Journal of emergency nursing : JEN : official publication of the Emergency Department Nurses Association
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Multicenter Study
Hardiness Mediates Stress and Impact Level in ED Nurses Who Experienced a Violent Event.
This secondary analysis examined the mediating effect of hardiness between stress and impact level in ED nurses who experienced a violent event. ⋯ Hardiness had an effect on reducing the impact level of ED nurses who had experienced a violent event and had a mediating role in mitigating their stress. Therefore, we recommend the development of an intervention program that emphasizes the improvement of hardiness in ED nurses.
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Albert Einstein defines insanity as doing the same thing over again but expecting different results. Although the United States claims to reduce antibiotic abuse, practice strict isolation, and clean meticulously, the burden of Clostridium difficile outpaces goals. Unless innovative approaches are tried, we risk culling elderly, immunosuppressed, and otherwise debilitated populations. Emergency departments are a primary access point for patients who are unable to wait for primary care. As a result, many patients with diarrhea are seen in emergency departments. ⋯ Third-party hospital laboratories generated all CDI data, which reduced bias. However, laboratories were unable to stratify CDIs as inpatient and outpatient in origin. More research is recommended with larger ED patient sample sizes.
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The primary purpose of this study was to assess relationships between opioid prescribing practices, patient and ED attributes, and patient satisfaction ratings of nursing and physician care among patients with high utilization of the emergency department for pain relief. ⋯ Emergency nurses can influence patient satisfaction scores by promoting clean, caring environments and prioritizing patient flow and pain management. ED providers can withhold opioids when appropriate without fear of a significant impact on patient satisfaction.