Journal of emergency nursing : JEN : official publication of the Emergency Department Nurses Association
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Prehospital emergency nursing is a critical domain requiring specialized competencies and robust clinical preparation. Nurses in this sector manage high-complexity situations necessitating a broad range of competencies. This study aimed to identify and validate the essential competencies required for specialized ambulance nurses in Italy using a modified Delphi methodology. ⋯ The identified competencies underscore the complexity and dynamic nature of prehospital emergency nursing. The results provide a framework for developing targeted training programs to prepare nurses for the demands of this field. Continuing education emerged as a crucial element for maintaining and enhancing competencies in the evolving landscape of emergency health care.
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The family members of patients are an important part of a patient's social support system. The needs of the family members of patients are critical factors that medical staff need to consider when formulating treatment plans. This study aimed to culturally adjust the traditional Chinese version of the Critical Care Family Needs Inventory in the Emergency Department to the simplified Chinese version for use with families in the emergency department of mainland China, test its reliability and validity, understand the needs and factors influencing scores, and to provide a reference for promoting patient and family-centered care. ⋯ Our findings suggested that the Simplified Chinese version of Critical Care Family Needs Inventory in the Emergency Department is a valid and reliable scale for use within mainland China. The needs of family members are at a high level. Hence, emergency nurses need to acquire more knowledge about family needs to better consider and address their needs.
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New technologies developed for triage systems can have positive effects on health care professionals. The research was conducted to identify and visualize the studies conducted between 2001 and 2024 on triage and digital triage systems in emergency departments and reveals global trends on this subject. ⋯ The results obtained from the study reveal the triage and digital triage systems used in emergency services, provide a general perspective on the subject, and guide future research on this subject.
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Nurses working in the emergency department experience high rates of burnout. The purpose of this study was to determine job-related factors affecting the well-being of emergency nurses. ⋯ To improve emergency nurse well-being, systems-focused interventions should address nurse compensation, psychological safety among the ED team, workplace violence, and meaningful recognition of nurses and well-being support from the organization.
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The coronavirus disease-2019 pandemic brought greater attention to nurses' innovation and adaptability. Emergency nurses continue to adjust their patient flow management strategies in response to high levels of overcrowding, but this work has been poorly described. ⋯ The ability of emergency departments to care for high patient volumes depends upon nurses' cognitive and organizational labor. Innovation and adaptability are essential components of emergency nursing work. Although emergency nurses have demonstrated great ingenuity, more work is needed to ensure that emergency patient flow management strategies are evidence-based.