Journal of emergency nursing : JEN : official publication of the Emergency Department Nurses Association
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Emergency nursing turnover rates are high in the United States. Little is known about the role of personality characteristics in the turnover decisions of emergency nurses. Intent to leave is often measured to determine the likelihood of turnover versus retention of employees. The aim of this study is to examine the relationship among personality characteristics, employment tenure, and intent to leave among emergency nurses. ⋯ This study found similarities in personality characteristics for all 406 study participants, with significant differences related to career tenure for some dimensions. This type of knowledge might provide administrators with details of important characteristics to foster which may have a positive impact on retention.
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Comparative Study
Novel Use of a Nurse-Led Telemedicine Team in Acute Stroke: A Retrospective Review of the Impact on a Regional Health Care System.
Despite the increasing incidence of acute ischemic stroke in the United States, many health care facilities remain unprepared to manage patients with acute stroke, including the administration of intravenous alteplase (recombinant tissue plasminogen activator [rTPA]). This has led to an opportunity for telemedicine systems to facilitate these evaluations and acute medical stroke treatment decisions. However, even telemedicine systems can fail to provide timely evaluation and management of the patient with acute stroke. The purpose of this retrospective study was to compare stroke outcome metrics pre- and postimplementation of a hybrid, local nurse-led "stroke-responder" telemedicine system. ⋯ In an acute stroke telemedicine system, implementation of a local nurse-led "stroke responder" system resulted in significantly decreased acute stroke metrics for a community hospital within a regional hospital system.
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Randomized Controlled Trial
The Effect of Parental Presence on Pain and Anxiety Levels During Invasive Procedures in the Pediatric Emergency Department.
Parental presence during invasive procedures is important in family-centered-care. Family-centered-care is a basic principle of pediatric nursing. ⋯ Parental involvement is effective in reducing the pain felt during invasive procedures. Moreover, anxiety levels of children during the procedure were not affected in all groups; however, the children of parents with high trait anxiety levels had higher preprocedural pain and trait anxiety levels.