International emergency nursing
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To explore the survivors' experiences after a major bus crash. ⋯ Connectedness among survivors ought to be promoted upon arrival at emergency departments. There is a need for emergency department professionals to be sufficiently educated in compassionate care.
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The purpose of the study was to compare the Canadian Triage and Acuity Scale protocol to the Australian Emergency Mental Health Triage System protocol for evaluation of psychiatric patients and time to be evaluated in the emergency department. ⋯ The use of the CTAS protocol does not correlate with patients' being medically evaluated within the time frames recommended especially for the more urgent patients. The Australian Emergency Mental Health Scale rated patients' presentations as far less urgent and thus the time frame recommendations to be evaluated were more closely aligned with the protocol as compared to the CTAS system. The Australian Emergency Mental Health Scale provided less ambiguous mental health specific triage guidelines that allowed for improvements in patient outcomes by better matching the ED's resources to the psychiatric patients' specific needs.
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In Sweden, ambulances must be staffed by at least one registered nurse. Twelve universities offer education in ambulance nursing. There is no national curriculum for detailed course content and there is a lack of knowledge about the educational content that deals with the ambulance nurse practical professional work. ⋯ The result shows that the course content can be described as medical, nursing and contextual knowledge with a certain imbalance with largest focus on medical knowledge. There is least focus on nursing, the registered nurses' main profession. This study clarifies how the content in the education for ambulance nurses in Sweden looks today but there are reasons to discuss the content distribution.
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Pain is the most common reason that patients come to the emergency department. Emergency nurses have an indispensable role in the management of this pain. ⋯ Despite all the recommendations of substantial past research the results of this study indicate that emergency nurses continue to demonstrate inadequate knowledge, clinical decision-making skills and negative attitudes about pain.