Journal of emergency nursing : JEN : official publication of the Emergency Department Nurses Association
-
The core competencies of nursing personnel have been identified as a main factor affecting nursing effectiveness. This study examined core emergency response competencies of Chinese nursing personnel related to the outbreak of major infectious diseases. ⋯ These findings indicate that it is necessary to strengthen the training of nursing staff with educational background deficits or no prior work or drill experience related to infectious diseases to effectively improve the core emergency response competencies of nursing personnel relative to infectious diseases.
-
Observational Study
Differences in Documented and Actual Medication Administration Time in the Emergency Department: A Prospective, Observational, Time-Motion Study.
Retrospective studies suggest that a rapid initiation of treatment results in a better prognosis for patients in the emergency department. There could be a difference between the actual medication administration time and the documented time in the electronic health record. In this study, the difference between the observed medication administration time and documentation time was investigated. Patient and nurse characteristics were also tested for associations with observed time differences. ⋯ A difference between administration and documentation times of medication in the emergency department may be common, especially for more acute patients. This could bias, in part, previously reported time-to-treatment measurements from retrospective research designs, which should be kept in mind when outcomes of retrospective time-to-treatment studies are evaluated.
-
Triaging patients into correct severity categories in an emergency department is an advanced skill that depends on a quick assessment after obtaining very little information. The purpose of this study was to assess specific risk factors associated with hospital admissions in the emergency department environment of the specialized Eye, Ear, Nose, and Throat hospital located in Shanghai, China. ⋯ This study provided a method to build a feasible predictive model of hospital admission during triage. Understanding risk factors is an important part of the triage process in order to correctly assign priorities to the patients served. The outcomes of this study would add additional information for the triage nurse to consider in assessing the patient and assigning acuity ratings. The model developed here requires validation in future research.
-
Emergency nurses work in one of the busiest and most stressful departments in a hospital and, as such, may experience burnout more often than nurses working in other nursing units. This study examined the relationship among orientation, burnout (emotional exhaustion, depersonalization, and low sense of personal accomplishment), and intent to leave. ⋯ Emotional exhaustion and low sense of personal accomplishment were key factors influencing emergency nurses' intent to leave. Emergency nurse leaders may find that a formal orientation program enhances sense of personal accomplishment and decreases intent to leave. Creating work environments to help emergency nurses find joy in their work may be critical to work-life balance and staff retention.
-
The rise of a digital native generation of nurses entering the ED workforce prompts a need for targeted training resources to meet their needs and preferences. The purpose of this intervention was to (1) leverage Quick Response code technology to provide point-of-care information as it relates to high-risk, low-volume therapies, (2) improve staff nurse perception toward the ease of access to educational and training materials, and (3) improve staff perception of the adequacy of educational and training resources. Training videos ranging in length from 2 to 3 minutes were created and linked through Quick Response codes for smartphone scanning and affixed to relevant pieces of equipment. ⋯ Approximately 93.7% stated yes to having adequate educational resources to meet their training needs, an increase of 50% in comparison with the first project-specific survey. There is a great opportunity to capitalize on the potential preferences of this younger, technologically savvy generation of nurses through Quick Response code implementation and point-of-care training to improve competency with high-risk, low-volume therapies. This intervention could also be tailored to many other aspects of nurse training and education in various settings.