Overview of emergency nursing in Australasia

Fry, Margaret

doi:10.1016/j.ienj.2008.01.003

Cited by 9 publications

(4 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Since then increasing demand for emergency care, advances in technology, and improvements in resuscitation procedures have led to a need to expand services and create a specialty area for the delivery of emergency care. 2 By 1985 these changes raised the expectation that both nursing and medical staff needed to become highly trained, specialised and permanently based in ED. Emergency nurses require in-depth knowledge and clinical expertise to provide care across the 1574-6267/$ -see front matter © 2007 College of Emergency Nursing Australasia Ltd.…”

Section: Introductionmentioning

confidence: 99%

“…doi:10.1016/j.aenj.2007.11.004 lifespan and to manage situational events such as patient overcrowding and the use of complex technology. 2 This has resulted in ED nurses spending more that 50% of their clinical time on indirect patient care tasks, and a resultant decrease in time to perform basic nursing care. 3 Overcrowding is the result of 'Access block', which is defined as a patient who is ready for transfer to the ward but remains in the ED for longer than 8 h because of the lack of an inpatient bed.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Back to basics—Essential nursing care in the ED

Curtis

Wiseman

2008

Australasian Emergency Nursing Journal

View full text Add to dashboard Cite

Emergency nurses are expected to work under pressure to many standards, guidelines and protocols related to patient care, and often in an advanced practice role. These expectations can sometimes take priority over basic nursing care once emergency/resuscitative intervention has occurred. However, posing the question 'How would I want this patient to be cared for if they were my grandmother/father/child?' sets a benchmark for nursing practice [Fulbrook P, Grealy B. Essential nursing care of the critically ill patient. In: Elliot D, Aitken L, Cheboyer W, editors. ACCCN critical care nursing. Sydney: Elsevier; 2006]. How well patients are cared for has a direct effect on their sense of well-being and their recovery. Effective communication is essential to good nursing care and patient outcomes. The length of stay of the patient in the ED may be extended, and the use of ''holding'' wards while waiting for investigation results of patients for probable discharge necessitates the ED nurse to consider basic but essential aspects of nursing care that will be discussed. Other essential aspects of care such as psychosocial; including culture, pain management and infection control are beyond the scope of this paper.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Back to basics—Essential nursing care in the ED

Curtis

Wiseman

2008

Australasian Emergency Nursing Journal

View full text Add to dashboard Cite

show abstract

“…Emergency nursing, as a specialty practice, is depicted through the nurses’ body of knowledge and skills and the scope of the practice of emergency nurses at the clinical level that is linked to the characteristics of emergency care services roles. 40 Furthermore, the concept of extending the ED nursing practice pointed to the importance of the existence of the emergency nurses’ role at the advanced level which is linked to the nurses’ competencies or knowledge and skills at the specialty level. This competency at the specialty level is critical to support quality and safe emergency nursing care services.…”

Section: Discussionmentioning

confidence: 99%

Emergency Nurses’ Competency in the Emergency Department Context: A Qualitative Study

Trisyani¹,

Emaliyawati²,

Prawesti³

et al. 2023

OAEM

View full text Add to dashboard Cite

Background The availability of clear emergency nurses’ competencies is critical for safe and effective emergency health care services. The study regarding emergency nurses’ competencies remained virtually limited. Purpose This study aimed to explore the emergency nurses’ competencies in the clinical emergency department (ED) context as needed by society. Methods This qualitative study involved focus group discussions in six groups of 54 participants from three EDs. The data were analysed using grounded theory approach including the constant comparative, interpretations, and coding procedures; initial coding, focused coding and categories. Results This study revealed 8 core competencies of emergency nurses: Shifting the nursing practice, Caring for acute critical patients, Communicating and coordinating, Covering disaster nursing roles, Reflecting on the ethical and legal standards, Researching competency, Teaching competencies and Leadership competencies. The interconnection of the 8 core competencies has resulted in 2 concepts of extending the ED nursing practice and demanding the advanced ED nursing role. Conclusion The finding reflected the community needs of nurses who work in ED settings and the need for competency development of emergency nurses.

show abstract

“…28 It has been suggested that it is small incremental differences along the cancer pathway that add up to the overall disparity between Māori and non-Māori survival rates. 26 The specialised, episodic, emergency care that ED nurses are trained to provide to a very diverse population 29 does not always meet the needs of this highly specific patient group. 2 Pressure to meet imposed targets such as the ''6 h target'' described by participants and the urgent nature of the ED environment may not serve complexity well.…”

Section: Discussionmentioning

confidence: 99%