Transcultural Health Practices of Emergency Nurses Working With Indigenous Peoples: A Descriptive Study
This study aims to describe the transcultural health practices of Canadian emergency nurses working with Indigenous peoples.MethodsA descriptive study was conducted among 30 emergency nurses.ResultsApproximately 90% of the nurses who participated in the study had not received specific training about Indigenous health. The most common type of culturally appropriate nursing care was clinical examination (mean = 7.22), and sexuality care was the least frequent (mean = 5.47). The nurses were less confident in their ability to interview Indigenous peoples about the importance of home remedies and folk medicine (mean = 5.38)....
Source: Journal of Emergency Nursing - December 21, 2019 Category: Nursing Source Type: research
Development of the National Early Warning Score-Calcium Model for Predicting Adverse Outcomes in Patients With Acute Pancreatitis
This study aimed to develop a new model on the basis of the National Early Warning Score to predict intensive care unit admission and the mortality of patients with acute pancreatitis.MethodsPatients diagnosed with acute pancreatitis in the emergency department were enrolled. The values of the National Early Warning Score, Modified Early Warning Score, and Bedside Index of Severity in Acute Pancreatitis in predicting intensive care unit admission and mortality of patients with acute pancreatitis were evaluated.ResultsA total of 379 patients with acute pancreatitis were enrolled; 77 patients (20.3%) were admitted to the int...
Source: Journal of Emergency Nursing - December 21, 2019 Category: Nursing Source Type: research
Customizing Physiologic Alarms in the Emergency Department: A Regression Discontinuity, Quality Improvement Study
DiscussionA reduction in nonactionable, physiologic alarms was attained after implementing multimodal strategies inclusive of adjusting default settings, staff education on managing alarms, and emphasis on staff accountability. (Source: Journal of Emergency Nursing)
Source: Journal of Emergency Nursing - December 19, 2019 Category: Nursing Source Type: research
Improving Appropriate Dosing of Intravenous dilTIAZem in Patients With Atrial Fibrillation or Flutter With Rapid Ventricular Response in the Emergency Department
DiscussionThe interventions of education and medication alerts resulted in a significant increase in the percentage of patients receiving appropriate doses of dilTIAZem and a nonsignificant decrease in the incidence of hypotension. This process-oriented intervention resulted in an improvement in appropriate dilTIAZem doses at our site. Rate control was not statistically significantly different between the 2 groups. Long-term sustainability of this intervention requires further study. (Source: Journal of Emergency Nursing)
Source: Journal of Emergency Nursing - December 13, 2019 Category: Nursing Source Type: research
Evaluating the Use of a Modified Early Warning Score in Predicting Serious Adverse Events in Iranian Hospitalized Patients: A Prognostic Study
This study aimed to evaluate the predictive capacity of the MEWS to identify patients in an Iranian hospital who are at risk of developing serious adverse events.MethodsIn this prognostic study, 381 adult patients from the emergency department who were admitted to an inpatient hospital unit of an Iranian hospital from May 2018 to October 2018 were included. The MEWS tool was completed for each patient at the time of admission and then daily for a period of up to 30 continuous days after admission or until the development of a serious adverse event. Receiver operating characteristic, specificity, sensitivity, positive predi...
Source: Journal of Emergency Nursing - December 5, 2019 Category: Nursing Source Type: research
