Emergency Room Nurses Research Articles

Challenges encountered by emergency nurses in forensic case management: A qualitative study.

This study aimed to reveal the opinions of emergency room nurses regarding crime victims and the challenges they experience. This study was a qualitative descriptive study. A convenience sampling method was used in the study. Data were collected through individual in-depth interviews using semi-structured questions lasting approximately 45min. The interviews were audio recorded. In total, nine nurses individual interviews were held. The study was completed with nine nurses with approximately twelve years of experience in the emergency department. Four themes were identified: duties and responsibilities of nurses in crime victims management; maintaining well-being in challenging crime victims; education needs of emergency nurses for crime victims; and challenges experienced by nurses in crime victims management. When contextualizing the findings of our study within forensic nursing theory, it becomes evident that nurses play a pivotal role in continuously informing, influencing, and advancing forensic nursing care to improve patient health, forensic evidence collection, and criminal justice outcomes. A key finding of our study was the impact of interaction with crime victims in the emergency department on nurses' well-being. In this regard, implementing institution-supported education policies, establishing units dedicated to supporting well-being, and fostering a supportive organizational culture are essential measures to promote the resilience and effectiveness of nurses in this critical field.

Development and Validation of a Competency Tool for Emergency and Disaster Management for Nurses

The study focused on constructing a tool to assess nurses’ competencies in emergency and disaster management, particularly in areas of assessment and intervention. The process included the development and validation of a competency’s checklist. The study adopted a descriptive and methodological approach, conducted in three phases: (1) Literature Review and Initial Tool Development: A workshop was held involving five experts to draft the tool, (2) Validation: The tool underwent face and content validation through the participation of emergency nurses, ward managers, and nurse managers selected via snowball sampling. Seven and eight experts reviewed and finalized the tool during this phase. Content suggestions were analyzed, and the Content Validation Index (CVI) was calculated to assess item representativeness, and (3) Pilot Testing: Thirty participants were involved in testing the tool’s usability and effectiveness. The experts included nurses with specialized training, significant work experience as emergency room nurses, and extensive knowledge of the topic. The resulting competencies checklist provides a robust foundation for evaluating emergency and disaster management skills. A total of 240 nurses participated in the study, regardless of their age, sex, highest educational attainment, hospital position, length of experience, or the number of trainings and seminars attended. In conclusion, the study successfully developed and validated an assessment tool, emphasizing its uniqueness and utility in guiding educators and researchers in fostering practical growth in emergency and disaster management competency.

Factors Influencing Job Embeddedness in Emergency Room Nurses: Focus on Positive Psychological Capital, Gratitude, and Anger Expression

Purpose: This study aimed to identify the effects of positive psychological capital, gratitude, and anger on job embeddedness among emergency room nurses.Methods: A total of 144 participants, nurses with more than 6 months of emergency room work experience, were included. Data collection occurred from July 10 to August 20, 2022. The collected data were subjected to descriptive statistics, t-tests, ANOVA, Scheffé tests, Pearson's correlation coefficient, and multiple regression analysis using the SPSS/WIN 26.0 program.Results: There were statistically significant differences in job embeddedness according to the general characteristics of the participants in terms of age, position, total experience, positive psychological capital, and gratitude. Job embeddedness and positive psychological capital showed a statistically significant correlation (r=.48, <i>p</i><.001), and job embeddedness also demonstrated a statistically significant positive correlation with gratitude (r=.38, <i>p</i><.001). But there was no correlation with anger expression. Multiple regression analysis indicated that positive psychological capital and gratitude were factors influencing job embeddedness, with the independent variables explaining 26.6% of the variance in job embeddedness.Conclusion: Based on these results, to increase the job embeddedness of emergency room nurses in the future, it is recommended to offer programs aimed at enhancing levels of positive psychological capital and gratitude.

Spanish for Emergency Room Nursing

Abstract This study conducts a task-based needs analysis (NA) to (1) determine the Spanish language needs of primarily English-speaking emergency room nurses in the Southeastern US and (2) inform the design of a potential Spanish for ER Nursing course. This mixed-methods study included three phases of both data collection and analysis, adapted from Serafini and Torres (2015) and Malicka et al. (2019). In Phase 1, a variety of open-ended measures were used to determine tasks common in ER settings as reported by each type of participant. In Phase 2, participants rated the frequency and importance of these tasks. In Phase 3, the participants reviewed the list of tasks in follow-up interviews. Results are presented as a series of tasks performed in the ER context, ranked according to frequency and importance. The study improves upon previous task-based needs analyses by implementing recent methodological considerations by Serafini (2022) and Gilabert and Malicka (2022).

Evaluation of emergency nurses’ knowledge of medical response in nuclear and radiological emergencies : a cross-sectional study

BackgroundEvaluating emergency room nurses’ knowledge of radiation protection, health effects, and decontamination procedures is crucial for preparedness in nuclear and radiological emergencies. This study aims to evaluate the level of knowledge among emergency nurses in Saudi Arabia regarding medical responses to nuclear and radiological emergencies.MethodsA multicenter cross-sectional study was conducted via a self-structured questionnaire with 15 true‒false questions divided into three domains, namely, radiation protection measures, radiation health effects, and decontamination procedures, each with five items and a possible score of 1 point per correct answer. The collected data were analyzed via descriptive and inferential statistics. The study followed the STROBE checklist for methodological rigor.ResultsA total of 594 emergency nurses participated in this study, with the majority being young (64.50% aged ≤ 30), female (68.69%), bachelor’s degree-holding (67.68%), single (63.64%), having ≤ 4 years of experience (56.06%), working in public health facilities (88.89%), and lacking training in medical response (85.35%). The mean knowledge scores for participants were highest for radiation exposure effects (3.27 ± 0.91), followed by radiation protective measures (2.32 ± 0.99), and lowest for decontamination procedures (1.46 ± 1.07). Overall knowledge was measured at a mean score of 7.06 ± 1.68, with 97.47% of the nurses categorized as having poor knowledge level. Nurses in private hospitals scored higher (7.77 ± 1.82) than those in public hospitals (6.97 ± 1.65) on overall mean knowledge (P = 0.034). Concerning findings include emergency nurses’ misconceptions about the protection provided by dense materials, the effectiveness of increasing distance from a radiation source, and prioritizing decontamination of victims over life-saving measures. Additionally, they were unaware of the immediate symptoms following radiation exposure and misunderstood that the primary threat in a radioactive bomb event is the explosion rather than the radiation itself.ConclusionThis study revealed poor knowledge among emergency nurses regarding medical responses to radiation emergencies and highlighted the critical need for enhanced and standardized training in radiation emergency preparedness among nurses. The gaps in knowledge identified in this study could significantly impact the effectiveness of healthcare responses in radiation emergency scenarios. Therefore, targeted educational interventions and policy changes are recommended to address these shortcomings.

Implementation of Disaster Preparedness in Hospitals by Emergency Department Nurses

Aims: The purpose of this study is to determine the preparedness of emergency room nurses in handling disasters in hospitals. Method: This study employs a qualitative research design, utilizing a single case study that focuses on the implementation of disaster preparedness by emergency room nurses in hospitals. The subjects of this case study are two nurses who meet the inclusion criteria: they have attended disaster preparedness training, work as emergency room nurses, have been part of the hospital disaster team for at least five years, and are considered reliable and competent sources of data related to the research objective. Purposive sampling was used to select the participants, and data was collected through in-depth interviews guided by an interview protocol. Results: Four themes were identified: disaster preparedness, the organizational structure of disaster management functions and tasks, patient grouping, and the communication of clear, effective information along with coordination among medical personnel. Conclusion: The study found that implementing preparedness among emergency room nurses in disaster management is crucial to ensure a prompt and effective response in emergency situations.

Influence of Determinant Factors on Safety Behavior for Infusion Installation in Emergency Room Nurses

Pendahuluan: Rumah Sakit sebagai tempat kerja yang unik dan kompleks, dengan potensi bahaya kesehatan dan keselamatan kerja tidak dapat dihindari seperti tertusuk jarum bekas pasien. Healthcare Associated (HAIs) merupakan salah satu risiko yang dihadapi oleh tenaga kesehatan dan banyak terjadi di seluruh dunia dengan kejadian terbanyak di Negara miskin dan Negara berkembang, WHO menunjukkan sekitar 8,7% dari 55 rumah sakit di 14 negara di Eropa, Timur Tengah, dan Asia Tenggara dan Pasifik terjadi HAIs. Tingkat pengetahuan dan motivasi keselamatan kerja yang paling kuat terkait dengan perilaku keselamatan kerja. Tujuan: penelitian ini bertujuan untuk menganalisis pengaruh faktor determinan terhadap safety behavior pemasangan infus pada perawat di IGD RSUD Dr. Haryoto Lumajang. Metode: penelitian ini menggunakan metode penelitian kuantitatif dengan desain penelitian cross sectional, teknik pengambilan sampel yaitu total sampling sejumlah 21 orang. Hasil: Berdasarkan hasil uji regresi linier terdapat pengaruh jenis kelamin (nilai sig. 0,004), masa kerja (nilai sig. 0,031) dan pelatihan/sosialisasi K3 (nilai sig. 0,004) terhadap safety behavior tindakan pemasangan infus. Kesimpulan: tuntutan pekerjaan sebagai seorang perawat terutama di IGD yang merupakan pintu pertama pasien masuk, dimana keselamatan pasien yang diutamakan terkadang menuntut perawat bekerja dengan tidak aman. Kata kunci: tingkat_pengetahuan, motivasi_Keselamatan Kerja, pemasangan_infus

The Relationship Between Age, Gender, Workload, and Complaints of Low Back Pain (LBP) among Emergency Room Nurses

Low Back Pain (LBP) is Pain felt in the lower back area, can be local pain or radicular pain or both. Risk factors for low back pain (LBP) include age, gender and workload. This study aims to determine the relationship between age, gender and workload with complaints of Low Back Pain (LBP) in nurses in the emergency department of RSUD Banten in 2022. This type of correlation research uses a cross-sectional study approach. The population in this study were all ER nurses at Banten Regional Hospital as many as 65 nurses. The number of samples was determined by a total sampling technique of 65 respondents. The results showed 33 (50.8%) nurses had mild LBP complaints, 35 (53.8%) nurses aged < 30 years, 40 (61.5%) female nurses and 38 (58.5%) nurses had a light workload. The results of the analysis showed that there was a relationship between age and complaints of LBP (P value 0.004), gender with complaints of LBP (P value 0.002) and workload with complaints of LBP (P value 0.000). It is expected that the Banten Regional Hospital will observe and treat nurses who have LBP complaints.

The Effect of Occupational Safety and Health Counseling on the Use of Personal Protective Equipment at the Special UPTD of the Medan Hajj Hospital

The development of occupational safety and health science in the work environment can be seen with the development of advanced science and technology as well as the emergence of new innovations in the work environment and encouraging companies to improve the knowledge and skills of their human resources. The purpose of this study is to determine the Influence of Occupational Safety and Health Education (K3) on the Behavior of Using Personal Protective Equipment at the Special UPTD of Haji Medan Hospital. This research includes quasi-experimental research. This study uses a one group pretest and pottest design. The population in this study is emergency room nurses at the Special UPTD of Haji Medan Hospital which totals 50 nurses in June-August 2024. The sampling technique in this study is total sampling. The measuring tool in this study uses a univariate and bivariate distribution of non-parametric data with the Wilcoxon test. The results of the Wilcoxon statistical test of both knowledge and attitude obtained a P-value of 0.000. This means that at alpha 5% there is a significant difference in median score between before and after counseling. Meanwhile, in the aspect of action, there was an increase in the number of PPE users between before and after counseling. Because the results of Asymp.Sig of knowledge, attitudes and actions are less than 0.05, H0 is rejected so that there is an influence of occupational health and safety counseling (K3) on the behavior of using PPE. In conclusion, there is an influence of Occupational Safety and Health Counseling (K3) on the behavior of using personal protective equipment at the Special UPTD of Haji Medan Hospital. The suggestions are expected to increase the frequency of counseling and provide information on the importance of using personal protective equipment in the workplace, provide strict sanctions against nurses who do not use personal protective equipment at work, increase the frequency.

The Aces of The Heart: Lived Experiences of Emergency Room Nurses in Managing Patients with Congestive Heart Failure and Its Implication to the Health Education

The Aces of The Heart: Lived Experiences of Emergency Room Nurses in Managing Patients with Congestive Heart Failure and Its Implication to the Health Education

Analysis of knowledge sharing culture and competence on performance mediated by commitment (Study on Emergency Room Nurses at Citra Medika Hospital Sidoarjo)

Analysis of knowledge sharing culture and competence on performance mediated by commitment (Study on Emergency Room Nurses at Citra Medika Hospital Sidoarjo)

Nurse Occupational Stressor Affect Their Clinical Performance and Mediating Role of Emotional Intelligence

This study aimed to investigate the mediating role of emotional intelligence between the relationship of occupational stressors and clinical performance among nurses. This quantitative research was completed through correlational research design. Survey was conducted as a method of data collection with the help of questionnaires. Population was consisted of nurses from the public health sector in Punjab province, Pakistan. A sample of 864 nurses were recruited using convenience sampling technique. Three research instruments were used; Nurses’ Occupational Stressor Scale (Chen et al., 2020), Six Dimension Scale of Nursing Performance (Schwirian in 1978), and Emotional Intelligence Scale (Mehta & Singh, 2013). Findings of study reveal that there was negative relationship between occupational stressor and clinical performance. Moreover, emotional intelligence was negatively correlated with occupational stressor among nurses. In addition, there was a positive correlation between emotional intelligence and clinical performance among nurses. Results depict that occupational stressor are the significant negative predictors of clinical performance. Furthermore, the relationship between occupational stressor and clinical performance was partially mediated by emotional intelligence. Findings evident that nurses who were working in emergency room showed a greater level of occupational stressor as compared to nurses of intensive care unit. Similarly, the married nurses found stressful at workplace as compared to unmarried. Additionally, the nurses who were illiterate of computer skills showed a greater level of occupational stress than who have computer skills. Meanwhile, occupational stress level was greater among the nurses who were on night shift duty as compared to day shift duty. Results suggest that nurses of intensive care unit were found emotionally intelligent and their clinical performance was better as compared to emergency room nurses. The nurses who have the computer skill perform clinically better as compared to those who did not know the computer skill. Furthermore, the findings of the study reveal that the level of emotional intelligence was reported higher among those nurses who had the computer skill. In addition, there was no significant mean score difference was found on clinical performance between unmarried and married nurses. Furthermore, nurses who were unmarried and on day shift duty showed the greater level of emotional intelligence and clinical performance as compared to married and night shift duty. Findings of the study reveal that level of education and age of nurses plays an important role to determine their occupational stressor, clinical performance and emotional intelligence. Stress management training, simulation training should be provided to nurses to enhance their clinical performance in public health sector.

Indication-based and patient-based hand hygiene performance among nurses working at a university hospital.

The traditional method of monitoring hand hygiene (HH) based on specific indications does not ensure that HH is performed for all required indications during patient care. This study aimed to compare HH performance rates (HHPRs) based on specific indications versus overall patient care among nurses at a university hospital. The study retrospectively analyzed HH monitoring data for 1398 indications from 543 patients and 190 nurses. Observations were conducted continuously, tracking a single healthcare worker from before patient contact until the end of the contact within a 30-min period. The indication-based HHPR was found to be 89.1%, while the patient-based HHPR was 78.1%. In the context of patient-based HHPR, the lowest rates were observed among nurses in the emergency room (48.3%) and those with less than 1 year of work experience (66.7%). Moreover, the largest discrepancy between indication-based and patient-based HHPR was noted among emergency room nurses with less than 1 year of experience. This significant difference underscores the need for patient-based HH monitoring, particularly for nurses in emergency settings and those with limited experience.

Feasibility and acceptability of a serious game to study the effects of environmental distractors on emergency room nurse triage accuracy: A pilot study

BackgroundEmergency triage, which involves complex decision-making under stress and time constraints, may suffer from inaccuracies due to workplace distractions. A serious game was developed to simulate the triage process and environment. A pilot study was undertaken to collect preliminary data on the effects of distractors on emergency nurse triage accuracy. MethodA 2 × 2 factorial randomized controlled trial (RCT) was designed for the study. A sample of 70 emergency room nurses was randomly assigned to three experimental groups exposed to different distractors (noise, task interruptions, and both) and one control group. Nurses had two hours to complete a series of 20 clinical vignettes, in which they had to establish a chief complaint and assign an emergency level. ResultsFifty-five nurses completed approximately 15 vignettes each during the allotted time. No intergroup differences emerged in terms of triage performance. Nurses had a very favorable appreciation of the serious game focusing on triage. ConclusionThe results show that both the structure of our study and the serious game can be used to carry out a future RCT on a larger scale. The lack of a distractor effect raises questions about the frequency and intensity required to find a significant impact on triage performance.

Coaching workshops for managing communication challenges perceived by emergency nurses in Morocco: a pilot experiment

PurposeIn emergency departments, effective communication is of utmost importance to ensure the safety of patients. However, communicating can be quite challenging when dealing with high-stress situations. This study aims to assess the efficacy of coaching workshops, informed by a transtheoretical coaching model, in managing communication challenges perceived by emergency nurses and enhancing their communication skills.Design/methodology/approachThe study involved seven emergency room nurses working at a public hospital in Morocco. The data were gathered through various instruments, including observation grids, interviews and pre- and post-test questionnaires.FindingsThe study identified prevalent challenges in communication among nurses, notably difficulties in accurately interpreting messages when faced with confrontational attitudes from colleagues or superiors. Additionally, some nurses exhibited asymmetrical communication patterns, prioritizing their own perspectives over others' during interactions. The findings revealed a statistically significant disparity between pre- and post-test scores (P = 0.017). The nurses’ mean score has improved by 5.14 after attending the four workshop coaching experience, passing from 5.71 in the pre-test to 10.85 in the post-test.Originality/valueThis is the first study in Morocco to evaluate the effectiveness of coaching workshops guided by a transtheoretical coaching model in improving communication skills and overcoming communication barriers among working emergency nurses.

Linking patient safety, caring behaviours and professional self-efficacy with missed nursing care among Filipino emergency room nurses: A structural equation model study.

To investigate the interrelationships of patient safety, caring behaviours, professional self-efficacy and missed nursing care among emergency room nurses. Cross-sectional, correlational study. Filipino emergency room nurses (n = 345) participated via convenience sampling from September 2023 to January 2024. Four validated self-report scales were used to collect data and were analysed using Spearman rho, covariance-based structural equation modelling, mediation and path analyses. The emerging model of study variables displayed satisfactory fit indices. Patient safety directly influenced caring behaviours and professional self-efficacy, while negatively influencing missed nursing care. Caring behaviours directly and indirectly affected professional self-efficacy and missed nursing care, respectively. Professional self-efficacy negatively influences missed nursing care. Finally, caring behaviours and professional self-efficacy were significant mediators between the association of patient safety and missed nursing care. Caring behaviours and professional self-efficacy of emergency room nurses demonstrated mediating effects that can potentially improve patient safety practices thereby minimizing unfinished or missed nursing care. Nurses and healthcare organizations should commit to consistently maintain a workplace culture that fosters patient safety, caring behaviours and professional self-efficacy to minimize avoidable injuries and omitting nursing care tasks. STrengthening the Reporting of OBservational studies in Epidemiology (STROBE). No Patient or Public Contribution.

Influence of Grit, Emotional Labor and Job Embeddedness on Retention Intention among Emergency Room Nurses

Influence of Grit, Emotional Labor and Job Embeddedness on Retention Intention among Emergency Room Nurses

응급실 신규간호사의 응급간호 역량별 교육 요구도 분석

Objectives The purpose of this study was to identify the education needs and priorities for emergency nursing competencies of newly employed emergency room nurses, with the aim of using the findings as foundational data for the development of an educational plan to enhance the emergency nursing competencies of newly employed emergency room nurses. Methods This study is descriptive survey research. Subjects were new nurses in emergency room working at re-gional emergency medical centers, local emergency medical centers and local emergency medical service in-stitutions at 26 institutions, and 110 people who understood the purpose of the study and agreed to participate in the study. The data collection period was from June 15 to July 31, 2023, conducted through an online survey through a QR code, and a total of 97 copies were used in the final analysis(88.2% collection rate). As a research tool, a structured self-report questionnaire was used and consisted of a total of 77 questions, including 9 general characteristics, 34 required competency level for emergency nursing competency, 34 perceived competency level for emergency nursing competency. The collected data were analyzed using frequency and percentage, mean and standard deviation, paired t-test, Borich's needs assesment, and The Locus for Focus Model. The priority items from Borich's formula for demand and the items in quadrant 1 of The Locus for Focus Model were examined to determine any redundancy and to establish the priority order of educational needs, distinguishing between top priority and secondary priority. Results The educational needs for reinforcing emergency nursing competencies of newly employed emergency room nurses revealed four top priority items out of 34 (Clinical indicators of deterioration in cardiovascular patient status, Seizure management, Ventilator management, Clinical indicators of deterioration in neurological patient status). Additionally, ten secondary priority items were identified. Conclusions This study identified four top priority items by analyzing the ranking of educational needs to strength-en the emergency nursing competency of new nurses in the emergency room. Accordingly, it is necessary to de-velop strategies for education on top priority items and long-term education on second priority items in order to strengthen the emergency nursing competency of new nurses in emergency rooms.

Factors of Increasing Intention to Use Information Systems

This research is based on information from the IT division regarding non-performance of implementation since the use of HIS at RSU Bhakti Asih began in 2005 until 2022, which has changed three times and none of the implementation achievements for the three HIS have ever reached 100 percent. The aim of this research is to empirically reveal the influence of training and utility on intention to use HIS with work motivation as a mediating variable. This type of research is quantitative with a causality design. The population used is health workers consisting of outpatient nurses, inpatient nurses, emergency room nurses, pharmacy departments, laboratory departments and radiology departments. The sampling technique used proportional sampling, with calculations using the Slovin formula with an error rate of 5 percent, so that the sample size was determined to be 175 respondents. Data collection analysis techniques use survey methods, and data analysis techniques use SEM with the help of the Lisrel program and three box method analysis. The results of the analysis prove that training and utility influence the intention to use HIS with work motivation as a mediator, training influences utility, training and utility influence work motivation and intention to use HIS, and work motivation influences intention to use HIS and is also able to provide positive intervention on the influence training and utility on intentions to use HIS, so that with work motivation, the effectiveness of training and utility will be higher in increasing intentions to use HIS.

Quality of Life of Emergency Department Nurses in Makassar Hospitals on Work Stressors and Job Satisfaction

Hospitals as organizations can place clients and caregivers under a serious burden of stress, which then affects their physical and emotional health. Working conditions in nursing show that work stress can have a big impact on the quality of life of nurses. The aim of this research was to determine the relationship between work stress, job satisfaction and individual characteristics with the quality of life of nurses in the Emergency Unit at Makassar General Hospital. The research method is descriptive using a cross sectional design with a quantitative approach. The results of the study concluded that there was a relationship between age (p value = 0.04), marital status (p value = 0.02), work stress (p value = 0.004) and job satisfaction (0.04) with the quality of life of nurses. However, there was no relationship between gender (p value = 1.00) and level of education (p value = 0.9) with nurses' quality of life. The most dominant factor related to quality of life is work stress. Work stress will affect the quality of life of nurses who work in the emergency room. Work stress affects the quality of life of emergency room nurses. Job satisfaction is related to the quality of life of emergency department nurses. The nurse's age is related to the quality of life of emergency department nurses. The gender of the nurse is not related to the quality of life of emergency department nurses. Nursing education is related to the quality of life of emergency department nurses. Nurses' marital status is related to the quality of life of emergency department nurses.