Information for Readers
(Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - August 29, 2023 Category: Nursing Source Type: research
Profile and Outcomes of Emergency Department Mental Health Patient Presentations Based on Arrival Mode: A State-Wide Retrospective Cohort Study
This study describes and compares demographics, clinical characteristics, and patient and health service outcomes of adult mental health emergency department patient presentations, based on arrival mode: brought in by ambulance, privately arranged transport, and brought in by police. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - August 23, 2023 Category: Nursing Authors: Rachel Wardrop, Jamie Ranse, Wendy Chaboyer, Jesse T. Young, Stuart A. Kinner, Julia Crilly, Mental Health in Emergency Department Research Investigators Tags: Research Source Type: research
Outcomes of a Comprehensive Ultrasound Guided Peripheral IV Insertion (USGPIV) Training Program in a Pediatric Emergency Department
Timely and reliable peripheral intravenous cannulation is an imperative skill in a pediatric emergency department. Utilization of point-of-care ultrasound guidance has proven to significantly improve first-attempt peripheral intravenous cannulation insertion rates in pediatric patients. We sought to develop, implement, and evaluate an ultrasound-guided peripheral intravenous training program for emergency nurses in a tertiary care pediatric center. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - August 16, 2023 Category: Nursing Authors: Alisha N. Jamal, Nigel Ruse, Tristan Wellings, Lianne J. McLean Tags: Practice Improvement Source Type: research
The Management of Children and Youth With Pediatric Mental and Behavioral Health Emergencies
Mental and behavioral health (MBH) emergencies in children and youth continue to increasingly affect not only the emergency department (ED), but the entire spectrum of emergency medical services for children, from prehospital services to the community. Inadequate community and institutional infrastructure to care for children and youth with MBH conditions makes the ED an essential part of the health care safety net for these patients. As a result, an increasing number of children and youth are referred to the ED for evaluation of a broad spectrum of MBH emergencies, from depression and suicidality to disruptive and aggress...
Source: Journal of Emergency Nursing: JEN - August 16, 2023 Category: Nursing Authors: Mohsen Saidinejad, Susan Duffy, Dina Wallin, Jennifer A. Hoffmann, Madeline Joseph, Jennifer Schieferle Uhlenbrock, Kathleen Brown, Muhammad Waseem, Sally K. Snow, Madeline Andrew, Alice A. Kuo, Carmen Sulton, Thomas Chun, Lois K. Lee Tags: Joint Policy Statement Source Type: research
Engaging Emergency Nurses in Strategies to Address the Social Determinants of Health
For patients with social needs, emergency departments can be an essential bridge between the health care system and the community. Emergency nurses ’ knowledge of and engagement in this work need to be examined to ensure that efforts for social determinants of health screening and the resulting community connections are effective. However, there is limited research in this area of nursing practice. The purpose of this study is to describe eme rgency nurses’ knowledge about social needs in their community, assess their knowledge of existing community resources, and examine their perceived confidence to respond to the so...
Source: Journal of Emergency Nursing: JEN - August 7, 2023 Category: Nursing Authors: Elyssa B. Wood, April Brown, Carol Swamidoss Douglas, John Lawrence, Zachary Wotherspoon, Audra Gollenberg Tags: Research Source Type: research
Emergency Nurses ’ Well-Being in Magnet Hospitals and Recommendations for Improvements in Work Environments: A Multicenter Cross-Sectional Observational Study
This study aimed to determine the well-being outcomes and quality of work environment among emergency nurses compared with inpatient nurses working in Magnet hospitals and identify recommendations in emergency department work environments that hold promise for enhancing emergency nurses ’ well-being. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - July 26, 2023 Category: Nursing Authors: Elise Turnbach, Lindsey Coates, Florence D. Vanek, Emma Cotter, Colleen A. Pogue, Rebecca R.S. Clark, Linda H. Aiken, United States Clinician Well-being Study Consortium, Philadelphia, PA Tags: Research Source Type: research
The Effect of Mandatory Triage Questions on Triage Processes: A Qualitative Exploratory Study
The study purpose was to obtain an understanding of both the types of questions mandated for the triage encounter in emergency departments across the United States and how emergency nurses perceive the relevance of these questions to the triage process. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - July 21, 2023 Category: Nursing Authors: Lisa Wolf, Altair Delao, Paul Clark, Elizabeth Mizerek, Michael D. Moon Tags: Research Source Type: research
What if It Were Me? A Qualitative Exploratory Study of Emergency Nurses ’ Clinical Decision Making Related to Obstetrical Emergencies in the Context of a Post-Roe Environment
Previous research describes a significant knowledge deficit in obstetrical care in emergency settings. In a post-Roe environment, additional medicolegal challenges are documented across the obstetrics and gynecology landscape, but an understudied care setting is the emergency department, where patients may present to a practice environment where there is limited or no obstetrical care available. It is unknown how emergency nurses make decisions around these types of presentations. The purpose of this study was to explore the clinical decision-making processes of emergency nurses in the care of patients with obstetrical eme...
Source: Journal of Emergency Nursing: JEN - July 19, 2023 Category: Nursing Authors: Lisa Wolf, Hannah S. Noblewolf, Michael Callihan, Michael D. Moon Tags: Research Source Type: research
Where ’s the Marker? Perceptions of Whiteboards in the Emergency Department
In the emergency department, bedside whiteboards are used to help improve communication, teamwork, and collaboration among health care providers. In addition, previous studies have shown that whiteboards aid the patient with the identification of their health care providers, plan of care, expected length of stay, and overall patient satisfaction. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - July 18, 2023 Category: Nursing Authors: Emily Riley, Karen Lucas Breda, Elizabeth Molle Tags: Clinical Nurses Forum Source Type: research
Escape the Monotony: Gamification Enhances Nursing Education
Creating meaningful and engaging learning opportunities can be challenged by budgets, time, and learning management systems with limited methods of interaction. An innovative method was necessary to meet competency evaluation and continuing education needs for emergency department staff. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - July 8, 2023 Category: Nursing Authors: Aminda Seymour, Morgan Borggren, Rachel Baker Tags: Nurse Educator Source Type: research
Improving Safety and Quality With an Emergency Department Overcrowding Plan
The objective of the project was to use an interdisciplinary team to strengthen and revise the emergency department overcrowding plan to reduce the patient wait times, length of stay, and the left-without-being-seen rates. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - July 6, 2023 Category: Nursing Authors: Addison Watson, Wilma Powell Stuart Tags: Practice Improvement Source Type: research
Myocardial Infarction With Nonobstructive Coronary Arteries: Clinical Features, Pathophysiology, and Management
Myocardial infarction (MI) with nonobstructive coronary arteries (MINOCA) is a syndrome of heterogeneous causes based on varying factors of pathophysiology. Several recent studies indicate that the working diagnosis of MINOCA is established based on the absence of coronary artery disease or presence of stenosis of (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - June 30, 2023 Category: Nursing Authors: Mary M. Artman Tags: Heart Matters Source Type: research
Reappraisal of Multiple Cutaneous Ecchymotic Signs: Coexistence of Grey Turner Sign, Stable Sign, and Fox Sign in Spontaneous Abdominal Wall Hematoma
An 81-year-old woman presented to our emergency department with sudden onset of right flank bruise and mild abdominal pain. She began to experience marked abdominal distension followed by vigorous vomiting and severe cough 3 days prior. Her medical history showed no pharmacology therapy but an abdominal surgery for uterine myoma about 40 years ago. On arrival she was afebrile and had stable hemodynamic parameters. Blood tests showed normal coagulation profiles and decreased hemoglobin of 10 g/dL, compared to previous value of 13 g/dL. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - June 30, 2023 Category: Nursing Authors: Fang Ling Chiu, Chih Hung Hsu, Jin Ruei Yang, Jan Sing Hsieh Tags: Images Source Type: research
Systemic Lupus Erythematous Presenting as a Grand Mal Seizure: Case Report
A 30-year-old female presented to their local emergency department with an active, unprovoked generalized tonic-clonic seizure in progress. Past medical and family history of the patient did not include inflammatory or autoimmune conditions nor epilepsy or seizure. The patient ’s toxicology screen was negative, along with neurological and infectious differentials assessed for rule-outs. This case report includes updated guidelines for the diagnosis and treatment of neuropsychiatric systemic lupus erythematosus for advanced practice providers. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - June 30, 2023 Category: Nursing Authors: Stacey A. Warner, Cinthya Sotelo Tags: Advanced Emergency Clinicians ’ Corner Source Type: research
Increased Use of Cannabis in Our Older Adults –An Emerging Trend
Recent studies have found increasing numbers of older adults, those over age 65, turning to cannabinoid products –cannabis (marijuana), tetrahydrocannabinol (THC), or cannabidiol (CBD)–for medical reasons, with 61% using it for the first time.1,2 This is concerning because the normal physiological and cognitive changes associated with aging combined with the effects of cannabinoids can place older adults a t greater risk of harm and increased risk for injury.1-9 An increase in injury-related ED visits by older adults who have used cannabinoids has also been seen. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - June 30, 2023 Category: Nursing Authors: Joan Somes Tags: Geriatric Update Source Type: research
