Abstract:
UNLABELLED:Indwelling urinary catheters (IUCs) are placed frequently in older adults in the emergency department (ED). Though often a critical intervention, IUCs carry significant risks. Our objective was to examine current knowledge, attitudes, and practice of emergency nurses and other providers regarding IUC placement and management in older adults. METHODS:We surveyed ED providers at a large, urban, academic medical center. We developed questionnaires using items from previously validated instruments and questions created for this study. We also assessed providers' management of 25 unique clinical scenarios, each representing an established appropriate or inappropriate indication for IUC placement. RESULTS:129 ED providers participated: 43 nurses and 86 other providers. Ninety-one percent of nurses and 87% of other providers reported comfort with appropriate indications for IUC placement. Despite this, on the clinical vignettes, nurses correctly identified the appropriate approach for IUC placement in only 40% of cases and other providers in only 37%. Practice varied widely between individual providers, with the nurse participants reporting appropriate practice in 16%-64% of clinical scenarios and other providers in 8%-68%. Few nurses or other providers reported reassessing their patients for IUC removal at transfer to the hospital (28% of nurses and 7% of other providers), admission (24% and 14%), or shift change (14% and 8%). DISCUSSION:Although emergency nurses and other providers report comfort with appropriate indications for IUC placement, reported practice patterns showed inconsistencies with established guidelines. Wide practice variation exists between individual providers. Moreover, nurses and other providers infrequently consider IUC removal after placement.
journal_name
J Emerg Nursjournal_title
Journal of emergency nursingauthors
Viswanathan K,Rosen T,Mulcare MR,Clark S,Hayes J,Lachs MS,Flomenbaum NEdoi
10.1016/j.jen.2015.02.013subject
Has Abstractpub_date
2015-09-01 00:00:00pages
414-22issue
5eissn
0099-1767issn
1527-2966pii
S0099-1767(15)00115-4journal_volume
41pub_type
杂志文章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: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 ...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:10.1016/j.jen.2008.05.004
更新日期:2009-04-01 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:Evidence suggests that a significant number of patients discharged from the hospital with a diagnosis of ischemic stroke are not identified as having a stroke on admission. Those presenting with "nontraditional" stroke symptoms may be less likely to be diagnosed correctly. We aimed to establish whether the...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:10.1016/j.jen.2012.02.011
更新日期:2013-09-01 00:00:00
abstract:INTRODUCTION:The objective of this study was to evaluate whether screening, brief intervention, and referral to treatment (SBIRT) could be incorporated into the emergency nursing workflow using a computerized physician order entry/clinical decision support system. We report demographic and operational factors associate...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:10.1016/j.jen.2013.10.007
更新日期:2014-11-01 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: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
更新日期:2020-11-20 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: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
doi:10.1067/men.2002.127513
更新日期:2002-10-01 00:00:00
abstract:INTRODUCTION:The primary purpose of this study was to assess relationships between opioid prescribing practices, patient and ED attributes, and patient satisfaction ratings of nursing and physician care among patients with high utilization of the emergency department for pain relief. METHODS:A retrospective cohort stu...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:10.1016/j.jen.2017.03.022
更新日期:2017-11-01 00:00:00
abstract:INTRODUCTION:As a result of Hurricane Katrina on August 29, 2005, ED nurses were faced with chaos during and after the storm. The purpose of this pilot study was to determine if emergency nurses have experienced signs and symptoms of post-traumatic stress disorder (PTSD) as a result of working in an emergency departmen...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:10.1016/j.jen.2007.01.008
更新日期:2007-08-01 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: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: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::The diagnosis of cancer or its recurrence is often emotionally devastating for patients and those close to them. People may have a great deal of difficulty accepting the diagnosis and may seek others' opinions about the best course of treatment. When a physician projects that there is no hope, or if a cure is no longe...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:
更新日期:1991-02-01 00:00:00
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
doi:10.1016/j.jen.2017.10.014
更新日期:2018-03-01 00:00:00
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
doi:10.1016/j.jen.2016.05.011
更新日期:2016-11-01 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: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::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
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: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::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: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: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::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
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:Today the proportion of acute patients entering the health care system through emergency departments continues to grow, the number of uninsured patients relying primarily on treatment in the emergency department is increasing, and patients' average acuities are rising. At the same time, support resources a...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:10.1016/j.jen.2009.11.027
更新日期:2010-09-01 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
更新日期:2007-02-01 00:00:00