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 study was conducted to examine 305 individual patient satisfaction surveys from users with high ED utilization for pain complaints. Responses were compared with an age-matched control group (n = 305) of nonfrequent ED users. Patient satisfaction survey responses and electronic medical records were used to model relationships between patient satisfaction and predictor variables. RESULTS:ED frequent users with pain complaints were 75% less likely to return a satisfaction survey compared with other patients (odds ratio = 0.2488; P < .0001). Patient satisfaction with physician behavior was largely accounted for by ED cleanliness, pain control, wait time for the physician, satisfaction with nursing, and feelings that ED staff cared about the patient personally. On the other hand, patient satisfaction with nursing care was largely accounted for by perceptions that nursing care was compassionate, feelings that the patient mattered personally, perceptions of safety precautions, and wait times. Receipt of prescriptions for scheduled drugs did not significantly influence patient satisfaction with physician or nursing behaviors. DISCUSSION:Emergency nurses can influence patient satisfaction scores by promoting clean, caring environments and prioritizing patient flow and pain management. ED providers can withhold opioids when appropriate without fear of a significant impact on patient satisfaction.
journal_name
J Emerg Nursjournal_title
Journal of emergency nursingauthors
Newcomb P,Wilson M,Baine R,McCarthy T,Penny N,Nixon C,Orren Jdoi
10.1016/j.jen.2017.03.022subject
Has Abstractpub_date
2017-11-01 00:00:00pages
553-559issue
6eissn
0099-1767issn
1527-2966pii
S0099-1767(16)30335-Xjournal_volume
43pub_type
杂志文章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：: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：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：: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：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: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：:This descriptive study was conducted among 130 families in Milas, Turkey, who have children ages 0 to 14 years. Among the 130 families, a total of 53 children (40.8%) experienced a burn event. Twenty-seven subjects (51%) had treated the burn with inappropriate remedies including yogurt, toothpaste, tomato paste, ice, ...
journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：10.1016/j.jen.2009.12.018
更新日期：2010-03-01 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：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：: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：INTRODUCTION:This study examined the safety, tolerability, and efficacy of iontophoresis with 30 mA of lidocaine for dermal anesthesia in children younger than 84 months in the emergency department and the usefulness of a modified version of the Pre-verbal, Early Verbal Pediatric Pain Scale (M-PEPPS). METHODS:Three ex...
journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：10.1067/men.2002.125791
更新日期：2002-08-01 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：INTRODUCTION:ED crowding is a public health crisis, limiting quality and access to lifesaving care. The purpose of this study was to (1) evaluate the feasibility of radio-frequency identification tags to measure clinician-patient contact and (2) to test the relationship between ED occupancy and clinician-patient contac...
journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：10.1016/j.jen.2018.03.005
更新日期：2018-11-01 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: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：: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：:Hydrofluoric acid is a caustic compound found in a wide variety of items for household and industrial uses. Dermal exposures can be visually unimpressive on presentation but still have fatal complications. This case review includes a description of a patient presenting with a dermal hydrofluoric acid burn that was eff...
journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：10.1016/j.jen.2020.08.005
更新日期：2021-01-01 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：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：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：: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 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：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 specifi...
journal_title：Journal of emergency nursing
pub_type： 杂志文章,多中心研究
doi：10.1016/j.jen.2013.09.009
更新日期：2014-09-01 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：OBJECTIVE:The primary purpose of this study was to compare the rate of hemolysis in blood samples obtained by an i.v. catheter versus the rate in samples obtained by venipuncture (Vacutainer tubes and needles; Becton Dickinson Vacutainer Systems, Franklin Lakes, N.J.). Subsequently, variance in i.v. catheter diameter w...
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/s0099-1767(96)80213-3
更新日期：1996-12-01 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：PROBLEM:Nursing burnout and high levels of nursing turnover contribute to negative work environments, diminished patient care, and increased health care costs. There is a gap in literature regarding cost-effective, easily implemented interventions to address burnout and turnover. The purpose of this project was to dete...
journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：10.1016/j.jen.2019.03.004
更新日期：2019-07-01 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：: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：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
