Emergency Nursing: Then and Now

Abstract

As we begin the 35th anniversary year of ENA, it seems appropriate to remember where we have been and consider where we have yet to go. Our co-founders' successful establishment of the ENA is a tribute to what emergency nurses can do. It is their spirit that has allowed each of us to have the privilege of being part of the recognized specialty of emergency nursing today. Over the past 35 years, much has changed, but much has stayed the same. The initial issue of JEN (Jan/Feb, 1975) showcased issues that are very similar to the challenges we face today. Articles such as “Nurse-Scribe System Saves Time in the ED” and “The Alcoholic and the Emergency Department” reflect the exact same clinical issues we deal with today. In today's world, however, the issues have become more complex and sophisticated. Emergency departments across the country are looking at ways to be more efficient and improve patient flow. Rather than nurse scribes, a role that would not reflect the professional autonomy of today's emergency nurse, we use technologic advances such as hand-held personal computers, computerized charting systems, and bedside computers. We think “out of the box” and look to redesign patterns of patient flow and patient care. Patients with substance abuse issues continue to be seen in our emergency departments in ever greater numbers, and still pose unique clinical challenges. But today, we know so much more. We are much more careful about restraining patients and, in keeping with a greater appreciation for prevention and the larger picture, emergency nurses are just beginning to screen all patients regarding their use of alcohol. These are just two examples of how similar the issues are, but how much more complicated our practice is, 35 years later. The preface in the very first issue of this Journal (Jan/Feb 1975) notes that “This journal is published by and for persons dedicated to the pursuit of excellence in the field of emergency nursing….” This statement reflects the reason many of us belong to ENA today. It is part of our heritage to want to learn more, to benefit from the practice experiences of others, and, in general, to provide better care for emergency patients. Anita Dorr's crash cart is one of a thousand testaments to what emergency nurses do to improve patient care, and, ultimately, patient safety. Emergency nursing is a passion; it is part of who we are, what we do, and how we interact with others. Our success is the result of our ability to work together to move emergency nursing forward, to be recognized as such a strong specialty. We have accomplished much, yet there is always more to be done. I would like to thank each of you for your commitment to emergency nursing as we celebrate what others have done to bring us to where we are today. If it was our co-founders' spirit that allowed us the privilege of being part of a recognized specialty, it is now your spirit that will bring emergency nursing to a new level. I look forward to working with emergency nurses across the country and around the world in our 35th year. I am indeed in good company!