Australasian emergency nursing journal : AENJ
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Australas Emerg Nurs J · Aug 2016
An evaluation of staff transitioning from a combined adult/child emergency department to a new paediatric emergency department: A qualitative study.
Provision of paediatric specific service areas within a hospital servicing both adult and paediatric populations is relatively novel. In Australia this is an emerging model for service delivery that takes into account the specific health needs of paediatric patients. To date, information related to the practice transition required by staff when adopting this model of care is lacking. Such information can contribute to informing service quality and identify staff perceived barriers and enablers during adoption of the model. The potential benefit of such knowledge is the early mitigation of issues and delineation of professional development requirements. The aim of this study was to investigate staff experiences of transitioning from an essentially adult emergency department with minimal paediatric presentations to a new co-located paediatric emergency department. ⋯ Clear organisational communication and professional support are central components identified by staff to enable a more successful transition from one type of service to another.
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Australas Emerg Nurs J · Aug 2016
ED-HOME: Improving educator confidence and patient education in the Emergency Department.
Barriers to effective patient communication in the emergency department (ED) are well recognised; time, resources and staff and consumer expectations. This project aimed to improve the quality of health education provided in the ED by increasing nurses' confidence as educators. ⋯ This project demonstrates that if emergency nurses feel more confident with their educating practices and by using a structured format, patients will benefit from better quality patient education provided in the ED.
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Australas Emerg Nurs J · Aug 2016
Multicenter StudyRates of workplace aggression in the emergency department and nurses' perceptions of this challenging behaviour: A multimethod study.
Over the last 10 years, the rate of people presenting with challenging behaviour to emergency departments (EDs) has increased and is recognised as a frequent occurrence facing clinicians today. Challenging behaviour often includes verbal aggression, physical aggression, intimidation and destruction of property. ⋯ The study provides insight into emergency nurses' reported perceptions of patients who display challenging behaviour. All emergency nurse participants reported being regularly exposed to challenging behaviour and this involved both physical and verbal abuse. This was in contrast to a low incident hospital reporting rate. ED clinicians need to be better supported with targeted educational programmes, appropriate ED architecture and reporting mechanism that are not onerous.