Abstract:
:The number of older adults presenting to EDs following a fall continues to rise, yet falls management often ignores opportunities for secondary falls risk reduction. Advanced Nurse Practitioners (ANPs) in EDs have an important clinical leadership role in improving outcomes for this group of patients. AIM:This study describes the development of an ANP led falls pathway in an ED to improve safe discharge. It evaluates compliance with the pathway and referrals to community falls prevention services. It also draws comparison with baseline practice as recorded in 2014. METHODS:The Falls Pathway involves four steps: 1) screening at triage (3 questions), 2) risk stratification (low, medium, high), 3) risk assessment (lying and standing blood pressure (B/P), timed-up and go (TUG), 4-AT for delirium screening, polypharmacy), and 4) referral to community falls services. We undertook a 12-month chart review of all patients aged 65 years or older presenting following a fall to the ANP service in 2018. We compared data to a baseline audit in 2014; descriptive and Chi squared statistics were used to examine the data. RESULTS:The 2018 audit involved 77 patients representing 27% of ANP caseload. A repeat fall occurred in 42% (32/77) of cases and 35% (22/77) reported a fear of falling. The Falls Pathway was initiated in nearly 80% (62/77) of patients and compliance with falls risk assessment ranged from 42% for lying and standing B/P to 75% for TUG. In 2014, a review of 59 patient charts showed 27% (16/59) experienced a repeat fall, but other risk factors such as fear of falling were not recorded. In 2018, the majority of patients (88%) discharged home were referred to community falls prevention services compared to 22% in 2014. CONCLUSION:The Falls Pathway improved falls risk assessment in the ED, identified opportunities for risk reduction and optimised referral to community falls services. The pathway continues to be a valuable tool but requires resources for ongoing implementation among the wider ED team.
journal_name
Int Emerg Nursjournal_title
International emergency nursingauthors
O' Keeffe A,O' Grady S,Cronin F,Dolan C,O' Hea A,O' Shea KL,Naughton Cdoi
10.1016/j.ienj.2020.100869subject
Has Abstractpub_date
2020-07-01 00:00:00pages
100869eissn
1755-599Xissn
1878-013Xpii
S1755-599X(20)30041-0journal_volume
51pub_type
杂志文章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:AIM:To ascertain congruence between patients' self-report of pain intensity and nurses' assessment of their pain intensity. METHODS:This study adopted a replication methodology which aimed to ascertain congruence between patients' self-report of pain intensity and nurses' assessment of their pain intensity. Raw statis...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2007.09.003
更新日期:2008-01-01 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:INTRODUCTION:One of several quality indicators that are relevant to study is patient's satisfaction with health care in the ambulance services. Regular measurements of patient satisfaction in this field have not been carried out previously and a validated method of measurement is lacking. PURPOSE:This study aimed to m...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2010.03.002
更新日期:2011-04-01 00:00:00
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 st...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2018.05.004
更新日期:2018-11-01 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: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:AIM:The aim of this study was to determine emergency department doctors' and nurses' knowledge and attitudes regarding problematic substance use and substance users. METHODS:Data were collected using an adapted survey questionnaire and the Substance Abuse Attitude Survey (SAAS). By means of convenience/opportunistic s...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2008.08.003
更新日期:2009-01-01 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:INTRODUCTION:This study investigates the interrater reliability and the accuracy of Manchester Triage (MTS) at emergency departments in Western Sweden. METHODS:A group of 79 nurses from seven emergency departments assessed simulated patient cases and assigned triage categories using the same principles as in their dai...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2008.11.008
更新日期:2009-07-01 00:00:00
abstract:INTRODUCTION:There are a number of perceived benefits and barriers to family presence during resuscitation (FPDR) in the emergency department, and debate continues among health professionals regarding the practice of family presence. AIM:This review of the literature aims to develop an understanding of the perceived b...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2013.07.001
更新日期:2014-04-01 00:00:00
abstract:BACKGROUND:Emergency department (ED) crowding and prolonged waiting times have been associated with adverse consequences towards quality and patient safety. OBJECTIVE:This study investigates whether the number of patients simultaneously present at the ED might be an indicator of unsafe waiting and at what threshold ho...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2014.01.002
更新日期:2014-10-01 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: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
doi:10.1016/j.ienj.2017.12.005
更新日期:2018-07-01 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:INTRODUCTION:Inter-facility transport (IFT) is a dynamic process and its quality largely depends on pre-transport preparation, emergency equipment support and recognition of possible en route adverse events. This study aims to evaluate knowledge of IFT among emergency nurses of three Accident and Emergency Departments ...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2008.05.001
更新日期:2008-07-01 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:BACKGROUND:There are many pressures placed on Emergency Departments (EDs) and anecdotally patients with low acuity abdominal pain can spend a long time in ED waiting for treatment. AIMS:This paper examines the practices in two EDs in Melbourne, Australia. Firstly, the characteristics of low acuity abdominal pain prese...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2008.01.006
更新日期:2008-04-01 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
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: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:INTRODUCTION:Triage is implemented to facilitate timely and appropriate treatment of patients, and is typically conducted by senior nurses. Triage accuracy and consistency across emergency departments remain a problem in mainland China. This study aimed to investigate the current status of triage practice and knowledge...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2017.05.007
更新日期:2017-11-01 00:00:00
abstract:STUDY AIM:This research aims to explore patient satisfaction with ED physiotherapy within the Australian context by providing a qualitative perspective with in-depth exploration of the factors underlying patients' satisfaction. The physiotherapist was part of the Emergency Department Allied Health Team of social worker...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2009.11.008
更新日期:2010-10-01 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: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: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: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::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: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: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