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Antonsen L, Dieperink KB, Østervang C. Music in the acute preoperative nursing care - A mixed-method pilot study. Nurs Open 2023; 10:2572-2581. [PMID: 36560908 PMCID: PMC10006616 DOI: 10.1002/nop2.1516] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2022] [Revised: 11/12/2022] [Accepted: 11/20/2022] [Indexed: 12/24/2022] Open
Abstract
AIM The aim was to (1) examine the feasibility aspect of a music intervention, (2) examine the association between music and pain, relaxation and well-being and (3) explore patients' experience of listening to music while waiting for acute surgery. DESIGN The design was a mixed-method study. METHODS Participants were offered a music pillow for 30 min. Before and after the intervention, participants reported their pain, relaxation and well-being using a visual analogue scale ranging from 0 to10. The qualitative part was based on field observation followed by a semi-structured interview. RESULTS The quantitative part included 30 participants. The Wilcoxon signed-rank test showed a positive significant association between music and pain, relaxation and well-being (p < 0.001). The qualitative part included 15 participants. Two themes derived from the analysis: (1) feelings of physical and mental well-being and (2) a break from the acute preoperative context. PATIENT OR PUBLIC CONTRIBUTION No patient or public contribution.
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Affiliation(s)
- Lisa Antonsen
- Department of Emergency Medicine, Odense University Hospital, Odense, Denmark
| | - Karin Brochstedt Dieperink
- Department of Oncology, Odense University Hospital, Odense, Denmark.,Family Focused Healthcare Research Centre (FaCe), University of Southern Denmark, Odense.,Department of Clinical Research, University of Southern Denmark, Odense, Denmark
| | - Christina Østervang
- Department of Emergency Medicine, Odense University Hospital, Odense, Denmark.,Department of Clinical Research, University of Southern Denmark, Odense, Denmark
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2
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Milton J, David Åberg N, Erichsen Andersson A, Gillespie BM, Oxelmark L. Patients' perspectives on care, communication, and teamwork in the emergency department. Int Emerg Nurs 2023; 66:101238. [PMID: 36571930 DOI: 10.1016/j.ienj.2022.101238] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2022] [Revised: 10/02/2022] [Accepted: 11/10/2022] [Indexed: 12/25/2022]
Abstract
BACKGROUND The work of healthcare professionals (HCPs) in the emergency department (ED) involves effective communication and efficient teamwork, which may be perceived differently by patients and HCPs. Therefore, it is important to explore patient perspectives of information exchange and clinical assessment. AIM To evaluate experiences of care, communication, and teamwork from ED patients' perspectives. METHODS Semi-structured interviews were conducted with 17 patients who were assessed in a Swedish ED during Spring 2021. Thematic analysis was used. RESULTS Participants' experiences reflected the complex environment of the ED. Findings emphasize the importance of information exchange in relation to a caring approach. Three themes emerged: the need for a caring approach by HCPs towards patients'; the need for dialogue between patient and HCPs; and the need for information on ED environment constraints. CONCLUSIONS Patients felt comforted when they experienced a caring empathic approach from the HCPs. For example, patients valued an individual holistic approach rather than feeling that they were being objectified by their medical conditions. This was important in coping with the anxiety caused by a stressful ED environment. There is a critical need for effective exchange of information between patients and HCPs.
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Affiliation(s)
- Jenny Milton
- Institute of Health and Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Gothenburg Emergency Medicine Research Group (GEMREG), Sahlgrenska University Hospital, Gothenburg, Sweden.
| | - N David Åberg
- Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Region Västra Götaland, Sahlgrenska University Hospital, Department of Acute Medicine and Geriatrics, Gothenburg, Sweden.
| | - Annette Erichsen Andersson
- Institute of Health and Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Region Västra Götaland, Sahlgrenska University Hospital/Mölndal, Department of Orthopedic Surgery, Gothenburg, Sweden.
| | - Brigid M Gillespie
- School of Nursing and Midwifery & NHMRC Wiser Wound Centre of Research Excellence, Griffith University, Brisbane, Australia; Gold Coast University Hospital, Gold Coast Health, Southport, Gold Coast, Australia.
| | - Lena Oxelmark
- Institute of Health and Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Gothenburg Emergency Medicine Research Group (GEMREG), Sahlgrenska University Hospital, Gothenburg, Sweden; Region Västra Götaland, Sahlgrenska University Hospital, Department of Acute Medicine and Geriatrics, Gothenburg, Sweden.
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3
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Andersson H, Svensson A, Frank C, Rantala A, Holmberg M, Bremer A. Ethics education to support ethical competence learning in healthcare: an integrative systematic review. BMC Med Ethics 2022; 23:29. [PMID: 35305627 PMCID: PMC8933936 DOI: 10.1186/s12910-022-00766-z] [Citation(s) in RCA: 16] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2021] [Accepted: 03/07/2022] [Indexed: 01/07/2023] Open
Abstract
BACKGROUND Ethical problems in everyday healthcare work emerge for many reasons and constitute threats to ethical values. If these threats are not managed appropriately, there is a risk that the patient may be inflicted with moral harm or injury, while healthcare professionals are at risk of feeling moral distress. Therefore, it is essential to support the learning and development of ethical competencies among healthcare professionals and students. The aim of this study was to explore the available literature regarding ethics education that promotes ethical competence learning for healthcare professionals and students undergoing training in healthcare professions. METHODS In this integrative systematic review, literature was searched within the PubMed, CINAHL, and PsycInfo databases using the search terms 'health personnel', 'students', 'ethics', 'moral', 'simulation', and 'teaching'. In total, 40 articles were selected for review. These articles included professionals from various healthcare professions and students who trained in these professions as subjects. The articles described participation in various forms of ethics education. Data were extracted and synthesised using thematic analysis. RESULTS The review identified the need for support to make ethical competence learning possible, which in the long run was considered to promote the ability to manage ethical problems. Ethical competence learning was found to be helpful to healthcare professionals and students in drawing attention to ethical problems that they were not previously aware of. Dealing with ethical problems is primarily about reasoning about what is right and in the patient's best interests, along with making decisions about what needs to be done in a specific situation. CONCLUSIONS The review identified different designs and course content for ethics education to support ethical competence learning. The findings could be used to develop healthcare professionals' and students' readiness and capabilities to recognise as well as to respond appropriately to ethically problematic work situations.
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Affiliation(s)
- Henrik Andersson
- Faculty of Health and Life Sciences, Linnaeus University, Växjö, Sweden.
- Centre of Interprofessional Collaboration within Emergency Care (CICE), Linnaeus University, Växjö, Sweden.
- Faculty of Caring Science, Work Life, and Social Welfare, University of Borås, 50190, Borås, Sweden.
| | - Anders Svensson
- Faculty of Health and Life Sciences, Linnaeus University, Växjö, Sweden
- Centre of Interprofessional Collaboration within Emergency Care (CICE), Linnaeus University, Växjö, Sweden
- Department of Ambulance Service, Region Kronoberg, Växjö, Sweden
| | - Catharina Frank
- Faculty of Health and Life Sciences, Linnaeus University, Växjö, Sweden
- Centre of Interprofessional Collaboration within Emergency Care (CICE), Linnaeus University, Växjö, Sweden
| | - Andreas Rantala
- Centre of Interprofessional Collaboration within Emergency Care (CICE), Linnaeus University, Växjö, Sweden
- Department of Health Sciences, Lund University, Lund, Sweden
- Emergency Department, Helsingborg General Hospital, Helsingborg, Sweden
| | - Mats Holmberg
- Faculty of Health and Life Sciences, Linnaeus University, Växjö, Sweden
- Centre of Interprofessional Collaboration within Emergency Care (CICE), Linnaeus University, Växjö, Sweden
- Centre for Clinical Research Sörmland, Uppsala University, Eskilstuna, Sweden
- Department of Ambulance Service, Region Sörmland, Katrineholm, Sweden
| | - Anders Bremer
- Faculty of Health and Life Sciences, Linnaeus University, Växjö, Sweden
- Centre of Interprofessional Collaboration within Emergency Care (CICE), Linnaeus University, Växjö, Sweden
- Department of Ambulance Service, Region Kalmar County, Kalmar, Sweden
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4
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Pavedahl V, Muntlin Å, Summer Meranius M, von Thiele Schwarz U, Holmström IK. Prioritizing and meeting life-threateningly ill patients' fundamental care needs in the emergency room-An interview study with registered nurses. J Adv Nurs 2022; 78:2165-2174. [PMID: 35130360 PMCID: PMC9304302 DOI: 10.1111/jan.15172] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2021] [Revised: 12/22/2021] [Accepted: 01/12/2022] [Indexed: 11/26/2022]
Abstract
Aim To explore how registered nurses in the emergency room describe their work approach and prerequisites for meeting life‐threateningly ill patients' care needs from the perspective of a person‐centred fundamental care framework. Design A descriptive, qualitative interview study. Method Individual interviews were carried out with 14 registered nurses with experience of working in an emergency room in Sweden, during 2019. Data were analysed using thematic analysis, according to Braun and Clarke. The COREQ checklist was used for reporting the findings. Results Three themes were identified: Task‐oriented nursing care based on structured guidelines and checklists; Fundamental care not being promoted or prioritized in the emergency room; and The organization and responsibilities for providing person‐centred fundamental care are unclear. Results showed that registered nurses structure their work approach based on prevailing organizational prerequisites as well as personal ones. Meeting patients' fundamental care needs was not always prioritized; their physical needs were met to a greater extent than their relational and psychosocial needs. Registered nurses did not prioritize fundamental care when the organization did not. Conclusion From the registered nurses' perspective, they structured their work based on the prevailing conditions for meeting patients' fundamental care needs. The organizational structure does not clearly state that fundamental care should be performed in the emergency room, and the registered nurses' work approach there for meeting patients' fundamental care needs is not adapted to provide patients with person‐centred care. Impact To date, little is known about registered nurses' work approach and prerequisites in meeting life‐threateningly ill patients' fundamental care needs in the emergency room. Our findings indicate that the organizational structure is pivotal in supporting registered nurses to provide person‐centred fundamental care. The knowledge from this study can be used in emergency care settings to facilitate person‐centred fundamental care and thereby avoid fundamental care being missed.
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Affiliation(s)
- Veronica Pavedahl
- School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden
| | - Åsa Muntlin
- Department of Emergency Care and Internal Medicine, Uppsala University Hospital, Uppsala, Sweden.,Department of Medical Sciences, Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden
| | | | - Ulrica von Thiele Schwarz
- School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden.,Medical Management Centre, LIME, Karolinska Institutet, Stockholm, Sweden
| | - Inger K Holmström
- School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden.,Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden
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5
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Eriksson-Liebon M, Roos S, Hellström I. Patients' expectations and experiences of being involved in their own care in the emergency department: A qualitative interview study. J Clin Nurs 2021; 30:1942-1952. [PMID: 33829575 DOI: 10.1111/jocn.15746] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2020] [Revised: 02/14/2021] [Accepted: 02/17/2021] [Indexed: 11/29/2022]
Abstract
AIMS AND OBJECTIVES To investigate patients' experiences of being involved in their care in the emergency department (ED). BACKGROUND Previous research shows that when patients experience involvement during care visits, this increased their trust in the care, gave a sense of control and promoted their autonomy. DESIGN A qualitative descriptive design with semi-structured interviews, using the "Consolidated criteria for reporting qualitative research" (COREQ) checklist. METHODS Using convenience sampling, semi-structured interviews were conducted with 16 patients in the ED. RESULTS The study identified four categories: attention and inattention; communication and understanding; varying levels of participation; and inefficient and inaccessible care. The results show that patients expected to be treated with respect and to be involved in an open dialogue about their care. Patients' experiences of participation were related to their sense of control. CONCLUSIONS Based on the results of the study, the authors found that factors such as dialogue, information, attention and participation affected the patients' involvement during the ED visit. Experiences of involvement and control were linked to patients' experiences of care and of patients as individuals. RELEVANCE TO CLINICAL PRACTICE Healthcare providers' awareness of the importance of paying attention to the patient as an individual, and of the need for simple, continuous communication could facilitate patient involvement in own care.
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Affiliation(s)
- M Eriksson-Liebon
- Department of Emergency Medicine in Norrköping, Vrinnevi Hospital, Norrköping, Sweden.,Department of Health, Medicine and Caring Science, Linköping University, Linköping, Sweden
| | - S Roos
- Department of Health, Medicine and Caring Science, Linköping University, Linköping, Sweden
| | - I Hellström
- Department of Health, Medicine and Caring Science, Linköping University, Linköping, Sweden.,Department of Health Care Sciences, Ersta Sköndal Bräcke University College, Stockholm, Sweden
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6
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Vázquez-Casares A, Vidal J. Specific Competencies of Prehospital Emergency Nursing: The Views of Spanish University Professors. J Contin Educ Nurs 2020; 51:556-567. [PMID: 33232503 DOI: 10.3928/00220124-20201113-06] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2020] [Accepted: 06/17/2020] [Indexed: 11/20/2022]
Abstract
BACKGROUND The guarantee of nursing competence in prehospital urgent care requires the identification and delimitation of the specific competencies. This work describes the importance attributed by professors of Spanish universities to the competencies of prehospital nursing positions and indicates the most appropriate training level required to achieve them. METHOD The current work consisted of a survey with an online questionnaire. Sixty competencies over 10 domains were studied. RESULTS The most valued domains were those of general and personal competencies. The competencies considered most important were "Recognizes the vital risk and knows how to perform basic and advanced life support maneuvers" and "Provides quality health care." The nursing degree is considered appropriate to train students to the required level in only eight competencies. CONCLUSION The proposed competencies can be considered as specific competencies necessary in prehospital emergency nursing. Effective performance requires training to a higher level than a nursing degree. [J Contin Educ Nurs. 2020;51(12):556-567.].
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Holmberg M, Hammarbäck S, Andersson H. Registered nurses’ experiences of assessing patients with mental illness in emergency care: A qualitative descriptive study. ACTA ACUST UNITED AC 2020. [DOI: 10.1177/2057158520941753] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
Patients with mental illness are exposed and experience themselves as not being taken seriously in emergency care. Registered nurses need to assess patients with mental illness from a holistic perspective comprising both a physical and an existential dimension. The aim of the study was to describe registered nurses’ (RNs) experiences of assessing patients with mental illness in emergency care. Twenty-eight RNs in prehospital and in-hospital emergency care were individually interviewed. The interviews were analysed descriptively. The design followed the COREQ-checklist. One main theme ‘A conditional patient assessment’ and two themes; ‘A challenged professional role’ and ‘A limited openness for the patient’, comprising in turn four sub-themes emerged. Although the RNs showed willingness to understand the mental illness aspects of their patients, they were insufficient in their assessments. This implies the importance of developing emergency care RNs’ competence, knowledge and self-confidence in assessments and care of patients with mental illness.
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Affiliation(s)
- Mats Holmberg
- Region Sörmland, Department of Ambulance Service, Katrineholm, Sweden
- Linnaeus University, Faculty of Health and Life Sciences, Växjö, Sweden
- Linnaeus University, Centre of Interprofessional Collaboration within Emergency care (CICE), Växjö, Sweden
- Centre for Clinical Research Sörmland, Uppsala University, Eskilstuna, Sweden
| | - Staffan Hammarbäck
- Region Sörmland, Department of Ambulance Service, Katrineholm, Sweden
- Linnaeus University, Faculty of Health and Life Sciences, Växjö, Sweden
- Linnaeus University, Centre of Interprofessional Collaboration within Emergency care (CICE), Växjö, Sweden
- Centre for Clinical Research Sörmland, Uppsala University, Eskilstuna, Sweden
| | - Henrik Andersson
- University of Borås, PreHospen – Centre for Prehospital Research, Borås, Sweden
- University of Borås, Faculty of Caring Science, Work Life and Social Welfare, Borås, Sweden
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8
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Bové HM, Lisby M, Brünés N, Norlyk A. Considering "the more" of patients suffering from alcohol use disorders. An illustration of acute nursing care from a lifeworld-led perspective. Int J Qual Stud Health Well-being 2020; 15:1783860. [PMID: 32600190 PMCID: PMC7482723 DOI: 10.1080/17482631.2020.1783860] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
Purpose The purpose of this study is to illustrate a theoretical value framework for humanisation of healthcare, a lifeworld-led care that has the potential to support nurses in acute medical units in addressing and meeting both challenges and care needs expressed by patients suffering from alcohol use disorders. Providing care to these patients means working with a very divergent and complex group of patients. When hospitalised in an acute medical unit, nurses are often these patients' first encounter, which gives a unique opportunity to initiate and establish a successful care alliance. Method The present study is a qualitative study based on an amplified secondary analysis of 25 pre-conducted interviews. Following a hermeneutic approach, the analysis was structured in accordance with the conceptual value framework for humanisation of care, drawing on the recognition of the patients' lifeworld as an aspect of importance. Findings The study showed that while there were examples of humanising care guided by the patients’ lifeworld present, there were also situations of care that were dehumanising. Conclusion: When letting the patients’ perspective of well-being be the centre of care, the patients’ experience of meaningfulness and sincerity within the provided care was nurtured, and they felt more humanly met.
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Affiliation(s)
- H M Bové
- Research Center for Emergency Medicine, Aarhus University Hospital , Aarhus, Denmark.,Section for Nursing, Department of Public Health, Aarhus University , Aarhus, Denmark
| | - M Lisby
- Research Center for Emergency Medicine, Aarhus University Hospital , Aarhus, Denmark
| | - N Brünés
- Amager og Hvidovre Hospital , Denmark
| | - A Norlyk
- Section for Nursing, Department of Public Health, Aarhus University , Aarhus, Denmark
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9
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Amaniyan S, Faldaas BO, Logan PA, Vaismoradi M. Learning from Patient Safety Incidents in the Emergency Department: A Systematic Review. J Emerg Med 2019; 58:234-244. [PMID: 31843322 DOI: 10.1016/j.jemermed.2019.11.015] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2019] [Revised: 11/01/2019] [Accepted: 11/10/2019] [Indexed: 12/18/2022]
Abstract
BACKGROUND Patient safety incidents are commonly observed in critical and high demanding care settings, including the emergency department. There is a need to understand what causes patient safety incidents in emergency departments and determine the implications for excellence in practice. OBJECTIVE Our aim was to systematically review the international literature on patient safety incidents in emergency departments and determine what can be learned from reported incidents to inform and improve practice. DISCUSSION Patient safety incidents in emergency departments have a number of recognized contributing factors. These can be used as groundwork for the development of effective tools to systematically identify incident risk. Participation in efforts to diminish risk and improve patient safety through appropriate incident reporting is critical for removing barriers to safe care. CONCLUSIONS This review enhances our awareness of contributing factors to patient safety incidents within emergency departments and encourages researchers from different disciplines to investigate the causes of practice errors and formulate safety improvement strategies.
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Affiliation(s)
- Sara Amaniyan
- Student Research Committe, Semnan University of Medical Sciences, Semnan, Iran
| | - Bjørn Ove Faldaas
- Faculty of Nursing and Health Sciences, Nord University, Bodø, Norway
| | - Patricia A Logan
- Faculty of Science, Charles Sturt University, Bathurst Campus, New South Wales, Australia
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10
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Vazquez-Casares A, Vidal J. A Narrative Review of the Description of Training Profiles Used for Emergency Nursing Care Worldwide. J Contin Educ Nurs 2019; 50:543-550. [PMID: 31774925 DOI: 10.3928/00220124-20191115-05] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2019] [Accepted: 07/17/2019] [Indexed: 11/20/2022]
Abstract
BACKGROUND This study describes the training profiles of emergency care nurses worldwide, which can serve as a guide for training these professionals. METHOD A narrative review was developed. RESULTS Five training profiles were identified, according to the requirements of undergraduate, postgraduate, complementary training, and previous work experience within the training itineraries of emergency nursing worldwide. CONCLUSION The most appropriate level of training for emergency nursing is the 1-year postgraduate level (academic or specialty). The description of these profiles can guide the regulatory organizations and professionals regarding the most appropriate training requirements for effective, safe, and adjusted care assistance. [J Contin Educ Nurs. 2019;50(12):543-550.].
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Dağ GS, Bişkin S, Gözkaya M. Determination of nursing procedures and competencies in emergency departments: A cross-sectional study. Nurs Health Sci 2019; 21:307-315. [PMID: 30714670 DOI: 10.1111/nhs.12598] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2018] [Revised: 12/09/2018] [Accepted: 12/10/2018] [Indexed: 11/28/2022]
Abstract
The aim of this study was to determine the nursing procedures carried out by emergency department nurses. This descriptive study was carried out between April and September 2015 in the emergency departments of two state hospitals and one university hospital in Turkey. The study population comprised 139 emergency nurses working for at least 1 year in the emergency department of one of the three hospitals. Data were gathered by using the Emergency Nursing Procedures Questionnaire, which is composed of three sections to reveal nursing procedures performed in emergency departments. The procedures most frequently performed by the participants were administration of pain medication and assessment of patient responses (3.97 ± .18). Assessment of the patient's nutritional status (1.79 ± 1.16) was among the least frequently performed nursing procedures. Emergency nurses carried out nursing care procedures less frequently and took part most frequently in procedures related to medical diagnosis and treatment. According to results of this study, these procedures and competencies will highlight what knowledge and skills emergency nurses need. They will also guide in the creation of in-service training programs and illuminate competencies that need improvement.
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Affiliation(s)
- Gülten S Dağ
- Department of Nursing, Faculty of Health Sciences, Eastern Mediterranean University, Famagusta, Turkey
| | - Songül Bişkin
- Quality Improvement Unit, Akdeniz University Hospital, Dumlupınar Boulevard, Antalya, Turkey
| | - Meral Gözkaya
- Emergency Department, Akdeniz University Hospital, Antalya, Turkey
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12
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Avanci JQ, Pinto LW, Assis SGD. Treatment for cases of violence by Brazilian emergency services focusing on family relationships and life cycles. CIENCIA & SAUDE COLETIVA 2018; 22:2825-2840. [PMID: 28954134 DOI: 10.1590/1413-81232017229.13352017] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2017] [Accepted: 06/01/2017] [Indexed: 11/21/2022] Open
Abstract
This article analyzes data regarding cases of domestic violence treated by the emergency services through the following: the sociodemographic characteristics of the people who were treated; the events themselves; the evolution of care (from childhood to old age by gender); and the factors that differentiate cases of domestic violence compared to those committed by non-family members. Data from 24 Brazilian state capitals and the Federal District were analyzed, comprising 86 emergency services: a total of 4,893 individuals were surveyed. Of those people who were treated by emergency services, 26.6% suffered domestic violence: 40.0% were children/adolescents, 57.2% were adults and 2.8% were elderly. The adjusted model, which compared victims of violence committed by other family members with those who were not family members, showed that males were less likely to suffer from domestic violence; those that had fewer years of education were at increased risk; and that women were more likely to commit domestic violence compared to the category of "both genders". This study reinforces the fact that health sector professionals need to be able to deal with domestic violence by providing support, performing good practices, abiding by care protocols, taking care of injuries, and facilitating access to other services.
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Affiliation(s)
- Joviana Quintes Avanci
- Departamento de Estudos sobre Violência e Saúde Jorge Careli/Claves, Escola Nacional de Saúde Pública, Fiocruz. Av. Brasil 4036/7º, Manguinhos. 21040-210 Rio de Janeiro RJ Brasil.
| | - Liana Wernersbach Pinto
- Departamento de Estudos sobre Violência e Saúde Jorge Careli/Claves, Escola Nacional de Saúde Pública, Fiocruz. Av. Brasil 4036/7º, Manguinhos. 21040-210 Rio de Janeiro RJ Brasil.
| | - Simone Gonçalves de Assis
- Departamento de Estudos sobre Violência e Saúde Jorge Careli/Claves, Escola Nacional de Saúde Pública, Fiocruz. Av. Brasil 4036/7º, Manguinhos. 21040-210 Rio de Janeiro RJ Brasil.
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13
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McConnell D, McCance T, Melby V. Exploring person-centredness in emergency departments: A literature review. Int Emerg Nurs 2016; 26:38-46. [DOI: 10.1016/j.ienj.2015.10.001] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2015] [Revised: 09/29/2015] [Accepted: 10/02/2015] [Indexed: 11/26/2022]
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14
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Holmberg M, Wahlberg AC, Fagerberg I, Forslund K. Ambulance clinicians' experiences of relationships with patients and significant others. Nurs Crit Care 2015; 21:e16-23. [DOI: 10.1111/nicc.12196] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2015] [Revised: 04/24/2015] [Accepted: 06/13/2015] [Indexed: 12/01/2022]
Affiliation(s)
- Mats Holmberg
- Department of Neurobiology, Care Sciences and Society; Karolinska Institutet; Stockholm Sweden
- Centre for Clinical Research Sörmland; Uppsala University; Uppsala Sweden
| | - Anna Carin Wahlberg
- Department of Neurobiology, Care Sciences and Society; Karolinska Institutet; Stockholm Sweden
| | - Ingegerd Fagerberg
- Department of Neurobiology, Care Sciences and Society; Karolinska Institutet; Stockholm Sweden
- Department of Health Care Sciences; Ersta Sköndal University College; Stockholm Sweden
| | - Kerstin Forslund
- Senior lecturer, School of Health and Medical Sciences; Örebro University; Örebro Sweden
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McGarry J, Nairn S. An exploration of the perceptions of emergency department nursing staff towards the role of a domestic abuse nurse specialist: a qualitative study. Int Emerg Nurs 2014; 23:65-70. [PMID: 25022833 DOI: 10.1016/j.ienj.2014.06.003] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2014] [Revised: 06/13/2014] [Accepted: 06/16/2014] [Indexed: 12/30/2022]
Abstract
There is a clear body of evidence which indicates that a substantial number of people who have experienced domestic violence and abuse attend the emergency department (ED). However, many individuals do not receive effective identification or support. The present study sought to explore the perceptions of ED staff about the perceived value and utilisation of a new domestic abuse nurse specialist role that has been created in one ED in the UK. A qualitative design was used and involved sixteen in-depth interviews with a range of practitioners. The findings highlight that staff highly valued the role of the nurse specialist as one which offered support both professionally and personally. However, the study has also drawn attention to the conundrum that surrounds identification and management of abuse and of enquiry more generally. The ED is ideally suited to identify at risk individuals but is not institutionally organised in a way that prioritises the social concerns of their patients and this nursing role is one way that this issue can be addressed. In light of recent UK and global policy directives further research is needed to explore the development and implementation of identification, management and support in the future.
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Affiliation(s)
- Julie McGarry
- School of Health Sciences, Royal Derby Hospital, University of Nottingham, Uttoxeter Road, Derby DE22 3DT, UK.
| | - Stuart Nairn
- School of Health Sciences, Royal Derby Hospital, University of Nottingham, Uttoxeter Road, Derby DE22 3DT, UK
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16
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Andersson H, Wireklint Sundström B, Nilsson K, Jakobsson Ung E. Management of everyday work in Emergency Departments - an exploratory study with Swedish Managers. Int Emerg Nurs 2014; 22:190-6. [PMID: 24690575 DOI: 10.1016/j.ienj.2014.02.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2013] [Revised: 01/26/2014] [Accepted: 02/05/2014] [Indexed: 11/30/2022]
Abstract
INTRODUCTION Through their formal mandate, position and authority, managers are responsible for managing everyday work in Emergency Departments (EDs) as well as striving for excellence and dealing with the individual needs of practitioners and patients. The aim of the present study is to explore managers' experiences of managing everyday work in Swedish EDs. METHOD A qualitative and exploratory design has been used in this study. Seven managers were interviewed at two EDs. Data was analysed using qualitative content analysis with focus on latent content. RESULTS Managers experience everyday work in the ED as lifesaving work. One of the characteristics of their approach to everyday work is their capability for rapidly identifying patients with life-threatening conditions and for treating them accordingly. The practitioners are on stand-by in order to deal with unexpected situations. This implies having to spend time waiting for the physicians' decisions. Management is characterised by a command and control approach. The managers experience difficulties in meeting the expectations of their staff. They strive to be proactive but instead they become reactive since the prevailing medical, bureaucratic and production-orientated systems constrain them. CONCLUSION The managers demonstrate full compliance with the organisational systems. This threatens to reduce their freedom of action and influences the way they perform their managerial duties within and outside the EDs.
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Affiliation(s)
- Henrik Andersson
- University of Gothenburg, Sahlgrenska Academy, Institute of Health and Care Sciences, Göteborg, Sweden; University of Borås, School of Health Sciences, Borås, Sweden.
| | | | - Kerstin Nilsson
- University of Gothenburg, Sahlgrenska Academy, Institute of Health and Care Sciences, Göteborg, Sweden
| | - Eva Jakobsson Ung
- University of Gothenburg, Sahlgrenska Academy, Institute of Health and Care Sciences, Göteborg, Sweden
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Andersson H, Sundström BW, Nilsson K, Jakobsson Ung E. Competencies in Swedish emergency departments - The practitioners' and managers' perspective. Int Emerg Nurs 2013; 22:81-7. [PMID: 24012407 DOI: 10.1016/j.ienj.2013.06.005] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2013] [Revised: 06/15/2013] [Accepted: 06/30/2013] [Indexed: 12/30/2022]
Abstract
UNLABELLED The task of emergency departments (EDs) is to provide safe emergency healthcare while adopting a caring, cost-effective approach. Patients attending EDs have different medical and caring needs and it is assumed that practitioners have the requisite competencies to meet those needs. The aim of the present study is to explore what kind of competencies practitioners and managers describe as necessary for the practitioners to perform their everyday work in EDs. METHODS This study used a qualitative, exploratory design. Interviews were conducted in two EDs. Data were analysed using inductive content analysis. RESULTS The competence focus in everyday work in EDs is on emergency and life-saving actions. There is a polarisation between medical and caring competencies. There is also tension between professional groups in EDs as well as hierarchical boundaries that influence the ability to develop competencies in everyday work. Medical competencies are valued more and caring competencies are subsequently downgraded. A medical approach to competencies consolidates the view of necessary competencies in everyday work in EDs. CONCLUSIONS The study shows that the competencies that are valued consolidate the prevailing medical paradigm. There is a traditional, one-sided approach to competencies, a hierarchical distinction between professional groups and unclear occupational functions.
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Affiliation(s)
- Henrik Andersson
- University of Gothenburg, Sahlgrenska Academy, Institute of Health and Care Sciences, Göteborg, Sweden; University of Borås, School of Health Sciences, SE-501 90 Borås, Sweden.
| | | | - Kerstin Nilsson
- University of Gothenburg, Sahlgrenska Academy, Institute of Health and Care Sciences, Göteborg, Sweden
| | - Eva Jakobsson Ung
- University of Gothenburg, Sahlgrenska Academy, Institute of Health and Care Sciences, Göteborg, Sweden
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McClelland H. The Future of Nursing for Emergency Care. Int Emerg Nurs 2012; 20:49-50. [DOI: 10.1016/j.ienj.2012.02.003] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/29/2012] [Accepted: 02/29/2012] [Indexed: 11/28/2022]
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