International Emergency Nursing[JOURNAL]
Sun
200 papers
Emergency Nurses' Comprehensive process of surrogate decision Support: Reanalysis of qualitative data Using a grounded theory.
Momiyama S, Katayanagi H, Nakabayashi M … +8 more , Fujino T, Sakoda N, Sato Y, Noguchi T, Susaka H, Hishinuma H, Tozawa T, Muraoka T
Int Emerg Nurs · 2026 Feb · PMID 41518784 · Publisher ↗
Abstract loading — click title to view on PubMed.
Comparative effectiveness of the Buzzy®, ShotBlocker® and Helfer skin tap technique in reducing pain and fear during pediatric intramuscular injections: A randomized controlled trial.
Dur Ş, Karadağ Aytemiz ÖE, Dinç S
Int Emerg Nurs · 2026 Feb · PMID 41512361 · Publisher ↗
AIM: This randomized controlled trial aimed to compare the effectiveness of three non-pharmacological methods-the Helfer Skin Tap technique (HST), ShotBlocker®, and Buzzy®-in reducing pain and fear in children aged 4-12 ...
AIM: This randomized controlled trial aimed to compare the effectiveness of three non-pharmacological methods-the Helfer Skin Tap technique (HST), ShotBlocker®, and Buzzy®-in reducing pain and fear in children aged 4-12 years during intramuscular (IM) injections in a pediatric emergency unit. METHODS: Conducted between January and October 2024, the study included 90 children aged 4-12 years. Participants were randomly assigned to the HST (n = 30), ShotBlocker® (n = 30), or Buzzy® (n = 30) group. Each child received an IM ceftriaxone injection using the designated technique. Pain and fear were assessed by the child, parent, and observer nurse one minute before and after the procedure using the Wong-Baker FACES Pain Rating Scale, Faces Pain Scale-Revised, and Child Fear Scale. RESULTS: The mean age was 7.91 ± 2.71 years. Pain and fear scores were comparable between the groups before the procedure (p > 0.05). After injection, pain and fear scores were lowest in the Buzzy® group, followed by the ShotBlocker® and HST groups. CONCLUSION: All three methods effectively reduced pain and fear during IM injections, with Buzzy® being the most effective. These simple, low-cost techniques are suitable to enhance comfort and reduce fear in pediatric emergency units.
From uncertainty to confidence: Standardizing team approach to physical restraint (TAPR) for safer emergency care. A pre-post intervention quality improvement project.
Garcia J, Butler H, Boggs K … +1 more , Yanez J
Int Emerg Nurs · 2026 Feb · PMID 41512360 · Publisher ↗
BACKGROUND: Managing violent and disruptive patients in emergency care remains a critical challenge, placing both staff and patient at risk. A multidisciplinary team developed the Team Approach to Physical Restraint (TAP...
BACKGROUND: Managing violent and disruptive patients in emergency care remains a critical challenge, placing both staff and patient at risk. A multidisciplinary team developed the Team Approach to Physical Restraint (TAPR) intervention to offer a collaborative, role-based framework for safely managing these situations through interdisciplinary coordination. AIM: This study aimed to evaluate TAPR's effectiveness in promoting safety and team-based preparedness in the emergency department. METHODS: A pre- and post-intervention survey design was used to assess the impact of TAPR among emergency department clinicians across multiple roles. The survey included 8 pre-interventions and 12 post-interventions, utilizing Likert-type scales to measure outcomes related to role clarity, perceived injury prevention, confidence in protocol use, and overall effectiveness. Descriptive statistics were used to analyze participant responses. RESULTS: Following the intervention, 92.5 % of participants reported clarity and applicability in role assignments. Additionally, 77.5 % believed TAPR reduced the likelihood of injuries during restraints, and 90% expressed confidence in initiating the protocol. Overall, 87.5 % agreed that TAPR effectively reduced risks during violent patient encounters. CONCLUSION: TAPR enhanced preparedness, improved interprofessional collaboration and increased staff confidence in managing violent patients. These findings suggest that TAPR may serve as standardized approach for promoting safety and consistency in emergency care environments.
Perceived involvement in emergency department care: An observational study of nurse-led bedside shift handover.
Christien Van Der Linden MC, Roukayya Oueslati R, Rianne C Lam AR … +4 more , Helma Krapels H, Sanne Van Vliet S, Aimee De Graaf A, Naomi Van Der Linden N
Int Emerg Nurs · 2026 Feb · PMID 41500179 · Publisher ↗
BACKGROUND: Involving patients in their care is an important aspect of quality emergency nursing, but remains difficult to achieve in busy and time-pressured settings. Bedside shift handover (BSH), where nurses exchange...
BACKGROUND: Involving patients in their care is an important aspect of quality emergency nursing, but remains difficult to achieve in busy and time-pressured settings. Bedside shift handover (BSH), where nurses exchange information in the patient's presence, may support engagement, yet evidence from emergency departments (EDs) is limited. AIM: To explore how patients perceived their involvement in communication and care during their ED stay, and whether exposure to nurse-led BSH, structured using the Situation-Background-Assessment-Recommendation (SBAR) format, was associated with higher perceived involvement. METHODS: A cross-sectional telephone survey was conducted among 104 recently discharged ED patients. Perceived involvement was assessed with the three-item CollaboRATE questionnaire. Additional data included patient and visit characteristics, crowding levels, and BSH exposure based on nursing documentation. RESULTS: Patients reported moderate-to-high perceived involvement (mean CollaboRATE 21.8 of 27), though only 11.5 % gave top scores across all items. BSH was documented in 36 % of eligible cases. No significant association was observed between documented BSH and perceived involvement (p = 0.81), nor between crowding and involvement (r = -.05, p = 0.59). CONCLUSION: Most patients felt involved, yet optimal engagement was uncommon. No association was found between BSH and perceived involvement, likely reflecting variation in implementation. Consistent and inclusive handover practices may help support patient engagement, but this requires further study.
Unprepared and under pressure: Transitioning experiences to emergency nursing in rural and remote areas.
Rogers D, Calleja P, Byrne AL … +1 more , Sahay A
Int Emerg Nurs · 2026 Feb · PMID 41435505 · Publisher ↗
INTRODUCTION: Access to quality healthcare in rural and remote Australia remains a significant challenge, with registered nurses (RNs) often the sole face-to-face healthcare provider. Emergency care in these settings req...
INTRODUCTION: Access to quality healthcare in rural and remote Australia remains a significant challenge, with registered nurses (RNs) often the sole face-to-face healthcare provider. Emergency care in these settings requires adaptable, highly skilled RNs capable of managing critical and deteriorating patients with limited support. A gap remains in preparing RNs for these complex demands. The aim of this research was to explore the experiences and preparedness of non-emergency trained RNs, new to the rural and remote environment in managing emergency care. METHODS: A qualitative exploratory descriptive design was used to explore the experiences of non-emergency trained RNs in rural and remote settings. Semi-structured interviews were conducted and transcribed verbatim. Data was analysed using thematic analysis. COREQ guidelines were followed. RESULTS: 23 RNs were divided into two cohorts: experienced rural and remote RNs and those new to the rural and remote context. Thematic analysis revealed three core themes: (1) It is more complex than preparedness, (2) Securing the future success of rural and remote RNs and (3) The good, the bad and finding the 'in between'. Participants highlighted a disconnect between metropolitan and rural healthcare expectations and emphasised the need for context-specific training, ongoing professional growth, and a culturally responsive, community integrated approach. Findings indicate unpreparedness extends beyond clinical skills to include confidence, community engagement, and cultural competence. This lack of preparedness impacts job satisfaction, confidence, and the ability to manage rural healthcare complexities, ultimately influencing nursing retention rates globally. CONCLUSION: Rural and remote RNs face challenges including limited resources and professional isolation. Findings underline the importance of tailored education, self-reflection and realistic recruitment strategies to support and retain RNs in rural and remote settings and ensure sustainable healthcare in rural and remote communities.
The impact of an educational program on emergency nurses' preparedness to care for domestic violence women victims.
Khalil T, Abu Kamel AM, Saad A … +4 more , Al-Najjar H, Al-Qudimat AR, Alrahahleh M, Nashwan AJ
Int Emerg Nurs · 2026 Feb · PMID 41418565 · Publisher ↗
BACKGROUND: Domestic Violence (DV) is a worldwide problem that negatively impacts women's health, family, and community. For that, improving emergency nurses' competencies and preparedness regarding the care of Domestic...
BACKGROUND: Domestic Violence (DV) is a worldwide problem that negatively impacts women's health, family, and community. For that, improving emergency nurses' competencies and preparedness regarding the care of Domestic Violence (DV) victims is crucial in nursing education. The purpose of the study was to investigate the effect of an educational program on the emergency nurses' preparedness, perceived preparation and knowledge, actual knowledge, attitude, and practice regarding caring for DV women victims. METHODS: A quasi-experimental pretest-posttest one-group design was used, and the data were collected from 43 emergency nurses working in two private hospitals in Amman. The participants filled out the DV Preparedness Questionnaire (DVPQ) as a pre-test, then enrolled in a one-day educational program regarding the DV nurse's preparedness program, and finally, again, participants filled out the DVPQ as a post-test. RESULTS: A total number of 43 nurses from two private hospitals were invited to participate in this study. All the invited nurses attended the educational program. Therefore, the response rate was 100%, and there were no attrition or withdrawal cases during the study. The results of this study showed that emergency nurses' mean scores of DVPQ subscales regarding care of DV women victims improved after attending an educational program about DV preparedness. A significant difference in the score pre-test and post-test for emergency nurses' DVPQ subscales was reported; this result revealed that when an educational program applies, it effectively improves emergency nurses' care of DV victims. CONCLUSION: There was a significant improvement in nurses' perceived preparation and knowledge, actual knowledge, and attitude regarding caring for DV Women Victims.
Comments on: "Artificial intelligence improves survival decision-making in diabetic emergencies: A cross-sectional study".
Huang X, Hu Z
Int Emerg Nurs · 2026 Feb · PMID 41406586 · Publisher ↗
Abstract loading — click title to view on PubMed.
Verbal and visual information exchange in EMS-to-ED patient handovers: An observational and attitudinal study.
Braverman A, Frenkel A, Schwarzfuchs D … +2 more , Jaffe E, Bitan Y
Int Emerg Nurs · 2026 Feb · PMID 41401652 · Publisher ↗
BACKGROUND: Although effective information exchange during emergency medical services (EMS)-to-emergency department (ED) patient handovers is critical for care continuity and patient safety, handover communication patter...
BACKGROUND: Although effective information exchange during emergency medical services (EMS)-to-emergency department (ED) patient handovers is critical for care continuity and patient safety, handover communication patterns and information gaps remain poorly characterized. OBJECTIVE: To characterize verbal and visual information exchange patterns in EMS-to-ED handovers while comparing EMS and ED staff perceptions of handover quality. METHODS: This was a dual-methods study conducted at a tertiary medical center in Israel (June-November 2024) in which 83 EMS-to-ED handovers [35 advanced life support (ALS), 48 basic life support (BLS)] were directly observed. We documented information elements, duration, and communication patterns via a structured checklist. In addition, an electronic survey (Qualtrics) of 103 participants (62 EMS, 41 ED staff) was used to assess perceptions with 6-point Likert scales. Statistical analyses utilized Mann-Whitney U tests, effect sizes (Cohen's d), and 95 % confidence intervals (CIs). RESULTS: The handovers were dominated by verbal communication (97.6 %, 95 % CI: 91.6-99.3 %) of brief duration [ALS: Median = 40 s, interquartile range (IQR) 35-45; BLS: Median = 25 s, IQR 25-35]. Significant information gaps included: pre-hospital treatment details, which were absent in 36.1 % of the handovers (95 % CI: 26.6-46.9 %), allergy details in 55.4 %, and demographic details in 61.4 %. The ALS teams provided more complete information than did BLS teams (treatment: 94 % vs. 46 %, p < 0.001; allergies: 60 % vs. 33 %, p = 0.02). EMS documentation was available in only 7.2 % of handovers (95 % CI: 3.4-14.9 %). Patient background documents were valued more by ED staff than by EMS personnel (Median = 4.84 vs. 3.44, p < 0.001, d = 0.98), and they reported higher confidence in using received information (Median = 4.12 vs. 3.15, p < 0.001, d = 0.78). CONCLUSIONS: Because EMS-to-ED handovers rely almost exclusively on brief verbal communication, they are vulnerable to information loss. Critical safety-relevant information (allergies, medications) is frequently omitted, with BLS teams showing greater gaps than ALS teams. Structured handover protocols may improve information completeness and continuity of care by incorporating digital tools to complement verbal communication.
Letter to the Editor: Methodological and practice insights on emergency nurses' experiences of caring for critically ill patients requiring intensive care in the emergency department.
Antunez Martinez OF
Int Emerg Nurs · 2026 Feb · PMID 41380255 · Publisher ↗
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Perception and experience of patients in the emergency department in Edmonton, Canada: A qualitative study.
Zakkar MA, Kolahdooz F, Kerber K … +5 more , Akbaryan F, Wagg A, DeLancey D, Corriveau A, Sharma S
Int Emerg Nurs · 2026 Feb · PMID 41370967 · Publisher ↗
INTRODUCTION: Patient experiences in emergency departments (EDs) may be suboptimal due to increasing patient volumes and constrained hospital resources. This study explores patient experiences in EDs in Edmonton, Alberta...
INTRODUCTION: Patient experiences in emergency departments (EDs) may be suboptimal due to increasing patient volumes and constrained hospital resources. This study explores patient experiences in EDs in Edmonton, Alberta, Canada. METHODS: This study reports findings from a qualitative descriptive study conducted as part of the CARE project. Individuals experiencing socioeconomic disadvantages and having visited an ED in Edmonton within the past 12 months were recruited from two distinct settings-one hospital ED and four community organizations-using purposive sampling. Quantitative data from closed-ended questions were used to describe participant characteristics and healthcare access, while qualitative data were analyzed thematically. The study adhered to the Consolidated Criteria for Reporting Qualitative Research. RESULTS: The study included 192 participants: 120 were interviewed in a hospital ED (46.7% women, 37.5% Indigenous, 60% unemployed), and 72 were interviewed in community-based organizations (59.7% women, 68.1% Indigenous, 94.4% unemployed). While most participants reported satisfactory experiences, others described unsatisfactory encounters. Positive experiences were linked to perceptions of health needs being met, while negative ones were associated with racism, accessibility barriers, long wait times, and poor communication. Quantitative data also revealed limited availability of primary care services and access to needed healthcare professionals. Suggestions for improvement included enhancing communication and expanding primary care capacity. CONCLUSIONS: Wait times, communication, service accessibility, availability, and discrimination are key challenges affecting ED experiences. Addressing these issues requires strategic investments in primary care, ED staffing, and culturally safe care practices to improve equity, responsiveness, and patient experience.
Enhancing quality and efficiency: The impact of patient experience officers on teamwork and staff experience in Australian emergency departments.
Brabin J, Laver S, Phillips R … +2 more , Rossiter R, Jakimowicz S
Int Emerg Nurs · 2026 Feb · PMID 41370966 · Publisher ↗
BACKGROUND: The Patient Experience Officer (PEO) position was implemented into Emergency Department (ED) waiting rooms to address increased rates of occupational aggression and improve patient experience. Rising ED prese...
BACKGROUND: The Patient Experience Officer (PEO) position was implemented into Emergency Department (ED) waiting rooms to address increased rates of occupational aggression and improve patient experience. Rising ED presentations have lengthened patient wait times, increased risk of clinical deterioration and aggression and violence towards ED staff. METHODS: This study used a mixed-methods approach including staff surveys, focus groups and semi-structured interviews with a range of ED staff. Data was analysed using content analysis and descriptive statistics. RESULTS: Staff benefit from the PEO's presence in the waiting room through improved communication with patients, fewer disruptions and humanising the atmosphere within the traditionally chaotic ED environment. Workflow and teamwork is improved through preparing patients for treatment, supporting ED clinicians in managing the waiting room and streamlining processes. The PEO position improves patient safety for those in the waiting room through proactive escalation of possible deterioration and early communication with patients, which decreases aggression and anxiety. CONCLUSION: Based on this evaluation, the PEO position contributes to improving the safety of staff and patients by providing an important point of contact, a calming presence for patients and, supporting ED staff through improved communication, and escalation of care needs.
Interventions according to patient severity in an emergency department based short stay unit: Nursing intervention classification and social network analysis.
Lee D, Kim S, Kim J … +5 more , Chung J, Yun S, Lee Y, Lee IH, Park H
Int Emerg Nurs · 2026 Feb · PMID 41365075 · Publisher ↗
PURPOSE: To examine the operational performance of a short stay unit (SSU) and emergency department (ED) and identify the patterns of nursing interventions provided simultaneously to critically ill patients according to...
PURPOSE: To examine the operational performance of a short stay unit (SSU) and emergency department (ED) and identify the patterns of nursing interventions provided simultaneously to critically ill patients according to the severity of illness in the SSU using the Nursing Intervention Classification System and social network analysis. METHODS: This is a retrospective descriptive study. Data were collected from the electronic medical records of critically ill patients admitted to the SSU and ED of a university-affiliated tertiary general hospital between 1 June 2020 and 31 May 2022. RESULTS: Among the 48,985 ED visits for medical treatment before the SSU was launched, 2,289 (4.7 %) were hospitalised with severe illnesses. Among the 50,650 ED visits for medical treatment after the launch of the SSU, 2820 (5.5 %) were hospitalised with severe illnesses. A total of 551 patients with severe illnesses were admitted to the SSU via the ED during the study period. The respective occupancy rates of the SSU and ED were 25.2 % and 111.3 %. The median length of stays in the ED before and after the launch of the SSU were 8.05 h and 8.75 h. The SSU helped buffer the ED from receiving 531 more patients with severe illnesses without meaningfully increasing ED crowding. As patient severity increased, so did the need for complex physiological care, increasing from 48.3% in Class I to 56.9% in Class IV. Meanwhile, safety and health system-related interventions were more frequently provided to less severe patients, rising from 11.8 % and 8.5 %. in Class IV to 17.6 % and 14.7 % in Class I, respectively. Social network analysis showed that the clustering of emergency care was consistently centralised, regardless of severity, with ventilatory support and metabolic interventions becoming more prominent as patient severity increased. CONCLUSIONS: This study provided a comprehensive understanding of the evolving priorities of nursing interventions across patient severity levels at the SSU of a tertiary general hospital. This study can serve as a reference to enable nurses to efficiently provide complex and interrelated nursing interventions for patients, ultimately improving patient outcomes in acute care settings. These insights may help other general hospitals refine their acute care models and guide future research on best practices for managing critically ill patients outside traditional ICU settings.
Emergency nurses' experiences following resuscitation care: When the adrenaline wears off.
Toews A, Martin D, Chernomas W … +1 more , Olafson K
Int Emerg Nurs · 2026 Feb · PMID 41360034 · Publisher ↗
AIM: To explore emergency nurses' experiences following in-hospital resuscitation events in an adult emergency department and their desired resources for coping. Limited research has been done in this area. DESIGN: Quali...
AIM: To explore emergency nurses' experiences following in-hospital resuscitation events in an adult emergency department and their desired resources for coping. Limited research has been done in this area. DESIGN: Qualitative exploratory design using Lazarus and Folkman's Transactional Theory of Stress and Coping as a guiding framework. METHODS: Digitally recorded, semi-structured interviews conducted by the first author with emergency nurses who volunteered to participate. Digital recordings were transcribed verbatim. Transcripts and the first author's reflective journals were iteratively read and analyzed using content analysis. The research setting was an adult emergency department in a Western Canadian city. DATA SOURCES: Short demographic survey, verbatim transcripts, and the first author's reflective journals. RESULTS: Eight emergency nurses participated. Most participants were women, employed part-time with an average number of 20 resuscitation events in the previous six months. Three themes were identified: (1) emergency nurses' experiences of resuscitation - 'The adrenaline rush,' (2) emergency nurses' experiences post-resuscitation - 'When the adrenaline wears off' and (3) emergency nurses' recommendations for policies and resources. Participants described psychological consequences of providing resuscitation care, with profound effects on their personal and professional lives. Moral distress and secondary trauma stress were discussed with recommendations for future policies and resources to support healthcare teams. Improved staffing resources, a mentorship program, and multidisciplinary education for resuscitation teams were recommended. CONCLUSION: Participants experienced significant moral distress and secondary trauma stress following resuscitation care. Participants provided recommendations for organizational policies and resources to support emergency nurses and resuscitation teams.
Interventions to reduce overcrowding in emergency departments: An umbrella review.
Santos E, Brito AC, Fonseca L … +3 more , Figueiredo M, Esteves M, Santos D
Int Emerg Nurs · 2026 Feb · PMID 41351990 · Publisher ↗
OBJECTIVE: To identify and evaluate the effectiveness of interventions and/or strategies to reduce overcrowding in Emergency Departments (EDs). METHOD: An umbrella review was performed using the JBI method. Eight search...
OBJECTIVE: To identify and evaluate the effectiveness of interventions and/or strategies to reduce overcrowding in Emergency Departments (EDs). METHOD: An umbrella review was performed using the JBI method. Eight search resources were considered. Two independent reviewers carried out the selection of studies, quality assessment, data extraction, and synthesis. RESULTS: Twenty systematic reviews were included, which identified several interventions to reduce overcrowding in EDs, such as: joint triage (physicians and nurses); creation of fast tracks; introduction of Rapid Assessment Units; request for auxiliary diagnostic tests by nurses; streaming; collaboration with Primary Health Care (PHC) for referral of non-urgent cases; allocation of PHC units within or adjacent to EDs; triage by PHC professionals; extension of PHC hours; increase in hospital capacity; creation of full capacity protocols; hiring of specialist professionals; lean thinking; reverse triage. The most effective interventions and/or strategies were: joint triage; creation of fast-track routes; introduction of rapid assessment units; request for auxiliary diagnostic tests by nurses; streaming; and collaboration with PHC for referral of non-urgent cases. CONCLUSION: The combination of effective triage, appropriate flow management, and proactive action by the team appears to be key to mitigating overcrowding in the EDs. Joint triage and fast-track routes are the most effective measures. The expanded role of nurses - including their ability to request examinations and manage rapid assessment units - is also crucial to speeding up care.
A response to "A systematic review of suction-based airway clearance devices for foreign body airway obstruction".
Gould SJ
Int Emerg Nurs · 2026 Feb · PMID 41297190 · Publisher ↗
Abstract loading — click title to view on PubMed.
An examination of how nurses' use of the Broselow tape affects patient safety during peripheral intravenous catheterization.
Alaca A, Sarı HY
Int Emerg Nurs · 2026 Feb · PMID 41297189 · Publisher ↗
BACKGROUND: Peripheral intravenous catheter insertion is one of the most common procedures in pediatric emergency departments. Inappropriate placement of a peripheral intravenous catheter and the associated management ca...
BACKGROUND: Peripheral intravenous catheter insertion is one of the most common procedures in pediatric emergency departments. Inappropriate placement of a peripheral intravenous catheter and the associated management can lead to patient harm, which is considered a patient safety issue. The patient's safety could be compromised if a peripheral intravenous catheter is not properly placed and managed. PURPOSE: This study was conducted to examine how nurses' use of the Broselow tape affects patient safety during peripheral intravenous catheterization. MATERIALS AND METHODS: In this study, the selection of peripheral intravenous catheters was based on a randomized controlled trial. The study was registered on ClinicalTrials.gov under the registration number NCT06165003. Using the Stepped Wedge design, data from the control group were collected first, followed by data from the experimental group. The two groups were compared on a variety of criteria, including the number of attempts, extravasation, accidental dislodgement, dwell time of catheter, and reasons for removal of catheter. RESULTS: The study found no significant difference between the experimental and control groups in terms of "the nurses' success in performing the procedure" and "catheter dwell time" during peripheral intravenous catheterization. The patients' estimated weights in the experimental group were found to be consistent with both the Broselow tape estimates and parents' weight estimates. CONCLUSIONS: The study indicates that using the Broselow tape for cannula selection during peripheral intravenous catheterization could serve as a novel alternative method.
Letter to the editor regarding "The effect on intra-hospital transfer success of checklist in the pediatric emergency department: An interventional observational study".
Özkaya AK, İldeş EN
Int Emerg Nurs · 2026 Feb · PMID 41275727 · Publisher ↗
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Turkish validity and reliability of the parental competence questionnaire in the paediatric hospital emergency setting (ECP-U).
Kurt A, Dinç F, Güneş Şan E … +2 more , Butun A, Catalbas Acarsoy M
Int Emerg Nurs · 2026 Feb · PMID 41275726 · Publisher ↗
AIM: The aim of this study is to conduct Turkish validity and reliability study of the parental competence questionnaire in the paediatric hospital emergency setting. METHODS: This study is a descriptive, cross-sectional...
AIM: The aim of this study is to conduct Turkish validity and reliability study of the parental competence questionnaire in the paediatric hospital emergency setting. METHODS: This study is a descriptive, cross-sectional, correlational and methodological study. Participants were 624 parents with children aged 0-14 who presented to the paediatric emergency department between December 2023 and July 2024. The study was carried out in the emergency department of three hospitals in three different regions of Turkey. The data were collected by using the "demographic information form" and "parental competence questionnaire in the paediatric hospital emergency setting", "state and trait anxiety inventory", and "parental stress questionnaire". Explanatory and confirmatory factor analysis, Horn's parallel analysis, Catell's scree test, Cronbach's ordinal alpha coefficients and Pearson correlation were used in the data analysis. RESULTS: The mean age of the mothers included in the study was 34.63 ± 6.94, and the mean age of the fathers was 37.88 ± 7.83. The scale consisted of 18 items and three sub-dimensions: emotional management and expression, social support, and parental agency, explaining 60 % of the total variance. It was determined that the Cronbach's ordinal alpha coefficients of the scale factors were greater than 0.745. There is a negative correlation between the parental stress questionnaire, the state and trait anxiety inventory, and the parental competence questionnaire in the paediatric hospital emergency setting. CONCLUSIONS: According to the results of this study, the parental competence questionnaire in the paediatric hospital emergency setting is a valid and reliable measurement tool for the Turkish population.
Determining healthy lifestyle beliefs of adolescents presenting to the pediatric emergency department: A cross-sectional study.
Girginer S, Yıldız İ
Int Emerg Nurs · 2025 Dec · PMID 41260140 · Publisher ↗
INTRODUCTION: Adolescence is a critical developmental period in which healthy lifestyle beliefs are shaped. Existing studies in the literature have generally been conducted on adolescents without any health problems. Thi...
INTRODUCTION: Adolescence is a critical developmental period in which healthy lifestyle beliefs are shaped. Existing studies in the literature have generally been conducted on adolescents without any health problems. This study aims to determine the healthy lifestyle beliefs of adolescents who present to the pediatric emergency department, thus filling an important gap in the literature. METHOD: This descriptive cross-sectional study was conducted with 389 adolescents who presented to the Pediatric Emergency Department of a public hospital in Turkey between 01 February 2023 and 31 July 2023. Data were collected using the Introductory Information Form and the Healthy Lifestyle Belief Scale for Adolescents (HLBSA), and were evaluated using descriptive statistics, independent samples t-test, and ANOVA variance analysis. RESULTS: The average age of the adolescents was 16.17 ± 0.81, and 61.4 % were female. 15.2 % of the adolescents had a chronic illness, and 51.4 % had been hospitalized previously. The mean total score of the Healthy Lifestyle Belief Scale was 62.03 ± 11.25; the Health Belief subscale was 27.36 ± 5.70, the Physical Activity subscale was 20.59 ± 4.00, and the Nutrition subscale was 14.07 ± 3.70. A significant difference was found between the adolescents' academic achievement, peer relationships, nutritional habits, physical activity levels, happiness status, interest in health issues, and their mean total healthy lifestyle belief scores (p < 0.05). CONCLUSION: The healthy lifestyle beliefs of adolescents presenting to the pediatric emergency department are at a high level. Considering individual and environmental factors that shape health beliefs and behaviors is of great importance in protecting and improving adolescent health.
Empowering emergency nurses in crisis response - A quality improvement framework for enhanced preparedness and decision-making.
Seyedin H, Moslehi S, Narimani S
Int Emerg Nurs · 2025 Dec · PMID 41252954 · Publisher ↗
INTRODUCTION: Emergency nurses face significant challenges in crisis response, including cognitive overload and institutional barriers, which compromise patient outcomes. This quality improvement (QI) initiative aimed to...
INTRODUCTION: Emergency nurses face significant challenges in crisis response, including cognitive overload and institutional barriers, which compromise patient outcomes. This quality improvement (QI) initiative aimed to enhance crisis preparedness through evidence-based interventions, addressing gaps in risk perception, decision-making, and self-efficacy. METHOD: A pre/post-intervention study was conducted at two academic medical centers (Level I trauma centers)150 emergency nurses. Interventions included simulation-based training, AI-driven decision-support tools, and protocol reforms. Data were collected at baseline, post-intervention, and six-month follow-up. Primary outcomes included risk perception accuracy, decision latency, and self-efficacy, which were analyzed using paired t-tests, repeated measures ANCOVA, control charts, and chi-square tests. RESULTS: Post-intervention, nurses demonstrated a 32 % improvement in risk perception accuracy (p < 0.01) and a 26 % reduction in decision-making time (p < 0.05). Self-efficacy scores nearly doubled, rising from 45 % to 89 %. ED-specific process outcomesincluded a 40 % reduction in triage errors and a 35 % decrease in missed deteriorations with AI support. Improvements were sustained at the 6-month follow-up. DISCUSSION: The multimodal approach yielded statistically and clinically significant improvements, surpassing single-intervention studies. Sustainable implementation requires institutional support for technology integration and policy reforms. These findings advocate for widespread adoption of combined simulation, AI, and protocol strategies to empower nurses in crisis response.
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