Abstract:
AIM:To determine the association between time to first analgesic medication and emergency department length of stay (ED LOS). DESIGN:Retrospective cohort study. METHOD:We conducted this study in a large, inner-city emergency department and included adult patients who presented with pain as a symptom and received analgesic medication(s). Study participants were identified from a random selection of 2,000 adult patients who presented between August-October 2018. The relationship between ED LOS and time to first analgesic medication was described using bivariate and multivariate linear regression. RESULTS:Of the 2,000 randomly selected patients presenting between August and October 2018, 727 (36.35%) had pain as a symptom on arrival, 423 (21.15%) had analgesic medication administered. The median time to first analgesic medication was in 62 (interquartile range: 36-105) minutes and median ED LOS was 218 (interquartile range: 160-317.5) minutes. After adjusting for the effects of sex, urgency of the presentation, emergency department location first seen by clinician, departure destination and workload metrics (average daily time to be seen and daily access block). Time to first analgesic medication was independently associated with ED LOS, contributing to 6.96% of the variance in the multivariate model. CONCLUSION:Providing analgesic medication faster to patients presenting in pain, in addition to previously demonstrated positive patient outcomes, may decrease their ED LOS. IMPACT:Reducing ED LOS through faster pain care, benefits the patient through faster pain relief and can benefit the department by reducing the total amount of care delivered in the emergency department. Reducing total care delivery frees up resources to improve the care to all emergency department patients. :目的: 确认镇痛药物的使用与留滞时间(ED LOS))之间的关联。 设计: 回顾性队列研究。 方法: 我们在一个大型市中心急诊室进行了此项研究,其中纳入了出现疼痛症状并使用镇痛药物的成年患者。我们从2018年8月至10月之间出现的2000名成年患者中随机选择患者参与研究,并使用双变量和多元线性回归描述急诊留滞时间(ED LOS)与首次使用镇痛药物之间的关系。 结果: 在2018年8月至10月期间随机选择的2000名中,有727名(36.35%)患者到达医院时有疼痛症状,其中423名(21.15%)服用了镇痛药。首次使用镇痛药物的中位时间为62分钟(四分位距:36-105),急诊留滞时间(ED LOS)的中位时间为218分钟(四分位距:160-317.5)。根据性别、陈述的紧急程度、临床医生首先看到的急诊室位置、出发地点和工作量指标(平均每日查看次数和每日访问)进行调整。首次使用镇痛药物的时间与急诊留滞时间(ED LOS)独立相关,其占多元模型的6.96%。 结论: 除了先前证实的积极患者结果外,为出现疼痛的患者更快地提供镇痛药物可能减少患者的急诊留滞时间(ED LOS)。 影响: 通过更快的疼痛护理减少急诊留滞时间(ED LOS),通过更快的疼痛缓解使患者受益,并通过减少急诊室提供的护理总量使部门受益。减少护理总量能够空出更多资源,以改善对所有急诊室患者的护理。.
journal_name
J Adv Nursjournal_title
Journal of advanced nursingauthors
Hughes JA,Brown NJ,Chiu J,Allwood B,Chu Kdoi
10.1111/jan.14216subject
Has Abstractpub_date
2020-01-01 00:00:00pages
183-190issue
1eissn
0309-2402issn
1365-2648journal_volume
76pub_type
杂志文章,评审abstract::The provision by nurses of appropriate levels of care for people with dementia is considered to be adversely affected by the inadequate provision of post basic education. This paper reports on a study that seeks to evaluate the effectiveness of a brief educational programme for charge nurses caring for people with dem...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1998.00714.x
更新日期:1998-09-01 00:00:00
abstract:BACKGROUND:Many patients with heart failure have generalized wasting, referred to as cardiac cachexia. This leads to skeletal muscle wasting, impaired mobility, reduced functional capacity and poor prognosis. Patients with heart failure have symptoms that can affect their food intake, for example breathing difficulties...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2004.03025.x
更新日期:2004-06-01 00:00:00
abstract:AIMS:To identify service models that provided care co-ordination for people with long-term neurological conditions in the U.K. BACKGROUND:The successful management of long-term neurological conditions needs sophisticated management across several health, social care and other service boundaries, as well as involvement...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,多中心研究
doi:10.1111/j.1365-2648.2011.05928.x
更新日期:2012-10-01 00:00:00
abstract::A status passage is the process of change from one social status to another and, in this report, transition into the occupational role of nurse is described. The status passage includes the anticipations, entry, reporting of contrasts and changes which are often accompanied by surprise, and reality shock before making...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1990.tb01715.x
更新日期:1990-10-01 00:00:00
abstract:AIMS:To explore responses to indirect trauma reported by health professionals and to identify issues of potential salience for midwives. BACKGROUND:Indirect exposure to a traumatic event can lead to the development of distressing and potentially enduring responses. Little is understood about the impact that perinatal ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/jan.12274
更新日期:2014-04-01 00:00:00
abstract:AIM:This paper is a report of a study to examine the operational impact of a police custody nursing service on healthcare delivery in one police service in the north of England. BACKGROUND:Medical practitioners, trained specifically for the role of forensic medical examiner, have traditionally provided forensic and cu...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2007.04403.x
更新日期:2007-10-01 00:00:00
abstract::Clinical nurse specialists (CNSs) deliver expert patient care that is based on advanced nursing models with two important characteristics, clinical judgement and leadership, as summarized by Spross & Baggerly. To utilize the clinical judgement for the benefit of patients, CNSs stay within the realm of direct patient c...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1046/j.1365-2648.1997.t01-9-00999.x
更新日期:1997-09-01 00:00:00
abstract::A systematic review of research literature published in English between 1987 and 1997 was carried out to test the hypothesis that care planning and/or record keeping in nursing practice has no measurable effect on patient outcomes. The study was limited to research applicable to acute in-patient care and to non-inform...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1046/j.1365-2648.1999.01048.x
更新日期:1999-07-01 00:00:00
abstract::Many studies in western countries have shown that persons who have a high level of social support are likely to have better health behaviours, including use of preventive health services, than those who have low support. The present study aims to investigate the impact of level of social support among Thai pregnant wo...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,多中心研究
doi:10.1046/j.1365-2648.1999.00901.x
更新日期:1999-02-01 00:00:00
abstract:AIMS:To determine the effects of low-flow oxygen therapy with humidified or non-humidified oxygen in adult patients. BACKGROUND:Although non-humidified oxygen in low-flow oxygen therapy is recommended by many guidelines, humidifying oxygen regardless of oxygen flow has been routinely performed in China and Japan and f...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,meta分析,评审
doi:10.1111/jan.13323
更新日期:2017-11-01 00:00:00
abstract:AIM:The aim of this paper is to report patients' experiences of cardiac rehabilitation and perceptions of the mechanisms and contexts influencing its long-term effectiveness. BACKGROUND:Cardiac rehabilitation programmes for the secondary prevention of coronary heart disease are common. The effects of these programmes,...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2005.03601.x
更新日期:2005-11-01 00:00:00
abstract:AIM:The aim of this paper is to stimulate interest in the practical classroom application of concept mapping strategies as an approach that teachers can easily use to enhance collaborative learning. BACKGROUND:Concept mapping has been developed as a tool to support meaningful learning. However, much of the research li...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2005.03478.x
更新日期:2005-07-01 00:00:00
abstract:BACKGROUND:There are many published qualitative studies in the large volume of literature about hysterectomy documenting themes common to the majority of participants, such as social support, feelings of illness and wellness, pain and resumption of normal life rather than events which were unique or exceptional. AIM:T...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.0309-2402.2003.02847.x
更新日期:2003-12-01 00:00:00
abstract::In the course of their work British health visitors encounter many individuals and families with problems. Support is usually offered, but if that support is for psychological health needs, it is less likely to be accepted as legitimate health visiting practice. Where a referral is either not accepted, or placed on a ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1046/j.1365-2648.1999.00871.x
更新日期:1999-01-01 00:00:00
abstract:AIM:This paper is a report of a review of literature on the psychological and social implications of genetic testing for cancer predisposition and how recent developments in knowledge about genetics may affect clinical practice. BACKGROUND:Knowledge about the genetics of disease has grown since the completion of the H...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2648.2010.05286.x
更新日期:2010-04-01 00:00:00
abstract::Contemporary nursing practice and education belong to a dynamic process which is likely to change the structure of nursing, as well as the relationships that have been established with other professions. This paper is concerned with the professionalization of nursing and examines how nurses and doctors maintain, or ch...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2648.1994.tb01094.x
更新日期:1994-02-01 00:00:00
abstract:AIM:The aim of the study was to evaluate the changes in symptoms and quality of life in people with puborectalis dyssynergia after biofeedback by using Short Form-36 and Patient Assessment of Constipation Quality of Life Questionnaire. BACKGROUND:Biofeedback is an effective treatment in clinical symptoms for puborecta...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2010.05593.x
更新日期:2011-06-01 00:00:00
abstract:AIM OF THE STUDY:This integrative review examined how women interpret, cope with, and manage chronic illness symptoms. BACKGROUND:Women with chronic illness report more symptoms and poorer physical health than men. They also enter the health care system later and sicker than their male counterparts. One possible reaso...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1046/j.1365-2648.2001.01653.x
更新日期:2001-01-01 00:00:00
abstract:AIMS:To examine the cost-effectiveness of a nurse practitioner-family physician model of care compared with family physician-only care in a Canadian nursing home. BACKGROUND:As demand for long-term care increases, alternative care models including nurse practitioners are being explored. DESIGN:Cost-effectiveness anal...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.12989
更新日期:2016-09-01 00:00:00
abstract:UNLABELLED:AIM OF THE STUDY/PAPER: To identify the contribution of the nurse within the multi-professional rehabilitation team. BACKGROUND:The requirement for nurses to work effectively within the multi-professional rehabilitation team is increasingly important with the higher incidence of chronic disease, growing num...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2002.02059.x
更新日期:2002-01-01 00:00:00
abstract:AIM:This paper is a report of a study to identify the occupational burnout profiles of a sample of nurses in Turkey and to examine alternative developmental models of burnout based on these profiles. BACKGROUND:Previous findings on causal links between components of occupational burnout have largely been inconclusive....
journal_title:Journal of advanced nursing
pub_type: 杂志文章,多中心研究
doi:10.1111/j.1365-2648.2008.04818.x
更新日期:2008-12-01 00:00:00
abstract:AIMS:To evaluate the clinical validity indicators for the nursing diagnosis of dysfunctional family processes related to alcohol abuse. BACKGROUND:Alcoholism is a chronic disease that negatively affects family relationships. Studies on the nursing diagnosis of dysfunctional family processes are scarce in the literatur...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.12999
更新日期:2016-10-01 00:00:00
abstract::The value of coronary care units in reducing mortality has been questioned in recent years. However, nurses working in such units have acquired considerable specialist knowledge about coronary artery disease and the psychological problems of patients requiring intensive care. During the 1970s several formal studies of...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1983.tb00333.x
更新日期:1983-07-01 00:00:00
abstract::This paper describes the planning, implementation and evaluation of a series of workshops for practising health visitors, as one aspect of continuing professional education. The history demonstrates response to stated need. Planning was intensive and extensive, resulting in one broad educational objective and a flexib...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1982.tb00238.x
更新日期:1982-05-01 00:00:00
abstract:AIMS:The Grading of Recommendations Assessment, Development and Evaluation (GRADE) Working Group Guidance is widely used to increase the transparency by which evidence is turned into recommendations. Although the process is clearly defined, it may be difficult to use in nursing education and practice because it uses se...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.14303
更新日期:2020-04-01 00:00:00
abstract:AIM:To compare different levels of self-rated pain and determine if they predict anticipated early physical recovery in patients undergoing general and orthopaedic surgery. BACKGROUND:Previous research has indicated that average self-rated pain reflects patients' ability to recover the same day. However, there is a kn...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.13331
更新日期:2017-11-01 00:00:00
abstract:AIM:To explore experiences of the diagnosis and management of tuberculosis from the perspective of Somali patients and healthcare professionals involved in their care. BACKGROUND:The Somali population has the third highest incidence of tuberculosis occurring in persons born outside the UK. Tuberculosis is a disease wi...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.12112
更新日期:2013-10-01 00:00:00
abstract:AIMS:The aim of this study was to test a symptom cluster model in chronic kidney disease patients based on the Theory of Unpleasant Symptoms, accounting for the relationships between influencing factors, symptom experience and consequences for quality of life. BACKGROUND:The evaluation of symptom clusters is a new fie...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.13303
更新日期:2017-10-01 00:00:00
abstract:BACKGROUND:This study is part of a larger questionnaire survey concerned with the views of nursing staff on physical, emotional and spiritual support for terminally ill patients and decision making on the transition to the terminal phase of treatment. AIM:This article discusses the results concerning the prevalence of...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,多中心研究
doi:10.1046/j.1365-2648.2002.02429.x
更新日期:2002-12-01 00:00:00
abstract:AIM:This paper is a report of a systematic review to identify and analyse the main factors affecting the utilization of antenatal care in developing countries. BACKGROUND:Antenatal care is a key strategy for reducing maternal mortality, but millions of women in developing countries do not receive it. DATA SOURCES:A r...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2648.2007.04532.x
更新日期:2008-02-01 00:00:00