International Emergency Nursing[JOURNAL]
Sun
200 papers
Barriers encountered by walk-in international patients in hospital emergency departments in Japan: A qualitative study.
Asakawa S, Takeda Y, Henker R
Int Emerg Nurs · 2026 Mar · PMID 41698300 · Publisher ↗
INTRODUCTION: The rise in international residents and visitors has increased the number of patients from diverse cultural and linguistic backgrounds in Japanese emergency departments (EDs). However, the challenges encoun...
INTRODUCTION: The rise in international residents and visitors has increased the number of patients from diverse cultural and linguistic backgrounds in Japanese emergency departments (EDs). However, the challenges encountered by walk-in international patients seeking emergency care remain underexplored, highlighting the need for a better understanding of these barriers and the care provided by ED nurses. This study aimed to investigate the barriers perceived by walk-in international patients visiting EDs in Japan and their perceived experiences of the support provided by ED nurses. METHODS: We adopted a qualitative descriptive approach utilizing purposive sampling and the snowball technique. Semi-structured virtual interviews were conducted with 15 international patients to explore their experiences in Japanese EDs. Data were analyzed using reflexive thematic analysis, and the Standards for Reporting Qualitative Research checklist ensured comprehensive reporting. RESULTS: The analysis revealed four major themes: "conflict of culture," "provider-centered care," "hesitation to engage in culturally sensitive care," and "building connections beyond language barriers." CONCLUSION: This study highlights the challenges of providing emergency care to international patients in Japan, and stresses the need for culturally competent care to improve patient safety and treatment quality.
Interactive effects of cardiac arrest duration and lactate levels on six-month mortality in patients surviving cardiac arrest and cardiopulmonary resuscitation.
Lu J, Zeng Y, Lin N … +1 more , Ye Q
Int Emerg Nurs · 2026 Mar · PMID 41691978 · Publisher ↗
BACKGROUND: The duration of cardiac arrest (CA) and the level of lactate within 24 h of CA are both associated with a poor prognosis in patients who have received cardiopulmonary resuscitation (CPR) but their combined ef...
BACKGROUND: The duration of cardiac arrest (CA) and the level of lactate within 24 h of CA are both associated with a poor prognosis in patients who have received cardiopulmonary resuscitation (CPR) but their combined effect remains unclear. OBJECTIVES: Assess the independent associations of CA duration and post-resuscitation lactate level with 6-month mortality in patients undergoing CPR. HYPOTHESES: CA duration and post-resuscitation lactate level have a multiplicative and additive interaction, such that their combined effect on mortality is greater than the sum of their individual effects. METHODS: A retrospective cohort study was conducted on patients who underwent CPR and achieved return of spontaneous circulation (ROSC) in the emergency department (ED) of XX Hospital from January 2018 to June 2022. Inclusion criteria included: (1) aged ≥ 18 years; (2) successful CPR with ROSC lasting ≥ 1 h; (3) available CA duration and post-resuscitation lactate level data; (4) 6-month follow-up completed. Exclusion criteria included: (1) systolic blood pressure ≤ 40 mmHg on ED presentation; (2) pre-existing severe liver or kidney dysfunction; (3) missing key data. RESULTS: CA duration and the level of lactate within 24 h of CA were independently associated with the mortality of post-arrest survivors of CPR at six months (odds ratio [OR] = 1.065; 95% confidence interval [CI]: 1.032-1.098; P < 0.001, and OR = 0.323; 95% CI: 0.104-0.997; P = 0.049, respectively). The sensitivity and specificity of CA duration for the prognosis of death were 68.0% and 88.4%, respectively, using a cut-off value of 20.5 min. The area under curve (AUC) was 0.805 (95% CI: 0.745-0.866). Furthermore, these factors were associated, in a multiplicative manner, with death, with an adjusted OR of 1.010 (95% CI: 1.006-1.013). The additive interaction between these factors was associated with death, with a synergy index (SI) of 1.0985 (95%: CI 1.0746-1.1229). CONCLUSION: CA time and lactate level after CA were associated with the six-month mortality of post-arrest CPR survivors and has both multiplicative and additive interaction.
Experiences of patients with peripheral intravenous catheter insertion and care in an Australian emergency department: A CFIR-guided qualitative study.
Xu HG, Duff J, Binnie V
Int Emerg Nurs · 2026 Mar · PMID 41689996 · Publisher ↗
BACKGROUND: Peripheral intravenous catheter insertion is a common procedure in emergency departments. Despite clear guidelines, patient experiences vary, and evidence-based practice is inconsistently applied. Understandi...
BACKGROUND: Peripheral intravenous catheter insertion is a common procedure in emergency departments. Despite clear guidelines, patient experiences vary, and evidence-based practice is inconsistently applied. Understanding patient perspectives is essential to improving care quality. AIM: To explore patient experiences of peripheral intravenous catheter insertion and care in the emergency department, identifying barriers and enablers to evidence-based practice. METHODS: A qualitative study was conducted in an Australian emergency department in 2025. Semi-structured interviews were analysed using thematic analysis, guided by CFIR domains to explore current clinical practice. RESULTS: A total of 13 patients and nine clinicians were interviewed. Patients reported variability in technical skill, communication, and involvement in decision-making. Many felt disempowered by hurried consent processes or convenience-driven insertions, while some preferred that clinicians make decisions. Clinicians identified barriers including limited access to ultrasound, insufficient hands-on training with real patients, workload, time pressures, and a culture discouraging escalation of difficult cannulations. Key enablers included mentorship, role modelling, standardised training, and supportive leadership. Both patients and clinicians emphasised the importance of empathetic communication, tailored information provision, and managing needle-related anxiety. CONCLUSION: Addressing barriers to best clinical practice is critical to improving patient experience and quality outcomes. Future research should explore interventions across diverse hospital settings, including rural and resource-limited emergency departments. Implication for Profession: Enhancing training, structured mentorship, and embedding champions can strengthen clinician capability and confidence. Cultivating a culture of patient-centred care and shared decision-making may improve safety, satisfaction, and adherence to evidence-based practice. REPORTING METHOD: Findings were reported using the Consolidated criteria for reporting qualitative research. PUBLIC CONTRIBUTION: Patients were the sample group.
The predictive power of job content, subjective workload, and job burnout on cognitive failures in nurses working in emergency departments.
Parizad N, Nazmi P, Hosseingholipour K … +1 more , Abedi Z
Int Emerg Nurs · 2026 Mar · PMID 41689995 · Publisher ↗
BACKGROUND: Cognitive failure is a complex issue in the nursing work environment. This study aimed to examine the extent to which job content, perceived subjective workload, and job burnout predict cognitive failures amo...
BACKGROUND: Cognitive failure is a complex issue in the nursing work environment. This study aimed to examine the extent to which job content, perceived subjective workload, and job burnout predict cognitive failures among nurses working in the emergency departments (EDs). METHODS: In this descriptive cross-sectional study, 255 nurses from EDs of selected hospitals in Iran were selected using quota sampling in 2024. Data were collected using questionnaires on demographics, the Cognitive Failures Questionnaire (CFQ), the NASA Task Load Index (NASA-TLX) questionnaire, the Maslach Burnout Inventory (MBI), and the Job Content Questionnaire (JCQ). Data were analyzed with SPSS version 26.0 using descriptive statistics, Pearson correlation coefficient, and linear regression. RESULTS: Correlation analyses revealed that cognitive failures among ED nurses are significantly associated with several factors. Specifically, cognitive failures were positively correlated with job content (r = 0.38, p < 0.001) and perceived subjective workload (r = 0.60, p < 0.001), and negatively correlated with job burnout (r = -0.37, p < 0.001). Linear regression analysis indicated that job content and perceived subjective workload together explain 38 % of the variance in cognitive failure scores, highlighting their predictive role. CONCLUSION: The complex and challenging conditions in EDs can lead to cognitive failures among nurses. Implementing strategies such as reducing environmental stressors, ensuring adequate nursing staff, and providing psychological support is essential to mitigate these cognitive failures.
Systematic review of clinical practice guidelines on the Canadian Triage and Acuity Scale (CTAS).
Ouellet S, Gallani MC, St-Pierre SE … +4 more , Mercier É, Gagnon MA, Archambault P, Bérubé M
Int Emerg Nurs · 2026 Mar · PMID 41687526 · Publisher ↗
AIM: Identify quality indicators for nursing triage outlined in the Canadian Triage and Acuity Scale (CTAS) guidelines and describe the skills and professional attributes required for nurses to perform high-quality triag...
AIM: Identify quality indicators for nursing triage outlined in the Canadian Triage and Acuity Scale (CTAS) guidelines and describe the skills and professional attributes required for nurses to perform high-quality triage. DATA SOURCES: Embase, PubMed, CINAHL, Cochrane Library, Web of Science, and 37 professional association websites. METHODS: This systematic review included CTAS guidelines published between January 1990 and August 2025. Guideline quality was appraised using the AGREE II tool. Quality indicators and nursing skills were standardized, grouped into conceptual categories, and their frequency was documented. RESULT: Nine guidelines were included, all of which were low quality. Twelve key quality indicator categories were identified. Of these, 100% of guidelines required that triage report chief complaints, objective clinical assessment, use of CTAS modifiers, and triage acuity levels. Documentation of the mode of arrival to the emergency department (22%) and infection risk screening and control measures (11%) were the quality indicators least reported on. Nursing skills were grouped into three core areas. The first was knowledge, encompassing clinical proficiency in physical and mental health as well as familiarity with ethical and legal concepts. The second comprised clinical skills, namely advanced judgment, therapeutic communication and accurate record keeping. The third focused on behavioral and professional attitudes, emphasizing empathy, confidence and autonomy. CONCLUSION: These findings underscore the need to reinforce triage quality through education, audit tools, and monitoring. Given the low quality of existing guidelines, future consensus efforts are needed to validate and refine indicators, providing a foundation for improving triage quality.
Research hotspots and emerging trends in low-altitude medical rescue (2014-2024): A bibliometric study.
Liu L, Peng T, Deng X … +1 more , Zhang S
Int Emerg Nurs · 2026 Mar · PMID 41687525 · Publisher ↗
INTRODUCTION: Due to the constraints of ground traffic congestion, geographical barriers in remote areas, and the stringent time-sensitivity of life-threatening conditions, low-altitude medical rescue (LAMR) have emerged...
INTRODUCTION: Due to the constraints of ground traffic congestion, geographical barriers in remote areas, and the stringent time-sensitivity of life-threatening conditions, low-altitude medical rescue (LAMR) have emerged as an indispensable solution, attracting widespread attention and becoming an inevitable trend in next-generation medical rescue research. This study aimed to analyze research hotspots and emerging trends in drone-based LAMR to assist healthcare professionals in optimizing LAMR systems for sustainable development. METHODS: A visual analysis was conducted using CiteSpace 6.3.R1 software to analyze research hotspots and emerging trends in drone-based LAMR from January 1, 2014 to December 31, 2024. The indicators included publication output over time, publication countries and institutions, authors, cited journals, co-occurrence of keywords, and burst keyword detection. RESULTS: A total of 524 publications were included in the final analysis. The Scandinavian Journal of Trauma Resuscitation & Emergency Medicine emerged as the most cited journal. Research hotspots focused on operational efficiency and clinical outcomes of drone-based LAMR, system-level management and resource optimization, and tailored protocols for critical conditions. Future trends emphasize service delivery optimization and the role of drone-based LAMR in public health security. DISCUSSION: This study delineates the evolution of drone-based LAMR research, highlighting its growing integration with public health strategies. Findings reveal the need for innovation in drone-assisted technologies and interdisciplinary collaboration to enhance drone-based LAMR scalability and resilience.
Mapping the advanced practice nursing in emergency and intensive care units: A scoping review.
Antunez Martinez OF, Vallejo Bustamante YI, Varela Zuniga NO
Int Emerg Nurs · 2026 Mar · PMID 41671715 · Publisher ↗
BACKGROUND: Advanced Practice Nurses (APNs), including Nurse Practitioners and Clinical Nurse Specialists, contribute significantly to quality, efficiency, and leadership in emergency departments (EDs) and intensive care...
BACKGROUND: Advanced Practice Nurses (APNs), including Nurse Practitioners and Clinical Nurse Specialists, contribute significantly to quality, efficiency, and leadership in emergency departments (EDs) and intensive care units (ICUs). However, role variability, inconsistent regulation, and limited post-pandemic evidence remain challenges. PURPOSE: To synthesize recent global evidence on APN roles, competencies, outcomes, and implementation challenges in EDs and ICUs, and identify strategies for effective integration. METHOD: A scoping review, following Arksey and O'Malley's framework and PRISMA-ScR guidelines, searched six databases. Eligible sources focused on APNs in EDs or ICUs. Two reviewers independently screened, extracted, and synthesized data descriptively and thematically. FINDINGS: Twenty-five studies were included, showing APNs' main competences as advanced clinical reasoning, procedural skills, leadership, and evidence-based practice. Challenges involved role ambiguity, regulatory gaps, and limited autonomy. Post-COVID-19 developments expanded APN responsibilities but exposed workforce and educational gaps. Solutions proposed included standardized competencies, policy reform, postgraduate education, and interprofessional collaboration. CONCLUSIONS: APNs enhance outcomes and efficiency in EDs and ICUs, but variability in role definitions limits impact. The current body of evidence surrounding APN practice in ICUs and EDs is primarily based on studies with low levels of evidence. Future implementation should be accompanied by rigorous evaluations to generate robust statistical evidence that supports the transferability of APN-led models.
Impact of early blood testing on emergency department length of stay during overcrowding.
Durando F, Giamello JD, D'Agnano S … +6 more , Martini G, Prinzis T, Vietto P, Giraudo M, Sciolla A, Lauria G
Int Emerg Nurs · 2026 Mar · PMID 41671714 · Publisher ↗
BACKGROUND: Emergency Department (ED) overcrowding significantly impacts patient care, increasing wait times and delaying treatment. This study evaluates a quality improvement project involving the implementation of an e...
BACKGROUND: Emergency Department (ED) overcrowding significantly impacts patient care, increasing wait times and delaying treatment. This study evaluates a quality improvement project involving the implementation of an early nursing care protocol designed to optimize patient management during overcrowding by enabling nurses to initiate blood tests during triage. LOCAL PROBLEM: In our high-volume urban ED in Northern Italy, recurrent overcrowding particularly affected patients with non-urgent triage codes, resulting in prolonged door-to-treatment times and decreased patient satisfaction. Nurses were underutilized in early diagnostic workflows. METHODS: The study assessed the effectiveness of a protocol involving a predefined set of blood tests performed during the post-triage waiting period under overcrowding conditions in adult patients presenting with chest or abdominal pain and a triage level 2 to 5 at the ED of Santa Croce e Carle Hospital in Cuneo, Italy, from January 1, 2024, to June 20, 2024. The primary outcome was the reduction in ED treatment time and length-of-stay (LOS) during overcrowding among patients managed with the protocol. INTERVENTION: The intervention consisted of nurse-initiated blood draws using predefined criteria and an electronic lab test panel. The protocol was activated only during predefined periods of severe ED crowding, based on local operational thresholds. RESULTS: 3,857 patients were included, with 38% undergoing early blood testing due to overcrowding; patients in the early testing group (i.e. patients managed during overcrowding) experienced a significantly longer waiting time (142 min vs. 48 min, p < 0.001). However, their treatment time was significantly shorter (132 min vs. 162 min, p < 0.001), resulting in a less pronounced increase in total ED LOS. Subgroup analyses confirmed consistent reductions in treatment time across different triage levels and presenting symptoms. CONCLUSION: Early nursing-led blood testing during ED overcrowding enhances efficiency by reducing treatment times, enabling earlier clinical decision-making, and improving patient monitoring. Despite increased total ED LOS due to overcrowding, this increase appears to be lower than what the prolonged waiting time due to overcrowding itself might have suggested. This quality improvement initiative highlights the potential for advanced nursing roles to optimize emergency care delivery. Further research should assess patient satisfaction and cost-effectiveness.
Secondary traumatic stress in emergency room nurses: A cross-sectional study.
Frazier M
Int Emerg Nurs · 2026 Mar · PMID 41671713 · Publisher ↗
INTRODUCTION: Emergency room nurses care for patients during the worst times in their lives: motor vehicle accidents, violence, rape, trauma, death, etc. Continuous exposure puts nurses at risk for secondary traumatic st...
INTRODUCTION: Emergency room nurses care for patients during the worst times in their lives: motor vehicle accidents, violence, rape, trauma, death, etc. Continuous exposure puts nurses at risk for secondary traumatic stress (STS): the negative emotional, psychological, and/or physical reaction experienced by someone who had an indirect exposure to trauma. This can impair a nurse's ability to cope, increase levels of anxiety/depression, and intention to leave the profession. METHODS: Using a cross-sectional design, 169 nurses completed a survey between February - June 2023. Data were collected using a demographic form, Secondary Traumatic Stress Scale, Brief-COPE Inventory, and a Visual Analog Scale for Perceived Stress. RESULTS: 159/169 (94%) participants scored at least mild STS, with over 55% experiencing severe levels of STS. Four relationships were significant when compared to reported STS level: education level (p = 0.004), avoidant coping (p < 0.001), emotion-focused coping (p < 0.001), and change in perceived stress (p < 0.001). The relationship between STS and experience, hospital trauma level, shift worked, and employment status were not significant (p > 0.05). CONCLUSION: Nurses experience severe levels of STS, putting them at high risk of negative effects. Hospitals should introduce the concept of STS during nursing orientation: descriptions of what STS may look like, measuring current stress levels, and identify coping strategies. By identifying signs of STS early, nurses may be able to implement coping strategies before the emotional, physical, or psychological toll gets to be overwhelming.
Prediction of Alcohol Withdrawal Severity Scale (PAWSS) for patients cared for in an emergency department/Level I Trauma Center: An evidence-based practice change.
Lawien J, Welter J, Aranda J … +3 more , Zosel A, Nielsen T, McAndrew NS
Int Emerg Nurs · 2026 Mar · PMID 41666693 · Publisher ↗
BACKGROUND: Patients with alcohol use disorder (AUD) often come to the Emergency Department (ED) for unrelated complaints but can still experience withdrawal. The purpose of this Evidence-Based Practice (EBP) project was...
BACKGROUND: Patients with alcohol use disorder (AUD) often come to the Emergency Department (ED) for unrelated complaints but can still experience withdrawal. The purpose of this Evidence-Based Practice (EBP) project was to detect the potential for alcohol withdrawal in the ED using the Prediction of Alcohol Withdrawal Severity Scale (PAWSS) and then provide necessary treatment to prevent negative patient outcomes (i.e., alcohol withdrawal-related seizures, admissions to the intensive care unit (ICU), and prolonged stays in the ED). METHODS: This EBP project was implemented at a Level I Trauma/Academic Medical Center in the Midwest. Nurses were educated on the PAWSS before the project began and then screened patients presenting to the ED using the PAWSS. Patient information collected included: chief complaint (alcohol withdrawal vs other), length of stay (LOS) in ED, total number and type of medications administered for alcohol withdrawal (collected as Phenobarbital and Lorazepam equivalents), disposition (admitted or discharged), alcohol withdrawal seizures, and ICU admissions. These patient outcomes were extracted from the electronic health record and analyzed weekly throughout the course of the project. At the end of the study period, the selected patient information collected during the course of the project were compared to those of pre-project patients in which a revised Clinical Institute Withdrawal Assessment for Alcohol (CIWA-Ar) was documented or those with a chief complaint related to alcohol. RESULTS: During the project, LOS decreased to an average of 418 min (range: 163-676 min, SD = 106 min) in those with PAWSS score four or greater compared to pre-project numbers. Providers prescribed fewer alcohol withdrawal medications, withdrawal seizures decreased to almost zero, and the number of patients requiring ICU admission decreased from 10 to 7. DISCUSSION: Implementation of PAWSS resulted in decreased ED LOS, decreased ICU admissions, and decreased use of medications for the treatment of alcohol withdrawal. These promising results suggest PAWSS is a valuable screening tool for ED patients with the potential for experiencing alcohol withdrawal.
The mediating role of work-related stress between psychological capital and work alienation among nurses in emergency departments: A cross-sectional study.
Qin Y, Li N, Yang B … +1 more , Liu J
Int Emerg Nurs · 2026 Mar · PMID 41666692 · Publisher ↗
BACKGROUND: As the issue of nurses' turnover rate becomes increasingly prominent, work alienation has gradually become a research focus. AIMS: The aim of this study was to understand the current situation of work alienat...
BACKGROUND: As the issue of nurses' turnover rate becomes increasingly prominent, work alienation has gradually become a research focus. AIMS: The aim of this study was to understand the current situation of work alienation among emergency department nurses and explore the mediating effect of work-related stress in the relationship between psychological capital and work alienation. METHODS: A cross-sectional investigation was conducted in four cities from June to August 2022, in China. A total of 364 nurses in emergency departments were included in this study. Data were collected using work-related stress questionnaires, psychological capital questionnaires, and work alienation questionnaires. Structural equation modeling implemented was used to analyze the relationship among psychological capital, work alienation, and work-related stress. RESULTS: Nurses in the emergency department have some extent of work alienation. Psychological capital had a direct and negative effect on work alienation, and it also had a significant indirect effect on work alienation through work-related stress, which means that work-related stress to a certain extent mediated the effect of psychological capital on work alienation, the mediating effect accounted for 39.11% of the total effect. CONCLUSIONS: Work-related stress to a certain extent mediated the effect of psychological capital on work alienation among emergency department nurses. The result provides new insights for nursing managers to reduce their level of work alienation among nurses in emergency department.
Factors associated with stroke prenotification in emergency medical service among stroke code patients: A retrospective analysis.
Li Y, Prasad S, Stone S … +12 more , Day A, Ho TT, Gebreyohanns M, Jones E, Ifejika N, Barker K, Anderson JA, Savitz SI, Cruz-Flores S, Salter A, Kim Y, Olson DM
Int Emerg Nurs · 2026 Mar · PMID 41666691 · Publisher ↗
BACKGROUND: Emergency medical service stroke prenotification (EMS-SP) and stroke code activation improves stroke process measures for patients transported to the emergency department (ED) with stroke symptoms. We aimed t...
BACKGROUND: Emergency medical service stroke prenotification (EMS-SP) and stroke code activation improves stroke process measures for patients transported to the emergency department (ED) with stroke symptoms. We aimed to identify predictors of EMS-SP. METHODS: This retrospective analysis includes data collected from an ongoing quality improvement project at a University hospital for all adult stroke code activations for the last 4 months of 2024 and first month of 2025. Multivariable models were used to explore associations between patient demographics, clinical characteristics, and having EMS-SP versus not having EMS-SP. RESULTS: The mean age of the 149 patients in our sample was 67.2 (14.7) years, 85 (57%) were female, 107 (71.8%) were white, 23 (15.4%) were Hispanic, and 95 (63.8%) were determined to be mimics. There were no statistically significant differences in demographics for the 65 (43.6%) patients without EMS-SP versus the 84 (56.4%) patients with EMS-SP. Logistic model shows non-White race was associated with a higher odds of EMS-SP (OR, 2.44; 95%CI = 1.04-5.72); aphasia assessment being performed was associated with a higher odds of EMS-SP (OR, 6.89; 95%CI = 2.82-15.86); a nominally higher odds of EMS-SP was noted for every 5 year increase in age (OR, 1.11; 95%CI = 0.97-1.27); and a higher odds of EMS-SP was noted for every 10 mmHg increase in diastolic blood pressure (OR, 1.24; 95%CI = 1.02-1.47). CONCLUSIONS: Patients with aphasia assessment done, who were older, not White, and had higher diastolic blood pressures were more likely to have EMS-SP. Pre-hospital stroke management, including education and feedback for emergency medical service, is warranted.
The application of HFMEA in integrated transport for pediatric emergencies and critical conditions.
Zhang Y, Ma Z, Qian W … +3 more , Song H, Ge X, Xu L
Int Emerg Nurs · 2026 Mar · PMID 41610480 · Publisher ↗
OBJECTIVE: To study the effectiveness of HFMEA in integrated transport for critically ill pediatric patients. METHODS: Since January 2024, HFMEA has been implemented in our hospital to facilitate the integrated transport...
OBJECTIVE: To study the effectiveness of HFMEA in integrated transport for critically ill pediatric patients. METHODS: Since January 2024, HFMEA has been implemented in our hospital to facilitate the integrated transport of critically ill children. The study observed and compared the incidence of transport accidents, nursing quality, and satisfaction with medical team cooperation over four months before and after HFMEA implementation. RESULTS: The transport accident rate was 35 % in the control group and 6.7 % in the experimental group, demonstrating a significantly lower incidence of transport accidents (P < 0.001). The nursing quality score in the experimental group was 95.8 %, markedly higher than in the control group. Satisfaction with medical team cooperation in the experimental group was 97.5 %, compared to 88.1 % in the control group, a statistically significant difference (P < 0.001). CONCLUSION: HFMEA improves the safety of transport for critically ill pediatric patients in emergency settings, thereby enhancing nursing quality. IMPLICATIONS FOR CLINICAL PRACTICE: HFMEA significantly enhances pediatric critical care transport safety, improving nursing quality, efficiency, and multidisciplinary team collaboration.
The correlation of emotional intelligence and demographic characteristics with work performance among Palestinian emergency nurses.
Malak MZ, Shehadeh A, Ayed A … +2 more , Ejheisheh MA, Batran A
Int Emerg Nurs · 2026 Mar · PMID 41579580 · Publisher ↗
PURPOSE: Emergency nurses work in high-pressure and emotionally demanding environments. High emotional intelligence is a crucial skill that can influence emergency nurses' work performance. However, few studies have exam...
PURPOSE: Emergency nurses work in high-pressure and emotionally demanding environments. High emotional intelligence is a crucial skill that can influence emergency nurses' work performance. However, few studies have examined the correlations between emotional intelligence and demographic variables with emergency nurses' work performance, especially in conflict zones such as Palestine. This study aimed to examine the levels of emotional intelligence and work performance, their correlations, and the effects of select demographic variables among a sample of 223 emergency nurses working in high-patient-load governmental hospitals in Palestine. METHODS: A cross-sectional, quantitative correlational design was used. Data were collected using the Schutte Self-Report Emotional Intelligence Test (SSEIT) and the Employee Job Performance (EJP) Scale between March and April 2025. Data analysis included descriptive statistics, correlation tests, and multiple linear regression. RESULTS: The findings revealed high levels of emotional intelligence (M = 151.8 ± 1.9 out of 165) and work performance (M = 4.3 ± 0.4 out of 5). There were significant moderate correlations between work performance and age (r = 0.421, p < 0.001), work experience (r = 0.337, p < 0.001), and emotional intelligence (r = 0.597, p < 0.001). Emotional intelligence and age were positive predictors of work performance. CONCLUSIONS: The findings highlight the central role of emotional intelligence in enhancing care provision among emergency nurses. Interventions that strengthen the emotional intelligence of emergency nurses should be adopted and promoted, especially in conflict zones. Correlating demographic variables can inform the design and delivery of such interventions.
The association between mode of arrival, presence of medical referral, and outcomes in patients presenting to the emergency department with chest pain: A historical cohort study.
Gefen S, Feigin E, Ziv-Baran T
Int Emerg Nurs · 2026 Mar · PMID 41570474 · Publisher ↗
BACKGROUND: Chest pain is a common reason for emergency department (ED) visits, yet the impact of arrival mode and medical referral status on hospital admission and clinical outcomes remains unclear. This study evaluated...
BACKGROUND: Chest pain is a common reason for emergency department (ED) visits, yet the impact of arrival mode and medical referral status on hospital admission and clinical outcomes remains unclear. This study evaluated their influence on ED patients with chest pain. METHODS: A retrospective cohort study analyzed adults presenting with chest pain between January 2022 and June 2024. Patients were categorized as self-arrival without referral (SA), self-arrival with medical referral (MR), or arrival via emergency medical services (EMS). Primary outcome was hospital admission; secondary outcomes included 30-day mortality, prolonged length of stay (LOS), heart-related diagnoses, and readmission rates. RESULTS: Among 12,164 ED visits, hospital admissions were highest in the EMS group (29.9 %) compared to SA (21.0 %) and MR (17.1 %; p < 0.001). After adjustment, EMS and SA groups had greater odds of admission (adjusted ORs: 1.66 and 1.54, respectively; p < 0.001). EMS patients had the highest 30-day mortality (0.8 %), prolonged LOS (43.0 %), and readmission rates (8.0 %). Heart-related diagnoses at discharge were lowest in the MR group (21.7 % vs. 32.0 % in SA; p < 0.001). CONCLUSIONS: Medical referral was associated with lower admissions and better outcomes. Optimizing community-based diagnostics may improve triage and reduce ED burden.
Building clinical confidence, the impact of de-escalation training on nurses' management of aggression: An integrative review.
Almulla O, Tawash E, Alaradi M … +1 more , Nair B
Int Emerg Nurs · 2026 Mar · PMID 41558135 · Publisher ↗
OBJECTIVE: This integrative literature review aimed to examine the impact of de-escalation training on nurses' ability to recognise and manage aggressive patient behaviour with a particular focus on emergency care settin...
OBJECTIVE: This integrative literature review aimed to examine the impact of de-escalation training on nurses' ability to recognise and manage aggressive patient behaviour with a particular focus on emergency care settings. DESIGN: An integrative review of the literature. DATA SOURCES: A comprehensive search was conducted across multiple databases including PubMed, CINAHL (EBSCO), and Scopus. Peer-reviewed articles published between 2013 and 2023 were considered. Search terms included "de-escalation techniques", "workplace violence" and "emergency department staff". REVIEW METHODS: Nine studies met the inclusion criteria and were critically appraised using the Mixed Methods Appraisal Tool. Data were analysed thematically to identify recurring patterns and concepts. RESULTS: Three main themes emerged: 1) the impact of de-escalation training on nurses' confidence and clinical practice, 2) the effectiveness of de-escalation training in reducing the frequency and severity of violent incidents, and 3) the recurring factors contributing to the emergence of aggression in healthcare settings. De-escalation training was found to consistently improve nurses' self-efficacy and patient-centred practices, though its direct impact on reducing violent incidents varied across contexts. CONCLUSIONS: De-escalation training demonstrates strong potential to improve nurses' responses to aggression in emergency care settings. However, its effectiveness is closely linked to contextual factors such as organisational support, environmental conditions, and staff resources. Future research should explore longitudinal impacts, optimal training modalities, and the integration of broader systemic strategies to support violence prevention in emergency departments.
Awareness level related to spinal cord injury among emergency healthcare providers in Jordan.
Al-Mawahreh A, Al-Akash H, Al-Yateem N … +5 more , Ahmed FR, Awad Maabreh RS, Al-Hussami M, Hamdan K, Safain AR
Int Emerg Nurs · 2026 Mar · PMID 41548418 · Publisher ↗
OBJECTIVE: The study aims to evaluate the awareness of spinal cord injuries among emergency healthcare providers in Jordan, due to rising incidents from traffic accidents and other medical conditions. METHODOLOGY: A 20-i...
OBJECTIVE: The study aims to evaluate the awareness of spinal cord injuries among emergency healthcare providers in Jordan, due to rising incidents from traffic accidents and other medical conditions. METHODOLOGY: A 20-item structured questionnaire was used to assess the knowledge and self-reported practices of emergency healthcare providers dealing with spinal cord injuries. RESULTS: Among 144 participants, the overall mean awareness level related to Spinal Cord Injuries (SCI) was 16.19/20 ± 5.01. Among those, only 44.4 % of the participants were found to have a "good" knowledge level, while 55.6 % lacked adequate management knowledge for SCI. However, 59.7 % reported high first response rates. Many providers were unfamiliar with immediate spinal stabilization and proper handling methods. Self-reported practice correlated with knowledge acquisition. CONCLUSION AND RECOMMENDATIONS: There is a need for educational and training programs to improve competencies in managing spinal cord injuries, which can enhance patient outcomes and reduce socio-economic burdens. Addressing educational gaps can lead to more effective emergency response strategies in Jordan. PREVALENCE TO CLINICAL PRACTICE: The study enhances understanding of spinal cord injuries and suggests improving emergency healthcare services in Jordan through regular training, simulation-based learning, and continuous professional development. Future research should evaluate the effectiveness of these interventions.
Urgent care in Australia: Unblocking nurse practitioner capacity to address systemic access issues.
Jennings N, Clothier V
Int Emerg Nurs · 2026 Mar · PMID 41547144 · Publisher ↗
Abstract loading — click title to view on PubMed.
Leadership in emergency medical services: An integrative literature review.
Hirvikallio J, Hackman P, Haaranen A … +1 more , Kvist T
Int Emerg Nurs · 2026 Feb · PMID 41534159 · Publisher ↗
BACKGROUND: Leadership style in nursing has been associated with job satisfaction and patient outcomes. However, leadership research in emergency medical services (EMS) is limited and often emphasizes clinical encounters...
BACKGROUND: Leadership style in nursing has been associated with job satisfaction and patient outcomes. However, leadership research in emergency medical services (EMS) is limited and often emphasizes clinical encounters rather than system-level leadership. OBJECTIVE: This integrative review aimed to explore how leadership in EMS has been described in scientific research, to provide an overview of key themes, and to generate a synthesis that supports leadership development. METHODS: Searches were conducted in CINAHL, Scopus, and PubMed. Studies focused on clinical leadership were excluded. Two independent reviewers screened and critically appraised 17 articles, synthesizing the findings using a structured, integrative, and inductive approach to identify key EMS leadership themes. RESULTS: The included studies were thematically heterogeneous. Five key themes emerged: leadership models and styles, personnel management, communication and interaction, employee competence development and quality assurance, and transition into leadership roles. The literature showed limited coherence, and few studies examined leadership styles in detail. CONCLUSIONS: Leadership in EMS is complex and context dependent. The relationship between transformational leadership, employee well-being, and system or patient outcomes has not been sufficiently studied. Although transformational leadership appears well-suited to EMS's dynamic and high-pressure environment, it remains underutilized and underexplored.
Team collaboration and caring ability as reciprocal predictors of missed nursing care: A cross-sectional study among emergency nurses in China.
Zhang W, Peng W, Yang X … +4 more , Sun R, Deng J, Peng Y, Huang D
Int Emerg Nurs · 2026 Feb · PMID 41525747 · Publisher ↗
BACKGROUND: Missed nursing care remains a major patient safety concern in emergency departments, where high workloads and limited staffing frequently lead to omissions in fundamental care. Yet the impact of nurses' carin...
BACKGROUND: Missed nursing care remains a major patient safety concern in emergency departments, where high workloads and limited staffing frequently lead to omissions in fundamental care. Yet the impact of nurses' caring ability and team collaboration on missed care has received limited empirical attention. AIM: To examine the independent and interactive effects of nurses' caring ability and team collaboration on missed nursing care in emergency departments, and to assess potential bidirectional mediation mechanisms. METHOD: A cross-sectional study was conducted among 643 emergency nurses in five tertiary hospitals in Guangdong Province, China. Participants completed the Missed Nursing Care Scale, the Nursing Teamwork Survey, and the Caring Ability Inventory. Data were analysed using descriptive statistics, Pearson's correlation, multiple linear regression, and structural equation modelling. RESULTS: Both nurses' caring ability and team collaboration were significantly associated with reduced missed nursing care. Trust, support, courage, and cognition were identified as protective factors. Mediation modelling revealed a bidirectional mechanism in which each factor partially mediated the effect of the other on missed care. CONCLUSION: This study highlights the reciprocal relationship between interpersonal competencies and missed nursing care. Interventions targeting both individual and team-level capacities may enhance care quality and patient safety in high-intensity emergency settings.
About
- Frequency
- Sun
- Papers found
- 200
- RSS feed
- Subscribe