Abstract:
BACKGROUND:In 1998 in Victoria, Australia, the Nurse Practitioner (NP) model was considered with projects exploring the potential for NP implementation in emergency departments (EDs). AIMS:The aim of this study is to explore the perceived barriers to progression and sustainability of the NP role in Victoria. A survey of the 17 EDs involved in the initial projects was undertaken targeting NP candidates, nurse managers and project officers. A total of 48 individuals were identified and contacted. The survey comprised of demographic details and statements about NP role sustainability and progression using a Likert scale FINDINGS:A total of 37 participants (77%) completed the survey. Participants strongly agreed that there were barriers to sustainability, especially lack of ongoing funding from their own organisation and external sources. Other barriers included a lack of understanding from the organisation and medical staff about the role. The main barriers to role progression were the legislative constraints (n=29, 78%) and the cost of Masters programmes (n=29, 78%) CONCLUSION:This survey revealed a myriad of barriers to role sustainability and progression. These barriers need to be explored and progressed if the NP role is to continue to develop and expand.
journal_name
Int Emerg Nursjournal_title
International emergency nursingauthors
Keating SF,Thompson JP,Lee GAdoi
10.1016/j.ienj.2009.09.003subject
Has Abstractpub_date
2010-07-01 00:00:00pages
147-53issue
3eissn
1755-599Xissn
1878-013Xpii
S1755-599X(09)00085-8journal_volume
18pub_type
杂志文章abstract:AIM:This study investigates possible differences in the perception of quality of care at an emergency department, as related to patient background and visit characteristics. METHODS:The study uses a prospective, descriptive survey design with data collected in May 2002 from the emergency department of a Swedish univer...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2008.07.006
更新日期:2008-10-01 00:00:00
abstract::Elder abuse is an important challenge in global societies. Detection of and intervention in elder abuse is crucial to the well-being of older people. Older people are high consumers of health care services and the consequences of elder abuse may provide a catalyst to attendance in the emergency department. This paper ...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2012.03.009
更新日期:2012-10-01 00:00:00
abstract:AIM:The aim of the study was to identify the types of knowledge that Swedish Emergency Medical Service (EMS) managers considered desirable in their Ambulance Clinicians. BACKGROUND:Emergency medical service managers are responsible for organisational tasking and in this are dependent on the knowledge possessed by thei...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2017.03.007
更新日期:2017-09-01 00:00:00
abstract:UNLABELLED:Emergency department triage is a prerequisite for the rapid identification of critically ill patients and for allocation of the correct acuity level which is pivotal for medical safety. The patient's first encounter with a medical professional in the emergency department is often with the triage nurse. OBJE...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2009.10.001
更新日期:2010-01-01 00:00:00
abstract::The number of older adults presenting to EDs following a fall continues to rise, yet falls management often ignores opportunities for secondary falls risk reduction. Advanced Nurse Practitioners (ANPs) in EDs have an important clinical leadership role in improving outcomes for this group of patients. AIM:This study d...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2020.100869
更新日期:2020-07-01 00:00:00
abstract:OBJECTIVES:The aim in this study was to investigate the impact of overcrowding on the Australasian Triage Score's (ATS) time to treatment target and the National Emergency Access Target (NEAT) for patients who self-present to the Emergency Department (ED) with abdominal pain. BACKGROUND:The causes and effects of ED ov...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2016.08.003
更新日期:2016-11-01 00:00:00
abstract::In the aftermath of the Haiyan typhoon, disaster radio was used to spread information and music to the affected population. The study described survivors' experiences of being in the immediate aftermath of a natural disaster and the impact disaster radio made on recovery from the perspective of the individuals affecte...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2015.11.009
更新日期:2016-09-01 00:00:00
abstract:INTRODUCTION:There are a number of perceived benefits and barriers to family presence during resuscitation (FPDR) in the emergency department, and debate continues among health professionals regarding the practice of family presence. AIM:This review of the literature aims to develop an understanding of the perceived b...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2013.07.001
更新日期:2014-04-01 00:00:00
abstract::Alcohol and other drug (AOD) diagnoses in the ED co-occur with injury-related presenting conditions including: falls, motor vehicle accidents, poisonings, and both intentional and unintentional injuries. Clinical attention to ED admissions resulting from hazardous AOD use can significantly improve patient care and red...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2016.12.003
更新日期:2017-07-01 00:00:00
abstract:INTRODUCTION:Accountability in nursing practice is a concept that influences quality care, decision-making, safety standards and staff values. Therefore, understanding accountability and how it affects nursing practice could improve patient care and nurses' working conditions. AIM:The aim of this study was to find fac...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2019.05.003
更新日期:2019-09-01 00:00:00
abstract:BACKGROUND:Major trauma is a significant public health problem and a leading cause of death for several age groups. To address this issue, Major Trauma Networks were introduced in the UK from 2010, consisting of Major Trauma Centres (MTCs) and a network of linked Trauma Units (TUs). OBJECTIVE:The aim is to undertake a...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2018.03.007
更新日期:2018-09-01 00:00:00
abstract:INTRODUCTION:In hospitals, the places where the highest rate of violence is perpetrated are emergency departments (EDs). Evaluating patient relatives' perceptions of violence and obtaining their views about how to prevent violence incidents are important in terms of uncovering the factors that increase violent behavior...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2020.100942
更新日期:2021-01-01 00:00:00
abstract:INTRODUCTION:Road traffic injuries are among the top ten traumatic events that affect the psychosocial wellbeing and quality of life of survivors. The aim of this study was to explore the experiences of road traffic accident survivors in Ghana, a low-middle-income country in sub-Saharan Africa. METHODS:The study adopt...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2020.100935
更新日期:2020-11-01 00:00:00
abstract:AIM:The aim of this study was to determine emergency department doctors' and nurses' knowledge and attitudes regarding problematic substance use and substance users. METHODS:Data were collected using an adapted survey questionnaire and the Substance Abuse Attitude Survey (SAAS). By means of convenience/opportunistic s...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2008.08.003
更新日期:2009-01-01 00:00:00
abstract:AIM:To determine whether reported attitudes towards patients who attend A&E following self-harm extend to young people. BACKGROUND:Historically A&E staff have displayed negative attitudes towards patients who self-harm, although more recent research suggests that attitudes have shifted. There is retrospective evidence...
journal_title:International emergency nursing
pub_type: 杂志文章,评审
doi:10.1016/j.ienj.2013.04.001
更新日期:2014-01-01 00:00:00
abstract:BACKGROUND:Increasing emergency department (ED) visits per capita, combined with an aging population and ongoing budgetary constraints in Canada's health care system necessitate continuous improvements to ensure that patients remain safe and continue to receive high quality care. Addressing ED nursing job satisfaction ...
journal_title:International emergency nursing
pub_type: 杂志文章,评审
doi:10.1016/j.ienj.2019.100814
更新日期:2020-03-01 00:00:00
abstract:BACKGROUND:Pain is one of the most common symptoms in the Emergency Department (ED) and is the cause of more than half of the visits to the ED. Several attempts to improve pain management have been done by using, for example, standards/guidelines and education. To our knowledge no one has investigated if and how differ...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2015.06.006
更新日期:2016-03-01 00:00:00
abstract:BACKGROUND:Topical application of lidocaine in wounds has been studied in combination with vasoconstrictive additives, but the effect without these additives is unknown. The objective was to examine use of lidocaine-soaked gauzes without vasoconstrictive agents, in traumatic wounds in adult patients, applied in triage....
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2016.02.005
更新日期:2016-09-01 00:00:00
abstract:AIM:To ascertain congruence between patients' self-report of pain intensity and nurses' assessment of their pain intensity. METHODS:This study adopted a replication methodology which aimed to ascertain congruence between patients' self-report of pain intensity and nurses' assessment of their pain intensity. Raw statis...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2007.09.003
更新日期:2008-01-01 00:00:00
abstract:INTRODUCTION:Inter-facility transport (IFT) is a dynamic process and its quality largely depends on pre-transport preparation, emergency equipment support and recognition of possible en route adverse events. This study aims to evaluate knowledge of IFT among emergency nurses of three Accident and Emergency Departments ...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2008.05.001
更新日期:2008-07-01 00:00:00
abstract:BACKGROUND:The morbidity and mortality rates from heat illness have increased due to a higher number of heatwaves. Effective urgent care of heat illness is crucial for optimizing patient outcomes. However, few studies have examined the emergency preparedness measures required for treating such patients. METHODS:From D...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2020.100957
更新日期:2021-01-01 00:00:00
abstract:BACKGROUND:Family presence during resuscitation (FPDR) has advantages for the patients' family member to be present at the bedside. However, FPDR is not regularly practiced by nurses, especially in low to middle income countries. The purpose of this study was to determine Iranian nurses' and family members' attitudes t...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2017.05.001
更新日期:2017-09-01 00:00:00
abstract:BACKGROUND:Previous studies showed increased levels of absenteeism, drug abuse, depression, and symptoms allied with burnout in emergency nurses. This meta-analysis aimed to quantify the three dimensions of burnout in emergency nurses and estimate the proportion of nurses who experience higher than tolerable levels of ...
journal_title:International emergency nursing
pub_type: 杂志文章,meta分析,评审
doi:10.1016/j.ienj.2017.12.005
更新日期:2018-07-01 00:00:00
abstract::Atrial fibrillation (AF) is the most commonly seen arrhythmia and its prevalence increases with age. In the general population, rates of 1-2% are reported but in older patients, the rates increase to over 10% (in those aged 85years or older). Many older patients present to the emergency department (ED) with complaints...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2012.05.003
更新日期:2012-10-01 00:00:00
abstract:BACKGROUND:There are many pressures placed on Emergency Departments (EDs) and anecdotally patients with low acuity abdominal pain can spend a long time in ED waiting for treatment. AIMS:This paper examines the practices in two EDs in Melbourne, Australia. Firstly, the characteristics of low acuity abdominal pain prese...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2008.01.006
更新日期:2008-04-01 00:00:00
abstract:INTRODUCTION:This study investigates the interrater reliability and the accuracy of Manchester Triage (MTS) at emergency departments in Western Sweden. METHODS:A group of 79 nurses from seven emergency departments assessed simulated patient cases and assigned triage categories using the same principles as in their dai...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2008.11.008
更新日期:2009-07-01 00:00:00
abstract:INTRODUCTION:Triage is implemented to facilitate timely and appropriate treatment of patients, and is typically conducted by senior nurses. Triage accuracy and consistency across emergency departments remain a problem in mainland China. This study aimed to investigate the current status of triage practice and knowledge...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2017.05.007
更新日期:2017-11-01 00:00:00
abstract:OBJECTIVES:To evaluate the impact of a nurse-led telephone support service to Residential Aged Care Facilities (RACFs) on a range of measures relating to the transfer of acutely unwell residents to the Emergency Department (ED) of a large tertiary referral hospital in New South Wales, Australia over a 9 month period. ...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2014.11.005
更新日期:2015-04-01 00:00:00
abstract::Alcohol abuse is a major cause of morbidity and mortality and subsequently presents a substantial burden on the NHS. Whether presentations are directly or indirectly linked, the emergency department (ED) holds a predominant role in dealing with this matter. Alcohol withdrawal syndrome is a common complication of alcoh...
journal_title:International emergency nursing
pub_type: 杂志文章,评审
doi:10.1016/j.ienj.2009.09.001
更新日期:2010-04-01 00:00:00
abstract::Evidence to guide initial emergency nursing care of patients with severe traumatic brain injury (TBI) in Thailand is currently not available in a useable form. A care bundle was used to summarise an evidence-based approach to the initial emergency nursing management of patients with severe TBI and was implemented in o...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2015.04.004
更新日期:2015-10-01 00:00:00