Abstract:
INTRODUCTION:Family violence is common with significant long-term negative health effects. Health professionals are recognised as key providers of family violence intervention. In 2002, the Hawke's Bay District Health Board launched a Family Violence Intervention Programme in its emergency department. The intervention programme involved staff training, the development of resources and routine questioning for partner abuse within the social history for all women 16 years and over. The aim was to identify the barriers and enablers to routine questioning one year after the programme was launched to inform programme improvements. METHODS:Evaluation research using semi-structured interviews; eleven staff participated in either a single or a group interview. Content and thematic analysis, with triangulation of findings was used. RESULTS:The interviews revealed that routine questioning for partner abuse is difficult in the emergency department. Some staff screened routinely while others only offered intervention when overt abuse was identified. Barriers, enablers and solutions revealed by participants were either personal or organisational; all had the common theme of safety. DISCUSSION:Routine questioning for partner abuse is challenging and its introduction into practice requires a systems approach to achieve change. Barriers to questioning exist and by simultaneously addressing these and implementing enablers, at an organisational and personal level, barriers are eliminated or at least minimised. A link was evident between nurses' level of comfort and their rate of questioning. A multifaceted approach focusing on safety of all concerned can support change resulting in implementation of family violence intervention in the health sector.
journal_name
J Emerg Nursjournal_title
Journal of emergency nursingauthors
Ritchie M,Nelson K,Wills Rdoi
10.1016/j.jen.2008.05.004subject
Has Abstractpub_date
2009-04-01 00:00:00pages
97-104issue
2eissn
0099-1767issn
1527-2966pii
S0099-1767(08)00289-4journal_volume
35pub_type
杂志文章abstract::ED volume and acuity were anticipated to increase at an inner-city hospital. A strategy to mitigate the impact was needed. METHODS:A multidisciplinary team facilitated a workflow modification project implementing a Super Track to treat low-acuity patients. A literature review led to the creation of an evidence-based ...
journal_title:Journal of emergency nursing
pub_type: 杂志文章,评审
doi:10.1016/j.jen.2016.03.029
更新日期:2017-03-01 00:00:00
abstract:PROBLEM:A 7.2% increase in patient volume from 130,700 to 140,800 in 2012 prompted St Joseph's Regional Medical Center Emergency Department to review existing triage processes to decrease turnaround time. "Pivot triage" is a new, efficient intake process that entails use of 4 rather than 8 determinants to identify acui...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:10.1016/j.jen.2015.07.014
更新日期:2016-09-01 00:00:00
abstract:UNLABELLED:More than 6 million people present to emergency departments across the United States annually with symptoms of acute myocardial infarction (AMI). Of the 1 million patients with AMI, 350,000 die during the acute phase. Accurate ED triage can reduce mortality and morbidity, yet accuracy rates are low. In this ...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:10.1016/j.jen.2015.12.011
更新日期:2016-07-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to assess the need for home health care referral screening for elderly patients after ED discharge. The specific research question addressed was: Is there a need for home care referral screenings for elderly patients discharged from the emergency department? DESIGN:A nonexperime...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:10.1016/s0099-1767(98)90014-9
更新日期:1998-04-01 00:00:00
abstract:INTRODUCTION:Pediatric emergency nurses who are directly involved in clinical care are in key positions to identify the needs and concerns of patients and their families. The 2010 Institute of Medicine report on the future of nursing supports the active participation of nurses in the design and implementation of soluti...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:10.1016/j.jen.2019.07.014
更新日期:2019-11-01 00:00:00
abstract:INTRODUCTION:Handoff in the emergency department is considered a high-risk period for medical errors to occur. In response to concerns about the effectiveness of the nursing handoff in the emergency department of a Midwestern trauma center, a practice improvement project was implemented. The process change required nur...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:10.1016/j.jen.2018.09.007
更新日期:2019-03-01 00:00:00
abstract::Testicular torsion is a surgical emergency and requires prompt recognition and treatment. Health care personnel often forget this differential diagnosis in males who present with abdominal pain as their only complaint. There is a 4- to 6-hour window from the onset of symptoms to the surgical intervention to salvage th...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:10.1016/j.jen.2020.09.006
更新日期:2021-01-01 00:00:00
abstract:INTRODUCTION:Patient satisfaction, an important measurable outcome, allows nurses to assess what can be improved in nursing practice. The purpose of this study is to compare expectations of patients and nurses using 3 nursing care attributes: 1) friendliness, courtesy, and respectfulness; 2) comfort measures; and 3) de...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:10.1016/j.jen.2013.02.010
更新日期:2014-07-01 00:00:00
abstract::This clinical policy focuses on critical issues concerning the management of adult patients presenting to the emergency department (ED) with acute symptomatic carbon monoxide (CO) poisoning. The subcommittee reviewed the medical literature relevant to the questions posed. The critical questions are: Should hyperbaric ...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:10.1016/j.jen.2008.02.009
更新日期:2008-04-01 00:00:00
abstract:INTRODUCTION:Nurses, by the nature of their practice, are in a unique position to help patients complete advance directives (ADs). This article focuses on an open-ended question that was part of a larger quantitative survey, "What do emergency nurses need to increase their ability to assist patients with ADs?" METHODS...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:10.1016/j.jen.2005.02.001
更新日期:2005-04-01 00:00:00
abstract:INTRODUCTION:There are significant and negative psychological effects that can occur in nursing staff caring for pediatric patients experiencing critical incidents. Debriefings can provide relief from the stressors caused by critical incidents. Adapting a pre-existing critical incident stress debriefing (CISD) process ...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:10.1016/j.jen.2018.11.009
更新日期:2019-07-01 00:00:00
abstract:INTRODUCTION:The objective of this study was to examine the effect of a novel mindfulness-based time-out intervention on state of mindfulness among emergency nurses and, accordingly, on patient satisfaction. METHODS:A pre-post intervention design among nurses in the emergency department was used with a between-subject...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:10.1016/j.jen.2020.09.009
更新日期:2020-11-30 00:00:00
abstract:INTRODUCTION:This study examined the efficacy and feasibility of a collaborative iontophoresis procedure for dermal anesthesia prior to lumbar puncture (LP) in adult ED patients. METHODS:Patients were randomized to receive lidocaine by iontophoresis or needle infiltration. Emergency nurses and physicians completed a c...
journal_title:Journal of emergency nursing
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/j.jen.2004.08.010
更新日期:2004-10-01 00:00:00
abstract::Teddy bear/doll clinics continue to offer a feasible, effective opportunity to reach the community's children and their health information needs. Many thanks to Sunny B. Lee, RN, BS (Swedish Covenant Hospital, Chicago), and Kathy Powell, RN, PhD, and Barb Pierce, RN, MS (Children's Hospital, Birmingham). ...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:10.1016/s0099-1767(97)90060-x
更新日期:1997-02-01 00:00:00
abstract:INTRODUCTION:Prediabetes is an important public health issue. In 2011, 79 million Americans had prediabetes, and 7 million were undiagnosed. By 2025, the number of persons with prediabetes is projected to increase to 472 million globally. For many, the emergency department may be the only source of medical care or inte...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:10.1016/j.jen.2013.02.002
更新日期:2014-07-01 00:00:00
abstract:INTRODUCTION:The Centers for Disease Control and Prevention (CDC) reports 136.9 million ED visits in 2015, of which 21.4 million (15.6%) were by patients who were 65 or older. This US population demographic is expected to grow by 112% over the next 40 years, becoming just below 25% of the total US population. Emergency...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:10.1016/j.jen.2019.02.004
更新日期:2019-07-01 00:00:00
abstract:INTRODUCTION:Workplace violence is a significant occupational hazard in health care. As the largest group of employees in health care, nurses are particularly vulnerable to workplace violence, with those who work in emergency departments being especially at risk. The purpose of this research was to study the phenomenon...
journal_title:Journal of emergency nursing
pub_type: 杂志文章,多中心研究
doi:10.1016/j.jen.2005.07.008
更新日期:2005-12-01 00:00:00
abstract::TAC and half-strength TAC appear to be highly effective and convenient local anesthetic agents that offer an advantage over injected lidocaine in acceptance by children. The use of TAC is not without risk (cocaine toxicity, theft, and abuse). The decision of whether to use TAC is usually made by the physicians in the ...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:
更新日期:1994-06-01 00:00:00
abstract::The purpose of this facility-level case report was to describe our facility's leadership process of applying the Donabedian model to structure an early response to the coronavirus disease pandemic relative to emergency care. Using the Donabedian model as a guide, both structure and process changes were implemented to ...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:10.1016/j.jen.2020.10.008
更新日期:2020-12-11 00:00:00
abstract::Our DMAT pulled together with the energy, flexibility, and adaptability necessary to make things work. Sally Coan expressed it best, saying, "I was with a group of people who would do anything [that was] needed." Dedication and trust within the DMAT helped create lasting friendships. The islanders were appreciative an...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:
更新日期:1991-06-01 00:00:00
abstract::Developing a criteria-based performance appraisal tool is a rewarding effort, but not one to be taken lightly. It took weeks. At times, the project loomed as "mission impossible." A reflection of its success is the fact that other ED staff members (e.g., charge nurses, clerks, triageurs, and lab assistants) now want c...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:
更新日期:1993-08-01 00:00:00
abstract:INTRODUCTION:The breath-actuated nebulizer (BAN) and the handheld nebulizer (HHN) are 2 nebulizers used in the ED of Cooper University Hospital. The purpose of this study was to compare the nebulizers to identify which device resulted in a resolution of symptoms with fewer treatments. The primary hypothesis was that ad...
journal_title:Journal of emergency nursing
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.jen.2012.10.006
更新日期:2014-03-01 00:00:00
abstract:INTRODUCTION:This comparative correlational study investigated families who use the emergency department for childhood asthma to identify determinants of follow-up care. The primary hypothesis was: families who obtain follow-up care differ in predisposing, enabling, and need characteristics from families who do not obt...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:10.1016/j.jen.2008.09.008
更新日期:2009-09-01 00:00:00
abstract::The care of the psychiatric patient in the emergency department offers yet another opportunity for emergency nurses to draw on specialty nursing resources or to create expanded roles for emergency practitioners themselves. As our emergency departments continue to encounter increasing numbers of patients, the need for ...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:
更新日期:1992-12-01 00:00:00
abstract:INTRODUCTION:New Zealand has an ethnically diverse population and continues to host immigrants from different countries. The present study aimed to examine the factors associated with ED use among new Asian immigrants in New Zealand. METHODS:A secondary analysis of 2016-2017 New Zealand Health Survey database. Univari...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:10.1016/j.jen.2020.07.011
更新日期:2021-01-01 00:00:00
abstract:INTRODUCTION:This study aimed to develop a new model on the basis of the National Early Warning Score to predict intensive care unit admission and the mortality of patients with acute pancreatitis. METHODS:Patients diagnosed with acute pancreatitis in the emergency department were enrolled. The values of the National ...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:10.1016/j.jen.2019.11.003
更新日期:2020-03-01 00:00:00
abstract::Herbal therapies are very safe, and side effects are uncommon. Side effects requiring ED treatment are rare and would most likely involve an allergic reaction or toxic effect from improper administration of the herb. However, a working knowledge of possible side effects of herbal therapies can be helpful in those rare...
journal_title:Journal of emergency nursing
pub_type: 杂志文章,评审
doi:10.1016/s0099-1767(98)70037-6
更新日期:1998-12-01 00:00:00
abstract:BACKGROUND:ED boarding is a major issue in many hospitals. ED boarding occurs when there is insufficient hospital capacity to supply inpatient beds for admitted patients. ED boarding is not only a problem because of increased wait times for patients but also because it results in delays in administration of medication,...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:10.1016/j.jen.2018.10.006
更新日期:2019-03-01 00:00:00
abstract:UNLABELLED:Caring is a universal phenomenon. However, as a result of higher patient acuity and staff shortages within the chaotic ED environment, caring behaviors may be in peril. The purpose of this study was to gain insight into the meaning of caring from the perspective of emergency nurses. Exploring nurses' perspec...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:10.1016/j.jen.2015.12.003
更新日期:2016-05-01 00:00:00
abstract::The human body cannot change its preprogramming to meet the demands of working the night shift for a period of years. The effects are devastating to women and have been proven to shorten their life expectancy. Although the human body cannot change to meet society's demands of nighttime employment, society can change i...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:10.1016/s0099-1767(97)90277-4
更新日期:1997-12-01 00:00:00