Strategies to Improve Emergency Department Care of the Deaf and Hard of Hearing Patient
Deaf and Hard of Hearing patients (DHH) encounter health inequities as they enter the health care system.1-5 Patients who are Deaf or Hard of Hearing experience increased emergency department length of stay due to deaf or hard of hearing factors.1-5 Communication is a significant barrier that DHH patients must overcome every time they enter the health care system.1-5 These miscommunications or misunderstandings between patients and their health care providers can lead to substandard care, delay in care, and long-term chronic conditions for DHH patients. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - April 4, 2023 Category: Nursing Authors: Graham Lyons, Patricia A. Normandin Tags: Clinical Source Type: research
Meeting Patients Where They Are: A Nurse-Driven Quality Improvement Project to Provide Influenza Vaccinations in the Emergency Department
Influenza is highly contagious, vaccine-preventable, and may result in significant morbidity and mortality. While vaccination is the primary protection against influenza, vaccination rates remain low. Traditionally, primary care clinics, retail pharmacies, and public health departments offer influenza vaccines. However, offering influenza vaccines in new settings may increase their availability to the public and increase community uptake. This project aimed to add emergency departments as a new influenza vaccine location to increase the number of vaccines distributed during the 2020 to 2021 influenza season. (Source: Journ...
Source: Journal of Emergency Nursing: JEN - March 30, 2023 Category: Nursing Authors: Stacie Hunsaker, Larry Garrett, Katreena Merrill, Rachelle Rhodes Tags: Research Source Type: research
A Grade Ⅲ Severe Hypersensitivity Caused by Gadopentatic Acid Injection: A Case Report
Gadopentetic acid is a common contrast agent for enhanced magnetic resonance imaging. Adverse reactions due to gadolinium-based contrast agents are rare and easily overlooked by medical staff. A patient developed a rash as the first symptom and quickly developed a severe allergic reaction after receiving gadopentetic acid. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - March 30, 2023 Category: Nursing Authors: Qinlan Chen, Qian Qian Tags: Case Review Source Type: research
Reducing Nonemergent Visits to the Emergency Department in a Veterans Affairs Multistate System
The purpose of this quality improvement study was to reduce nonemergent visits to the emergency department attendance within a multistate Veterans Health Affairs network. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - March 26, 2023 Category: Nursing Authors: Bonnie Sommers-Olson, Jacqueline Christianson, Tonya Neumann, Scott A. Pawlikowski, Storm L. Morgan, Maria C. Bouchard, Kristi S. Esch, Laura K. Andrews Tags: Practice Improvement Source Type: research
Predicting Workplace Violence in the Emergency Department Based on Electronic Health Record Data
Emergency departments are extremely vulnerable to workplace violence, and emergency nurses are frequently exposed to workplace violence. We developed workplace violence prediction models using machine learning methods based on data from electronic health records. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - March 14, 2023 Category: Nursing Authors: Hyungbok Lee, Heeje Yun, Minjin Choi, Hyeoneui Kim Tags: Research Source Type: research
Implementation of a Behavioral Emergency Response Team in the Emergency Department
Emergency nurses, physicians, and patients experience occurrences of workplace violence. Having a team to respond to escalating behavioral events provides a consistent approach to reducing occurrences of workplace violence and increasing safety. The purpose of this quality improvement project was to design, implement, and evaluate the effectiveness of a behavioral emergency response team in an emergency department to reduce occurrences of workplace violence and increase the perception of safety. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - March 9, 2023 Category: Nursing Authors: Angela M. Bruccoli Tags: Practice Improvement Source Type: research
Setting the Stage: Innovation in Port Access Education for Pediatric Emergency Nurses
Pediatric port access can be challenging in the emergency department; however, it must be performed promptly and safely. Port education for nurses traditionally includes procedural practice on adult-size, tabletop manikins, which lacks the situational and emotional aspects inherent in pediatrics. The purpose of this foundational study was to describe the knowledge and self-efficacy gain from a simulation curriculum that promotes effective situational dialogue and sterile port access technique, while incorporating a wearable port trainer to enhance simulation fidelity. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - March 3, 2023 Category: Nursing Authors: Denise Downey, Kelsey Graber, Debra Lajoie, Lori Newman, Peter Weinstock Tags: Practice Improvement Source Type: research
Introducing a Digital Occupational Violence Risk Assessment Tool Into an Emergency Department: A Pilot Implementation Study
Occupational violence in emergency departments is prevalent and detrimental to staff and health services. There is an urgent call for solutions; accordingly, this study describes the implementation and early impacts of the digital Queensland Occupational Violence Patient Risk Assessment Tool (kwov-pro). (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - March 3, 2023 Category: Nursing Authors: C.J. Cabilan, Joshua McRae, Katherine Ganzon, Casey Appo, Stefanie Rogers, Madeline O ’Sullivan, Robert Eley, Centaine Snoswell, Amy Johnston Tags: Practice Improvement Source Type: research
Emergency Nursing Review Questions: March 2023
These review questions are based on the Emergency Nursing Core Curriculum and other pertinent resources to emergency nursing practice. They offer emergency nurses an opportunity to test their knowledge about their practice. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - March 1, 2023 Category: Nursing Authors: Benjamin E. Marett Tags: Emergency Nursing Review Questions Source Type: research
Leadership and Trauma-Informed Care: Working to Support Staff and Teams
The concept of “trauma-informed care” as a paradigm in public health and human services has evolved over the past 30 years. Can trauma-informed practices be used as a leadership tool to help address staff/colleagues as they grapple with the concerns associated with a complex health care landscape? Trauma-infor med care shifts the focus from “What’s wrong with you?” to “What happened to you?” This powerful approach to addressing stress might help set the stage for caring and meaningful interactions among staff and colleagues before exchanges become fraught with blame and unproductive or toxic imp acts on team-...
Source: Journal of Emergency Nursing: JEN - March 1, 2023 Category: Nursing Authors: AnnMarie Papa, Kathy Robinson Tags: Leadership Forum Source Type: research
A Quality Improvement Initiative on Reducing Blood Culture Contamination in the Emergency Department
Contaminated blood cultures may have detrimental effects on patients, the organization, and antimicrobial stewardship. Patients in the emergency department may need blood cultures collected before antimicrobial therapy. Contaminated blood culture samples may contribute to prolonged hospital stay and also are associated with delayed or unnecessary antimicrobial therapy. This initiative aims to improve the emergency department ’s blood culture contamination rate that will eventually benefit the patients who will receive timely and proper antimicrobial therapy, and benefit the organization fiscally. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - March 1, 2023 Category: Nursing Authors: Charlotte Marcelino, Jan Shepard Tags: Clinical Nurses Forum Source Type: research
An Important Suggestion for External Jugular Vein Cannulation
I read the article titled “External Jugular Vein Peripheral Intravenous Catheters: An Emergency Nurse’s Guide” with great interest.1 In the article, the authors provide important information about the intravenous (IV) insertion procedure of external jugular cannulation (EJV), which is considered to be one of the popula r rescue approaches to difficult IV access. I would like to share my experience as an anesthesiologist with 25 years of experience. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - March 1, 2023 Category: Nursing Tags: Letter to the Editor Source Type: research
The Uncanny Camaraderie Among Emergency Nurses
Camaraderie is defined as a mutual trust and friendship among people who spend a lot of time together (sounds like a bunch of emergency nurses, right?). I absolutely love the camaraderie that I have experienced —and continue to experience--over the years with my fellow emergency nurses! (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - March 1, 2023 Category: Nursing Authors: Terry M. Foster Tags: President's Message Source Type: research
My Commitment to Emergency Nurses
I became an emergency nurse shortly after graduating from nursing school in the early 1990s. As a new graduate and novice emergency nurse, I remember feeling excited and overwhelmed with my new role. I had so much to learn in those early years. One of my primary sources of information and education was the Journal of Emergency Nursing (JEN). There was always a journal copy in the ED break room, and I read every issue cover to cover. I appreciated that the journal published articles that I could apply in practice in real time, and I learned a lot about emergency care standards. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - March 1, 2023 Category: Nursing Authors: Anna Valdez Tags: Editorial Source Type: research
Table of Contents
(Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - March 1, 2023 Category: Nursing Source Type: research
