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 the dosage, administration, and onset of effects of the commonly used agents. The emergency nurse should be aware that akathisia in a patient receiving an antipsychotic medication is not agitation and should not be treated with a higher dose of an antipsychotic drug. The nurse needs to be able to recognize other adverse effects (e.g., acute dystonic reactions), reassure the patient, and administer the treatment to relieve the adverse effect. If the patient's chart from a previous ED visit is readily available, it is a good idea to identify the drug treatment that was successful in the past. The same drug at the same dosage is likely to be effective again. For patients discharged home, it is important to ensure that these patients will be able to obtain the necessary maintenance medication and that they have a follow-up visit planned before they leave the emergency department.
journal_name
J Emerg Nursjournal_title
Journal of emergency nursingauthors
Foley JJsubject
Has Abstractpub_date
1993-10-01 00:00:00pages
448-50issue
5eissn
0099-1767issn
1527-2966journal_volume
19pub_type
杂志文章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::The rise in ED utilization among older adults is a nursing concern, because emergency nurses are uniquely positioned to have a positive impact on the care of older adults. Symptoms have been associated with ED utilization; however, it remains unclear whether symptoms are the primary reason for ED utilization. The purp...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:10.1016/j.jen.2016.10.001
更新日期:2017-01-01 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
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: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: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:OBJECTIVE:To determine what effect nurses' experience of interpersonal violence had on proposed nursing care of battered women ED patients. METHODS:One hundred ninety-five emergency nurses completed surveys on their personal experiences with violence involving patients or intimate partners and on their proposed nursin...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:10.1067/men.2002.124991
更新日期:2002-06-01 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: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: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:Geriatric trauma, mainly as a result of motor vehicle crashes (MVCs), has been a persistent and serious problem for those older than 65 years of age. Because of physiological changes and pre-existing disease, older adults present a unique clinical challenge to emergency nurses and staff. "Are older adults ...
journal_title:Journal of emergency nursing
pub_type: 杂志文章,评审
doi:10.1016/j.jen.2009.06.008
更新日期:2010-01-01 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: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: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 placeme...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:10.1016/j.jen.2015.02.013
更新日期:2015-09-01 00:00:00
abstract::Trauma nurse experts often are included on the professional teams who survey hospitals for trauma center designation. Evaluation of trauma nursing care includes interviews with staff and review of policies, procedures, and other documents. Medical records are reviewed to validate the verbal reports and examine complia...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:
更新日期:1989-09-01 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:For children with autism spectrum disorder (ASD) and sensory-processing disorder (SPD), an unexpected visit to the emergency department can be an overwhelming experience that creates intensifying behaviors and an unsafe clinical interaction for the child, nurses, and providers. Although resources exist to ...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:10.1016/j.jen.2018.12.002
更新日期:2019-07-01 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: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:This comparative correlational study investigated families who use the emergency department for childhood asthma to identify determinants of follow-up care. The primary hypothesis was: families who obtain follow-up care differ in predisposing, enabling, and need characteristics from families who do not obt...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:10.1016/j.jen.2008.09.008
更新日期:2009-09-01 00:00:00
abstract::ED volume and acuity were anticipated to increase at an inner-city hospital. A strategy to mitigate the impact was needed. METHODS:A multidisciplinary team facilitated a workflow modification project implementing a Super Track to treat low-acuity patients. A literature review led to the creation of an evidence-based ...
journal_title:Journal of emergency nursing
pub_type: 杂志文章,评审
doi:10.1016/j.jen.2016.03.029
更新日期:2017-03-01 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: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:Patient experience ratings are important to health care organizations from both a clinical and financial perspective. Studies examining the relationship between patient experience and nurse staffing are prevalent in the inpatient setting, but not as much is known about how staffing affects these ratings in...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:10.1016/j.jen.2018.01.001
更新日期:2018-07-01 00:00:00
abstract:INTRODUCTION:Abuse experiences can have negative health consequences for women. Many women present to the emergency department for episodic, nonemergent care and may have unique needs as survivors of abuse. The purpose of this study was to describe child sexual abuse experiences, intimate partner violence, substance us...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:10.1016/j.jen.2011.09.011
更新日期:2013-07-01 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: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:INTRODUCTION:Infection is a frequent complication experienced by many children with cancer, with potentially life-threatening consequences that may result in hospitalization, prolonged length of stay, and increased mortality. The need for prompt assessment and early intervention for infection is widely recognized by ED...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:10.1016/j.jen.2013.01.014
更新日期:2013-05-01 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