Australasian emergency nursing journal : AENJ
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Australas Emerg Nurs J · Nov 2013
Emergency and palliative care nurses' levels of anxiety about death and coping with death: a questionnaire survey.
Caring for dying patients and their families presents many challenges, and may be negatively affected by nurses' Fear of Death. This study investigates attitudes of emergency and palliative care nurses towards death and dying. ⋯ Nurses generally held positive attitudes towards death and dying. Participants could cope with caring for dying patients, but were significantly less comfortable coping with patients' family members. Nurses should be aware of the impact their attitude towards death may have on providing supportive nursing care for the dying.
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Australas Emerg Nurs J · Nov 2013
Factors associated with delayed treatment onset for acute myocardial infarction in Victorian emergency departments: a regression tree analysis.
Minimising time to treatment onset for acute myocardial infarction (AMI) in the emergency department (ED) is essential, yet little is understood about the interactions between variables affecting it. The aim of this study was to develop a regression tree model explicating the influence of patient and non-patient factors on the time taken to commence treatment for patients with AMI in Victorian EDs. ⋯ Interactions between specific variables influenced whether patients with AMI were treated with equity in Victorian EDs, resulting in previously unidentified evidence-practice gaps and an improved understanding of which patient groups were vulnerable to delayed treatment for AMI.
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Australas Emerg Nurs J · Nov 2013
Mortality of interhospital transfers originating from an emergency department in Perth, Western Australia.
Interhospital transfer (IHT) is an integral part of emergency practice and required to access specialist care. ⋯ Multiple factors influence mortality following IHT from an ED. Awareness of these factors helps to optimise risk reduction. The limited infrastructure and resourcing available in non-tertiary hospitals are important considerations.
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Australas Emerg Nurs J · Nov 2013
Randomized Controlled TrialNurse initiated reinsertion of nasogastric tubes in the emergency department: a randomised controlled trial.
Patients sometimes present to the Emergency Department (ED) for reinsertion of nasogastric tubes (NGT) because of tube dislodgement. They usually need to wait for a long time to see a doctor before the NGT can be reinserted. This study aimed at investigating the feasibility of nurse initiated NGT insertion for these patients in order to improve patient outcome. ⋯ Patients can undergo NGT reinsertion significantly faster by adopting a nurse initiated reinsertion of NGT (NIRNGT) protocol.
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Australas Emerg Nurs J · Nov 2013
Observational StudyThai emergency nurses' management of patients with severe traumatic brain injury: comparison of knowledge and clinical management with best available evidence.
In Thailand, the rate of TBI-related hospitalisation is increasing, however, little is known about the evidence-based management of severe TBI in the developing world. The aim of this study was to explore Thai emergency nurses' management of patients with severe TBI. ⋯ There is variation in Thai nurses' knowledge and care practices for patients with severe TBI. To increase consistency of evidence-based TBI care in the Thai context, a knowledge translation intervention that is ecologically valid, appropriate to the Thai healthcare context and acceptable to the multidisciplinary care team is needed.