Journal of emergency nursing : JEN : official publication of the Emergency Department Nurses Association
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In this paper, we describe demographic and clinical features of patients who left the triage area before the visit in the emergency department of Azienda Ospedaliera Universitaria Careggi in 2006. ⋯ There was a prevalence of low-priority triage-level patients compared to the general ED case mix. The rate of patients' leaves follows the indications of Tuscany Region (patients' leaves <5% total ED population).
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The previous studies examining the benefits of timely surgery in patients with traumatic brain injury (TBI) have yielded inconsistent conclusions. This study examined how time from ED arrival to surgery in patients with TBI influenced two patient outcomes: hospital mortality and length of hospital stay. ⋯ Based on the results of this study using a large sample from multiple centers and advanced statistics, benefits of early clinical assessment and quick access to neurosurgical surgery are substantiated in patients with TBI.
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Several studies provide evidence for the association between work stress and mild psychiatric morbidity among emergency nurses. These symptoms have not been explored in Greek nursing personnel employed in emergency departments. The aim of this descriptive correlational study was to investigate the presence of anxiety and stress symptoms among emergency nursing personnel in Greece. ⋯ Hospital administrators need to be aware of the extent of workplace stress and subsequent anxiety symptoms that exist in emergency nurses. Staff counseling, continuing professional education, and empowerment strategies may need to be implemented to prevent psychiatric morbidity, as well as job dissatisfaction and resignations.
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Older adults account for up to 14.5% of ED visits. Presentation of older adults can differ from younger adults. Emergency visits by older adults that are characterized by comorbidity, cognitive and functional impairment, and complex social issues. In addition, older adults present with subtle, atypical symptoms making diagnosis and discharge more challenging. The purpose of this study was to describe an innovative geriatric emergency nurse role that has been implemented to address the unique needs of older adults in the emergency department. ⋯ Findings from the study have led to further considerations about the role in relation to communication about older patients both within the emergency department and with community stakeholders. We also discuss the importance of this role in relation to the continuum of care and recognizing the central role of the emergency department as a place for intervention. Lastly, we consider the need for further integration of gerontological knowledge and expertise within the emergency department beyond a specialized role.