Emergency Nurse

The increasing use of healthcare services is leading to issues with hospital overcrowding and this is particularly apparent in emergency departments (EDs). Consequently, patients are being cared for in areas that were not designed for that purpose, such as waiting areas and corridors. This negatively affects nurses' and patients' experiences of care. This article provides a rapid review of the evidence on nurses' and patients' experiences of crowding, corridor care and boarding. The findings highlight three main elements experienced by staff and patients when caring or being cared for in such contexts: stress and frustration; dissatisfaction with care; and safety and coping mechanisms. Enhancing nurse autonomy and improving communication with patients could mitigate some of these negative experiences and thereby improve staff retention, reduce staff-patient conflict and reduce the likelihood of patients leaving the ED without being seen.

Steve Robertson

Tony Ryan

Ashfaque Talpur

Staff and patient experiences of crowding, corridor care and boarding: a rapid review

员工和患者对拥挤、走廊护理和滞留的体验：快速回顾

Evidence suggests that using a standardised triage system that categorises patients into levels of severity or acuity to prioritise their care can provide the greatest levels of patient safety. The use of a web-based app to record patient triage data can support operational decision-making, reduce the risk of errors and standardise the time it takes to record the data required for accurate triage. This article details one aspect of a three-stage research project undertaken in Thailand which aimed to improve the quality of nurse triage, reduce errors in triage decisions and decrease the time spent on triage through implementation of a patient triage app. The patient information input into the app at initial triage is automatically uploaded into the electronic patient record. The authors report the results of the third stage of the project, which aimed to analyse the feasibility of using the app by evaluating completion of patient records and user satisfaction levels.

Chatkhane Pearkao

Sitthichai Khongpirun

Evaluating emergency nurses’ use of and satisfaction with a web-based patient triage app

评估急诊护士对基于网络的患者分诊应用程序的使用情况及满意度

Hannah Lisbeth Doherty

Improving psychosocial assessment of children and young people in the emergency department: a service evaluation

改善急诊科儿童和青少年的心理社会评估：一项服务评估

Breaking bad news is a challenging yet essential part of the role of healthcare professionals who care for major trauma patients and their families. This service evaluation investigated healthcare professionals' attitudes and experiences regarding breaking bad news in the context of major trauma. Healthcare professionals were recruited from the South Wales Trauma Network and their views collected via an online survey based on the Breaking Bad News Attitudes Scale. The survey was completed by 149 healthcare professionals and the responses demonstrated a range of experiences of breaking bad news in major trauma care, with challenges such as the environment, building rapport and setting expectations.

Angharad Griffiths

Edward Baker

Exploring the experiences of healthcare professionals when breaking bad news in major trauma care

探索医疗专业人员在重大创伤护理中告知坏消息的经历

Patients diagnosed with cancer or suspected cancer during an emergency department (ED) presentation are often signposted back to their GP for urgent referral to cancer services. However, this can result in delays in patients receiving specialist support, confirmation of diagnosis and, vitally, starting treatment. A quality improvement initiative that aimed to address these issues through the introduction of an ED suspected cancer diagnosis pathway was implemented by the acute oncology service in two EDs in Oxford University Hospitals NHS Foundation Trust in April 2023. Data collected during the first year of implementation of the pathway show there has been a significant increase in the numbers of patients meeting the NHS England 62-day referral to treatment standard and in the numbers of patients receiving support from an acute oncology named cancer clinical nurse specialist from the point of discharge from the ED. This article details the initiative, which is ongoing, and shares some of the results from the first year of data collection.

Kay McCallum

Clare Jacobs

Phillipa Johnstone

Implementing a pathway for patients diagnosed with cancer in the emergency department

在急诊科为确诊癌症患者实施治疗路径

Mark Jones

Simon Amphlett

Delivering a mental health response vehicle service in Wales: a pilot initiative

在威尔士提供心理健康应急车辆服务：一项试点计划

As a nurse off-duty, how can you maintain professionalism when asked for health advice by your friends and family?

Liz Charalambous

What do I tell friends who want my ‘medical opinion’?

我该如何告诉想征求我“医学意见”的朋友？

ISSN	1354-5752, 2047-8984
h-index	20

涉及主题	医学心理学医疗急救护理部精神科政治学
出版信息	出版商: RCN Publishing Company Ltd.，出版周期: ，期刊类型: journal，开源期刊: 否
基本数据	创刊年份: 1998，原创研究文献占比: 0.00%，自引率:N.A.， Gold OA占比: 0.00%

Emergency Nurse

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Staff and patient experiences of crowding, corridor care and boarding: a rapid review

Evaluating emergency nurses’ use of and satisfaction with a web-based patient triage app

Improving psychosocial assessment of children and young people in the emergency department: a service evaluation

Exploring the experiences of healthcare professionals when breaking bad news in major trauma care

Implementing a pathway for patients diagnosed with cancer in the emergency department

Staff and patient experiences of crowding, corridor care and boarding: a rapid review

Evaluating emergency nurses’ use of and satisfaction with a web-based patient triage app

Improving psychosocial assessment of children and young people in the emergency department: a service evaluation

Delivering a mental health response vehicle service in Wales: a pilot initiative

What do I tell friends who want my ‘medical opinion’?