Abstract：
INTRODUCTION:Previous studies indicate that crowding scales may not perform well in low-volume emergency departments (EDs). In this study, face-validity of the Modified National ED OverCrowding Score (mNEDOCS) was assessed in a high-volume ED as well as in a low-volume ED. METHODS:A prospective observational cohort study was performed in the Netherlands. The correlation of the mNEDOCS with ED staff perceptions of crowding were assessed, using weighted Kappa (κ) and Pearson correlation. Subsequently, ED process measures (elapsed target times to triage, elapsed target times to treatment and patients' LOS) were described under different levels of ED crowding. RESULTS:Correlation between the categorized crowding scores was low (weighted κ 0.34 resp. 0.26). However, good correlations of 0.73 and 0.82 were found between the uncategorized mNEDOCS and ED staff's perception of crowding. Percentages of patients with elapsed target times to treatment increased simultaneously with increasingly busy periods when measured with mNEDOCS. CONCLUSIONS:The uncategorized mNEDOCS correlates well with perceived crowding, even at a low-volume ED. Determining a cut-off level at which a specific ED can be identified as crowded is important, because the predefined mNEDOCS categories may not be optimal for all EDs.
journal_name
Int Emerg Nursjournal_title
International emergency nursingauthors
Van Der Linden MC,Van Loon M,Gaakeer MI,Richards JR,Derlet RW,Van Der Linden Ndoi
10.1016/j.ienj.2018.05.004subject
Has Abstractpub_date
2018-11-01 00:00:00pages
25-30eissn
1755-599Xissn
1878-013Xpii
S1755-599X(18)30068-5journal_volume
41pub_type
杂志文章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
abstract：INTRODUCTION:Research has demonstrated that children are at particular risk for oligoanalgesia due to assessment difficulties when they are unable to self-report. We sought to evaluate the psychometric properties of the Modified Preverbal, Early Verbal Pediatric Pain Scale (M-PEPPS) when used in an emergency department...
journal_title：International emergency nursing
pub_type： 杂志文章
doi：10.1016/j.ienj.2011.01.003
更新日期：2011-10-01 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：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：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
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更新日期：2018-07-01 00:00:00
abstract：BACKGROUND:Early warning Score is a bedside track and trigger system used to facilitate early detection and management of deteriorating patients. Although emergency department nurses are the key to implement this task, their interaction and contribution to provide an estimate of patients' severities is still suboptimal...
journal_title：International emergency nursing
pub_type： 杂志文章,多中心研究
doi：10.1016/j.ienj.2019.03.005
更新日期：2019-07-01 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
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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：BACKGROUND:The aim of this study was to assess whether the use of alcohol and medicinal drugs among rescue workers as a consequence of the 22 July terrorist attack was associated with post-traumatic stress symptoms, and explore if there were differences between affiliated and unaffiliated rescue workers. METHODS:Ten m...
journal_title：International emergency nursing
pub_type： 杂志文章
doi：10.1016/j.ienj.2016.03.003
更新日期：2016-09-01 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：:[Background] Emergency departments world-wide report service demands which exceed resource availability. Themes such as crowding, non-urgent presentations, ambulance diversion and access block have been linked to complications in care, poorer patient outcomes, increased morbidity and staff burnout. People attending th...
journal_title：International emergency nursing
pub_type： 杂志文章
doi：10.1016/j.ienj.2016.09.003
更新日期：2016-11-01 00:00:00
abstract：UNLABELLED:In the everyday work at emergency departments (EDs), the patients being cared for have different needs and perceived symptoms. To meet their need for emergency care, knowledge of the work is important. The aim of this study is to explore the everyday work at a Swedish ED from a practitioner's perspective. M...
journal_title：International emergency nursing
pub_type： 杂志文章
doi：10.1016/j.ienj.2011.06.007
更新日期：2012-04-01 00:00:00
abstract：INTRODUCTION:When faced with a patient in cardiac arrest, ambulance personnel must rapidly make complex decisions with limited information. Much of the research examining decisions to commence, continue, withhold or terminate resuscitation has used retrospective audits of registry data and clinical documentation. This ...
journal_title：International emergency nursing
pub_type： 杂志文章
doi：10.1016/j.ienj.2017.08.002
更新日期：2018-07-01 00:00:00
abstract：BACKGROUND:Nurses have played a major role in taking care of the wounded across the centuries. One of the most important roles of Iranian nurses in wartime has been working in chemical emergency departments. This study investigated the nature of nursing practice in chemical emergency departments created in the context ...
journal_title：International emergency nursing
pub_type： 杂志文章
doi：10.1016/j.ienj.2012.03.002
更新日期：2013-04-01 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
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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：BACKGROUND:Family witnessed resuscitation is the practice of enabling patients' family members to be present during resuscitation. Research is inconsistent as to the effectiveness or usefulness of this initiative. AIM:To evaluate the performance of two scales that assess perceptions of family witnessed resuscitation a...
journal_title：International emergency nursing
pub_type： 杂志文章
doi：10.1016/j.ienj.2011.10.003
更新日期：2013-01-01 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：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：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：: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：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：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: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 ...
journal_title：International emergency nursing
pub_type： 杂志文章
doi：10.1016/j.ienj.2009.09.003
更新日期：2010-07-01 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：: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：:The development of the Swedish ambulance service has resulted in three different competence levels in Swedish ambulance teams: specialist ambulance nurses, registered nurses and emergency medical technicians. A nursing scientific model developed by Peplau (Peplau, H., 1991. Interpersonal Relations in Nursing. Springer...
journal_title：International emergency nursing
pub_type： 杂志文章
doi：10.1016/j.ienj.2012.10.003
更新日期：2013-10-01 00:00:00
abstract：OBJECTIVES:The Hague Protocol is used by professionals at the adult Emergency Departments (ED) in The Netherlands to detect child abuse based on three parental characteristics: (1) domestic violence, (2) substance abuse or (3) suicide attempt or self-harm. After detection, a referral is made to the Reporting Center for...
journal_title：International emergency nursing
pub_type： 杂志文章
doi：10.1016/j.ienj.2014.09.004
更新日期：2015-04-01 00:00:00
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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：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
