Team Triage Intervention, Including Licensed Practical Nurse, to Increase HIV Testing Rates in the Emergency Department: A Quality Improvement Project
Publication date: Available online 4 October 2019Source: Journal of Emergency NursingAuthor(s): Samita M. Heslin, Silvia Bronson, Mary Feiler, Jack Fuhrer, Candice King, Marshall Leonard, Luis Marcos Raymundo, Alison L. Rowe, Eric J. MorleyAbstractIntroductionEmergency departments have an important role in screening for human immunodeficiency virus infection and reducing the morbidity, mortality, and transmission of the human immunodeficiency virus. There are debates about human immunodeficiency virus screening, including opt-in, opt-out, and active choice models. Previous studies have shown that multiple factors affect th...
Source: Journal of Emergency Nursing - October 5, 2019 Category: Nursing Source Type: research

Shift-Based Emotional Stress Reactions in Emergency Nurses After Traumatizing Events
Publication date: Available online 3 October 2019Source: Journal of Emergency NursingAuthor(s): Ann Wilson, M. Fernanda Bellolio, Molly M. Jeffery, Christine M. Lohse, Kharmene L. SungaAbstractIntroductionEmergency nurses experience multiple traumatizing events during clinical work. Early identification of work-related tension could lead to a timely intervention supporting well-being. We sought to discover whether there is an immediately measurable effect on emotional stress, as determined by changes between pre- and postshift survey scores, associated with exposure to traumatizing events during a single emergency nursing ...
Source: Journal of Emergency Nursing - October 4, 2019 Category: Nursing Source Type: research

An Interdisciplinary Code Sepsis Team to Improve Sepsis-Bundle Compliance: A Quality Improvement Project
DiscussionInterprofessional teams can use existing knowledge, skills, and tools to improve sepsis-bundle compliance and mortality outcomes in patients with sepsis presenting to the emergency department. (Source: Journal of Emergency Nursing)
Source: Journal of Emergency Nursing - September 27, 2019 Category: Nursing Source Type: research

Nursing Research Priorities in the Pediatric Emergency Care Applied Research Network (PECARN): Reaching consensus Through the Delphi Method
DiscussionThe PECARN network provided an infrastructure to gain expert consensus from nurses on the most current priories that researchers should focus their efforts and resources. The results of the study will help inform further nursing research studies (for PECARN and otherwise) that address patient care and nursing practice issues for pediatric ED patients. (Source: Journal of Emergency Nursing)
Source: Journal of Emergency Nursing - September 17, 2019 Category: Nursing Source Type: research

Women’s Experiences of Miscarriage in the Emergency Department
The objective of this study was to identify characteristics of care management that may have contributed to the difficulties experienced by women presenting with miscarriage in the emergency department.MethodsForty-eight women treated at 4 emergency departments in different regions of Quebec, Canada, were interviewed for 60 to 90 minutes. A thematic qualitative analysis of these interviews was performed.ResultsAnalyses revealed that participants’ experiences were characterized particularly by a lack of information at 3 critical junctures of the miscarriage experience: the announcement of the miscarriage, the cou...
Source: Journal of Emergency Nursing - September 6, 2019 Category: Nursing Source Type: research

If you could Change 1 Thing to Improve the Quality of Emergency Care for Deliberate Self-harm Patients, What would it be? A National Survey of Nursing Leadership
This study sought to understand emergency department nursing leadership perspectives on how to improve the quality of emergency care for these patients.MethodsED nursing managers and directors from a national sample of 476 hospitals responded to an open-ended question asking for the 1 thing they would change to improve the quality of care for self-harm patients who present in their emergency departments. We identified and coded key themes for improving the emergency management of these patients, then examined the distribution of these themes and differences by hospital characteristics, including urbanicity, patient volume,...
Source: Journal of Emergency Nursing - September 6, 2019 Category: Nursing Source Type: research

Human Trafficking Victim Identification, Assessment, And Intervention Strategies In South Texas Emergency Departments
DiscussionThe failure to recognize human-trafficking victims prevents assessment of the victim’s status and further delays referral to appropriate resources. Barriers to screening for human trafficking included lack of awareness of the human-trafficking experience, need for clinical education related to evidence-based protocols, and need for validated screening instruments and standardization of processes that promote action and provide victim assistance. (Source: Journal of Emergency Nursing)
Source: Journal of Emergency Nursing - September 4, 2019 Category: Nursing Source Type: research

Experiences of Care in the Emergency Department Among a Sample of Homeless Male Veterans: A Qualitative Study
DiscussionThe sample of homeless veterans in this study provided first-person knowledge about their experiences receiving care in emergency departments. These results are consistent with previous research indicating that homeless populations are high users of ED care; however, they often feel undervalued and lack of empathy from health providers. Emergency nurses are an integral part of the ED health care delivery system for the homeless, providing advocacy and much needed education about health problems and alternatives to ED care. The insight obtained about the lives and experiences of veterans in the ED is valuable to t...
Source: Journal of Emergency Nursing - August 30, 2019 Category: Nursing Source Type: research

Research Test questions
Publication date: September 2019Source: Journal of Emergency Nursing, Volume 45, Issue 5Author(s): (Source: Journal of Emergency Nursing)
Source: Journal of Emergency Nursing - August 23, 2019 Category: Nursing Source Type: research

Table of Contents
Publication date: September 2019Source: Journal of Emergency Nursing, Volume 45, Issue 5Author(s): (Source: Journal of Emergency Nursing)
Source: Journal of Emergency Nursing - August 23, 2019 Category: Nursing Source Type: research

Editorial Board
Publication date: September 2019Source: Journal of Emergency Nursing, Volume 45, Issue 5Author(s): (Source: Journal of Emergency Nursing)
Source: Journal of Emergency Nursing - August 23, 2019 Category: Nursing Source Type: research

Information for Readers
Publication date: September 2019Source: Journal of Emergency Nursing, Volume 45, Issue 5Author(s): (Source: Journal of Emergency Nursing)
Source: Journal of Emergency Nursing - August 23, 2019 Category: Nursing Source Type: research

Child Maltreatment
Publication date: September 2019Source: Journal of Emergency Nursing, Volume 45, Issue 5Author(s): Scott DeBoer, Michael Seaver (Source: Journal of Emergency Nursing)
Source: Journal of Emergency Nursing - August 23, 2019 Category: Nursing Source Type: research

Emergency Care Policy and a Rare Condition: The Impact of Technology
Publication date: September 2019Source: Journal of Emergency Nursing, Volume 45, Issue 5Author(s): Patricia Kunz Howard (Source: Journal of Emergency Nursing)
Source: Journal of Emergency Nursing - August 23, 2019 Category: Nursing Source Type: research

Innovating Emergency Nursing Tools and Technology: Work Design for Quality and Patient Safety
Publication date: September 2019Source: Journal of Emergency Nursing, Volume 45, Issue 5Author(s): Jessica Castner (Source: Journal of Emergency Nursing)
Source: Journal of Emergency Nursing - August 23, 2019 Category: Nursing Source Type: research

Accidental and Unintentional Findings From the Midstream Clean-Catch Urine Contamination Study: Insights From Applying the Behavior Engineering Model
Publication date: September 2019Source: Journal of Emergency Nursing, Volume 45, Issue 5Author(s): Jessica Castner (Source: Journal of Emergency Nursing)
Source: Journal of Emergency Nursing - August 23, 2019 Category: Nursing Source Type: research

Contamination in Adult Midstream Clean-Catch Urine Cultures in the Emergency Department: A Randomized Controlled Trial
DiscussionThe use of a funnel urine-collection system and silver-impregnated wipe did not reduce urine-culture contamination in adult midstream clean-catch urine cultures in the emergency department. (Source: Journal of Emergency Nursing)
Source: Journal of Emergency Nursing - August 23, 2019 Category: Nursing Source Type: research

Contrast Extravasation as a Complication of Emergency Nurse-Performed Ultrasound-Guided Peripheral Intravenous Catheter Placement
The objective of the current study was to compare the contrast extravasation rate for ultrasound-guided peripheral intravenous (USGPIV) catheter placement by emergency nurses with peripheral intravenous catheters placed by standard landmark techniques.MethodsA retrospective chart review of all ED patients at our urban tertiary-care institution who underwent contrasted computed tomography examination and suffered contrast extravasation events was performed. A logbook of all ED patients who underwent USGPIV placement and an institution-wide electronic patient safety incident-reporting system was reviewed for all contrast ext...
Source: Journal of Emergency Nursing - August 23, 2019 Category: Nursing Source Type: research

Patient Preference for Medical Information in the Emergency Department: Post-Test Survey of a Random Allocation Intervention
Publication date: September 2019Source: Journal of Emergency Nursing, Volume 45, Issue 5Author(s): Johnathan M. Sheele, Jasmin Bhangu, Ayana Wilson, Ed MandacAbstractIntroductionHealth literacy can create barriers for ED staff attempting to communicate important information to patients. Video discharge instructions may address some of these barriers by improving patients’ comprehension of medical information and addressing health literacy challenges.MethodsOne hundred ninety-six patients diagnosed with either hypertension, asthma, congestive heart failure, or diabetes were randomly assigned to 1 of 2 interventions: w...
Source: Journal of Emergency Nursing - August 23, 2019 Category: Nursing Source Type: research

Clinical Test Questions
Publication date: September 2019Source: Journal of Emergency Nursing, Volume 45, Issue 5Author(s): (Source: Journal of Emergency Nursing)
Source: Journal of Emergency Nursing - August 23, 2019 Category: Nursing Source Type: research

Emergency Nurse Orientation
Publication date: September 2019Source: Journal of Emergency Nursing, Volume 45, Issue 5Author(s): Mary Ellen Zaleski (Source: Journal of Emergency Nursing)
Source: Journal of Emergency Nursing - August 23, 2019 Category: Nursing Source Type: research

Clinical Practice Guideline: Massive Transfusion Scoring Systems
Publication date: September 2019Source: Journal of Emergency Nursing, Volume 45, Issue 5Author(s): Mary Alice Vanhoy, Annie Horigan, Judith Y. Bradford, Susan Barnason, Andi Foley, Janet Kaiser, Robin MacPherson-Dias, Jean Proehl, Andrea Slivinski, Stephen J. Stapleton, Gordon Gillespie, Jessica Bishop-Royse, Altair Delao, Leslie Gates (Source: Journal of Emergency Nursing)
Source: Journal of Emergency Nursing - August 23, 2019 Category: Nursing Source Type: research

Weight! Weight! … Don’t Tell Me!
Publication date: September 2019Source: Journal of Emergency Nursing, Volume 45, Issue 5Author(s): Avani Bhalodia, Mona Hammam, Susan F. Paparella (Source: Journal of Emergency Nursing)
Source: Journal of Emergency Nursing - August 23, 2019 Category: Nursing Source Type: research

The Top 10 Pitfalls to Avoid When Caring for the Older Adult: Part I
Publication date: September 2019Source: Journal of Emergency Nursing, Volume 45, Issue 5Author(s): Joan Somes (Source: Journal of Emergency Nursing)
Source: Journal of Emergency Nursing - August 23, 2019 Category: Nursing Source Type: research

Tension Pneumothorax: What Is an Effective Treatment?
Publication date: September 2019Source: Journal of Emergency Nursing, Volume 45, Issue 5Author(s): Diane Gurney (Source: Journal of Emergency Nursing)
Source: Journal of Emergency Nursing - August 23, 2019 Category: Nursing Source Type: research

CE Earn Up to 5.5 Contact Hours by Reading the Designated Articles and Taking These Post Tests
Publication date: September 2019Source: Journal of Emergency Nursing, Volume 45, Issue 5Author(s): (Source: Journal of Emergency Nursing)
Source: Journal of Emergency Nursing - August 23, 2019 Category: Nursing Source Type: research

CE Enrollment Form
Publication date: September 2019Source: Journal of Emergency Nursing, Volume 45, Issue 5Author(s): (Source: Journal of Emergency Nursing)
Source: Journal of Emergency Nursing - August 23, 2019 Category: Nursing Source Type: research

Immunotherapy Adverse Events: An Emergency Nursing Perspective
Publication date: Available online 8 August 2019Source: Journal of Emergency NursingAuthor(s): Enza Esposito Nguyen, Elizabeth Winokur (Source: Journal of Emergency Nursing)
Source: Journal of Emergency Nursing - August 10, 2019 Category: Nursing Source Type: research

Are Emergency Departments in the United States Following Recommendations by the Emergency Severity Index to Promote Quality Triage and Reliability?
This study serves as a foundation on which to examine the consistency of emergency departments' meeting the ESI guidelines that promote triage accuracy and maintaining the reliability of evidence-based triage acuity systems. (Source: Journal of Emergency Nursing)
Source: Journal of Emergency Nursing - August 4, 2019 Category: Nursing Source Type: research

Code Critical: Improving Care Delivery for Critically Ill Patients in the Emergency Department
DiscussionEmergency nurses and providers see the value of coordinated team response in the delivery of patient care. Team responses to critical medical alerts can improve care delivery substantially and sustainably. (Source: Journal of Emergency Nursing)
Source: Journal of Emergency Nursing - July 20, 2019 Category: Nursing Source Type: research

Practice Improvement Test Questions
Publication date: July 2019Source: Journal of Emergency Nursing, Volume 45, Issue 4Author(s): (Source: Journal of Emergency Nursing)
Source: Journal of Emergency Nursing - July 5, 2019 Category: Nursing Source Type: research

Table of Contents
Publication date: July 2019Source: Journal of Emergency Nursing, Volume 45, Issue 4Author(s): (Source: Journal of Emergency Nursing)
Source: Journal of Emergency Nursing - July 5, 2019 Category: Nursing Source Type: research

Editorial Board
Publication date: July 2019Source: Journal of Emergency Nursing, Volume 45, Issue 4Author(s): (Source: Journal of Emergency Nursing)
Source: Journal of Emergency Nursing - July 5, 2019 Category: Nursing Source Type: research

Information for Readers
Publication date: July 2019Source: Journal of Emergency Nursing, Volume 45, Issue 4Author(s): (Source: Journal of Emergency Nursing)
Source: Journal of Emergency Nursing - July 5, 2019 Category: Nursing Source Type: research

Caring for our Past, Present, and Future
Publication date: July 2019Source: Journal of Emergency Nursing, Volume 45, Issue 4Author(s): Patricia Kunz Howard (Source: Journal of Emergency Nursing)
Source: Journal of Emergency Nursing - July 5, 2019 Category: Nursing Source Type: research

The Symptom Science Model: A Shared Mental Model to Advance the Next Generation of Knowledge in the Emergency Nursing Specialty
Publication date: July 2019Source: Journal of Emergency Nursing, Volume 45, Issue 4Author(s): Jessica Castner (Source: Journal of Emergency Nursing)
Source: Journal of Emergency Nursing - July 5, 2019 Category: Nursing Source Type: research

Providing Hope Amidst Extreme Poverty, Chronic Health Concerns, and Violence: One Medical Team’s Experience in Guatemala City
Publication date: July 2019Source: Journal of Emergency Nursing, Volume 45, Issue 4Author(s): (Source: Journal of Emergency Nursing)
Source: Journal of Emergency Nursing - July 5, 2019 Category: Nursing Source Type: research

Research Test questions
Publication date: July 2019Source: Journal of Emergency Nursing, Volume 45, Issue 4Author(s): (Source: Journal of Emergency Nursing)
Source: Journal of Emergency Nursing - July 5, 2019 Category: Nursing Source Type: research

Emergency Nurse Duty Hours and Patient Safety
Publication date: July 2019Source: Journal of Emergency Nursing, Volume 45, Issue 4Author(s): Judith Carol Gentry (Source: Journal of Emergency Nursing)
Source: Journal of Emergency Nursing - July 5, 2019 Category: Nursing Source Type: research

Clinical Practice Guideline: Needle-Related or Minor Procedural Pain in Pediatric Patients
Publication date: July 2019Source: Journal of Emergency Nursing, Volume 45, Issue 4Author(s): Judith Young Bradford, Stephen J. Stapleton, Annie Horigan, Susan Barnason, Andi Foley, Mindi Johnson, Janet Kaiser, Marylou Killian, Robin MacPherson-Dias, Jean A. Proehl, Nancy Erin Reeve, Andie Slivinski, Mary Alice Vanhoy, Mary Ellen Zaleski, Gordon Gillespie, Jean A. Proehl, Jessica Bishop-Royse, Lisa Wolf, Altair Delao, Leslie Gates (Source: Journal of Emergency Nursing)
Source: Journal of Emergency Nursing - July 5, 2019 Category: Nursing Source Type: research

Automated Dispensing Cabinets Can Help or Hinder Patient Safety Based On the Implementation of Safeguard Strategies
Publication date: July 2019Source: Journal of Emergency Nursing, Volume 45, Issue 4Author(s): Samantha J. Burton (Source: Journal of Emergency Nursing)
Source: Journal of Emergency Nursing - July 5, 2019 Category: Nursing Source Type: research

Emergency Nursing Review Questions: July 2019
Publication date: July 2019Source: Journal of Emergency Nursing, Volume 45, Issue 4Author(s): Benny Marett (Source: Journal of Emergency Nursing)
Source: Journal of Emergency Nursing - July 5, 2019 Category: Nursing Source Type: research

Intracranial Infection Mimics Acute Stroke in an Adolescent Male
Publication date: July 2019Source: Journal of Emergency Nursing, Volume 45, Issue 4Author(s): Cristy L. Galvin, Patricia A. Normandin, Karolyn S. Horn, Justin C. Popso (Source: Journal of Emergency Nursing)
Source: Journal of Emergency Nursing - July 5, 2019 Category: Nursing Source Type: research

Not Just Chest Pain: Presenting Symptoms of Acute Coronary Syndrome by Gender: A Research to Practice Summary
Publication date: July 2019Source: Journal of Emergency Nursing, Volume 45, Issue 4Author(s): Andi L. Foley (Source: Journal of Emergency Nursing)
Source: Journal of Emergency Nursing - July 5, 2019 Category: Nursing Source Type: research

CE Earn Up to 7.5 Contact Hours by Reading the Designated Articles and Taking These Post Tests
Publication date: July 2019Source: Journal of Emergency Nursing, Volume 45, Issue 4Author(s): (Source: Journal of Emergency Nursing)
Source: Journal of Emergency Nursing - July 5, 2019 Category: Nursing Source Type: research

Clinical Test Questions
Publication date: July 2019Source: Journal of Emergency Nursing, Volume 45, Issue 4Author(s): (Source: Journal of Emergency Nursing)
Source: Journal of Emergency Nursing - July 5, 2019 Category: Nursing Source Type: research

CE Enrollment Form
Publication date: July 2019Source: Journal of Emergency Nursing, Volume 45, Issue 4Author(s): (Source: Journal of Emergency Nursing)
Source: Journal of Emergency Nursing - July 5, 2019 Category: Nursing Source Type: research

Using Buzzy, Shotblocker, and Bubble Blowing in a Pediatric Emergency Department to Reduce the Pain and Fear Caused by Intramuscular Injection: A Randomized Controlled Trial
This study was a prospective, randomized controlled trial. The sample consisted of children aged 5 to 10 years old who required IM injections. Children were placed in 4 subgroups through randomization, using a computer program: the Buzzy (MMJ Labs. Atlanta, GA) group (n = 40), the ShotBlocker (Bionix Development Corporation, Toledo, OH) group (n = 40), the bubble-blowing group (n = 40), and the control group (n = 40). Immediately before and after the injection, the children, their parents, and an observer were asked to evaluate the child’s level of fear. The Oucher scale was also employed by the o...
Source: Journal of Emergency Nursing - June 29, 2019 Category: Nursing Source Type: research

Improving 3-Hour Sepsis Bundled Care Outcomes: Implementation of a Nurse-Driven Sepsis Protocol in the Emergency Department
DiscussionWhen the nurse-driven protocol and communication tool were implemented, compliance with time-sensitive sepsis bundled interventions improved significantly. The outcomes suggest nurse-driven protocols can improve sepsis outcomes. (Source: Journal of Emergency Nursing)
Source: Journal of Emergency Nursing - June 22, 2019 Category: Nursing Source Type: research

Alpha-Gal: A Delayed Onset of Anaphylaxis and Uncovering the Cause
Publication date: Available online 27 May 2019Source: Journal of Emergency NursingAuthor(s): Diane C. Berry, Laura Britton, Letha M. Joseph, Ann Jessup (Source: Journal of Emergency Nursing)
Source: Journal of Emergency Nursing - May 28, 2019 Category: Nursing Source Type: research