scholarly journals Knowledge and Skills on Triage among Nurses Working in Emergency Departments in Referral Hospitals in Rwanda

2021 ◽  
Vol 4 (3) ◽  
pp. 398-405
Author(s):  
Innocent Twagirayezu ◽  
Bhengu Busisiwe ◽  
Emelyne Umutoni Cishahayo
Keyword(s):  
Emergency Department ◽  
Emergency Departments ◽  
Sampling Method ◽  
Severity Of Illness ◽  
Educational Training ◽  
Knowledge And Skills ◽  
Low Level ◽  
Emergency Department Nurses ◽  
Referral Hospitals ◽  
Self Administered Questionnaire

BackgroundUnpredictable numbers of patients attending emergency departments highlight the need for Triage. Triage which is the prioritization of patient care based on severity of illness or injury, prognosis, and availability of resources is effective when clinicians are knowledgeable and skilled to perform it.ObjectiveTo assess knowledge and skills on triage among nurses working in emergency departments of Rwandan referral hospitals.MethodsCross-sectional analytical design was adopted. ninety-six (96) nurses working in emergency departments were selected using proportionate stratified sampling method. Each hospital was considered as a stratum. A self-administered questionnaire and observation checklist were use as instruments. Inferential and descriptive statistics were used in analysis.ResultsThe majority of participants (63.6%) demonstrated low level of triage knowledge and almost a half (47.9%) of participants had low level of triage skills. Nurses experience in emergency department, level of education and triage training were not found to significantly influence triage knowledge and skills positively (P>0.05).ConclusionDeficit in triage knowledge and skills were revealed among nurses working in emergency departments in Rwanda. Accredited continuous educational training on triage should be regularly provided to enhance knowledge and skills of emergency department nurses on Triage.Rwanda J Med Health Sci 2021;4(3):398-405

scholarly journals Strategies and processes emergency department nurses consider important to safely manage during an influenza pandemic: A qualitative descriptive study

2021 ◽  
Author(s):  
◽  
Jessica Lockett
Keyword(s):  
Emergency Department ◽  
New Zealand ◽  
Healthcare System ◽  
Emergency Departments ◽  
Influenza Pandemic ◽  
Health Board ◽  
District Health ◽  
Emergency Department Nurses ◽  
Qualitative Descriptive ◽  
The Impact

<p>The influenza virus is responsible for significant morbidity and mortality worldwide each year, with influenza pandemics occurring every 10 to 50 years and responsible for millions of deaths and substantial economic impact. Increasing globalisation through travel and trade means New Zealand is vulnerable to the risks of pandemic influenza, placing a strain on the healthcare system, putting lives at risk and posing a significant cost to the country. Emergency Departments are at the frontline of New Zealand’s healthcare system and are a crucial component in the response to an influenza pandemic, however little research has been done on the impact such an event would have on the nursing staff who work in this area and the care they provide to influenza patients.  This study aims to explore what New Zealand Emergency Department nurses perceive as the biggest challenges to nursing care and staff safety during an influenza pandemic, in order to provide information on how to ensure the engagement of these nurses at the frontline of the pandemic response. With a lack of evidence-based research available, a qualitative descriptive design was used to allow an exploration of the first-hand perspectives of Emergency Department nurses, gaining meaningful insights into a phenomena which has been little explored.  Sixteen nurses from two Emergency Departments participated in face-to-face interviews conducted using semi-structured questions. Raw data was transcribed, and an inductive approach was taken to data analysis, guided by the principles of both content and thematic analysis.  The findings demonstrate that Emergency Department nurses work in an environment that poses risk to patient and staff safety every day, and an understanding of these safety problems is provided in the theme ‘the everyday reality for Emergency Department nurses’. Working within this context shapes the fears that Emergency Department nurses hold about what could happen if an influenza pandemic were to affect New Zealand in the future, and are summarised within the theme ‘fears for a pandemic’. The final theme, ‘strategy and planning for pandemics’ provides insight into how Emergency Department nurses feel these issues could be managed within future pandemic planning at Emergency Department, District Health Board and government level.  This thesis identifies both existing and potential future safety concerns in relation to the management of influenza in New Zealand Emergency Departments, affecting the safety of patients and staff. It also provides specific multi-level and multi-agency recommendations for future pandemic plans that could help to mitigate the significant risks highlighted by those who work within the system every day.</p>

Factors Associated with Inappropriate Utilisation of Emergency Department Services

2007 ◽  
Vol 19 (2) ◽  
pp. 29-36 ◽  
Author(s):  
H.G. Selasawati ◽  
L. Naing ◽  
W.A. Wan Aasim ◽  
T. Winn ◽  
B.N. Rusli
Keyword(s):  
Emergency Department ◽  
Associated Factors ◽  
Case Control Study ◽  
Severity Of Illness ◽  
Health Seeking ◽  
Factors Associated ◽  
Sociodemographic Data ◽  
Perceived Illness ◽  
Self Administered Questionnaire ◽  
Control Study

This study was carried out to determine the associated factors and the reasons for inappropriate utilisation of Emergency Department (ED) services at Universiti Sains Malaysia Hospital. A case-control study was conducted with 170 cases from ED and 170 controls from the Outpatient Department (OPD). A self-administered questionnaire was designed and used to obtain sociodemographic data, knowledge on the functions of ED and OPD, health seeking attitude and behaviour, and reasons for seeking treatment at ED. The study found that gender, marital status, family size, shift work, perceived illness, and knowledge on the role and functions of ED and OPD were significant associated factors. The three most common reasons for inappropriate utilisation of ED were as follows: "due to severity of illness" (85%), "can't go to OPD during office hours" (42%), and "ED near my house" (27%). Asia Pac J Public Health 2007; 19(2): 29-36.

Simulation-based medical education can be used to improve the mental health competency of emergency physicians

2020 ◽  
Vol 28 (3) ◽  
pp. 354-358
Author(s):  
Andrew Coggins ◽  
Dale Marchant ◽  
Jane Bartels ◽  
Brett Cliff ◽  
Sandra Warburton ◽  
...  
Keyword(s):  
Emergency Department ◽  
Medical Education ◽  
Emergency Departments ◽  
Legal Issues ◽  
Course Evaluations ◽  
Emergency Physicians ◽  
Multiple Choice Questions ◽  
Emergency Department Nurses ◽  
Psychiatric Crisis ◽  
Simulation Based

Objective: We explored the feasibility of developing, running and evaluating a simulation-based medical education (SBME) workshop to improve the knowledge, skills and attitudes of emergency department (ED) doctors when called on to assess patients in psychiatric crisis. Method: We designed a four-hour workshop incorporating SBME and a blend of pre-reading, short didactic elements and multiple-choice questions (MCQs). Emergency department nurses (operating as SBME faculty) used prepared scripts to portray patients presenting in psychiatric crisis. They were interviewed in front of, and by, ED doctors. We collected structured course evaluations, Debriefing Assessment for Simulation in Healthcare (DASH) scores, and pre- and post-course MCQs. Results: The pilot workshop was delivered to 12 ED registrars using only existing resources of the Psychiatry and Emergency Departments. Participants highly valued both ‘level of appropriateness’ (Likert rating μ = 4.8/5.0) and ‘overall usefulness’ ( μ = 4.7/5.0) of the programme. They reported an improved understanding of the mental state and of relevant legal issues and rated the debriefings highly (participant DASH rating: n = 193; score μ = 6.3/7.0). Median MCQ scores improved non-significantly pre- and post-course (7.5/12 vs 10/12, p = 0.261). Conclusion: An SBME workshop with these aims could be delivered and evaluated using the existing resources of the Psychiatry and Emergency Departments.

scholarly journals Strategies and processes emergency department nurses consider important to safely manage during an influenza pandemic: A qualitative descriptive study

2021 ◽  
Author(s):  
◽  
Jessica Lockett
Keyword(s):  
Emergency Department ◽  
New Zealand ◽  
Healthcare System ◽  
Emergency Departments ◽  
Influenza Pandemic ◽  
Health Board ◽  
District Health ◽  
Emergency Department Nurses ◽  
Qualitative Descriptive ◽  
The Impact

<p>The influenza virus is responsible for significant morbidity and mortality worldwide each year, with influenza pandemics occurring every 10 to 50 years and responsible for millions of deaths and substantial economic impact. Increasing globalisation through travel and trade means New Zealand is vulnerable to the risks of pandemic influenza, placing a strain on the healthcare system, putting lives at risk and posing a significant cost to the country. Emergency Departments are at the frontline of New Zealand’s healthcare system and are a crucial component in the response to an influenza pandemic, however little research has been done on the impact such an event would have on the nursing staff who work in this area and the care they provide to influenza patients.  This study aims to explore what New Zealand Emergency Department nurses perceive as the biggest challenges to nursing care and staff safety during an influenza pandemic, in order to provide information on how to ensure the engagement of these nurses at the frontline of the pandemic response. With a lack of evidence-based research available, a qualitative descriptive design was used to allow an exploration of the first-hand perspectives of Emergency Department nurses, gaining meaningful insights into a phenomena which has been little explored.  Sixteen nurses from two Emergency Departments participated in face-to-face interviews conducted using semi-structured questions. Raw data was transcribed, and an inductive approach was taken to data analysis, guided by the principles of both content and thematic analysis.  The findings demonstrate that Emergency Department nurses work in an environment that poses risk to patient and staff safety every day, and an understanding of these safety problems is provided in the theme ‘the everyday reality for Emergency Department nurses’. Working within this context shapes the fears that Emergency Department nurses hold about what could happen if an influenza pandemic were to affect New Zealand in the future, and are summarised within the theme ‘fears for a pandemic’. The final theme, ‘strategy and planning for pandemics’ provides insight into how Emergency Department nurses feel these issues could be managed within future pandemic planning at Emergency Department, District Health Board and government level.  This thesis identifies both existing and potential future safety concerns in relation to the management of influenza in New Zealand Emergency Departments, affecting the safety of patients and staff. It also provides specific multi-level and multi-agency recommendations for future pandemic plans that could help to mitigate the significant risks highlighted by those who work within the system every day.</p>

scholarly journals Evaluating effort-reward imbalance among nurses in emergency departments: a cross-sectional study in China

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mengge Tian ◽  
Heping Yang ◽  
Xiaoxv Yin ◽  
Yafei Wu ◽  
Guopeng Zhang ◽  
...  
Keyword(s):  
Emergency Department ◽  
Influencing Factors ◽  
Workplace Violence ◽  
Emergency Departments ◽  
Physical Violence ◽  
Night Shift ◽  
Related Factors ◽  
Emergency Department Nurses ◽  
Effort Reward Imbalance ◽  
Reward Imbalance

Abstract Background Effort-reward imbalance is an adverse psychological response to working conditions that has several negative effects on nurses. However, there is little research on effort-reward imbalance and its influencing factors among nurses in emergency departments. This study aimed to understand the current situation of effort-reward imbalance and explore its influencing factors among emergency department nurses in China. Methods From July to August 2018, a structured online questionnaire survey was conducted among emergency department nurses in China. Data were collected from emergency department nurses employed in hospitals providing pre-hospital care in China. The questionnaire consisted of sociodemographic characteristics, work-related factors and effort-reward imbalance. A descriptive analysis and a binary logistic regression were conducted to explore the effort-reward imbalance and its influencing factors among emergency department nurses. Results The study involved 17,582 emergency department nurses; notably, the prevalence of effort-reward imbalance was 59.66%. The participating nurses who were males, aged 25 to 34 years, whose educational level was a bachelor degree or above, who had a junior or above title, who had longer years of service, and who had suffered verbal or physical violence in the past year had a higher risk of effort-reward imbalance. Furthermore, the nurses with a high monthly income, who believed that the number of nurses met the department’s demand had a lower risk of effort-reward imbalance. Conclusions Effort-reward imbalance was prevalent among emergency department nurses in China. Measures such as adjusting the night shift frequency, increasing the number of nurses, raising salaries and reducing workplace violence should be considered to reduce the level of effort-reward imbalance.

scholarly journals Practice, Training Need of Disaster Preparedness and Associated Factors in Nursing Staffs Working at Emergency Department, Amahra Regional State Referral Hospitals, Ethiopia, 2020G.C. A Hospital Based Cross Sectional Study 

2020 ◽  
Author(s):  
Lehulu Tilahun ◽  
Birhanu Dessu ◽  
Mulusew Zeleke
Keyword(s):  
Emergency Department ◽  
Disaster Preparedness ◽  
Disaster Response ◽  
Study Finding ◽  
Cross Sectional Study ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional ◽  
Emergency Department Nurses ◽  
Referral Hospitals

Abstract Background: Globally disasters are increasing at alarming rate that leads giving training and making preparing frontline emergency department nurses an important issue. Although disasters are manageable and preventable they are still considered as a major public health issues. Methods: Hospital based cross sectional study used to come up with the findings. All emergency department working nurses from the region referral hospitals were assumed as study subjects. The disaster information on respondents was gathered with self-administered written questionnaires. Data entry and coding was made by using epidata software manager v4.6.0.2 and further exported to spss version 26 for further analysis. Result: In our study finding most participants were males 68(66.7%). In addition mean age of data respondents were 31.2±5.8. It is found that 25(24.5%) of participants have adequate practice on the contrary 75(75.5%) of respondents have inadequate practice. Also, 40(39.2%) respondents need training on first aid and treatment principles, 37(36.3%) need training on disaster preparedness and 31(30.4%) need training on basic principles of disaster response. In multivariate analysis variables with practice of disaster preparedness are training performed in a hospital set up {P value= 0.047, OR: 0.282, 95%CI: (0.081-0.985)} and simulation done in hospital {P value= 0.002, OR: 0.071, 95%CI: (0.055-0.530)} were significantly associated. Conclusions: Skill level of emergency department nurses with regard to disaster preparedness is inadequate so that training supported with drills & simulation and education are mandatory.

scholarly journals 140. Symptoms and Situations Predispose Patients to Use Antibiotics Without Medical Advice

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S200-S200
Author(s):  
Michael Hansen ◽  
Barbara Trautner ◽  
Roger Zoorob ◽  
George Germanos ◽  
Osvaldo Alquicira ◽  
...  
Keyword(s):  
Primary Care ◽  
Emergency Department ◽  
Emergency Departments ◽  
Primary Care Clinic ◽  
Antibiotic Use ◽  
Safety Net ◽  
Care Clinic ◽  
Primary Care Clinics ◽  
Primary Care Patients ◽  
Emergency Department Patients

Abstract Background Use of antibiotics without a prescription (non-prescription use) contributes to antimicrobial resistance. Non-prescription use includes obtaining and taking antibiotics without a prescription, taking another person’s antibiotics, or taking one’s own stored antibiotics. We conducted a quantitative survey focusing on the factors that impact patients’ decisions to use non-prescription antibiotics. Methods We surveyed patients visiting public safety net primary care clinics and private emergency departments in a racially/ethnically diverse urban area. Surveys were read aloud to patients in Spanish and English. Survey domains included patients’ perspectives on which syndromes require antibiotic treatment, their perceptions of health care, and their access to antibiotics without a prescription. Results We interviewed 190 patients, 122 from emergency departments (64%), and 68 from primary care clinics (36%). Overall, 44% reported non-prescription antibiotic use within the past 12 months. Non-prescription use was higher among primary care clinic patients (63%) than the emergency department patients (39%, p = 0.002). The majority felt that antibiotics would be needed for bronchitis (78%) while few felt antibiotics would be needed for diarrhea (30%) (Figure 1). The most common situation identified “in which respondents would consider taking antibiotics without contacting a healthcare provider was “got better by taking this antibiotic before” (Figure 2). Primary care patients were more likely to obtain antibiotics without prescription from another country than emergency department patients (27% vs. 13%, P=0.03). Also, primary care patients were more likely to report obstacles to seeking a doctor’s care, such as the inability to take time off from work or transportation difficulties, but these comparisons were not statistically significant. Figure 1. Patients’ agreement that antibiotics would be needed varied by symptom/syndrome. Figure 2. Situations that lead to non-prescription antibiotic use impacted the two clinical populations differently Conclusion Non-prescription antibiotic use is a widespread problem in the two very different healthcare systems we included in this study, although factors underlying this practice differ by patient population. Better understanding of the factors driving non-prescription antibiotic use is essential to designing patient-focused interventions to decrease this unsafe practice. Disclosures All Authors: No reported disclosures

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