International Emergency Nursing[JOURNAL]
Sun
200 papers
Using virtual reality to enhance procedure-related experiences in adult emergency departments: A qualitative study.
Xu HG, Duff J, Binnie V
Int Emerg Nurs · 2025 Dec · PMID 41038019 · Publisher ↗
INTRODUCTION: Needle phobia is a common issue affecting many patients in emergency departments (EDs), including adults. Virtual reality (VR) has rapidly advanced in recent years and is increasingly used in patient care....
INTRODUCTION: Needle phobia is a common issue affecting many patients in emergency departments (EDs), including adults. Virtual reality (VR) has rapidly advanced in recent years and is increasingly used in patient care. However, there is limited research exploring the subjective experiences of VR users in this context. AIM: This study aims to explore the experiences of both patients and clinicians during painful needle-related procedures, as well as identify the barriers and facilitators associated with the use of VR to manage these procedures in ED. DESIGN: An exploratory qualitative study. METHOD: The study was conducted in one adult ED in Australia in 2024. VR was used as an intervention to help manage needle phobia among adult patients with moderate or high anxiety levels. Semi-structured interviews were conducted with ten patients and seven ED clinicians. Thematic analysis was employed to analyse the data. FINDINGS: Overall, participants reported positive experiences with the innovative technology. Four themes developed from patient interviews included Communication with clinicians; The influence of current and past experiences; The VR experience; and Considerations for VR implementation. Three themes emerged from Clinician interviews including: Communication with patients; The VR experience; and Considerations for VR implementation. CONCLUSION: This study offers valuable preliminary insight into VR experiences from both patient and clinician perspectives in the ED setting. IMPLICATIONS: Clinicians and researchers should consider the identified barriers, facilitators, and potential solutions when incorporating VR interventions into their clinical practice and research.
Trauma assessment within people who identify as LGBTQ.
Wade-Olson P, Wade-Olson J
Int Emerg Nurs · 2025 Dec · PMID 41038018 · Publisher ↗
OBJECTIVE: Assess the prevalence of childhood and adulthood trauma in people who identify as LGBTQ+ as compared to people who identify as cisgender heterosexual. BACKGROUND: Trauma can have disastrous impacts on health....
OBJECTIVE: Assess the prevalence of childhood and adulthood trauma in people who identify as LGBTQ+ as compared to people who identify as cisgender heterosexual. BACKGROUND: Trauma can have disastrous impacts on health. Much of the current trauma research is focused on childhood trauma and persons who identify as cis-gender heterosexuals. There is limited research regarding lifetime prevalence of trauma within people who identify as LGBTQ+. METHOD: This study design is a survey and a quantitative, non-probability based, convenience sampling method was used to measures lifetime prevalence of trauma and discrimination in study participants. The survey was a combination of three validated instruments [1-3]. One hundred and fifty-five participants were enrolled across three community health primary care clinics within the United States and 141 surveys were analyzed. RESULTS: Participants who identified as LGBTQ+ had higher values of trauma across all measures as compared to participants who were cisgender heterosexual. African American respondents had higher trauma scores on two of the three trauma measures. CONCLUSION: The widespread prevalence of trauma within the general population and the LGBTQ+ community suggests that the utilization of a trauma informed approach by emergency nurses can help to improve the health care experiences of people who identify as LGBTQ+ and prevent retraumatization. A trauma informed approach is recommended for persons who have experienced trauma.
Audit and re-audit regarding the current practice of ABCDE approach in the emergency department at selected university hospitals in Syria.
Batieh A, Altwer NAA, Mehli A … +4 more , Amsha M, Al Zoubi B, Hadaki Z, Alsaid B
Int Emerg Nurs · 2025 Dec · PMID 41027197 · Publisher ↗
BACKGROUND: The ABCDE approach (Airway, Breathing, Circulation, Disability, Exposure) is crucial for the initial assessment and treatment of critically ill patients. However, previous studies have shown suboptimal adhere...
BACKGROUND: The ABCDE approach (Airway, Breathing, Circulation, Disability, Exposure) is crucial for the initial assessment and treatment of critically ill patients. However, previous studies have shown suboptimal adherence to this protocol, highlighting the need for clinical audits. AIM: To evaluate the extent of application of the ABCDE approach and to discover the obstacles that prevent them from being applied in internal emergency Department at selected university hospitals in Syria. METHODS: A clinical audit was conducted over two cycles at two university hospitals (hospital A and B), involving 160 patients. The first cycle took place from November 6 to November 19, 2023, and the second one from March 31 to April 9, 2024. Twenty-nine criteria based on World Health Organization guidelines were assessed using a checklist completed by a data collection group. The snapshot sampling method was used in determining the sample size and the convenient method to select patients. After the first cycle, findings were presented locally, leading to formulated recommendations. RESULTS: Both Hospitals showed improvement in compliance rates over the second cycle. Hospital A achieved 17.2% in the second cycle, while hospital B reached 20.6%. Hospital B had fewer declines and more criteria met, indicating a more favourable trend in patient care standards overall. CONCLUSION: The audit also identified barriers to adherence, such as issues related to wearing gloves and ensuring patient privacy. The study concluded that regular clinical audits enhance the application of the ABCDE approach and improve healthcare delivery, emphasizing the need for ongoing research in this area.
The impact of person-centered care on pain control and experiences of trauma patients in the emergency department: a clinical trial study.
Khademi N, Gholami M, Moradi B … +3 more , Ghasemi A, Mokhayeri Y, Taheri H
Int Emerg Nurs · 2025 Dec · PMID 41016195 · Publisher ↗
BACKGROUND: Although person-centered care is a fundamental aspect of nursing, its effective implementation in acute healthcare settings remains challenging. The current study aimed to determine the impact of person-cente...
BACKGROUND: Although person-centered care is a fundamental aspect of nursing, its effective implementation in acute healthcare settings remains challenging. The current study aimed to determine the impact of person-centered care on pain control and the experiences of trauma patients in the emergency department (ED). METHODS: This randomized clinical trial included 88 trauma patients admitted to the ED, who were allocated via block randomization into two groups: the intervention group (n = 44) and the control group (n = 44). The intervention group received person-centered care focusing on two components: 1) pain management and 2) therapeutic communication/trauma-informed care. The control group received routine emergency care. Outcomes were measured using the Numerical Rating Scale (NRS) for pain, the Pain Management Satisfaction Scale (PMSS), and the Accident and Emergency Department Questionnaire (AEDQ). Data were analyzed using STATA-14 software, with Repeated Measure and paired t-tests applied for statistical analysis. RESULTS: The results showed no statistically significant difference in pain intensity during triage between the two groups (P = 0.091). However, upon discharge from the ED, the mean scores for pain management satisfaction and patient experiences were significantly higher in the intervention group (22.61 and 20.88, respectively) compared to the control group (8.40 and 39.99, respectively) (P < 0.001). CONCLUSION: The findings suggest that incorporating principles of person-centered care such as patient participation, attention to preferences, and nurse-led pain management during triage, can enhance satisfaction and foster positive experiences among trauma patients in the ED.
Reasons for hospital admissions in children with chronic diseases during the COVID-19 pandemic: A retrospective study.
Çapa Z, Karadağ G
Int Emerg Nurs · 2025 Dec · PMID 41014776 · Publisher ↗
BACKGROUND: This study was conducted to investigate the reasons for hospital admissions in children with chronic diseases during the COVID-19 pandemic. OBJECTIVE: A descriptive and retrospective study design was employed...
BACKGROUND: This study was conducted to investigate the reasons for hospital admissions in children with chronic diseases during the COVID-19 pandemic. OBJECTIVE: A descriptive and retrospective study design was employed. METHODS: The study included the records of children (1,018 children) who had been diagnosed with chronic diseases and had presented to the pediatric polyclinics, pandemic polyclinics, and emergency departments of a state hospital between April 1, 2020 and March 31, 2021. For the disease diagnoses of the children, the ICD 10 codes entered into the system for the most common diseases seen in children, like epilepsy, asthma, and cerebral palsy, were searched. Descriptive statistical methods (frequencies and percentages) were used to analyze the data; no statistical significance testing or group comparisons were conducted. RESULTS: The mean age was 8.74 ± 4.63 years. It was found that 32.58 % of the children with epilepsy and 19.77 % with asthma had presented to the pediatric emergency department with fever and 26.32 % of those with cerebral palsy had presented with nausea and vomiting. A total of 212 PCR samples had been taken from children, and PCR test results of 15.57 % were positive. The procedures applied to the children during outpatient clinic presentations were 'examination' for girls (38.88 %) and boys (37.41 %) with epilepsy, 'examination and test requests' for girls with asthma (23.35 %), and 'examination and prescription' for boys with asthma (22.35 %), and 'examination' for both girls (39.18 %) and boys (33.90 %) with cerebral palsy. CONCLUSION: It was found that the majority of children diagnosed with epilepsy had presented to pediatric neurology, those with asthma to pediatric allergy, and those with cerebral palsy to pediatric neurology departments. The most frequently performed procedures in children with epilepsy, asthma, and cerebral palsy were physical examination, test requests, prescription issuance, disability report issuance, and preparation of medication reports.
Evaluation of an advanced nurse practitioner led emergency rapid assessment and treatment service.
Deay D, O'Keefe O, Byrne M … +2 more , McBrien B, McCabe A
Int Emerg Nurs · 2025 Dec · PMID 41014775 · Publisher ↗
BACKGROUND: Emergency Departments (EDs) globally face persistent challenges, including overcrowding and workforce shortages, which negatively impact care quality and efficiency. Advanced Nurse Practitioners (ANPs) have d...
BACKGROUND: Emergency Departments (EDs) globally face persistent challenges, including overcrowding and workforce shortages, which negatively impact care quality and efficiency. Advanced Nurse Practitioners (ANPs) have demonstrated value in improving patient satisfaction, reducing wait times, and delivering cost-effective care. In Ireland, the ANP role is well-defined and regulated, supporting autonomous clinical practice. LOCAL PROBLEM: At Tallaght University Hospital (TUH), a significant proportion of ED presentations-abdominal pain, and chest pain was found to consume disproportionate clinical hours. A new ANP-led Emergency Rapid Assessment and Treatment (ERAT) service was introduced to target these low-acuity, high-contact-hour cohorts and alleviate ED pressures. METHOD: This service evaluation, conducted between September 2022 and April 2025, assessed ERAT's feasibility, safety, impact on ED process times, and patient satisfaction. RESULTS: ERAT managed 2,518 patients, with no major adverse events or in-hospital deaths. Most patients (1,766, 74.8 %) were safely discharged. While overall ED length of stay did not differ, ERAT patients had significantly shorter clinician-to-discharge times (5.9 vs. 8.9 h, p < 0.05). Of the 56 abdominopelvic CT scans ordered, 42 scans (75 %) showed acute pathology. Eighty of the 85 (94.1 %) patients who completed a patient satisfaction questionnaire reported strong agreement that care met their expectations. CONCLUSION: The ERAT service is a feasible, safe, and patient-centred model for managing targeted ED presentations. Findings support ANP-led services as an effective strategy to enhance ED efficiency, optimize care delivery, and improve patient satisfaction in acute care settings.
Patterns of pediatric emergency department visits in a tertiary women's and children's hospital in China: A 2021 retrospective analysis.
Zhao J, Hu J, He L
Int Emerg Nurs · 2025 Dec · PMID 41004950 · Publisher ↗
BACKGROUND: This study aimed to evaluate the pediatric ED visits in a hospital in China. METHODS: This was a retrospective cross-sectional study of 198,628 pediatric ED visits to a women's and children's hospital in Chin...
BACKGROUND: This study aimed to evaluate the pediatric ED visits in a hospital in China. METHODS: This was a retrospective cross-sectional study of 198,628 pediatric ED visits to a women's and children's hospital in China from January 1 to December 31, 2021. Data concerning patient name, gender, age, registration number, home address, chief complaints, medical history, date of visit, time of visit, triage levels, wait time for treatment, physician name, diagnosis, and disposition were obtained from the hospital information system. RESULTS: There were more male patients (55.128 %) than female patients (44.872 %). The patients aged ≥3 years but <6 years accounted for the largest proportion (33.235 %). The numbers of patients triaged to levels 1, 2, 3, and 4 were 128 (0.06 %), 1164 (0.59 %), 14,560 (7.33 %), and 182,776 (92.02 %), respectively. Patients with diseases of the respiratory system accounted for 66.45 %. Pediatric diseases originating in the perinatal period were the primary ones in patients triaged to levels 1, 2, and 3. CONCLUSIONS: Non-urgent patients accounted for a large proportion of pediatric ED patients. Dissemination of information concerning the prevention and treatment of common symptoms of pediatric diseases should be strengthened.
When do emergencies happen? Exploring circadian, weekly, and seasonal trends in ambulance calls in Cyprus.
Protopapas A, Mamais I, Constantinou R … +4 more , Iordanou S, Prodromou M, Mappouras S, Kyriacou E
Int Emerg Nurs · 2025 Dec · PMID 41004949 · Publisher ↗
OBJECTIVES: The demand for ambulances has steadily risen over the past few decades, straining Emergency Medical Services (EMS) and emergency departments (EDs). Understanding the temporal patterns of emergency calls can i...
OBJECTIVES: The demand for ambulances has steadily risen over the past few decades, straining Emergency Medical Services (EMS) and emergency departments (EDs). Understanding the temporal patterns of emergency calls can improve ED patient flow. The aim of this study was to analyze the overall demand for emergency ambulance calls in Cyprus focusing on call reasons, time of day, day of the week, and year season. METHOD: This retrospective descriptive study analyzed emergency call data from the Cyprus Ambulance Service (2018-2022). Descriptive statistics summarized emergency call distributions by priority level, year season, weekday, and time of day. Frequencies and percentages were reported, and chi-square tests assessed differences (p < 0.05). Statistical analysis was performed using STATA v14, with results presented in tables and figures. RESULTS: A total of 148,043 emergency calls were analyzed, with RED (32.5 %) (high priority) and BLACK (11.1 %) (lowest priority - dead patient) cases peaking in winter (27.9 %), followed by spring (27.7 %). Monday recorded the highest overall demand (14.9 %), while RED emergencies peaked on Fridays and Sundays (14.7 %). The highest call volume occurred between 8 am and 12 pm (25.1 %), reflecting increased daytime activity. The most common emergency categories were unwell patients (25 %), falls (11 %), respiratory problems (10 %), and road traffic accidents (9 %), with their frequency varying throughout the day. Notably, traffic accidents were most frequent between 1 pm and 7 pm, particularly on Mondays and Fridays, while other medical emergencies exhibited peak demand in the late morning and early evening hours. CONCLUSION: Emergency ambulance calls in Cyprus peaked in winter, especially severe cases (despite the fact that Cyprus population is more than double during summer due to tourism). Weekly trends showed highest demand on Mondays, while life-threatening cases increased on Fridays and Sundays. The most frequent call reasons displayed distinct daily and weekly patterns.
Factors influencing triage competence in emergency nurses: The role of resilience, social support, and work-related factors.
Chen J, Ma J, Zhao A … +1 more , Huang X
Int Emerg Nurs · 2025 Dec · PMID 40992168 · Publisher ↗
AIMS: This multi-center cross-sectional correlational study examined whether psychological resilience, perceived social support, and work-related factors were independently associated with triage competence among emergen...
AIMS: This multi-center cross-sectional correlational study examined whether psychological resilience, perceived social support, and work-related factors were independently associated with triage competence among emergency nurses. BACKGROUND: Triage nurses play a vital role in emergency care, yet factors shaping their competence remain underexplored. Psychological resilience and social support may significantly impact performance. Understanding these influences is crucial for targeted interventions. DESIGN: A cross-sectional study was conducted from May to December 2024, involving 291 emergency triage nurses from 30 hospitals across China. METHODS: Data were collected via self-administered questionnaires using multi-center convenience sampling. Instruments included the Triage Competence Scale, Psychological Resilience Scale, and Perceived Social Support Scale. Analyses comprised descriptive statistics, ANOVA, t-tests, and multiple linear regression. RESULTS: In the multivariable model including 14 candidate predictors, career development prospects (p = 0.001), work environment (p = 0.040), internal resilience (p < 0.001), and family support (p = 0.040) were independently associated with higher triage competence. The model explained 66.6 % of the variance (adjusted R = 0.666; F (14, 276) = 42.219, p < 0.001). CONCLUSION: Career prospects, a supportive work environment, resilience, and family support significantly influence triage competence. Improving triage competence requires targeted interventions, including resilience training, career development programs, and supportive work environments, to enhance nurse performance and ultimately improve patient outcomes.
Evaluation of the effect of Z-track technique training on emergency nurses: A single-group pretest-posttest study.
Barış Eren N
Int Emerg Nurs · 2025 Dec · PMID 40987196 · Publisher ↗
AIM: This quasi-experimental single-group pretest-posttest study aimed to evaluate the effect of Z-track technique training on emergency nurses. METHODS: The study was conducted among 75 nurses working at a state hospita...
AIM: This quasi-experimental single-group pretest-posttest study aimed to evaluate the effect of Z-track technique training on emergency nurses. METHODS: The study was conducted among 75 nurses working at a state hospital in Türkiye from July to October 2023. Participants completed a descriptive characteristics form, a knowledge suggestions form, a Z-track technique skill checklist, and a Z-track technique usage frequency form. Descriptive statistics and within-group changes in repeated measurements were analyzed using a dependent-samples t-test. The significance level was set at p < 0.05. RESULTS: Prior to training, the participants' mean knowledge suggestions score was 5.720, which increased to 11.880 after training (p < 0.001). The mean Z-track technique skill checklist score also increased from 1.960 pre-training to 7.520 post-training (p < 0.001). In addition, the mean Z-track technique usage frequency increased from 0.150 before training to 3.670 1 month after training (p < 0.001). CONCLUSION: This study demonstrated that training improved the nurses' knowledge and skills related to the Z-track technique, leading to increased usage frequency 1 month later. Retention of knowledge and skills was supported by applying the technique in clinical practice. Since theoretical and practical training is often forgotten without regular application, implementing evidence-based standard procedures and in-service training programmes is essential to keep nurses' competencies up to date. These programmes should focus on critical steps for safe injection practices, include hands-on training, and utilize positive reinforcements to enhance professional competence and ensure patient safety.
Effectiveness of AI-assisted ESI triage on accuracy and selected outcomes in emergency nursing: A systematic review.
Fatai A, Sattayarom C, Laochai W … +1 more , Faksook E
Int Emerg Nurs · 2025 Dec · PMID 40976067 · Publisher ↗
AIMS: To evaluate the effectiveness of artificial intelligence (AI) assisted Emergency Severity Index (ESI) triage systems in improving triage accuracy, selected outcomes including under-triage and over-triage, waiting t...
AIMS: To evaluate the effectiveness of artificial intelligence (AI) assisted Emergency Severity Index (ESI) triage systems in improving triage accuracy, selected outcomes including under-triage and over-triage, waiting time and patient workflow, and barriers to implementation in emergency nursing. DESIGN: Systematic review. METHODS: A narrative synthesis was used to evaluate findings from eligible studies. The Mixed Methods Appraisal Tool (MMAT) was applied for quality assessment. Studies were included if they examined AI-assisted ESI triage systems involving emergency nurses and reported on triage performance and implementation challenges. DATA SOURCES: Search was performed in CINAHL, Medline, PsycINFO, PubMed, and Google Scholar for English-language articles published between 2018 and 2025. RESULTS: Ten studies met the inclusion criteria. AI-assisted ESI triage systems improved accuracy, demonstrating higher AUC, F1 score, sensitivity, and specificity compared to traditional triage nursing. These systems also reduced rates of over-triage and under-triage, minimized long waiting times, and enhanced patient flow. However, barriers included reliance on retrospective data, the need for model validation, and potential resistance from nurses. CONCLUSION: AI-assisted ESI triage systems demonstrate promising benefits in enhancing triage accuracy and efficiency in emergency nursing. While AI can be a valuable decision-support tool, it should complement rather than replace clinical judgment. Integrating AI into emergency triage may streamline workflows, reduce workload, and improve the accuracy of patient assessments.
"Are prehospital shock, modified shock, age-adjusted shock indices and some scoring systems effective in predicting the prognosis of high-energy trauma Patients?".
Yüksel M, Ay MO, Çalışkan FB … +5 more , Kılıç A, Özdal MT, Aydoğan A, İşler Y, Kaya H
Int Emerg Nurs · 2025 Dec · PMID 40967173 · Publisher ↗
BACKGROUND: This study aims to investigate whether prehospital shock index (SI), modified shock index (MSI), age-adjusted shock index (ASI), Rapid Emergency Medicine Score (REMS), and Triage in Emergency Department Early...
BACKGROUND: This study aims to investigate whether prehospital shock index (SI), modified shock index (MSI), age-adjusted shock index (ASI), Rapid Emergency Medicine Score (REMS), and Triage in Emergency Department Early Warning Score (TREWS) are effective in predicting the need for blood replacement, emergency surgical intervention, and first 24 h and 28 days mortality in high-energy trauma patients. METHODS: Patients brought to a single-center, tertiary care emergency department by ambulance due to high-energy trauma between 01.08.2023 and 31.01.2024 were prospectively analyzed. RESULTS: A total of 209 patients meeting the study criteria were included. In blood replacement estimation in the emergency department, the area under the curve (AUC) value of MSI was found to be 0.789 (p < 0.001), SI was 0.783 (p < 0.001), and ASI was 0.688 (p = 0.016). For the prediction of emergency surgical intervention, the AUC value of SI was 0.784 (p < 0.001), MSI was 0.760 (p < 0.001) and TREWS was 0.641 (p = 0.043). As for the first 24 h mortality prediction, the AUC value of ASI was 0.872 (p < 0.001), MSI was 0.768 (p = 0.007), TREWS was 0.980 (p < 0.001), and REMS was 0.831 (p = 0.001). Finally, in the first 28-day mortality prediction, the AUC value of ASI was 0.759 (p = 0.001), TREWS was 0.942 (p < 0.001), and REMS was 0.826 (p < 0.001). CONCLUSIONS: In high-energy trauma patients, prehospital SI and MSI indicated the best performance in predicting both blood replacement in the emergency department and emergency surgical intervention. We found that the prehospital TREWS showed the best performance in predicting mortality in the first 24 h and 28 days.
Poor treatment outcome and its determinants among patients with burn injuries in Ethiopia. A systematic review and meta-analysis.
Messelu MA, Amlak BT, Akalu TY … +9 more , Alemie GN, Matebe SA, Fetene MG, Tiruneh BG, Getahun AF, Tewelgne MF, Dessie TM, Leykun Y, Ayenew T
Int Emerg Nurs · 2025 Dec · PMID 40945115 · Publisher ↗
BACKGROUND: Burn continues to be a major public health problem, resulting in thousands of preventable deaths and disabilities each year. Therefore, this review and meta-analysis aimed to assess the national prevalence of...
BACKGROUND: Burn continues to be a major public health problem, resulting in thousands of preventable deaths and disabilities each year. Therefore, this review and meta-analysis aimed to assess the national prevalence of poor treatment outcome and its determinants. METHODS: This systematic review was conducted according to the guidelines of Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and has been registered with PROSPERO. A structured search of databases (Medline/PubMed, Google Scholar, CINAHL, EMBASE, HINARI, and Web of Science) was undertaken. The quality of the studies was assessed using the Joanna Briggs Institute (JBI) critical appraisal tool. A meta-analysis using a random-effects model was performed to estimate the pooled prevalence and associated factors. The I statistics was used to assess the heterogeneity of studies, and to identify the possible causes of heterogeneity, subgroup analysis and meta-regression were used. Egger's test and funnel plots were used to assess publication bias. RESULTS: This systematic review and meta-analysis included eight studies involving a total of 9255 burn patients. The pooled national prevalence of poor treatment outcome among burn patients in Ethiopia was 20.1 % (95 %CI: 14.14, 26.06). Regional subgroup analysis showed that the pooled estimate of poor outcome was 13.12 %, 29.24 %, 26.2 %, 25.6 %, and 12.37 % in Tigray, Amhara, Oromia, Southern Nation Nationalities and People, and Addis Ababa, respectively. Moreover, subgroup analysis based on patients' age revealed that the pooled estimate of poor outcome among adults and children was 18.87 % and 21.58 %, respectively. This meta-analysis demonstrated that being a rural resident (OR = 3.24, 95 % CI: 1.66, 6.33), malnourished (OR = 3.17, 95 % CI: 1.93, 5.19), extent of burn > 10 % of TBSA (OR = 2.60, 95 % CI: 1.73, 3.90), and didn't get adequate fluid resuscitation (OR = 2.86; 95 % CI: 1.36, 6.00) were determinants of poor clinical outcome for burn patients. CONCLUSION AND RECOMMENDATIONS: One in every five burn patients in Ethiopia had poor treatment outcome. Being a rural resident, malnourished, extent of burn > 10 %, and no getting adequate fluid resuscitation were significant predictors of poor treatment outcome. Special attention should be given to burn injured patients from rural area, malnourished, and with larger TBSA.
Implementation science in the field of emergency nursing practice: A scoping review.
Hou H, Jiang Y, Luo M … +2 more , Dong T, Xiao S
Int Emerg Nurs · 2025 Dec · PMID 40939423 · Publisher ↗
BACKGROUND: Emergency nursing is an essential component of the healthcare system, with its effectiveness directly impacting patient clinical outcomes. With the advancement of evidence-based nursing, the application of Im...
BACKGROUND: Emergency nursing is an essential component of the healthcare system, with its effectiveness directly impacting patient clinical outcomes. With the advancement of evidence-based nursing, the application of Implementation Science (IS) in emergency nursing has become a key factor in enhancing nursing quality and patient safety. However, the scope and effect of IS application within emergency nursing are not fully understood. AIM(S): To map and synthesize the depth and breadth of research on implementation science in the field of emergency nursing. METHODS: This scoping review followed the Arksey and O'Malley's scoping review methodology. Systematic searches were conducted in databases including PubMed, Web of Science, Cochrane Library, CINAHL, and Embase. The search covered study up to November 2023, with included studies summarized and analyzed. RESULTS: A total of 24 studies were included, indicating the preliminary application of IS in emergency nursing. Applications ranged from common disease care, emergency care for special populations, improvements in patient care processes, and enhancements in emergency nursing quality. CONCLUSION: The application of IS in emergency nursing shows potential, contributing to improved nursing quality, patient safety, and treatment outcomes. Further exploration and promotion of IS in emergency nursing can enhance the efficiency of the entire emergency care system.
The effect on intra-hospital transfer success of checklist in the pediatric emergency department: An interventional observational study.
Salmak S, Utar A, Bal A … +2 more , Ergin D, Dönmez H
Int Emerg Nurs · 2025 Dec · PMID 40939422 · Publisher ↗
INTRODUCTION: Transfer of pediatric patients from the emergency department to in-hospital units is often inevitable. Since emergency departments are the first point of admission for patients, transfers are risky in terms...
INTRODUCTION: Transfer of pediatric patients from the emergency department to in-hospital units is often inevitable. Since emergency departments are the first point of admission for patients, transfers are risky in terms of adverse events. The aim of this study was to evaluate the effect of the in-hospital transfer checklist in the pediatric emergency department on transfer success. METHODS: This study is an interventional observational study. The study was conducted in the pediatric emergency department of a university hospital in western Turkey between January 01 and March 31, 2024. After the control data (n = 120) were obtained retrospectively, a checklist for in-hospital transfer was created. Then, the data of the intervention group (n = 120) in which the checklist was used were obtained. The data between the two groups were compared using SPSS. RESULTS: The in-hospital transfer time of pediatric emergency department patients decreased from 12 min (median) to 10 min (median) after the checklist was applied (p < 0.05). The rate of adverse events decreased from 46.7 % to 10.8 % depending on the use of the checklist (p > 0.05). The intervention group had a significantly lower impact score (p < 0.05) in terms of clinical and non-clinical adverse events compared to the control group. CONCLUSION: Transporting pediatric patients from the emergency department to other units is an issue that requires attention. Using trained personnel, appropriate equipment, standardized protocols, and checklists will effectively reduce the frequency of adverse events.
Challenges encountered by healthcare workers in managing door-to-balloon time of myocardial infarction: A survey.
Al Balushi AY, Zhao L, Livesay K
Int Emerg Nurs · 2025 Dec · PMID 40926437 · Publisher ↗
BACKGROUND: ST-segment elevation myocardial infarction (STEMI) demands aggressive and rapid medical intervention. Delays in Door-to-balloon time (DTB) of more than 90 min cause progressive damage to the cardiac tissue an...
BACKGROUND: ST-segment elevation myocardial infarction (STEMI) demands aggressive and rapid medical intervention. Delays in Door-to-balloon time (DTB) of more than 90 min cause progressive damage to the cardiac tissue and require immediate medical intervention, including percutaneous coronary intervention (PCI). Nurses and doctors in STEMI management face several challenges that result in a delay in DTB time. AIM: To investigate challenges nurses and doctors encounter in managing Door to Balloon (DTB) time for ST-elevation Myocardial Infarction (STEMI) patients. METHOD: An online survey using Qualtrics software was distributed to all nurses and doctors working in the Emergency Room and Cardiac Catheterization Laboratory at the study site, which included a total of 150 staff members. The survey was conducted in August 2023 and lasted for one month. The questionnaire online link was sent to the participants and filled out by them through their smartphones. RESULTS: A total of 83 nurses and doctors responded to the questionnaire. The survey revealed several challenges encountered by nurses and doctors in STEMI management from highest to lowest based on response items in the Likert scale. In ER, the reported challenges related to the ECG interpretation (mean = 33, 47.8 %), followed by Process (mean = 31.5, 45.6 %), Resources (mean = 30.0, 43.5 %), Communication (mean = 28.8, 41.7 %), and Healthcare setting (28, 40.6 %). In CCL, the most reported challenges were related to Communication (mean = 10, 71.4 %). Followed by Resources (mean = 7.5, 53.5 %), and Healthcare setting (mean = 28, 40.6 %). The primary outcomes showed no statistically significant association of predictable variables of Age groups with a p value of 0.612 (21-30 years, mean 3.31 ± 0.95, 31-40 years, mean 3.62 ± 1.17, 41-50 years, mean 3.7 ± 1.22), Educational groups with a p value of 0.481(Diploma 3.60 ± 1.23, Bachelor 3.33 ± 0.97, Postgraduate 3.79 ± 1.18), Years of experience groups with a p value of 0.659, two-tailed (10 years of experience 3.65 ± 1.23, and More than 10 years of experience 3.65 ± 1.23), and groups of certified with an ECG interpretation course with a p value of 0.583, two-tailed (Certified with an ECG interpretation course 3.62 ± 1.16 and not Certified with an ECG interpretation course 3.42 ± 1.08) on the Knowledge variable. Similarly, the outcomes showed no statistically significant association of predictable variables of Age with a p value of 0.615 (21-30 years, mean 31.91 ± 5.43, 31-40 years, mean 32.61 ± 6.38, 41-50 years, mean 30.31 ± 8.08) Educational groups with a p value of 0.325(Diploma 29.87 ± 7.75, Bachelor 31.93 ± 5.95, Postgraduate 33.41 ± 6.02), Years of experience groups with a p value of 0.813, two-tailed (10 years of experience 32 ± 6.283, and More than 10 years of experience 31.53 ± 7.27), certified with an ECG interpretation course with a p value of 0.197, two-tailed (Certified with an ECG interpretation course 31.17 ± 6.83 and not Certified with an ECG interpretation course 33.91 ± 5.67) on the GSE variable. CONCLUSION: The study reveals challenges encountered the nurses and doctors in ER & CCL in managing DTB time for STEMI patients were related to factors like skills in ECG interpretation, the STEMI management process, equipment unavailability, and team communication. This study concluded that factors like age, education, years of experience, and ECG certification were not associated with the participants' knowledge and GSE.
Effectiveness of the Situation-Background-Assessment-Recommendation method in emergencies with simulation-based education for nursing and paramedic students.
Erbaş A, Keskin Kiziltepe S, Kiliç Ü
Int Emerg Nurs · 2025 Sep · PMID 40884900 · Publisher ↗
INTRODUCTION: Effective handover skills play a crucial role in communication between pre-hospital and hospital staff. However, nursing and paramedic students rarely have the opportunity to practice them. OBJECTIVE: Our s...
INTRODUCTION: Effective handover skills play a crucial role in communication between pre-hospital and hospital staff. However, nursing and paramedic students rarely have the opportunity to practice them. OBJECTIVE: Our study aimed to evaluate the effectiveness of the Situation-Background-Assessment-Recommendation (SBAR) method in emergency settings using simulation-based education for nursing and paramedic students. METHODS: We conducted a single-group quasi-experimental study involving 39 nursing and 42 paramedic students. The students' patient handover skills were evaluated through simulation-based training using a structured handover method. Data were collected using the Personal Data Form, Patient Handover Information Form, Patient Handover Skill Evaluation Form, and Video Observation and Evaluation Form. For data analysis, we used the Mann-Whitney U test, the Friedman test, the Cohen's kappa coefficient, and the Pearson correlation test. RESULTS: The knowledge scores of nursing (N) and paramedic (P) students (N: 16 [11-20]; P: 15 [10-19] pre-training) increased post-training (N: 18 [15-20]; P: 18 [10-21]), post-simulation (N: 18 [14-21]; P: 17 [13-20]), and one-month after the post-simulation (N: 18 [14-21]; P: 17 [14-20]). The group participants, 50%, received scores between 12.50 and 16.25 and acquired medium handover skills. CONCLUSION: We found that theoretical education and simulation-based applications were effective in enhancing students' knowledge level of handover processes, which are critical for patient safety, and that simulation supported their learning. It is recommended that patient handover training be conducted using simulation-based methods with different student groups, integrated into educational curricula, and updated regularly.
Determination of the beliefs and attitudes of pre-hospital emergency health service workers towards obese individuals as a vulnerable group: The case of Adana Provincial Ambulance Service.
Aslan R, Yıldırım S
Int Emerg Nurs · 2025 Sep · PMID 40876408 · Publisher ↗
The globally increasing incidence of obesity and the growing need for emergency health services among obese patients necessitate a better understanding of the impact of this issue on healthcare professionals. It is thoug...
The globally increasing incidence of obesity and the growing need for emergency health services among obese patients necessitate a better understanding of the impact of this issue on healthcare professionals. It is thought that the negative attitudes and beliefs of Emergency Medical Services (EMS) workers toward obese patients may reduce the quality of care provided and create barriers to treatment access for these patients. In this context, the aim of this study is to assess the beliefs and attitudes of EMS workers in Adana province towards obesity and to explore how these attitudes are shaped by demographic and professional factors. The research was conducted using a cross-sectional design on EMS workers employed at the Adana Provincial Ambulance Service. A convenience sampling method was utilized, and data were collected from 450 on EMS workers via a survey. The survey form included questions to determine the demographic characteristics of the participants, as well as two scales designed to assess their beliefs and attitudes towards obesity. Validity and reliability analyses of the scales were conducted, and the data were evaluated using One-Way ANOVA, independent samples t-test, and Pearson's correlation analyses. The findings of the research, consistent with the literature, reveal that EMS workers generally hold negative attitudes and beliefs towards obese patients. It was determined that participants' attitudes were influenced by demographic factors such as age, professional experience, education level, and economic status. Male participants generally had more positive attitudes compared to females, and healthcare workers who frequently encountered obese patients also exhibited more positive attitudes. The study highlights the need for improvement in EMS workers' attitudes and beliefs towards obese patients. These attitudes can affect the quality of healthcare services and pose significant barriers to access for obese patients. It is believed that awareness and empathy training for EMS workers could change negative beliefs about obesity and reduce negative attitudes.
Trauma care and predictors of mortality at a single-centre trauma hospital in Ethiopia: A prospective observational study.
Abayneh HB, Engebretsen S, Halvorsen K … +1 more , Danielsen SO
Int Emerg Nurs · 2025 Sep · PMID 40865272 · Publisher ↗
INTRODUCTION: Trauma accounts for 11 % of the total global burden of disease and is the leading cause of death in individuals under 40 years of age. Ethiopia faces a substantial task in establishing well-equipped and suf...
INTRODUCTION: Trauma accounts for 11 % of the total global burden of disease and is the leading cause of death in individuals under 40 years of age. Ethiopia faces a substantial task in establishing well-equipped and sufficiently staffed emergency departments. Moreover, current research in Ethiopia concentrates on trauma epidemiology and specific trauma types to guide evidence-based intervention strategies rather than emphasising trauma care features. Thus, this study aims to explore the trauma care process and investigate the predictors of ED mortality at a single-centre trauma hospital in Ethiopia. METHODS: We conducted a single-centre prospective observational study at Addis Ababa Burn Emergency and Trauma Hospital in Ethiopia. Observations were conducted from November 30, 2022, to May 24, 2023. The study included patients admitted with reported major injuries during the study period. Descriptive statistics and multivariate logistic regression were applied to explore predictors of ED mortality. RESULTS: The cohort consisted of 425 patients, 73.4 % were male, and the median age was 32 years. Of the patients, 188 (44.4 %) met the criteria for trauma team activation, but none received treatment from such teams. Among the patients in need of emergency procedures, 22.6 % experienced delays within 48 h of observation. Epidural or subdural haematoma was diagnosed in 37.1 % of patients, but fewer patients underwent a craniotomy procedure. A small percentage of patients stayed in the ED for less than 24 h (13.4 %), while ED mortality was 10.4 %. Lower Glasgow Coma Scale, haematoma presence and shorter length of ED stay were associated with increased odds of ED mortality. CONCLUSIONS: Close to half of the participants met the criteria for trauma team activation, but none received treatment from such teams.
Corrigendum to "Exploring staff perceptions regarding alarm fatigue and practices among nurses: A multicentre study in the Northern Emirates" [Int. Emerg. Nurs. 79 (2025) 101584].
Al Nusair H, Fonbuena M, Chew C … +8 more , Alnjadat R, Muhammed NN, Perinchery S, Mayo M, Rashid MA, Dadalla M, Nada MI, Abdelmotaleb H
Int Emerg Nurs · 2025 Sep · PMID 40841202 · Publisher ↗
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