International Emergency Nursing[JOURNAL]
Sun
200 papers
Violence towards emergency nurses: an update of a narrative review of theories and frameworks.
Ramacciati N, Morales Palomares S
Int Emerg Nurs · 2025 Sep · PMID 40839983 · Publisher ↗
BACKGROUND: Workplace violence (WPV) in emergency departments (EDs) remains a growing concern worldwide, necessitating updated theoretical perspectives. A 2018 review identified 24 frameworks, but ongoing healthcare chal...
BACKGROUND: Workplace violence (WPV) in emergency departments (EDs) remains a growing concern worldwide, necessitating updated theoretical perspectives. A 2018 review identified 24 frameworks, but ongoing healthcare challenges, particularly the COVID-19 pandemic, warrant a re-examination and expansion of these models. METHODS: A narrative review was conducted using PubMed/Medline, CINAHL, Scopus, and ProQuest databases for studies published from 2017 onward, focusing on theoretical frameworks explaining WPV in EDs. RESULTS: The 18 included studies in this review introduce novel or refined theories addressing psychosocial, organizational, and environmental factors that trigger or mitigate WPV. Frameworks range from physiological deterioration and psychosocial moderation to architectural design and resilience-based models. These comprehensive approaches reflect a growing consensus on the need for integrated, multilevel interventions. CONCLUSIONS: Contemporary theories underscore WPV as a multifactorial issue requiring solutions that go beyond single-factor models. By examining the broader interplay among patients, staff, organizational, and environmental determinants, these frameworks offer valuable insights for more effective, holistic WPV prevention and management strategies in EDs.
Impact of virtual reality training on nurses' preparedness and self-efficacy in emergencies and disasters: A quasi-experimental study.
Alsaqer K, Alhmoud SH
Int Emerg Nurs · 2025 Sep · PMID 40839982 · Publisher ↗
BACKGROUND: Emergency preparedness in hospitals for disasters is unexpectedly required. Disasters, however, are rarely encountered clinically, making it ideal for simulation, such as Virtual Reality (VR). OBJECTIVE: To e...
BACKGROUND: Emergency preparedness in hospitals for disasters is unexpectedly required. Disasters, however, are rarely encountered clinically, making it ideal for simulation, such as Virtual Reality (VR). OBJECTIVE: To examine the impact of an immersive VR disaster training program on disaster preparedness and self-efficacy in emergency (ER) nurses. METHODS: A quasi-experimental design with one-group repeated measures. 90 ER nurses were recruited to receive disaster training through immersive VR. Nurses' Perceptions of Disaster Core Competencies (NPDCC) and Disaster Response Self-Efficacy (DRSES) were collected before, immediately, and one month after the training. RESULTS: Paired t-tests revealed significant improvements in both NPDCC and DRSES scores from pre-test to post-test (NPDCC: t (89) = -12.45, p < 0.001; DRSES: t (89) = -10.65, p < 0.001). The follow-up scores showed a slight decrease compared to post-test scores but remained significantly higher than pre-test scores (NPDCC: t (89) = -6.72, p < 0.001; DRSES: t (89) = -4.99, p < 0.001). CONCLUSION: This study provides compelling evidence for the efficacy of immersive VR disaster training in enhancing disaster preparedness and self-efficacy among emergency nurses. Healthcare institutions and nursing education programs should incorporate VR training modules into their curricula and ongoing professional development.
Corrigendum to "Comfort scores instead of pain scores as a possible tool for pain and analgesia reduction in the emergency department: a randomized controlled clinical trial" [Int. Emerg. Nurs. 82 (2025) 101657].
Edwards CM, Veenje S, Visser E … +3 more , Dammers D, de Haan-Lauteslager MI, Lameijer H
Int Emerg Nurs · 2025 Sep · PMID 40835524 · Publisher ↗
Abstract loading — click title to view on PubMed.
Nasal high flow therapy in the emergency department - A prospective study.
O'Donnell J, Doyle G, Fletcher M … +1 more , Dick CM
Int Emerg Nurs · 2025 Sep · PMID 40763374 · Publisher ↗
BACKGROUND: Globally, emergency department (ED) nurses routinely care for patients requiring respiratory support; this support may include nasal high flow (NHF) therapy. OBJECTIVE: The study objective was to profile and...
BACKGROUND: Globally, emergency department (ED) nurses routinely care for patients requiring respiratory support; this support may include nasal high flow (NHF) therapy. OBJECTIVE: The study objective was to profile and evaluate the outcomes of ED patients receiving NHF respiratory support compared to those receiving all other forms of respiratory support. METHODS: A prospective, observational, multicenter method was used to capture real-time, real-world epidemiological data at four New Zealand EDs for two 12-hour periods in April and May 2023. N = 898 patients presented to the participating EDs; the minority, n = 76 (8.46 %), received respiratory support, with a subset of these (n = 12, 15.7 %) receiving NHF. RESULTS: Most of those receiving NHF were male (n = 8, 66 %), of New Zealand European ethnicity (n = 4, 33 %), with a mean age of 69.91 years (SD 18.93). These participants had a mean triage score of 2.66 (SD 0.65) and a mean modified early warning score of 7.58 (SD 3.32). 'Respiratory' was the most common participant diagnostic category (n = 5, 41.5 %). The most common reason for NHF delivery was 'oxygenation improvement' (n = 4, 33.3 %). Those receiving NHF appeared to require less escalation of respiratory support versus those receiving other forms of respiratory support (n = 1, 8.3 %, versus n = 21, 32.8 %). No significant difference in treatment effect was seen for escalation to NHF versus other forms of respiratory support (RR 0.31, 95 % CI 0.04 to 2.12, P = 0.23, NNT (benefit) 5.87, 95 % CI 2.43 to 14.07). The median overall length of stay for those admitted to the hospital was eight days (4-15). This was seen to be significantly higher for those receiving NHF in the ED (Mann-Whitney U, 183, P = 0.004). CONCLUSION: Given the methods used, all findings must be viewed with caution. The study reports that a minority of ED patients requiring respiratory support receive NHF. However, these patients appear to have high acuities, a high need for hospitalization, and an increased length of stay (LOS). Collectively, these data suggest that these patients are high consumers of healthcare resources. These New Zealand study findings may have implications for research and care planning across health sectors, including the ED. CONTRIBUTION TO EMERGENCY NURSING PRACTICE: What is already known about this topic? Nasal high-flow therapy, which provides respiratory support, is provided in the emergency department to patients with many conditions. What does this paper add to the currently published literature? This description of the epidemiology of emergency department patients provided nasal high flow here may inform benchmarking for future ED clinical practice and research. What is the most important implication for clinical emergency nursing practice? The patients profiled in this study are vulnerable, have high acuity, and require targeted respiratory support to improve their outcomes.
Emergency adjunctive therapy for organophosphate poisoning: A meta-analysis.
Wang L, Wang X
Int Emerg Nurs · 2025 Sep · PMID 40714568 · Publisher ↗
AIMS: This meta-analysis aims to assess the efficacy and safety of adjunctive therapies in patients with organophosphate poisoning. METHODS: A comprehensive literature search was performed in PubMed, EMBASE, Cochrane Lib...
AIMS: This meta-analysis aims to assess the efficacy and safety of adjunctive therapies in patients with organophosphate poisoning. METHODS: A comprehensive literature search was performed in PubMed, EMBASE, Cochrane Library, and Web of Science from database inception to August 21, 2024. Prospective randomized controlled trials (RCTs) evaluating emergency interventions for organophosphate poisoning were included in the analysis. Clinical outcomes including mortality, duration of mechanical ventilation, length of stay (LOS) and need for mechanical ventilation were collected. RESULTS: Compared with atropine alone, the atropine plus pralidoxime group showed a significantly higher risk of mortality (P = 0.020) and a longer LOS (P < 0.001), while no significant differences were observed in the need for mechanical ventilation or its duration. For the atropine plus FFP group, no significant differences were found in outcomes including mortality, LOS, or ventilatory parameters. Hemopurification combined with atropine significantly reduced both mortality (P = 0.020) and LOS (P = 0.001). NAC showed a trend towards reduced LOS, although the result was not statistically significant. MgSO and glycopyrrolate exhibited potential benefits in reducing LOS, although the results were not statistically significant. NaHCO significantly reduced LOS (P = 0.05). CONCLUSION: The use of pralidoxime may be associated with an increased risk of adverse outcomes, calling into question its routine application in organophosphate poisoning. In contrast, hemopurification was associated with a significant reduction in mortality and may represent a promising adjunctive therapeutic strategy.
Understanding the need for and use of analgesics in the emergency department.
Groenveld TD, Arpots RAL, de Vries M … +4 more , van Boekel RLM, van Eeten E, van Goor H, Stirler VMA
Int Emerg Nurs · 2025 Sep · PMID 40680488 · Publisher ↗
BACKGROUND: Assessing factors related to patients and clinicians, particularly nurses, along with pain scores and their association with opioid administration is important before introducing non-pharmacological innovatio...
BACKGROUND: Assessing factors related to patients and clinicians, particularly nurses, along with pain scores and their association with opioid administration is important before introducing non-pharmacological innovations in the emergency department. METHODS: A prospective cross-sectional study was conducted using multivariable logistic regression analysis. The primary outcome was the association of opioid administration with patient's age, sex, pain acceptability, pain location, pre-hospital use of analgesics, baseline numeric rating scale (NRS) pain score at rest, desire for analgesics, and the nurses' perception of the reported pain score. Secondary outcomes included NRS anxiety, analgesics use and prescription, patient satisfaction, and the patient's definition of pain acceptability. Cut-off NRS pain scores for pain acceptability and desire for analgesics were calculated. Patient definitions of pain acceptability were determined using thematic analysis. RESULTS: Data from 236 patients were analyzed. Factors associated with administering opioids included nurse-perceived adequate pain score, higher baseline NRS pain scores, pre-hospital opioid use, and unacceptable pain. The cut-off NRS pain scores were 7 for pain acceptability and 6 for the desire for analgesics. Patients related pain acceptability to pain characteristics and situational context. CONCLUSIONS: Nurse perception of the patient-reported pain score and pain acceptability are important determinants for administering analgesics. The insufficient discriminative power of a cut-off NRS pain score highlights that pain management should go beyond pain scores alone. These findings could enhance selecting patients with acute pain who may benefit from non-pharmacological interventions in the emergency department.
Comfort scores instead of pain scores as a possible tool for pain and analgesia reduction in the emergency department: A randomized controlled clinical trial.
Edwards CM, Veenje S, Visser E … +3 more , Dammers D, de Haan-Lauteslager MI, Lameijer H
Int Emerg Nurs · 2025 Sep · PMID 40652873 · Publisher ↗
INTRODUCTION: Frequent use of the term 'pain' in clinical settings has been associated with the nocebo effect, potentially leading to increased pain perception and unnecessary analgesic use. This study aimed to explore t...
INTRODUCTION: Frequent use of the term 'pain' in clinical settings has been associated with the nocebo effect, potentially leading to increased pain perception and unnecessary analgesic use. This study aimed to explore the impact of cognitive reframing, employing comfort scores (CS) instead of pain scores (PS), on analgesic desire and usage in adults presenting to the emergency department (ED) with abdominal pain. METHODS: In this randomized controlled trial, ED patients with abdominal pain were assigned to either the PS group (assessing pain using a pain score) or CS group (assessing comfort using an inverted pain score). In the CS group, explicit references to 'pain' or 'discomfort' were avoided. Desire for and use of analgesia were assessed at triage, 1 h post-entry, and at ED discharge. Statistical analyses included the Mann-Whitney U test for CS vs. PS and the Chi-squared test for analgesia desire and patient satisfaction. RESULTS: Among the 496 included patients (36 % male, median age 52 (IQR 31-67) years), CS and PS groups showed similar characteristics and prehospital analgesic use. The PS group required slightly less morphine in dosage (PS: 0.05 mg/kg (0.03-0.07) vs. CS: 0.07 mg/kg (0.04-0.10), p = 0.03). CS scores were lower than PS scores, but only significant at 1 h post-entry (CS median (IQR): 5 (4-6) vs. PS 6 (4-7), p = 0.03). Baseline analgesic desire was lower in the CS group (45 % vs. 54 %, p = 0.06), with no differences in administered analgesic types. Treatment satisfaction did not differ between groups. CONCLUSION: In this study using CS as opposed to PS did not affect the desire for or the use of opioids or other analgesia in adult patients with abdominal pain presenting at the ED. Although CS may be potentially useful, using it instead of PS as a tool for cognitive reframing is currently not supported in the uncontrolled clinical setting of the ED.
Assessing the effectiveness of an occupational musculoskeletal ınjury prevention program for paramedic students: A quasi-experimental, pretest-posttest study.
Tok F, Canıtez N, Aydemir T
Int Emerg Nurs · 2025 Sep · PMID 40652872 · Publisher ↗
BACKGROUND: Paramedics must apply appropriate body mechanics principles when providing emergency care, actively engaging their bodies to prevent physical injuries and protect patients from falls and harm. The aim of this...
BACKGROUND: Paramedics must apply appropriate body mechanics principles when providing emergency care, actively engaging their bodies to prevent physical injuries and protect patients from falls and harm. The aim of this study is to investigate the effectiveness of a occupational musculoskeletal injury prevention program provided to paramedic students on their level of knowledge regarding body mechanics principles and their performance in patient transport practices. METHODS: This semi-experimental study employs a pretest-posttest single-group design. The study population consisted of 60 paramedic program students at a university's health services vocational school during the 2022-2023 academic year's fall semester. Students received theoretical and practical training on body mechanics, following the Body Mechanics Training Guide. Data were analyzed using IBM SPSS 24. RESULTS: The mean age of the students was 20.40 ± 1.65 years, with 58.3 % in their second year, and 76.7 % female. Significant differences were found in Body Mechanics Knowledge Form scores across pre-training, post-training, and follow-up assessments. A statistically significant improvement was also observed in Observational Checklist scores, with 95.0 % of students failing the pre-test but all succeeding in the post-training assessment. CONCLUSION: This study concluded that the occupational injury prevention training program improved the knowledge levels and performance in patient transport practices of paramedic students.
Evaluating the efficacy of nursing interventions in reducing infection rates among emergency department patients.
Cui H, Wang H
Int Emerg Nurs · 2025 Sep · PMID 40651291 · Publisher ↗
BACKGROUND: Healthcare-associated infections (HAIs) are a significant concern in emergency departments (EDs), where high patient volumes, rapid decision-making, and frequent invasive procedures increase infection risks....
BACKGROUND: Healthcare-associated infections (HAIs) are a significant concern in emergency departments (EDs), where high patient volumes, rapid decision-making, and frequent invasive procedures increase infection risks. Despite existing infection prevention measures, the effectiveness of nursing interventions in reducing HAIs in ED settings remains underexplored. OBJECTIVE: This study evaluates the efficacy of nursing interventions in reducing HAIs among ED patients through a systematic review and meta-analysis, identifying the most effective strategies and providing evidence-based recommendations for infection control. METHODS: A systematic review and meta-analysis were conducted following PRISMA guidelines. A comprehensive search of PubMed, Cochrane Library, Scopus, and Web of Science was performed to identify relevant studies assessing nursing-led interventions for infection prevention in EDs. Eligible studies included randomized controlled trials (RCTs), quasi-experimental studies, and observational research reporting infection rates as primary outcomes. A random-effects model was used to estimate pooled effect sizes, and subgroup analyses explored the relative effectiveness of different intervention types (hygiene protocols, care bundles, patient education, environmental cleaning). Heterogeneity was assessed using I2 statistics, and publication bias was examined using funnel plots and Egger's test. RESULTS: Ten high-quality studies involving 5,500 patients were included. The pooled odds ratio (OR) for nursing interventions in reducing HAIs was 0.69 (95 % CI: 0.65-0.74, p < 0.001), indicating a 31 % reduction in infection odds. Hygiene protocols demonstrated the greatest efficacy (OR = 0.62, 95 % CI: 0.57-0.68, p < 0.001), followed by care bundles (OR = 0.68, 95 % CI: 0.61-0.75, p < 0.001) and environmental cleaning (OR = 0.75, 95 % CI: 0.68-0.82, p < 0.001). Heterogeneity was moderate (I2 = 40 %), with higher variability in care bundles and environmental cleaning interventions. Sensitivity analyses confirmed the robustness of findings, and publication bias was minimal (Egger's test, p = 0.18). CONCLUSION: Nursing interventions significantly reduce HAIs in EDs, with hygiene protocols and care bundles being the most effective. Standardizing infection prevention protocols, integrating evidence-based nursing interventions, and ensuring adherence to best practices can enhance patient safety. Future research should explore the long-term sustainability of these interventions, the impact of multifaceted approaches, and their effectiveness across diverse patient populations.
"We Are Not Robots": Understanding the psychosocial support needs of emergency department nurses - A qualitative study.
Cihan S, Sert Kasım D, Kara Özçalık C … +1 more , Kalkan A
Int Emerg Nurs · 2025 Aug · PMID 40628065 · Publisher ↗
INTRODUCTION: Emergency department (ED) nurses face a range of emotionally challenging and critical occupational stressors. As a vital part of the healthcare workforce, providing psychosocial support and empowerment to n...
INTRODUCTION: Emergency department (ED) nurses face a range of emotionally challenging and critical occupational stressors. As a vital part of the healthcare workforce, providing psychosocial support and empowerment to nurses is essential. This requires identifying factors that mitigate the demanding and traumatic aspects of emergency nursing and understanding the current support systems. Therefore, this study explored emergency department nurses' perceptions of psychosocial support, existing psychosocial support systems, and their feelings, thoughts, and experiences related to their psychosocial support needs. METHODS: This study employed a qualitative descriptive design. Participants were selected through purposeful sampling, and semi-structured focus group interviews were conducted with 16 emergency department nurses. Data were analyzed using Graneheim and Lundman's content analysis method. The Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist was followed to ensure rigorous reporting. RESULTS: Qualitative data analysis revealed three main themes and seven sub-themes. The three primary themes identified were perceived psychosocial support, psychosocial support services, and "we are not robots." CONCLUSION: The findings of this study highlight emergency department nurses' perceptions of psychosocial support, the state of existing support systems, and their unmet needs. Given the negative impact of inadequate services and insufficient support, a multidisciplinary, comprehensive, and easily accessible approach is recommended to establish and provide psychosocial support tailored to emergency nursing.
Corrigendum to "Telehealth Referral to Improve Outcomes (TRIO) Intervention for Asymptomatic Hypertension in the Emergency Department: A Randomized Pilot Feasibility Study" [Int. Emerg. Nurs. 81 (2025) 101622].
Souffront K, Shubeck C, Loo GT … +1 more , Richardson LD
Int Emerg Nurs · 2025 Aug · PMID 40619302 · Publisher ↗
Abstract loading — click title to view on PubMed.
Impact of COVID-19 and the hospital disaster response on nurses working in a Fijian emergency department.
Singh K, Sosefo M, Robinson A … +2 more , Rossiter C, Brown D
Int Emerg Nurs · 2025 Aug · PMID 40618655 · Publisher ↗
OBJECTIVE: This research examined the impact of the COVID-19 pandemic on Registered Nurses working in the Emergency Department (ED) of a major Fijian hospital. It explored the role of formal disaster response and highlig...
OBJECTIVE: This research examined the impact of the COVID-19 pandemic on Registered Nurses working in the Emergency Department (ED) of a major Fijian hospital. It explored the role of formal disaster response and highlighted lessons that can be learned for future disasters, especially in low-resource settings. METHODS: This exploratory qualitative study reports the perspectives of 16 Registered Nurses working in the ED during the 2021 COVID-19 outbreak. RESULTS: The implementation of disaster plans helped staff feel supported. Rapid deployment of tents provided much-needed extra space but increased challenges due to heat and shortages of human and material resources. High-volume mortality meant extended delays in adequately managing the deceased. Absence from family for patients and staff led to mental stress; this experience was ameliorated for nurses by support from the ED manager and clinical colleagues. CONCLUSION: Planning and training are crucial prior to any disaster. In future, surge capacity and emergency response must be implemented by including clinicians in planning and delivery. It is crucial that provision of extra space is matched with sufficient extra staff. Adequate and early management of dead bodies is also vital.
Triage decision-making and its relationship with burnout among nurses in Iranian emergency departments.
Mataei K, Vatandost S, Dousti N … +1 more , Salehi K
Int Emerg Nurs · 2025 Aug · PMID 40618654 · Publisher ↗
BACKGROUND: Triage decision-making is a critical task for nurses in emergency departments, influenced by various factors, including burnout. This study aimed to explore the relationship between burnout and triage decisio...
BACKGROUND: Triage decision-making is a critical task for nurses in emergency departments, influenced by various factors, including burnout. This study aimed to explore the relationship between burnout and triage decision-making. METHOD: A descriptive-analytical, cross-sectional study included 114 emergency nurses selected through total population sampling. Participants met criteria of voluntary participation, a nursing bachelor's degree, and at least one year of emergency department experience. Data were gathered using a demographic form, the Maslach Burnout Inventory (MBI), and a triage decision-making questionnaire. Analysis was conducted in SPSS-22 using t-tests, ANOVA, and Pearson correlation, with significance set at P < 0.05. RESULTS: Participants had an average age of 32 years and 5 years of work experience. Of the group, 60 % were married, 72 % were childless, and 91 % held bachelor's degrees. The mean triage decision-making score was 122.73 ± 16.13. Burnout prevalence was 32.1 %, with 52.6 % reporting high emotional exhaustion, 48.2 % high depersonalization, and only 1 % experiencing reduced job accomplishment. Triage decision-making showed an inverse correlation with burnout (r = -0.361, P = 0.001). CONCLUSION: Burnout adversely impacts triage decision-making. Efforts to mitigate burnout-such as reducing workload, shortening work hours, increasing staffing, and offering stress management programs-may enhance decision-making quality.
The use of technology during sleep by emergency department nurses.
Dowdell EB, Wala D, Matella M … +2 more , Alderman SE, Bernhardt PW
Int Emerg Nurs · 2025 Aug · PMID 40618653 · Publisher ↗
INTRODUCTION: Sleep is increasingly recognized as fundamental to health across the lifespan. Nurses who experience compassion fatigue often report being sleep deprived, having poor sleep habits, and experiencing poor sle...
INTRODUCTION: Sleep is increasingly recognized as fundamental to health across the lifespan. Nurses who experience compassion fatigue often report being sleep deprived, having poor sleep habits, and experiencing poor sleep quality. Increasingly, the use of technology is a factor associated with poor sleep. METHODS: This descriptive, correlational study used a convenience sample of registered nurses who worked full-time in a Level I trauma center emergency department. Nurses were asked about their sleep, technology use during sleep, and levels of compassion fatigue using the 30-question Professional Quality of Life Scale (ProQOL v5). RESULTS: Emergency nurses who recounted answering their cell phone during sleep were more likely to report being startled and having had intrusive, frightening thoughts. Quality of sleep showed a relationship with being preoccupied with people taken care of at work. Although only a small number of nurses reported texting in their sleep, those who did were more likely to be younger, report feeling worn out, and with high compassion fatigue scores. DISCUSSION: Many healthcare professionals experience a variety of sleep difficulties from technology use ranging from lack of sleep to poor sleep quality. Nurses and providers may underestimate the impact of chronic sleep loss on their job performance, especially those who practice ED settings and are experiencing compassion fatigue. Prioritizing sleep through the implementation and use of evidence-based strategies aimed at improving sleep quality is essential in managing sleep patterns by emergency nurses, providers, and staff.
Paramedics' attitudes and self-assessed competencies for acute pain management: A cross-sectional study.
Rantala IM, Nikander E, Kankkunen P … +1 more , Hämäläinen J
Int Emerg Nurs · 2025 Aug · PMID 40618652 · Publisher ↗
INTRODUCTION: The management of acute pain in prehospital care is inadequate worldwide, despite the prevalence of pain among prehospital patients. Studies have indicated that the attitudes and competencies of paramedics...
INTRODUCTION: The management of acute pain in prehospital care is inadequate worldwide, despite the prevalence of pain among prehospital patients. Studies have indicated that the attitudes and competencies of paramedics are linked to effective pain management. This study aims to describe the attitudes and self-assessed competencies of paramedics and to identify the relationships between these factors and various background variables. METHODS: The data for this descriptive cross-sectional study were collected through an electronic survey distributed to paramedics via social media. The sample included basic-level paramedics, advanced-level paramedics, and emergency medical service field supervisors working in Finland. A total of 156 participants were recruited using convenience sampling. The data were analyzed using descriptive statistics and non-parametric tests. RESULTS: Most paramedics had not received updated education in pain management. Lack of continuing education was associated with more negative attitudes toward the treatment of long-term pain compared to those who had received ongoing training (p < 0.05). A correlation was identified between patient-centered pain management and the educational level of paramedics (p < 0.05). Attitudes toward patients' self-assessment of pain were generally rather negative, regardless of the paramedics' background variables. CONCLUSIONS: The study highlights the deficiencies in acute pain assessment within prehospital care, due to prevailing attitudes. Paramedics exhibit rather negative attitudes toward patients' self-reports of pain, despite generally maintaining a positive outlook on pain management. Cognitively healthy patients should have the opportunity to receive pain management that prioritizes their self-reports of pain. Improved education could potentially foster positive attitudes.
Variables affecting interpersonal relationship styles in the emergency department: Female male nurses difference in Turkey.
Keskin G, Gümüşsoy S, Gümüş AB
Int Emerg Nurs · 2025 Aug · PMID 40616936 · Publisher ↗
BACKGROUND: The COVID-19 pandemic has affected not only people's daily lives but also their interpersonal relationships. AIMS: It is aimed to evaluate the anxiety levels and ways of distress tolerance of female and male...
BACKGROUND: The COVID-19 pandemic has affected not only people's daily lives but also their interpersonal relationships. AIMS: It is aimed to evaluate the anxiety levels and ways of distress tolerance of female and male nurses in terms of their interpersonal relationship styles during the COVID-19 pandemic period. METHODS: This descriptive and comparative study was conducted with 525 nurses. Interpersonal Relationship Styles Scale (IRSS), Beck Anxiety Inventory (BAI) and Distress Tolerance Scale (DTS) were used to collect study data. RESULTS: A significant difference was found between male and female nurses in terms of BAI (p > 0.05) and DTS (p > 0.05) scale scores. A weak, positive and statistically significant relationship was found between IRSS, dominant, avoidant, insensitive, manipulative, belittling styles and BAI in women. CONCLUSION: It was found that the anxiety scores of female nurses were higher than those of male nurses, while male nurses had higher distress tolerance scale scores than female nurses. IMPLICATIONS FOR NURSING PRACTICE AND POLICIES: Therapeutic and gender-sensitive interventions that strengthen nurses' interpersonal relationship skills during crises can reduce distress and anxiety, improve team communication, and support emotional resilience in clinical settings.
Can Patients' characteristics influence triage Errors? A Quasi-Experimental study.
Zaboli A, Battisti D, Ziller M … +2 more , Turcato G, Camporesi S
Int Emerg Nurs · 2025 Aug · PMID 40580650 · Publisher ↗
BACKGROUND: Triage error rates in emergency departments (ED) range from 10% to 30%. Despite numerous studies, it remains unclear whether certain patient characteristics are associated with triage errors. To evaluate whet...
BACKGROUND: Triage error rates in emergency departments (ED) range from 10% to 30%. Despite numerous studies, it remains unclear whether certain patient characteristics are associated with triage errors. To evaluate whether patient characteristics are associated with triage errors, and whether daily auditing reduces their impact. METHODS: A quasi-experimental study was conducted from June 2019 to June 2021 in an Italian ED. Patient characteristics were reconstructed and their association with triage errors was evaluated. Following an intervention period, during which serial audits were provided to triage nurses, the study analyzed whether patient-related variables remained associated with errors or if they changed. RESULTS: The study enrolled 1,773 patients, with 904 in the pre-intervention period and 869 in the post-intervention period. In the pre-intervention period, multinomial logistic regression showed age and being accompanied to the ED were associated with lower odds of over-triage. Post-intervention, only being a tourist was associated with under-triage, and none of the previously significant variables remained associated. CONCLUSIONS: The study demonstrated that certain patient socio-demographic characteristics are associated with triage errors and highlighted the need for dedicated studies to evaluate which variables are linked to errors. Daily auditing emerges as a promising strategy to improve triage accuracy and promote equity in emergency care.
Relationship between parental stress levels and parenting self-efficacy in parents of preschool children admitted to the emergency department.
Manav G, Muslu GK, Korkmaz N … +2 more , Kara R, Sarıkaya A
Int Emerg Nurs · 2025 Aug · PMID 40578142 · Publisher ↗
AIM: This study aimed to examine the relationship between parental stress levels and parenting self-efficacy in parents of preschool-aged children admitted to the Pediatric Emergency Department. METHOD: This cross-sectio...
AIM: This study aimed to examine the relationship between parental stress levels and parenting self-efficacy in parents of preschool-aged children admitted to the Pediatric Emergency Department. METHOD: This cross-sectional and correlational study was conducted between January and June 2024, involving 257 parents of children aged 3 to 6 years. Data were collected using a Sociodemographic Information Form, the Parental Stress Scale, and the Revised Berkeley Parenting Self-Efficacy Scale (BPSE-R). RESULTS: Among the children, 26.5 % were three years old, 54.1 % were boys, 52.5 % were one of two siblings, and 56.4 % had a prior visit to the pediatric emergency department. The mothers' mean age was 33.86 ± 4.92 years, while the fathers' mean age was 37.05 ± 5.48 years. Parenting self-efficacy was significantly associated with the number of children (r = 0.172-.192, p < 0.05), birth order (r = 0.168-.173, p < 0.05), and parental education level-with the strongest effect observed for maternal education (r = 0.571-.578, p < 0.01) and a moderate effect for paternal education (r = 0.289-.306, p < 0.05). The mean total score on the Parental Stress Scale was 53.14 (±7.21), while the mean score for parenting self-efficacy was 88.55 (±17.21). A significant, positive, and moderate correlation was found between the total scores of the Parental Stress Scale and the BPSE-R (r = 0.499, p < 0.01). Additionally, there was a statistically significant, positive, and moderate relationship between parental stress and the parenting strategies subscale (r = 0.521, p < 0.01), as well as the child outcomes subscale (r = 0.443, p < 0.01). CONCLUSION: The findings indicate that parents presenting to the emergency department experience high levels of both parental stress and parenting self-efficacy. Furthermore, a positive association was found between parental stress and the parenting strategies dimension. These results may inform efforts to develop interventions aimed at reducing parental stress, strengthening parenting skills, and minimizing non-urgent visits to pediatric emergency services.
Honduran nurses' perceptions of advanced nursing care competencies for adults in emergency and critical care: a qualitative study.
Pavón Rivera ME, Antunez Martinez OF, Morales PS
Int Emerg Nurs · 2025 Aug · PMID 40561820 · Publisher ↗
BACKGROUND: In Central America, the implementation of APN is still in its early stages, with limited regulatory support, or structured training for advanced nursing practice in critical care. The absence of these roles l...
BACKGROUND: In Central America, the implementation of APN is still in its early stages, with limited regulatory support, or structured training for advanced nursing practice in critical care. The absence of these roles leaves significant gaps in critical and emergency care quality, further exacerbating health disparities which need to be explore deeply. OBJECTIVE: To explore the Honduran Nurses' Perspectives on Advanced Nursing Care Competencies for Adults in Emergency and Critical Care. METHOD: A qualitative design was employed, using in-depth interviews with 15 Honduran critical care and emergency nurses from a public hospital in northern Honduras. Data were analyzed through participants' narratives, following Colaizzi's steps. FINDINGS: Three central themes, and eight subthemes emerged. Firstly, the perspectives on APN in critical and emergency care indicate a lack of clarity among nurses about what constitutes APN, often confusing it with CNS; Secondly, essential competencies for APN in critical care, which highlight the critical procedural and cognitive skills necessary for effective nursing care. Lastly, the barriers to autonomy and advancement in critical care APN, and it underscore the challenges posed by inadequate training, limited resources, and insufficient legal support, which hinder nurses' autonomy and professional growth. CONCLUSION: The study reveals a fragmented understanding of APN roles, with participants recognizing the need for advanced competencies while highlighting the lack of formal recognition, certification, and institutional support. Participants emphasized the importance of postgraduate education, leadership, and procedural autonomy but noted that their clinical roles remain limited by systemic, educational, and regulatory barriers. These insights underscore the urgency of developing clear frameworks, training pathways, and policy support to promote APN as a viable and distinct professional roles.
The relationship between clinical competence and psychological capital in nurses working in the emergency departments.
Jahani O, Heidari Gorji MA, Nesami MB … +2 more , Mousavinasab SN, Farooquie JA
Int Emerg Nurs · 2025 Aug · PMID 40554858 · Publisher ↗
BACKGROUND: Clinical competence is one of the key indicators in evaluating the performance of nurses and the quality of nursing care. Psychological capital has a positive impact on job performance. This study aimed to ev...
BACKGROUND: Clinical competence is one of the key indicators in evaluating the performance of nurses and the quality of nursing care. Psychological capital has a positive impact on job performance. This study aimed to evaluate the relationship between clinical competence and psychological capital among nurses working in emergency departments. METHOD(S): This study employed a cross-sectional design. The sample consisted of 220 nurses who were randomly selected from the list of nurses working in the emergency departments of hospitals affiliated with Mazandaran University of Medical Sciences during the period of 2020-2021. Data were collected using the Competency Inventory for Registered Nurses and the Psychological Capital Questionnaire developed by Luthans et al. Finally, data analysis was performed using Pearson correlation and linear regression analysis. RESULTS: The results indicated that the average score for clinical competence among the nurses participating in this study was at a moderate level (163.81 ± 29.54), while psychological capital was at a high level (113.33 ± 15.76). The results of Pearson's correlation coefficient analysis revealed a positive and significant relationship between clinical competence and its dimensions with psychological capital and its dimensions among nurses (P < 0.01). Clinical competence had the highest regression effect on nurses' psychological capital, with a standardized beta coefficient of 0.716. CONCLUSION(S): Enhancing nurses' clinical competence can foster their psychological capital, which in turn promotes professional skills and personal growth. Consequently, clinical competence contributes to positive aspects of human life both scientifically and practically.
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