that children are evaluated and managed with a systematic approach in disasters.
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