A Direct Assessment of Noninvasive Continuous Blood Pressure Monitoring in the Emergency Department and Intensive Care Unit
Noninvasive continuous blood pressure monitoring has the potential to improve patient treatment in the hospital setting. Such noninvasive devices can be applied earlier in the treatment process to empower nurses and clinicians to react more quickly to patient deterioration with the added benefit of eliminating the risks associated with invasive monitoring. However, emerging technologies must be capable of r eproducing current clinical measures for medical decision making. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - April 18, 2024 Category: Nursing Authors: Landon D. Hamilton, Scott Binns, Kim McFann, Nick Nudell, Julie A. Dunn Tags: Research Source Type: research
A Rare Cause of Coagulopathy in the Emergency Department: Cefoperazone Use
Cefoperazone (CPZ) is an antibiotic widely used for moderate to severe infections, especially in countries where resources are difficult to access. This case report aimed to draw attention to coagulopathy, a potential side effect of CPZ. This side effect can cause high mortality and morbidity in patients. In the mechanism of CPZ causing coagulopathy, it is reported that effects such as binding to vitamin K, disrupting vitamin K metabolism, and preventing platelet aggregation are responsible. In this presentation, a case who came to the emergency department with the complaint of hematuria caused by coagulopathy after the us...
Source: Journal of Emergency Nursing: JEN - April 18, 2024 Category: Nursing Authors: Metin Ocak, Hatice Y ıldız, Metin Yadigaroğlu, Murat Yücel, Murat Güzel Tags: Case Review Source Type: research
Development and Implementation of a Pediatric Nursing Emergency Behavioral Health Assessment Tool
The national pediatric mental and behavioral health crisis dramatically increased emergency department mental and behavioral health visits and changed emergency nursing practice. Acuity assessment determines patient severity level and supports appropriate resources and interventions. There are no established nursing tools that assess pediatric mental or behavioral health acuity in the emergency department setting. Our goal was to develop and implement the novel pediatric emergency nurse Emergency Behavioral Health Acuity Assessment Tool. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - April 10, 2024 Category: Nursing Authors: Ryan O ’Donnell, Katherine A. Hinderer, Daniel Belanger, Danielle Chenard, Erin Boyle, Kevin Borrup, Meghan Fish, Michael Brimacombe, Steven Rogers Tags: Practice Improvement Source Type: research
Stroke Screening Process for Spanish-Speaking Patients
The Balance Eyes Face Arms Speech Time stroke screening tool may have limitations for Spanish-speaking individuals. The purpose of this study is to identify potential screen failure events during evaluation for intervenable acute ischemic stroke events among Spanish-speaking patients. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - April 10, 2024 Category: Nursing Authors: Lauren Diercks, Theresa Sonka, Daiwai Olson, D. Mark Courtney Tags: Research Source Type: research
Does Mixing Activated Charcoal With Cola Improve Tolerability Without Affecting Pharmacokinetics? A Randomized Controlled Crossover Trial
Activated charcoal is the most common form of gastrointestinal decontamination used for the poisoned patient. One limitation to its use is patient tolerability due to palatability. Some recommend mixing activated charcoal with cola to improve palatability. An important question is whether mixing activated charcoal with cola affects the ability of the activated charcoal to adsorb xenobiotic. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - April 6, 2024 Category: Nursing Authors: Michael Keenan, Susan Wojcik, Brian M. Clemency, Jeanna Marraffa Tags: Research Source Type: research
Ensuring Throughput: Development and Validation of Charge Nurse Competencies for United States Emergency Care Settings
This study aimed to evaluate the content and process of core competency training and identify evaluation and implementation strategies necessary to improve charge nurse performance in United States emergency departments. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - April 4, 2024 Category: Nursing Authors: Lisa Wolf, Altair Delao, Claire Simon, Paul Clark, Christian N. Burchill Tags: Research Source Type: research
Ultrasound-Guided Radial Artery Puncture by Nurses in Emergency Department: A Randomized Controlled Study
This study aimed to evaluate whether emergency nurses would be more successful in radial artery puncture procedure by using ultrasonography instead of palpation. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - March 26, 2024 Category: Nursing Authors: Birdal G üllüpınar, Caner Sağlam, Arif Karagöz, Serhat Koran, Erden Erol Ünlüer Tags: Research Source Type: research
Universal Suicidality Screening in a Pediatric Emergency Department to Improve Mental Health Safety Risk
This study evaluates the use of a universal suicide screening using the Patient Safety Screener 3 and the Columbia Suicide Severity Rating Scale to identify youth ages 12 to 18 years experiencing suicide risk and assess factors predictive of suicide risk level. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - March 25, 2024 Category: Nursing Authors: Lauren Do, Karen Piper, Amanda N. Barczyk, Jeffrey D. Shahidullah, Karla A. Lawson Tags: Research Source Type: research
Individual Attributes and Environmental Conditions of Registered Nurses Working in Freestanding Emergency Departments in the United States: A Descriptive Exploratory Study
Freestanding emergency departments (FSEDs) are emergency facilities not connected to inpatient services. The percentage of FSEDs of all EDs grew from 1% in 2001 to 12% in 2017, making FSEDs a substantial subset of US emergency care. The purpose of this study was to describe the individual attributes and environmental conditions of registered nurses working in FSEDs in the US. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - March 21, 2024 Category: Nursing Authors: Lisa Wolf, Altair Delao, Francine M. Jodelka, Claire Simon Tags: Research Source Type: research
Management of Pediatric Convulsive Status Epilepticus From the Perspective of Emergency Nurses: A Cross-sectional, Multicenter Study
This study aimed to determine the nursing approaches and management of pediatric convulsive status epilepticus from the perspective of emergency nurses in Turkey. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - March 13, 2024 Category: Nursing Authors: Zahide İyi, Nimet Karataş, Ayşegül İşler Tags: Research Source Type: research
Prevalence of Anxiety, Depression, and Sleep Disturbance Among Emergency Nurses in Oman
This study examines anxiety, depression, and sleep prevalence and associations among accident and emergency nurses. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - March 13, 2024 Category: Nursing Authors: Zayana Al Mawaali, Hanan Abdelrahman, Mohammad Al Qadire, Cherry Ann C. Ballad, Safiya Al Busafi, Balqees Al Busaidi, Fatima Al Mahari, Miad Al Balushi, Ibtihaj Al Rawahi, Omar Al Omari, Mahmood Almaawali, Atika Khalaf Tags: Research Source Type: research
Nursing Considerations for Emergency Department Care of the Breastfeeding Dyad
Although postpartum dyads frequently present to the emergency department, treatment of the lactating parent and breastfeeding child is often driven by medical misconceptions. Incorrect advice about continuation or cessation of breastfeeding for medical reasons can lead to maternal and infant harm. In lactation, demand begets supply; missing a feed can be detrimental to short- and long-term breastfeeding outcomes. The purpose of this Clinical Nurses Forum article is to argue the importance of appropriate care of the breastfeeding dyad in the emergency department setting and to interpret current evidence-based information on...
Source: Journal of Emergency Nursing: JEN - March 6, 2024 Category: Nursing Authors: Hannah Pye Tags: Clinical Nurses Forum Source Type: research
ENA Clinical Practice Guideline Synopsis: Gastric Tube Placement Verification
In patients having gastric tubes (GTs) inserted in the ED setting, which bedside technique is best for confirmation of accurate placement immediately after tube insertion compared with radiograph? (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - March 1, 2024 Category: Nursing Authors: Andrea Perry, Janet Kaiser, Katherine Kruger, Ann E. Horigan, Judith Young Bradford, Alison Camarda, Diana DeGroot, Carolyn Dixon, Robin MacPherson-Dias, Andrew Slifko, Andrea Slivinski, Jessica Bishop-Royse, Altair M. Delao Tags: Clinical Practice Guideline Source Type: research
ENA Clinical Practice Guideline Synopsis: Suicide Risk Assessment
What risk assessment tools are effective in screening for self-harm or suicidal ideation during initial assessment of patients across the lifespan in the emergency department? (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - March 1, 2024 Category: Nursing Authors: Andrea Slivinski, Janet Kaiser, Andrea Perry, Judith Young Bradford, Alison Camarda, Lisa Gilmore, Ann E. Horigan, Robin MacPherson-Dias, Andrew Slifko, Kathy Van Dusen, Jessica Bishop-Royse, Altair M. Delao Tags: Clinical Practice Guideline Source Type: research
Protecting the Physical and Psychological Safety of the Research Team
Research is a subversive act given that it challenges our belief systems, and yet neither scholarly journals nor academic settings address generally or specifically the threats and traumas of conducting research. Although research methodologies are taught in both clinical and academic environments, sometimes the research setting can be psychologically and physically risky.1,2 The benefits of engaging in research as an investigator or team member are substantial, yet there are risks ranging from the physical and emotional to the reputational that exist on multiple levels and are present before, during, and after the conduct...
Source: Journal of Emergency Nursing: JEN - March 1, 2024 Category: Nursing Authors: Lisa Wolf, Victoria Nash, Tania Strout, Paul Clark, Michael D. Moon Tags: Understanding Research Source Type: research
