Dissertations / Theses: 'Emergency nursing'

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Bertrand, Allison. "Emergency Nursing and Patient Violence." Thesis, Université d'Ottawa / University of Ottawa, 2021. http://hdl.handle.net/10393/42013.

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Nurses are at an increased risk for violence from patients compared to other healthcare professionals working in hospital emergency departments. In this setting, there are multiple factors contributing to patient violence including long wait-times, overcrowding, insufficient staffing, and lack of security personnel. This violence can be verbal, physical, or sexual in nature, and may result in psychological, emotional, cognitive, and social consequences. While there is an abundance of literature that explores how nurses working in the emergency department experience patient violence, less is known about how patient violence affects their day-to-day nursing practice. The purpose of this study was to explore how nurses working in Ontario emergency departments who have experienced patient violence enact their nursing care. This was an interpretive description qualitative study using semi-structured, conversation-style telephone interviews, set in Ontario, Canada. Data were analyzed using conventional content analysis. The participants’ experiences with patient violence and its effect on their nursing care were described using four categories and seven subcategories: ‘Violent Context’ (Leadership), (Wait-Times), (Security Measures), ‘Being Responsible’ (Work Family), ‘Violent Patients’ (Patient for Whom we Anticipate Violence), (Patients who Surprise Us), and ‘Adapting their Practice’ (Engaging with Patients). Nurses working in the emergency department describe frequent occurances of physical and verbal violence as part of their daily practice. This violence leads to emotional and psychological consequences, as well as changes to their nursing care and interactions with future patients. Inconsistencies in hospital policies, resources, and supports create an environment where nurses are often left to manage both the violent encounter and their personal and professional responses.

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Powell, Cindy M. "Parental perception of pediatric emergency care /." Staten Island, N.Y. : [s.n.], 1997. http://library.wagner.edu/theses/nursing/1997/thesis_nur_1997_powel_paren.pdf.

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Gefter, Aleksey. "EMERGENCY SURGICAL CONDITIONS FROM THE NURSING PERSPECTIVE." Thesis, Тернопіль, 2021. https://repository.tdmu.edu.ua//handle/123456789/17173.

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The aim of the study was to investigate the specific aspects of nursing process as applied to emergency surgery in patients with ballistic injuries and household trauma, to determine the risks faced by medical personnel when working with patients in dangerous neighborhoods, to identify nursing strategies in managing aggressive patients, and to define the need for surgical interventions in ballistic injuries and household trauma as part of a research study.

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Johnson, Mindi Lynne. "Graduate Nurse Pediatric Emergency Nursing Orientation Program." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/1605.

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Research has found that the turnover rate of graduate nurses within their first year is significantly high. Specialties such as pediatric and emergency nursing have even a higher turnover rate. It has been suggested that significant amounts of stress and lack of skills are responsible for the turnovers. This quality improvement project, which is theoretically based on Benner's novice to expert theory, will examine if a lack of a specialized pediatric emergency graduate nurse orientation program is a contributing factor. The purpose of the project is to improve retention of graduate nurses by implementing a specialized orientation program that focuses on pediatric emergency nursing. The research question examined the effect of a specialized graduate nurse orientation program on increasing retention, nurses' competency, and job satisfaction. This project takes the hospital's original orientation program of 6 generalized classes and hands-on orientation and adds a more specialized approach. The Emergency Nurses Association (ENA) Core Curriculum of specialized skills and didactic classes for pediatric emergency nursing (developed by the ENA pediatric committee based on evidence and gold standard practice); evaluation tools (developed by researcher) for both the preceptor and orientee; and face-to-face meetings between the educator, preceptor and orientee were the tools used for specializing the orientation program. It is anticipated that the results will show that increase in retention. In terms of social change, it is anticipated increased nursing retention will increase nursing knowledge and job satisfaction, which will ultimately lead to improved patient outcomes and decreased mortality rates.

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Babst, Terrill Anne. "Trauma nursing care :a workload model." Thesis, Cape Technikon, 2000. http://hdl.handle.net/20.500.11838/1015.

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Thesis (MTech (Business Administration))--Cape Technikon, Cape Town, 2000
The current rationalisation of health care in the Western Cape may result in a decrease in the number of patients attending the Trauma Unit at Groote Schuur Hospital (GSH), one of the two large tertiary care hospitals in the Western Cape. This in turn may result in cuts in staff allocations to this unit. The nursing staff need to be proactive in preventing potential cuts which may compromise the services that they offer. Current statistics collected by nursing managers in the trauma unit at GSH provide an indication of the volume of work handled, but do not necessarily capture the intensity of that work. The purpose of this research project will determine the extent to which nursing care required by patients attending the trauma unit at GSH has increased and to establish appropriate staff workload scheduling. The existing classification systems available for assessing patient acuity levels are no longer suitable as they use patient numbers to describe workload. By using a classification system specifically developed for the use by nurse managers in high care units (trauma units), the appropriate staffing norms based on the acuity level of patients can be determined. Finally, this research project will determine a suitable model for measuring the intensity of workload specific to a trauma unit environment for the effective and efficient allocation of staff.

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Thompson, June D. Grimes Richard M. "Factors determining the use of universal precautions by emergency department nurses /." See options below, 1994. http://proquest.umi.com/pqdweb?did=741486321&sid=1&Fmt=2&clientId=68716&RQT=309&VName=PQD.

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Hogan, Kerry-Anne. "Caring for adult patients who die in the emergency department: Reflections of emergency room nurses." Thesis, University of Ottawa (Canada), 2009. http://hdl.handle.net/10393/28088.

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Background. Emergency room nurses work in an area in which the workload is unpredictable and chaotic. Treatment measures are usually aggressive and the goal of care in the emergency department is to restore physiological stability in a sick or injured person. As treatment measures usually occur quickly and nurses care for many patients throughout their shifts, there is often a lack of time to establish relationships with patients and/or family members. In a situation when treatment is needed immediately, there may not be enough time to discuss advanced directives with patients and/or family members. Although most patients are seen, treated and sent home or are admitted and recover, more than 7000 lives end in Canadian emergency departments each year (CIHI, 2006). Death in an emergency department is almost always considered a tragic event, regardless of whether the event was unexpected or expected. This view contrasts with the idealistic view of death occurring in a hospice or at home, free of pain and suffering and surrounded by loved ones. In an emergency department, treatment of critical illnesses and/or injuries begins immediately, leaving nurses or other members of the team little time to discuss advance directives or establish rapport with patients and/or family members. Purpose. The purpose of this research study was to improve our understanding of the experience of emergency room nurses when caring for an adult who dies in the emergency department.

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Zhao, Lijuan. "Advanced Triage Protocols in the Emergency Department." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3649.

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Overcrowded emergency departments (EDs) are a major problem in the United States resulting in inefficiency in operation and performance. A Southern California hospital ED was the site for this project because it had operated over its maximum capacity during the last decade. Advanced triage protocols integrating standard order sets were implemented to improve quality of care; however, no evaluation of the protocols had been done. The purpose of this project was to evaluate the effect of the advanced triage protocols. Two project questions determined whether advanced triage protocols reduced ED length of stay (LOS), number of patients who left without being seen (LWBS), and improved patient experience. The Lean Principles and the Plan-Do-Study-Act Model for Improvement were used to guide the project. A pre- and post-implementation design found that ED LOS had a significant 17-minute decrease for ESI Level 3 patients (225.7 -± 8.6 minutes vs. 208.8 -± 6.9 minutes, p = .002), and significant 13- minute decrease for ESI Level 4 patients (146.5 -± 1.6 minutes vs. 133.5 -± 1.5 minutes, p =.001). For the ED rate of patients who LWBS, no statistically significant difference was seen between pre- and post- implementation (41/575, 7.13% vs. 46/611, 7.52%). Satisfaction scores were improved by more than 10% after implementation. The advanced triage protocols enhanced front-end throughput operations and patient experience within the ED by allowing triage nurses to initiate orders and begin pain medication. Delivering timely and efficient care to meet various patients' needs has the potential for a positive social change through improved health care outcomes; perception of care; and trust between patients, providers, and the health care system.

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Lojo, Matthew. "Measuring Nurse Competence in the Emergency Department." Scholarly Commons, 2020. https://scholarlycommons.pacific.edu/uop_etds/3670.

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Background: “Nurses provide essential care to the millions of people who are hospitalized each year as a result of illness or injury” (Smith, 2012, p. 172). The Institute of Medicine reported approximately 44,000-98,000 patients die annually resulting from a medical error, and health care errors ranked among the top 10 for the leading causes of death in the United States (Smith, 2012). Problem: Nurse competence impacts safe and quality nursing, and several research studies investigated the measurement of nurse competence among nurses in various nursing settings (Flinkman et al., 2016). However, a review of the research revealed limited studies in the emergency department (ED) setting and in the United States (O’Leary, 2012). Method: This study implemented a quantitative nonexperimental research design using the combination of an instrumental case study and a cross-sectional survey for this study’s sample. An Internet-based SurveyMonkey questionnaire collected data on nurse competence from registered nurses (RNs) working in the ED at a San Francisco Bay Area hospital. Part I of the questionnaire integrated Meretoja, Isoaho, and Leino-Kilpi’s (2004) Nurse Competence Scale (NCS) consisting of 73 closed-ended clinical indicators divided into seven competence areas. Participants rated their level of competence and frequency of use for each clinical indicator. Part II of the questionnaire obtained background information about participants. A total of 21 out of 110 potential participants completed the survey. Results: The data analysis using Statistical Package for Social Sciences (SPSS) provided descriptive and nonparametric correlation statistics. Descriptive statistics described survey respondents. The least and most competent areas were ensuring quality and managing situations, respectively. The most frequent length of nursing experience was at least 60 months and the most frequent number of hours worked was at least 65 hours per 2-week period. Nonparametric correlation statistics, including Kendell’s tau-b and Spearman’s rho, identified significant relationships. A significant relationship existed between the frequency of using clinical skills and level of competence for four of the seven competence areas. A significant relationship existed between the background factor of experience, both as an RN and an ED RN, and level of competence for many clinical indicators. A significant relationship existed between the background factor of hours worked and level of competence for one clinical indicator. Conclusion: Despite the small sample size of 21 survey respondents, this study revealed findings consistent with the existing research on nurse competence. This study offers implications and recommendations for practice relative to nurse competence, nurse competence assessment, and transitions to new settings of nursing practice to support the nursing profession and safe and quality nursing.

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Kellow, Janet. "Exploring types and sources of stress in emergency nursing." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape4/PQDD_0014/MQ53166.pdf.

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Thomas, Brian. "Emergency room nurse burnout." Thesis, Pepperdine University, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10139345.

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This study explores the pervasiveness of job fatigue in Emergency Room nurses. It identifies factors that contribute to nurse burnout, including job dissatisfaction and workplace bullying, and explores strategies for assessing and reducing fatigue syndrome. As the literature suggests, there is a link between nurse burnout and patient safety. These findings are expected to help organizations develop strategies to reduce stress in the workplace and develop wellness programs. Upon using an interviewing process, the study found several themes that pointed to the key factors of increased ER nurse burnout, and provided several implications as to the changes that need to be made to improve the ER department environment. Some of the key findings included the need to hire more staff, make supervisors and management more approachable and available, and increasing support to ER nurses. Doing so will clearly help mitigate the problem of high stress levels among ER nurses and help to prevent the likelihood of burnout.

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Astralaga, Ingrid. "Emergency Room Nurse Perceptions of Emotional Intelligence." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5970.

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The delivery of quality care has been a priority for the health care industry in the United States. Researchers have established positive correlations between the levels of emotional intelligence of registered nurses and their clinical performances. However, new evidence suggests the need to enhance the use of emotional intelligence (EI) in high-risk clinical units. With the intent to understand the use of EI, a phenomenological research approach was used to identify the emergency room nurse's understanding of EI. The Four-branch Model of Emotional Intelligence was used as the theoretical framework, while the research question identified the emergency room nurse's perception of EI. Eight emergency room nurses from two facilities participated in the study. The inclusion criteria consisted of emergency room nurses with one to ten years of experience, nurses that worked thirty-six hours or more per week, and were not in leadership roles. The data were collected through face-to-face interview sessions and analyzed using the Colaizzi's Method of Data Analysis. All participants reported unfamiliarity with the concept of EI. Nevertheless, evidence that indicated the presence of all elements of this concept such as the ability to perceive emotions, understand emotions, use emotions to enhance reasoning, and manage emotions, were apparent in the stories shared by the nurses. The results of the study indicated a potential influence toward positive social change at the organizational and professional level. The implementation of educational activities to improve the use of this concept and the modification of current health care policies to incorporate emotional intelligence as clinical competencies are actions that can influence positive social change.

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Boylan, Linda Stacey. "Perceptions of collaboration between emergency nurses and paramedics." FIU Digital Commons, 1995. http://digitalcommons.fiu.edu/etd/1778.

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Collaboration between emergency room (ER) nurses and paramedics is vital due to the increasing number of critically ill patients entering the hospital via the "911" system. This descriptive study examined the perception of the collaborative relationship using the Revised Pehl Collaboration Scale (RPCS) and by qualitative data from four free response questions. The results of this study indicated that the overall relationship between the ER nurses and paramedics was friendly but not fully trusting. The content analysis of the free response questions identified that the "report" of patient information was the origin the most conflict. The nurses felt that paramedic patient assessment, patient priorities, and by-pass protocol were problems. Whereas, the paramedics identified the nurses condescending manner and mistrust, not being "listened" to, and overcrowded emergency rooms as the source of conflict. Data was not statistically significant with regards to personal attributes or social demographics from the RPCS.

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Benner, Myron, and L. Lee Glenn. "Measurement Validity of Pediatric Emergency Department Rapid Triage." Digital Commons @ East Tennessee State University, 2012. https://dc.etsu.edu/etsu-works/7481.

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Excerpt: The study by Doyle et al1 concluded that “Implementing rapid triage and fast track guidelines can affect nurse-sensitive patient outcomes related to safety and care delivery in a pediatric emergency department,” but the support for the conclusions was weak because of 2 shortcomings: (1) the authors did not use a side-by-side control group, and (2) the findings can be explained by the Hawthorne effect.

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Ruiz, Zaida. "Nursing Pain Management in an Emergency Room with Hallway Overflow." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5414.

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Overcrowded emergency rooms (ERs) decrease the flow of nursing care creating a delay in nurse-administered pain management leaving patients in pain. The project-focused question asked if ER nurses felt that overcrowding in the ER led to inadequate pain management and if a clinical practice guideline (CPG) could be developed to promote effective pain management in the setting. Callista Roy's theory of human adaptation was used to guide the project. To prepare for CPG development, data from a simple random selection of 10 nurses who had worked in the ER for a minimum of 6 months was obtained from the practice site. The 12-item questionnaire was validated by a panel of experts from the site prior to use. Data were analyzed for frequencies and a t-test was used to determine whether overcrowding significantly influenced pain management. Results indicated that overcrowding, overflow to hallways, and work demands on nurses in the ER significantly (p < .01) affected timely pain management for patients. In response to the staff feedback and using the same expert panel for review, a clinical practice guideline was developed and presented to the site administration for implementation. In addition to implementation of the CPG, recommendations from the panel included having a committee review the overflow situation and improve patient-to-nurse ratios in the ER. While the clinical practice guideline was not implemented during this project timeline, the site administration accepted the document and planned for future implementation. Positive social change will result as pain management is addressed in a timely manner and patients are satisfied with care.

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Haybarker, Brian Dale. "Reducing Emergency Department Length of Stay by System Change." ScholarWorks, 2015. http://scholarworks.waldenu.edu/dissertations/1477.

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Emergency departments (ED) are exceeding the Centers for Medicare and Medicaid Services and The Joint Commission's recommended 4-hour door-to-admission and 2-hour door-to-discharge for patients. The purpose of this project was to look for factors that decrease door-to-admission and door-to-discharge times and offer recommendations to the Patient Flow Committee (PFC) at the health care facility that may reduce overcrowding, diversion, and patient boarding. The 7-step Iowa model of evidence-based practice (EBP) was used to concentrate on problem-focused triggers that initiate the need for change. The project focused on decreasing door-to-admission and door-to discharge times: by opening an observation unit run by the ED to decrease door-to-admission and door-to-discharge times, increasing point-of-care testing (POCT) within the ED to decrease patients' door-to-admission and door-to-discharge times, and placing a provider in triage to decrease the number of non-urgent patients seen in the ED. A systematic literature review was conducted to gather evidence-based practices other organizations have implemented to decrease the ED patients' length of stay. Article inclusion was based on those strategies that would best fit the milieu of the ED and would be sustainable. Four themes including guidelines, algorithms, expanded services, and modified processes were identified through comprehensive analysis of pertinent literature. A presentation to the 20 member multidisciplinary PFC team presented changes to the current system that may meet goals of reducing overcrowding, diversion, and patient boarding. Since door-to-admission and door-to-discharge times are reported quarterly to the PFC, members will be able to see the impact of the changes and on decreased times for ED patients.

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Kennedy, Belinda Anne. "The personality characteristics of emergency nurses." Thesis, The University of Sydney, 2014. http://hdl.handle.net/2123/12724.

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Background: There are ever increasing demands on the emergency nursing workforce so it is necessary to consider how to enhance the recruitment and retention of emergency nurses. Personality is known to influence occupational choice, yet there is a lack of research exploring how personality may influence the workforce decisions of emergency nurses. Aims: To establish the personality profile of a sample of emergency nurses, and to explore whether any relationship exists between their personality characteristics and time spent working within emergency nursing. Methods: A standardised personality assessment instrument, the NEO™-PI-3, was used along with a demographic survey. Data were collected from 72 emergency nurses in an Australian Emergency Department between July and October 2012. Descriptive statistics were used to report demographics and the personality assessment results were compared against general population norms in each of the five personality domains and their 30 associated facets using a one-sample t-test. A two-sided alpha level of .01 was determined to indicate statistical significance. Results: Emergency nurse participants scored higher than the population norms in the domains of extraversion, openness to experience and agreeableness, and in twelve facets, including excitement seeking, vulnerability and competence. Conclusion: The personality profile of this sample of emergency nurses is different from the established population norms. Further research is required to establish whether these study results are applicable to the wider emergency nurse workforce and to establish any link with personality and other nursing specialty choice, which may assist in improving nursing workforce retention and recruitment.

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Bechtel, Cynthia Francis. "Emergency Nurses’ Experiences with Critical Incidents: A Dissertation." eScholarship@UMMS, 2009. https://escholarship.umassmed.edu/gsn_diss/13.

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This qualitative descriptive research study was undertaken to describe the experiences of emergency nurses with critical incidents and identify strategies used to manage these situations in the emergency department setting. Critical incidents are events, such as death or serious injury, that cause a strong emotional reaction and may overwhelm a nurse‘s usual coping skills. Nineteen nurses who worked in one of two community-based emergency departments in Central Massachusetts were interviewed and asked to describe a critical incident they had experienced in their nursing career. Qualitative content analysis revealed two major themes: (1) critical incident experiences; and (2) aftermath; and five subthemes: (a) connections; (b) workplace culture; (c) responses; (d) lasting effects; and (e) strategies. Critical incidents were limited to events with children, patient deaths, and interactions with family; this differed from prior research in that no incidents were identified involving multiple casualties, violence, or mutilating injuries. Connections occurred when the patient was known to the nurse or reminded the nurse of self or family. Responses were the reactions of the participants to the critical incident and were physical, psychological, and spiritual in nature. The majority of study participants cried in response to a critical incident. Workplace culture, a subtheme not found in other studies, involved their perceptions of expected behavior in the emergency department and emphasized the influence of workplace culture on newer or inexperienced nurses. The theme of aftermath described the time period following critical incident. Lasting effects occurred in the form of vivid memories that were triggered by different stimuli. The subtheme, strategies, revealed that nurses desired, but lacked formal strategies to manage their reactions following a critical incident. Thus, they described the use of informal strategies such as talking to co-workers and family members. Implications of this study support the need for educational preparation and support of emergency nurses who deal with critical incidents in the workplace. Intervening during the critical incident experience and having follow-up strategies in place to prevent distress and enhance coping in the aftermath are important for well-being, practice, and patient care in the emergency setting.

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Han, Chin-Yen. "Emergency department nurses' experience of implementing discharge planning for emergency department patients in Taiwan : a phenomenographic study." Thesis, Queensland University of Technology, 2008. https://eprints.qut.edu.au/17003/1/Chin-Yen_Han_Thesis.pdf.

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During recent reforms to the Taiwanese health care system, discharge planning for hospital patients has become an issue of great concern as a result of shorter hospital stays, increased health care costs and a greater emphasis on community care. There are around five million patients visiting in emergency departments (ED) per year in Taiwan with up to 85% of these, 4,250,000 emergency patients, discharged directly from the emergency department. This significant number of ED visits highlights the need to implement discharge planning in the ED. ED nurses are not only responsible for providing appropriate assessments of a patient's future care needs but also for implementing effective discharge planning as a legal obligation; discharge planning is also a patient's right in Taiwan. For ED nurses to function effectively in the role of discharge planner, it is important that they have a comprehensive understanding of implementing discharge planning. To date, no published research focuses on nurses' experience of implementing discharge planning in the ED in Taiwan. This study is the first step in identifying the experience and understanding of nurses in implementing discharge planning in the ED in Taiwan and may have implications worldwide. The purpose of this study was to identify and describe the experience and understanding of the qualitatively different ways in which ED nurses’ experience of implementing discharge planning for emergency patients in Taiwan. In order to identify and describe the experience of implementing discharge planning, the qualitative approach of a phenomenography was chosen. Thirty-two ED nurses in Taiwan who matched the participant selection criteria were asked to describe their experience and understanding of the implementation of discharge planning in the ED. Semi-structured interviews were audio-taped and later transcribed verbatim. The data analysis process focused on identifying and describing ways ED nurses’ experience and understanding of implementing discharge planning in the ED. There were two major outcomes of this study: six categories of description and an outcome space. These six categories of description revealed the experience and understanding of implementing discharge planning in the ED. An outcome space portraying the logical relations between the categories of description was identified. The six categories of description were implementing discharge planning as ‘getting rid of my patients’; implementing discharge planning as completing routines; implementing discharge planning as being involved in patient education; implementing discharge planning as professional accountability; implementing discharge planning as autonomous practice; implementing discharge planning as demonstrating professional nursing care in ED. The outcome space mapped the three levels of hierarchical relationship between these six categories of description. The referential meaning of implementing discharge planning was the commitment to providing discharge services in the ED. The results of this research contribute to describing the nurses’ experience in the implementation of the discharge planning process in the emergency nursing field, in order to provide accurate and effective care to patients discharged from the ED. This study also highlights key insights into the provision of discharge services both in Taiwan and World-wide.

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Han, Chin-Yen. "Emergency department nurses' experience of implementing discharge planning for emergency department patients in Taiwan : a phenomenographic study." Queensland University of Technology, 2008. http://eprints.qut.edu.au/17003/.

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During recent reforms to the Taiwanese health care system, discharge planning for hospital patients has become an issue of great concern as a result of shorter hospital stays, increased health care costs and a greater emphasis on community care. There are around five million patients visiting in emergency departments (ED) per year in Taiwan with up to 85% of these, 4,250,000 emergency patients, discharged directly from the emergency department. This significant number of ED visits highlights the need to implement discharge planning in the ED. ED nurses are not only responsible for providing appropriate assessments of a patient's future care needs but also for implementing effective discharge planning as a legal obligation; discharge planning is also a patient's right in Taiwan. For ED nurses to function effectively in the role of discharge planner, it is important that they have a comprehensive understanding of implementing discharge planning. To date, no published research focuses on nurses' experience of implementing discharge planning in the ED in Taiwan. This study is the first step in identifying the experience and understanding of nurses in implementing discharge planning in the ED in Taiwan and may have implications worldwide. The purpose of this study was to identify and describe the experience and understanding of the qualitatively different ways in which ED nurses’ experience of implementing discharge planning for emergency patients in Taiwan. In order to identify and describe the experience of implementing discharge planning, the qualitative approach of a phenomenography was chosen. Thirty-two ED nurses in Taiwan who matched the participant selection criteria were asked to describe their experience and understanding of the implementation of discharge planning in the ED. Semi-structured interviews were audio-taped and later transcribed verbatim. The data analysis process focused on identifying and describing ways ED nurses’ experience and understanding of implementing discharge planning in the ED. There were two major outcomes of this study: six categories of description and an outcome space. These six categories of description revealed the experience and understanding of implementing discharge planning in the ED. An outcome space portraying the logical relations between the categories of description was identified. The six categories of description were implementing discharge planning as ‘getting rid of my patients’; implementing discharge planning as completing routines; implementing discharge planning as being involved in patient education; implementing discharge planning as professional accountability; implementing discharge planning as autonomous practice; implementing discharge planning as demonstrating professional nursing care in ED. The outcome space mapped the three levels of hierarchical relationship between these six categories of description. The referential meaning of implementing discharge planning was the commitment to providing discharge services in the ED. The results of this research contribute to describing the nurses’ experience in the implementation of the discharge planning process in the emergency nursing field, in order to provide accurate and effective care to patients discharged from the ED. This study also highlights key insights into the provision of discharge services both in Taiwan and World-wide.

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Sands, Natisha. "Psychiatric triage nursing : the new frontier." Thesis, The Author [Mt. Helen, Vic.] :, 2002. http://researchonline.federation.edu.au/vital/access/HandleResolver/1959.17/67855.

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Hunter, Jessica L., and L. Lee Glenn. "Positive Experiences of Family Members in Emergency Departments: A Commentary." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/7467.

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Bruno, Joanne L. "The relationship between the knowledge and attitudes of emergency department nurses toward substance abuse /." Staten Island, N.Y. : [s.n.], 1991. http://library.wagner.edu/theses/nursing/1991/thesis_nur_1991_bruno_relat.pdf.

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Elisson, Esme. "What is the relationship between job satisfaction and personality typology in emergency department nurses? /." Staten Island, N.Y. : [s.n.], 1988. http://library.wagner.edu/theses/nursing/1988/thesis_nur_1988_eliss_relat.pdf.

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Wong, Hay-tai. "Attitudes of accident and emergency department nurses towards extending and expanding their professional roles in Hong Kong a pilot study /." Click to view the E-thesis via HKUTO, 2003. http://sunzi.lib.hku.hk/hkuto/record/B3197286X.

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Eagar, Sandy, University of Western Sydney, College of Social and Health Sciences, and of Nursing Family and Community Health School. "Emergency nurses stress support and burnout." THESIS_CSHS_NFC_Eager_S.xml, 2003. http://handle.uws.edu.au:8081/1959.7/716.

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This thesis examines the responses of one hundred and seventy three nurses who work in emergency departments in New South Wales to the psychological tenets of stress, support and burnout. Several tools were utilised the Maslach Burnout Inventory, the Jalowiec Coping Scale and the Bailey Stress Scale. The respondents were grouped according to their place of work and numerous variables were analysed for both similarities and significant differences. Overall nurses who work in emergency departments in NSW reported that the lack of in-patient beds or exit block was the most significant stressor in their work, followed by interruptions by telephones and uncontrolled volumes of patients. Although a variety of formal support systems available to emergency nurses were identified in this study a there was not universal agreement about their usefulness. Support from colleagues however was identified as sustaining and helpful. Reported coping styles of the respondents in this study were constructive, self reliant and professional. There was a very small number of respondents who can be classified as burnt out.
Master of Science (Hons.) Health

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Wood, Robert D. "Emergency Department Nurses' Suggestions for Improving End-of-Life Care." BYU ScholarsArchive, 2012. https://scholarsarchive.byu.edu/etd/3259.

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Introduction: Death is not an uncommon outcome for patients who seek immediate care in an emergency department. Although death is common in the emergency department there is little literature regarding end-of-life care in the emergency department. The purpose of this research study is to determine what changes emergency nurses would suggest to improve end-of-life care for dying patients and their families in emergency departments. Background: A national, geographically dispersed, random sample of 1000 emergency nurses were sent a questionnaire entitled, "Emergency Nurses' Perceptions of End-of-Life Care." Inclusion criteria included nurses who were members of the Emergency Nurses Association, could read English, worked in an emergency department, and had cared for at least one emergency patient at the end-of-life. Results: There was an overwhelming consistency in recommended changes to improve care of the dying emergency department patient by the nurses participating in the study. Five major themes were identified: 1) increasing the amount of time emergency nurses have to care for dying patients and their families; 2) consistently allowing family presence during resuscitation; 3) providing a comfortable patient room; 4) providing for more privacy at the end-of-life; and 5) providing a family grief room. Conclusion: The emergency department will continue to be the primary access point for dying patients to receive medical and nursing care. Implementing changes based on emergency nurse recommendations may dramatically improve the experience for the dying patient as well as their family members.

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Browne, Rose. "A study of the effect of Managed Care on the number of emergency room visits /." Staten Island, N.Y. : [s.n.], 1997. http://library.wagner.edu/theses/nursing/1997/thesis_nur_1997_brown_study.pdf.

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Fry, Margaret. "Triage Nursing Practice in Australian Emergency Departments 2002-2004: An Ethnography." University of Sydney, 2004. http://hdl.handle.net/2123/701.

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This ethnographic study provides insight and understanding, which is needed to educate and support the Triage Nursing role in Australian Emergency Departments (EDs). The triage role has emerged to address issues in providing efficient emergency care. However, Triage Nurses and educators have found the role challenging and not well understood. Method: Sampling was done first by developing a profile of 900 nurses who undertake the triage role in 50 NSW EDs through survey techniques. Purposive sampling was then done with data collected from participant observation in four metropolitan EDs (Level 4 and 6), observations and interviews with 10 Triage Nurses and the maintenance of a record of secondary data sources. Analysis used standard content and thematic analysis techniques. Findings: An ED culture is reflected in a standard geography of care and embedded beliefs and rituals that sustain a cadence of care. Triage Nurses to accomplish their role and maintain this rhythm of care used three processes: gatekeeping, timekeeping and decision-making. When patient overcrowding occurred the three processes enabled Triage Nurses to implement a range of practices to restore the cadence of care to which they were culturally oriented. Conclusion: The findings provide a framework that offers new ways of considering triage nursing practice, educational programs, policy development and future research.

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Bailey, Cara J. "Nursing Care at the End of Life in the Emergency Department." Thesis, University of Nottingham, 2009. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.517801.

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Johnson, Felicity. "The essence of expertise in Irish emergency nursing : A phenomenological inquiry." Thesis, Ulster University, 2010. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.532175.

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Background/rationale: While there was consensus in the literature that expert emergency nursing care was crucial for the acutely ill/injured emergency department patient, little of this research was focused specifically on Irish emergency nursing. Consequently, its distinct contextual essence and value were not acknowledged. By identifying and explicating this expertise as it unfolded within the working experience of Irish emergency nurses, it was intended to illuminate its essential nature. Because this study was rooted in clinical practice and in its myriad situations, it was anticipated that recognising and progressing this expertise would contribute to improved care for the emergency patient. Research approach: The aim of this interpretive study was to illuminate the expertise that a group of Irish emergency nurses deployed in their practice in order to gain a situated understanding of what this expertise meant to them. van Manen’s (1990) hermeneutical phenomenological approach was used throughout. Twenty qualified and experienced nurses in eight emergency departments throughout the Republic of Ireland, who were deemed expert in their practices by their peers and managers, were purposively sampled. Broadly, the research question concerned how these nurses viewed the nature, form and function of their expertise. Twenty in-depth, semi structured interviews in two discrete stages were carried out by the researcher. The resulting extensive data were analysed using a combination of van Manen’s (1990) iterative reflexive strategies and a computer analysis software programme called NVIVO 8). Findings: The participants articulated a wide range of professional practices characterising their expertise in the extensive data and these were filtered down and eventually represented by four broad interrelated themes. In summary, practice resilience, practice advocacy, practice wisdom and practice integrity encapsulated the essence of their expertise for these nurses. These findings will hopefully add to the body of nursing knowledge and contribute to future emergency nursing practice, education and research planning and policy.

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Fry, Margaret Mary. "Triage nursing practice in Australian emergency departments 2002-2004 an ethnography /." Connect to full text, 2004. http://hdl.handle.net/2123/701.

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Thesis (Ph. D.)--University of Sydney, 2005.
Title from title screen (viewed 19 May 2008). Submitted in fulfilment of the requirements for the degree of Doctor of Philosophy to the Dept. of Family and Community Health Nursing, Faculty of Nursing. Degree awarded 2005; thesis submitted 2004. Includes bibliographical references. Also available in print form.

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Bush, Burman Randi M. "Identifying drug-seeking behaviors in the emergency department." Honors in the Major Thesis, University of Central Florida, 2011. http://digital.library.ucf.edu/cdm/ref/collection/ETH/id/352.

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Pain is the leading cause of Emergency Department (ED) visits making it one of the primary concerns of the emergency medical field. The experience of pain is subjective and unique to every individual making it difficult to effectively manage. As a result, the subjective nature of pain is also commonly associated with drug-seekers often claiming to have pain simply to receive narcotics to support their addiction. There have been numerous studies completed to determine how to effectively recognize drug-seeking. This integrative literature review will identify the common behaviors that have been seen as indicators of drug-seeking in the ED. The evidence collected from articles published between 2001 and 2011 examined the use of assessment tools, drug screening, and prescription monitoring programs for distinguishing drug-seekers. The evidence did not identify a specific evaluation tool used to recognize drug-seekers; however, the research did suggested that using these techniques can help to identify drug-seeking behavior allowing emergency medical staff to effectively manage pain in the ED.
B.S.N.
Bachelors
Nursing
Nursing

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Ortiz, Alicia. "Using Health Literacy to Improve Emergency Department Discharge." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3716.

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Patients with limited health literacy often fail to understand verbal and written discharge instructions, and they frequently return to the emergency department (ED) for care. Patients returning to the ED and 30-day readmission rate are core quality performance measures. The purpose of this project was to decrease repeat visits and readmissions to the ED by implementing components of health literacy programs within the ED on patient education and written discharge instructions. Change implementation consisted of (a) use of teach back method (b) modifying medical terminology to language that patient could understand (c) limiting use of words with more than three syllables and (d) discouraging nursing practice of copying and pasting other completed clinician notes in discharge notes. Following the tenets of the logic model and Watson's caring theory, ED nurses (n=45) at a veteran's healthcare facility participated in the modification of the ED discharge note design. A retrospective quantitative design was used to obtain data from 5,474 records related to each patient's language preference, educational level, and the readability index of the discharge note pre-and post-modification of the note. The comparative analysis of the descriptive statistics before and after modification of the discharge note indicated a decrease of 1.75% in the readability index of the discharge note, a 24% decrease in return visits within 30 days and a 40% decrease in readmission rate within 30 days. Healthcare costs and health disparities associated with health literacy decrease if patients comprehend discharge instructions. Understanding verbal and written discharge instructions correlates with healthy communities. Health literacy policies and technological innovation can promote health literacy and research on health literacy.

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Vinesky, Deborah Michelle Mrs. "Compassion Fatigue and Spiritual Practices in Emergency Room Nurses." Case Western Reserve University Doctor of Nursing Practice / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=casednp1602071588723946.

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Riordan, Geraldine M. "Triage in Health Department of Western Australia accident and emergency departments." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 1995. https://ro.ecu.edu.au/theses/1182.

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A survey of triage systems used in Health Department of Western Australia accident and emergency departments was undertaken to examine differences in practices between departments with and without designated triage nurses (TNs). One questionnaire surveyed 93 nurses in seven departments with TNs, a similar second questionnaire surveyed 89 nurses in 16 departments without TNs, and a third questionnaire was used in a structured telephone interview of receptionists in hospitals without TNs. Data were analysed using frequencies, percentages, means, standard deviations and ranges with common themes identified for open ended questions. The study was guided by Donabedian's systems evaluation model. The structures and processes of triage within each department were examined in relation to the outcome standards recommended by the Australian Council on Healthcare Standards. The study results revealed that triage nurses were employed in all departments where patient attendances exceeded 300 per week and nursing staff coverage in the department was higher than five per day. Three departments had introduced triage on weekends only, and these departments had the lowest nurse-patient ratio of one nurse per day to 74 patients per week. The highest nurse-patient ratio was in departments with TNs (1-35). Conclusions drawn from the findings suggest that when receptionists are the first person to see patients, they triage patients using an unsatisfactory two category priority system. The average waiting time to see nursing staff is too long in departments without TNs, 7.6 minutes, as compared to 3. 7 minutes in department with TNs. Nursing staff perceived that triage systems could be improved by having only experienced staff as the triageur. The surveillance of patients entering the department is unsatisfactory as 81% of departments without TNs and 43% of departments with TNs are unable to provide nurse surveillance. The surveillance of the waiting room is similarly unsatisfactory in many departments. All triage areas are inadequate, as facilities for private conversation, hand washing and physical assessment are not always available. The majority of departments without TNs do not have a satisfactory triage priority category system in place. The average time taken by nursing staff to triage patients is an acceptable 3.2 minutes in departments with TNs, and 5.3 minutes in departments without TNs. The practice of redirecting patients away from the department could compromise patient safety as patients are redirected away from most departments by any level of staff employed in the department, without any written documentation kept or any written criteria for the redirection of these non-urgent patients. The practice of ordering investigations and treating minor problems without referring to a doctor could also compromise patient safety, as most departments do not have written policies and guidelines to cover this practice. Most departments offer an inadequate triage training program of preceptoring only. Recommendations are focused on the reviewing of existing triage practices to comply with the standards identified.

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Nguh, Florence. "A Practice Guideline for Triaging Mental Health Patients in the Emergency Setting." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7946.

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Today's emergency departments (EDs) are challenged with increasing numbers of patients with behavioral health (BH) issues and associated management problems. Patients presenting in the ED are increasingly in need of BH services due to a lack of available services in the community. The implication is that ED staff are faced with conducting a comprehensive review of their systems and processes for BH care delivery to ensure that the needs of this population are safely met. Specifically, this DNP project addressed the lack of evidence-based screening tools for the ED triage area for patients with BH issues. The purpose was to develop a clinical practice guideline targeting an improved triage process for providers with BH patients in the ED setting. Using a modified Delphi technique and the AGREE II model, an expert panel comprised of ED leadership was convened to (a) identify challenges; (b) review a clinical practice guideline that addressed the identified challenges; and (c) approve the implementation of the clinical practice guideline, which included an evidence-based BH screening tool that identified BH needs and expedites the appropriate process of care. Key findings included two 2 components: the expert panel agreed to full implementation of the BH screening tool including the use of the accompanying software, after an in-depth educational process is completed for the ED staff. Potential implications for positive social change include the ability to readily and effectively screen BH patients and provide them with proper BH care while reducing the overall wait time and improving the patient's ED care experience.

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Kimble, Lynn. "Patients' perceptions of nurse caring behaviors in an emergency department." Huntington, WV : [Marshall University Libraries], 2003. http://www.marshall.edu/etd/descript.asp?ref=357.

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Jarvis, Alycia C. "A descriptive study: Observing interruptions to nurses in the emergency department." Case Western Reserve University Doctor of Nursing Practice / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=casednp1427751879.

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Zhang, Shengming. "The influencing factors of emergency nurses stress : a descriptive literature review." Thesis, Högskolan i Gävle, Avdelningen för vårdvetenskap, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-36816.

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41

Cooper, Mark Alastair. "Diversity and effectiveness of emergency nurse practitioner services in Scotland." Thesis, University of Glasgow, 2003. http://theses.gla.ac.uk/2780/.

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ENPs are practising throughout the different types of A&E department in Scotland, but educational preparation, scope of practice, job titles and grading vary considerably. The modified NGT was found to be an effective method to develop the Documentation Audit Tool which had good inter-rater reliability and stability. The RCT of ENP-led care was sufficiently large to demonstrate higher levels of patient satisfaction and clinical documentation quality with ENP-led compared to SHO-led care. The methods and tools developed for use in this trial could be used in other A&E departments to measure the quality of NEP-led care. Missed injuries were relatively rare, however around a fifth of patients sought unplanned follow-up; most from GPs, a smaller proportion returned to A&E. Monitoring returns to A&E may be a useful procedure to assess the quality of minor injury care. In summary, ENPs can provide care to patients with minor injuries, which results in high levels of patient satisfaction. Their clinical documentation is of a higher quality an complications in terms of missed injuries are low. However, A&E departments should consider ensuring they have systems in place to identify patients who re-attend, or who attend another health-care provider for unplanned follow-up, in order to ensure that missed injuries can be effectively monitored.

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Hutson, Hendy Dionne. "Compassion Fatigue in Emergency Department Nurses." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2984.

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Compassion fatigue (CF) is a problem seen within healthcare institutions worldwide, especially critical care units and emergency departments (EDs). The problem identified in this quality improvement (QI) project was CF, experienced by nurses in the ED. The effects of CF cross nurse-patient boundaries and negatively impact a patient's expectations of having a quality care experience. The Iowa model's evidence-based team approach was used to guide the development of the education initiative for nurses on recognizing, preventing, and identifying methods of coping with CF in the ED. The outcome products for the project included an extensive review of the literature, a curriculum plan to educate ED nurses on CF, and a pretest/posttest to validate ED nurses knowledge about CF. The content of the project was measured by 2 master's-level prepared education experts using a dichotomous scale. The format evaluated content material using total scores of 1 for content (not met) and total scores of 2 for content (met). The average score was 2, which demonstrated the objectives for the education initiative were identified and the goals were met. The content experts also conducted content validation of each of the 14 pretest/posttest items using a 4-point Likert scale ranging from 1 (not relevant) to 4 (highly relevant) that resulted in a content validation index of 1.00, showing that the test items were covered in the curriculum. Recommendations were made for item construction improvement and omission of the Iowa model from the curriculum plan and pretest/posttest. The project promotes social change through the facilitation of patient satisfaction, quality of patient care, and prevention of CF on nursing staff.

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Baranto, Suheyla, and Jonathan Gillberg. "Patientens upplevelse av möte med akutmottagningen : En litteraturstudie." Thesis, Högskolan i Borås, Akademin för vård, arbetsliv och välfärd, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-9849.

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Antalet besökare på akutmottagningar ökar runt om i landet och arbetsförhållandena för vårdpersonalen blir allt sämre. Triagesystemet används för att kunna sortera och prioritera akut sjuka patienter som är i behov av att omedelbart träffa läkare för bedömning. Den stora majoriteten av patienter som söker vård på en akutmottagning har dock inte livshotande tillstånd. De har således en lägre prioritering och står på så sätt inför en komplicerad situation med bristande information, okunskap och långa väntetider. Syftet med studien är att beskriva hur patienten upplever vården på en akutmottagning. Metoden författarna har valt att använda är litteraturstudie enligt Axelsons modell. Studien behandlar nio artiklar. De valda artiklarnas resultat sammanställs och bildar tillsammans teman och subteman i syfte att skapa en ny helhetsbild. I Resultat framkommer det att patienter upplever triageringen som positiv men att den efterföljande vården, med bland annat långa väntetider, bristande information och avsaknad av delaktighet, bidrar till en otrygg och frustrerande upplevelse för patienter av vården på en akutmottagning. Diskussionen belyser patientens upplevelse av triageringen och hur det kommer sig att just detta möte beskrivs som positivt av patienter. Vidare diskuteras den bristande informationen patienter upplever på akutmottagningar och hur detta påverkar patienten.

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Rohwer, Jonathan. "Rural Emergency Nurses' End-of-Life Care Obstacles Experiences: Stories from the Last Frontier." BYU ScholarsArchive, 2015. https://scholarsarchive.byu.edu/etd/5810.

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Introduction: Rural emergency nurses face unique obstacles to providing quality end-of-life (EOL) care. Stories provided by emergency nurses embody their most difficult EOL care obstacles. Methods: A questionnaire was sent to 53 rural hospitals. Respondents were asked to share stories that epitomized the obstacles faced while providing EOL care in the rural emergency setting. Results: The lack of an ideal death (nurse personally knows the patient, issues with family members, and unknown patient wishes) was the top obstacle. Other reported obstacles were insufficient ED staff and power struggles between nurses and physicians. Discussion: Rural emergency nurses often provide EOL care to friends and family members, while their urban counterparts are likely to transfer care to nurses with no relation to the dying patient. Not only does caring for patients, that the nurse knows or is related to, cause great distress to rural emergency nurses, this unfortunately common situation may also prevent patients from receiving the highest quality of EOL care. Conclusion: Emergency nurses often face obstacles that hinder their ability to provide high quality EOL care to patients. These obstacles are compounded by a unique set of challenges faced by nurses working in rural emergency departments. Stories from rural emergency nurses revealed that being unable to provide optimal care at the EOL, having difficulties with family members, or not knowing the patient's wishes for EOL care were the most common obstacles. Additional obstacles included stories about the impact of low or unavailable staff and feeling powerless in some EOL situations.

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Jackson, Kelly. "Qualitative Study Exploring Emergency Nurses' Perception of Patient-Initiated Violence." Thesis, University of Phoenix, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10750325.

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The purpose of this qualitative phenomenological study was to explore emergency nurses’ perception of patient-initiated violence in eastern Tennessee. Twenty-four rural eastern Tennessee nurses participated in the study. The 24 participants were assigned to one of four gender specific focus groups. The focus groups offered qualitative data associated with the phenomenon. Themes and subthemes emerged from the analysis of participants responses using Colaizzi’s (1978) strategies. The responses were segmented and compared to identify similar phrases or words. The data analysis detected five themes. Victimization manifested as participants’ feelings and a lack of executive leadership support. Re-victimization due to rural nurses’ continual exposure to patients who previously committed violent acts. A lack of executive leadership support was identified. Self-care deficit resulting from the participants’ post-exposure symptoms. Distinct gender differences were evident in this study. Implications include exploring an open dialogue between emergency nurses, nursing leadership, and executive leadership to develop policies that support the rural emergency nurse and establish policies that mitigate violence. Gender differences can be explored through individual discussion with emergency leadership leading to an individualized action plan that can foster self-care, employee engagement, and retain staff at the bedside.

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Frye, Elaine C. "Nontraditional Bed Utilization to Support Decompression of Emergency Department Crowding." Thesis, Saint Francis Medical Center College of Nursing, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10842813.

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Mitigating ED crowding will not be solved by working harder and faster, and is not a one-solution problem. There are tactics the ED can implement, tactics the inpatient units can implement, and tactics that should be implemented to support the transitioning of patients from the ED to the inpatient units. This DNP project focuses on implementing a pilot to evaluate the use of hall beds in the inpatient units for ED patients awaiting placement. This will be a significant change for the inpatient caregivers, and time and attention must be committed to the initial phase to promote cultural readiness in order to achieve success. Crowding in the ED is a facility problem, not an ED problem. A multipronged approach when mitigating ED crowding must emphasize safe, efficient patient care that leads to the best possible outcomes without delays in treatment, while still maintaining standards of care, respect for privacy, and clear communication with the patient. This project focuses on both providing care to adult general medical-surgical patients admitted to a Midwestern level-1 trauma center through the ED and reducing the volume of patients who leave before treatment complete or without being seen. In the end, this practice change will benefit patients seeking care in addition to capturing the lost patients and reimbursement that accompanies the care.

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Nentrup, Randall. "Emergency Hazardous Materials Incidents: Case Studies for EPA Federal OnScene Coordinators." Digital Commons @ East Tennessee State University, 1989. https://dc.etsu.edu/etsu-works/8562.

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Zaleski, Mary Ellen. "Development of an Evidence-Based New Graduate Nursing Orientation Program for the Emergency Department." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/1560.

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The traditional new graduate nurse (NGN) orientation process places NGN with an experienced preceptor for 24 weeks and requires clinical skills checklists to be completed by the preceptor, a practice which is not an evidence-based practice for orienting NGNs. The purpose of this quality improvement project was to develop an evidence-based orientation to decrease time requirements and standardize the processes and evaluation of the NGN in the emergency department. The project was informed by Benner's novice to expert theory and focused on acquisition of clinical skills. The project team included 6 stakeholders: the Doctor of Nursing Practice student-leader, the unit manager, and several preceptors and novice nurses. The current evidence was identified utilizing various search terms via OVID, CINAHL, and MEDLINE. Five emergency department nurse residency programs and 7 rubric-based criterion articles were identified and evaluated. The team synthesized the available evidence to create the program. Resulting products included guidelines, evaluation rubrics, and projected pathways for ongoing development. Content validation was undertaken using peer review by 2 nurse scholars with area expertise, after which the project team revised all products based on feedback. Together, these products comprise an evidence-based solution to the problematic orientation of NGNs in the institution's emergency department. Adoption of methods that have proven valuable in undergraduate education, such as incorporation of syllabi and rubrics, may increase retention and improve clinical judgment in the NGN. These improved educational outcomes will, in turn, promote improved health outcomes for patients. Outcomes for the project will be monitored using retention rates and the results of the Casey-Fink Graduate Nurse Experience Survey.

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Zaleski, Mary. "Development of an Evidence-Based New Graduate Nursing Orientation Program for the Emergency Department." Thesis, Walden University, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3728024.

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The traditional new graduate nurse (NGN) orientation process places NGN with an experienced preceptor for 24 weeks and requires clinical skills checklists to be completed by the preceptor, a practice which is not an evidence-based practice for orienting NGNs. The purpose of this quality improvement project was to develop an evidence-based orientation to decrease time requirements and standardize the processes and evaluation of the NGN in the emergency department. The project was informed by Benner’s novice to expert theory and focused on acquisition of clinical skills. The project team included 6 stakeholders: the Doctor of Nursing Practice student-leader, the unit manager, and several preceptors and novice nurses. The current evidence was identified utilizing various search terms via OVID, CINAHL, and MEDLINE. Five emergency department nurse residency programs and 7 rubric-based criterion articles were identified and evaluated. The team synthesized the available evidence to create the program. Resulting products included guidelines, evaluation rubrics, and projected pathways for ongoing development. Content validation was undertaken using peer review by 2 nurse scholars with area expertise, after which the project team revised all products based on feedback. Together, these products comprise an evidence-based solution to the problematic orientation of NGNs in the institution’s emergency department. Adoption of methods that have proven valuable in undergraduate education, such as incorporation of syllabi and rubrics, may increase retention and improve clinical judgment in the NGN. These improved educational outcomes will, in turn, promote improved health outcomes for patients. Outcomes for the project will be monitored using retention rates and the results of the Casey-Fink Graduate Nurse Experience Survey.

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Damberg, Jonas. "Availability of primary care physicians in nursing homes and home care nursing services and associations with emergency care consumption." Thesis, Örebro universitet, Institutionen för medicinska vetenskaper, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-61585.

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Dissertations / Theses on the topic 'Emergency nursing'

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