Abstract:
INTRODUCTION:This research was designed to examine if there is a difference in nurse attitudes and experience for those who assign Emergency Severity Index (ESI) scores accurately and those who do not assign ESI scores accurately. Studies that have used ESI scoring discussed the role of experience, but have not specifically addressed how the amount of experience and attitude towards patients in triage affect the triage nurse's decision-making capabilities. METHODS:A descriptive, exploratory study design was used. Data from 64 nurses and 1,644 triage events at 3 emergency departments was collected. Participants completed demographic data, attitude (Caring Nurse Patient Interaction, CNPI-23) survey, and triage data collection tools during the continuous 8-hour triage shift. Clinical nurse expert raters retrospectively reviewed the charts and assigned an ESI score to be compared with the nurse. Descriptive statistics were used to describe the nurse and Pearson's correlation was used to examine the relationship between experience and attitude. RESULTS:In this study of 64 nurse participants, the ESI score assigned by nurse participants did not differ significantly based on years of experience or CNPI mean score. The Kappa statistic ranged from a high of 0.63 in the nurse participant with 1.00 to 1.99 years of experience to a low of 0.51 in the nurse participant with 15 to 19 years of experience. The nurse participants with an overall mean CNPI-23 score of 106 to 115 achieved the highest agreement compared with a single participant with a CNPI-23 overall mean score of less than 77 who had a Kappa agreement of 0.50. The nurse participants with a CNPI-23 overall mean score between 81 and 92 demonstrated agreement of 0.54 to 0.60. DISCUSSION:Based on the high level of liability the triage area presents, special consideration needs to be made when deciding which nurse should be assigned to that area. The evidence produced from this study should provide some reassurance to ED managers and nurses alike that nurses with minimal ED experience and a working understanding of the ESI 5-level triage algorithm possess the knowledge and the capacity to safely and appropriately triage patients in the emergency department.
journal_name
J Emerg Nursjournal_title
Journal of emergency nursingauthors
Martin A,Davidson CL,Panik A,Buckenmyer C,Delpais P,Ortiz Mdoi
10.1016/j.jen.2013.09.009subject
Has Abstractpub_date
2014-09-01 00:00:00pages
461-8issue
5eissn
0099-1767issn
1527-2966pii
S0099-1767(13)00424-8journal_volume
40pub_type
杂志文章,多中心研究abstract::Care of the patient with MI who receives thrombolytic therapy is an exciting challenge for the emergency nurse. By interrupting the process of cellular ischemia and necrosis, thrombolysis can salvage jeopardized myocardial tissue and lead to better patient outcome. Nursing interventions can help prevent possible compl...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:
更新日期:1989-03-01 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::The National Institutes of Health Stroke Scale (NIHSS) is commonly used in Comprehensive Stroke Centers, but it has not been easily implemented in smaller centers. The aim of this study was to assess whether nurse providers who were naive to stroke assessment scales could obtain accurate stroke severity scores using o...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:10.1016/j.jen.2016.09.002
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abstract:INTRODUCTION:Trauma is a leading cause of death in South Korea. This study aimed to identify the factors associated with secondary traumatic stress of nurses working at regional trauma centers. METHODS:A survey-based cross-sectional design was utilized. Data were collected through a structured questionnaire consisting...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:10.1016/j.jen.2020.08.006
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abstract:INTRODUCTION:Up to 20% of pregnancies end in miscarriage, which can be a significant life event for women with psychological implications. Because the only preventative measure for a miscarriage is risk factor modification, the treatment focuses on confirming the miscarriage has occurred and medical management of sympt...
journal_title:Journal of emergency nursing
pub_type: 杂志文章,多中心研究
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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
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abstract:INTRODUCTION:Contracting the human immunodeficiency virus (HIV) is a genuine concern for sexually assaulted patients. Emergency departments are a place where sexually assaulted patients seek care, including treatment to prevent HIV. Prompt administration of nonoccupational postexposure prophylaxis is essential because ...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
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abstract:INTRODUCTION:Infection is a frequent complication experienced by many children with cancer, with potentially life-threatening consequences that may result in hospitalization, prolonged length of stay, and increased mortality. The need for prompt assessment and early intervention for infection is widely recognized by ED...
journal_title:Journal of emergency nursing
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doi:10.1016/j.jen.2013.01.014
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abstract:INTRODUCTION:The purpose of this study was to describe characteristics, insights, and decision making of expert emergency nurses practicing in a triage environment. METHODS:A qualitative, descriptive study design was used. A purposive sample of 10 expert nurses from 2 midwestern emergency departments was recruited for...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
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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
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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
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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
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abstract:INTRODUCTION:Family-centered care recognizes the integral role of the family in the health and well-being of the pediatric patient. However, implementing a family-centered care approach often requires significant philosophical, practice, and environmental changes. A self-assessment inventory of family-centered practice...
journal_title:Journal of emergency nursing
pub_type: 杂志文章,多中心研究
doi:10.1067/men.2001.115285
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abstract:INTRODUCTION:For children with autism spectrum disorder (ASD) and sensory-processing disorder (SPD), an unexpected visit to the emergency department can be an overwhelming experience that creates intensifying behaviors and an unsafe clinical interaction for the child, nurses, and providers. Although resources exist to ...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:10.1016/j.jen.2018.12.002
更新日期:2019-07-01 00:00:00
abstract:INTRODUCTION:Geriatric trauma, mainly as a result of motor vehicle crashes (MVCs), has been a persistent and serious problem for those older than 65 years of age. Because of physiological changes and pre-existing disease, older adults present a unique clinical challenge to emergency nurses and staff. "Are older adults ...
journal_title:Journal of emergency nursing
pub_type: 杂志文章,评审
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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::The illicit manufacturing and use of methamphetamine continues to be a significant and growing problem in the United States. Children are often found in homes where this activity is occurring and are affected by it on many levels. This article will provide background information on the manufacturing of methamphetamine...
journal_title:Journal of emergency nursing
pub_type: 杂志文章,评审
doi:10.1016/j.jen.2006.12.003
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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:OBJECTIVE:To determine what effect nurses' experience of interpersonal violence had on proposed nursing care of battered women ED patients. METHODS:One hundred ninety-five emergency nurses completed surveys on their personal experiences with violence involving patients or intimate partners and on their proposed nursin...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:10.1067/men.2002.124991
更新日期:2002-06-01 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
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abstract:INTRODUCTION:This quality-improvement project aimed to evaluate the effectiveness of implementing multidisciplinary education and deploying utilization tools aimed at reducing the inappropriate insertion of indwelling urinary catheters (IUCs) in the emergency department. Literature supports the use of decision support ...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:10.1016/j.jen.2012.07.022
更新日期:2014-05-01 00:00:00
abstract::Agitated patients may come to the emergency department because of flares of a psychiatric illness, drug withdrawal, or reaction to a medical condition or trauma. Pharmacologic agents such as lorazepam may offer benefits to these patients, regardless of the cause of their symptoms. It is important to be familiar with t...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:
更新日期:1993-10-01 00:00:00
abstract::HBO is the definitive treatment for carbon monoxide poisoning, air or gas embolism, and decompression sickness. It is an important adjunct to other treatment modalities in the management of patients with cyanide poisoning, exceptional blood loss (anemia), crush injury, and gas gangrene. In addition, HBO has many inves...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:
更新日期:1989-05-01 00:00:00
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journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:10.1016/j.jen.2011.09.011
更新日期:2013-07-01 00:00:00
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journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:10.1016/j.jen.2020.08.005
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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:INTRODUCTION:Patient experience ratings are important to health care organizations from both a clinical and financial perspective. Studies examining the relationship between patient experience and nurse staffing are prevalent in the inpatient setting, but not as much is known about how staffing affects these ratings in...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:10.1016/j.jen.2018.01.001
更新日期:2018-07-01 00:00:00
abstract::We have saved a minimum of $17,064 in personnel salaries of a patient representative (based on minimum wage and no paid benefits) during the past year. Although our liaison program was initially started as a cost-saving measure, the benefits of the program cannot be measured in monetary terms. Although this venture wa...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:10.1016/s0099-1767(95)80006-9
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journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:
更新日期:1991-02-01 00:00:00
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journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:
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