scholarly journals Dementia narratives of emergency department nurses

2021 ◽  
Author(s):  
Negin P. Shalchi
Keyword(s):  
Emergency Department ◽  
Social Theory ◽  
Psychological Symptoms ◽  
Critical Social Theory ◽  
Work Demands ◽  
Emergency Nurses ◽  
Photographic Images ◽  
Emergency Department Nurses ◽  
Narrative Methodology ◽  
Portal Of Entry

The Emergency Department is often the main portal of entry for acutely ill elderly patients with dementia requiring healthcare. Emergency nurses assume responsibility for managing both critical illnesses and Behavioural and Psychological Symptoms of Dementia. Using narrative methodology and photographic images provided by participants, two emergency department nurses were interviewed to understand their experiences caring for patients with dementia. A Critical Social Theory lens facilitated an examination of how dominant discourse about work environment, power relations, and the healthcare system shape their stories of dementia. Findings indicated that nurses’ experiences are shaped by frustrations, threaten person-centred care, and are associated with limited time and knowledge and competing work demands when caring for patients with dementia. Study recommendations include the need for policy that supports culture change in the emergency department, investment in professional development of emergency department nurses, and infrastructure supports such as Geriatric Emergency Management nurses and nurse’s aides

scholarly journals Dementia narratives of emergency department nurses

2021 ◽  
Author(s):  
Negin P. Shalchi
Keyword(s):  
Emergency Department ◽  
Social Theory ◽  
Psychological Symptoms ◽  
Critical Social Theory ◽  
Work Demands ◽  
Emergency Nurses ◽  
Photographic Images ◽  
Emergency Department Nurses ◽  
Narrative Methodology ◽  
Portal Of Entry

The Emergency Department is often the main portal of entry for acutely ill elderly patients with dementia requiring healthcare. Emergency nurses assume responsibility for managing both critical illnesses and Behavioural and Psychological Symptoms of Dementia. Using narrative methodology and photographic images provided by participants, two emergency department nurses were interviewed to understand their experiences caring for patients with dementia. A Critical Social Theory lens facilitated an examination of how dominant discourse about work environment, power relations, and the healthcare system shape their stories of dementia. Findings indicated that nurses’ experiences are shaped by frustrations, threaten person-centred care, and are associated with limited time and knowledge and competing work demands when caring for patients with dementia. Study recommendations include the need for policy that supports culture change in the emergency department, investment in professional development of emergency department nurses, and infrastructure supports such as Geriatric Emergency Management nurses and nurse’s aides

scholarly journals P122: Ready for the story? A mixed methods systematic review of factors that influence handovers between prehospital personnel and emergency department nurses receiving patients arriving by ambulance

CJEM ◽  
2018 ◽  
Vol 20 (S1) ◽  
pp. S100-S100
Author(s):  
G. Reay ◽  
J. Norris ◽  
L. Nowell ◽  
J. Abraham ◽  
A. Hayden ◽  
...  
Keyword(s):  
Systematic Review ◽  
Emergency Department ◽  
Mixed Methods ◽  
Adverse Events ◽  
Assessment Tool ◽  
Public Health Practice ◽  
Grey Literature ◽  
Learning Program ◽  
Emergency Nurses ◽  
Emergency Department Nurses

Introduction: Safe and efficient handovers between emergency medical services (EMS) practitioners and emergency nurses are vital as poor transitions may lead to loss of information and place patients at risk for adverse events. We conducted a mixed methods systematic review to a) examine factors that disrupt or improve handovers from EMS practitioners to emergency department nurses, and b) investigate the effectiveness of interventional strategies that lead to improvements in communication and fewer adverse events. Methods: We searched electronic databases (DARE, MEDLINE, EMBASE, Cochrane, CINAHL, Joanna Briggs Institute EBP; Communication Abstracts); grey literature (grey literature databases, organization websites, querying experts in emergency medicine); and reference lists of the included studies. Citation tracking was conducted for the included studies. Two reviewers independently screened titles/abstracts and full-texts for inclusion and methodological quality using the Effective Public Health Practice Project Quality Assessment Tool for quantitative studies and the Joanna Briggs Institute Critic Appraisal Checklist for Qualitative Research. Narrative and thematic synthesis were conducted to integrate and explore relationships within the data. Results: Twenty-two studies were included in this review from the 6150 records initially retrieved. Our analysis suggests that qualitative, quantitative, and mixed methods research approaches have been utilized to explore handovers. Studies (n=11) have predominantly explored existing patterns of handovers focusing on barriers and facilitators. Interventions (e.g. multimedia transmission of pre-hospital information, tailored e-learning program) were investigated in five studies. Results suggest that lack of formal handover training, workflow interruptions, workload, and strained working relationships between EMS and nursing are perceived threats to optimal handovers. Conclusion: The findings from this review can inform the development of handover interventions and contribute to a more rigorous approach to researching handovers between EMS practitioners and emergency nurses. Furthermore, there is a need for studies in which specific interventions to optimize handovers are examined.

scholarly journals Effects of Workplace Violence on Nurses Working in the Emergency Department

2018 ◽  
Author(s):  
Alicia Blythe
Keyword(s):  
Emergency Department ◽  
Workplace Violence ◽  
Emotional Abuse ◽  
Physical Violence ◽  
Emergency Nurses ◽  
Staff Members ◽  
Emergency Department Nurses ◽  
Staff Assessment ◽  
Violence In The Workplace ◽  
Quantitative Descriptive

Workplace violence has been a trending topic of discussion across the country and is a concern for employees nationwide. The Emergency Department has been consistently documented as one area where workplace violence is most prevalent and presents a greater risk for occupational hazard. The escalating acts of violence toward emergency department nurses across the country have drastically increased and nurses have become targets of verbal and emotional abuse, subjected to threatening behavior, and have become victims of physical assaults. The purpose of this project was to identify the effects of workplace violence on nurses working in the Emergency Department. A quantitative descriptive study using modified Emergency Nurses Association (ENA) Workplace Violence staff assessment survey was used to identify emergency department nurses’ experiences with workplace violence. The mixed method design included a descriptive survey as well as series of open-ended questions to elicit personal accounts of violence in the workplace. A total of 36 nurses in the Emergency Department at Newport Hospital, a 129 bed community hospital in Newport, RI were surveyed. The results of the survey identified 95.45% (n=21) of nurses have experience some form of workplace violence. Physical violence such as being hit, punched, slapped, kicked, pinched, pushed, shoved, and scratched was experienced by at least half of nurses. Additionally, documented effects of workplace violence on staff members included burnout, low department morale, physical and emotional distress, and contributed to overall job dissatisfaction. The study identified workplace violence as an issue and recognizes the effects of violence on staff members is of significant concern that should be addressed with leadership support to recognize and decrease workplace violence in the ED.

scholarly journals Identifying Predictors of Patient Safety Competency Based on Teamwork and Psychological Safety among emergency nurses.

2021 ◽  
Author(s):  
Aghil Habibi Soola ◽  
Mehdi Ajri-Khameslou ◽  
Alireza Mirzaei ◽  
Zahra Bahari
Keyword(s):  
Health Care ◽  
Emergency Department ◽  
Patient Safety ◽  
Nursing Education ◽  
Multiple Regression ◽  
Psychological Safety ◽  
Stepwise Multiple Regression ◽  
Emergency Nurses ◽  
Quality Health Care ◽  
Emergency Department Nurses

Abstract AimsTo identify factors that predict the patient safety competency of emergency nurses.BackgroundThe role of emergency nurses is to provide high-quality health care to patients and ensure their safety. The patient safety competency includes the absence of unnecessary or potential harm when providing health care to patients. In providing health care, effective teamwork can affect patient safety and outcome. Psychological safety is essential to effective teamwork. Psychological safety allows health care workers to accept the interpersonal risks needed to perform effective teamwork and maintain patient safety.MethodsThis descriptive correlation study included 254 emergency department nurses from five educational hospitals using convenience sampling. Patient Safety in Nursing Education Questionnaire was used to measure the patient safety competency, the teamwork questionnaire to examine the teamwork, and Edmondson psychological safety questionnaire was used to measure psychological safety. Descriptive statistics, t-Test, one-way ANOVA, Pearson's correlation, and Stepwise multiple regression were performed using SPSS 14.0.ResultsThe findings of the present study showed that the level of patient safety competency among emergency nurses is at a desirable level. Of the 18 independent variables evaluated in the multiple regression analysis, seven had a significant effect on the patient safety competency of emergency nurses (R2: 0.39, p < .001).ConclusionsThe patient safety competency of emergency department nurses was primarily related to the structure and leadership of the team and secondary to psychological safety and experience in patient safety activity. The results demonstrated that policymakers and hospital managers should improve and enhance team structure and leadership via supervision and cooperation with the nursing staff. The development of training programs in the field of patient safety activities, improvement, and increase of psychological safety at the levels of the nursing units is essential to increase patient safety competencies in the emergency nursing program.

Social Explanation: Structures, Stories, and Ontology. A Reply to Díaz León, Saul, and Sterken

Disputatio ◽  
2018 ◽  
Vol 10 (50) ◽  
pp. 245-273 ◽  
Author(s):  
Sally Haslanger
Keyword(s):  
Social Theory ◽  
Critical Social Theory ◽  
Social Agency ◽  
Metaphysical Explanation ◽  
Gender And Race ◽  
Social Explanation ◽  
Critical Social

Abstract In response to commentaries by Esa Díaz León, Jennifer Saul, and Ra- chel Sterken, I develop more fully my views on the role of structure in social and metaphysical explanation. Although I believe that social agency, quite generally, occurs within practices and structures, the relevance of structure depends on the sort of questions we are asking and what interventions we are considering. The emphasis on questions is also relevant in considering metaphysical and meta-metaphysical is- sues about realism with respect to gender and race. I aim to demon- strate that tools we develop in the context of critical social theory can change the questions we ask, what forms of explanation are called for, and how we do philosophy.

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