Australasian emergency nursing journal : AENJ
-
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.
-
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.
-
Australas Emerg Nurs J · Nov 2013
Who is my leader? A case study from a hospital disaster scenario in a less developed country.
A paucity of literature exists pertaining to the role of leaders during the health response to disasters. The minimal published literature regarding disaster leadership suggests that health leadership in a disaster should adopt an approach similar to that of professions such as law enforcement, military and freighting. ⋯ This paper provides recommendations that may have applicability to leadership in real world disasters.
-
Australas Emerg Nurs J · Aug 2013
Comparative StudyNurse practitioners treating ankle and foot injuries using the Ottawa Ankle Rules: a comparative study in the emergency department.
Nurse practitioners (NPs) in the Emergency Department (ED) have been trained to assess a range of clinical problems and minor complaints such as acute ankle injury. This study compared assessment of suspected ankle and foot injuries using the Ottawa Ankle Rules (OAR) by NPs and ED medical doctors (ED-Drs). ⋯ This study suggests that NPs are less likely to miss significant fractures of the ankle and/or foot compared with ED-based medical registrars. Future research should focus on actual use of the OAR and accuracy of X-ray assessment by NPs.