Journal of Emergency Nursing

Implementation of "STAMP" at Triage to Prevent Workplace Violence in the Emergency Department: A Quality Improvement Project
O'Bryon S, Stopyra J, Wardwell J, Gates C, Barnard K, Khoshnevis B and Munn LT
Workplace violence (WPV) is a significant concern in healthcare settings, especially in the Emergency Department (ED). Early identification of patients at risk for violent behavior is critical to WPV prevention and staff safety. The STAMP tool-Staring, Tone, Anxiety, Mumbling, and Pacing-is uniquely designed for the ED and guides clinicians in assessing behavioral cues associated with potential for violence. This project aimed to decrease staff injuries by implementing the STAMP tool at triage.
The Hidden Cost of Long Working Hours: Occupational Anxiety and Argumentativeness in Emergency Nurses
Özden G, Ceviz A, Aslan B and Gönültaş M
Emergency nurses face significant occupational challenges that affect workplace interactions. This study examined whether weekly working hours mediate the relationship between occupational anxiety and argumentativeness among emergency nurses. It was hypothesized that increased levels of both occupational anxiety and argumentativeness were associated with longer working hours.
Best Practices of Emergency Department Triage Training: A Systematic Review and Meta-Analysis Protocol
Jeamjitvibool T, Suamchaiyaphum K, Tomon S and Naknoi S
Accurate triage in emergency departments is critical to patient safety and resource management. Despite the widespread use of validated triage tools, decision-making inconsistencies remain, often owing to inadequate or variable training. Previous research suggests that structured training interventions can improve triage performance, but there is no consolidated evidence to guide best practices in training design.
Celebrating Our Accomplishments Amidst the Many Challenges We All Face
Oglesby R
Revisiting "The Rape Victim in the Emergency Ward": A Conversation With Dr Ann Wolbert Burgess
Valdez A
Evaluation of Nurse-Initiated X-Ray Protocols in Emergency Department Trauma Care
Sathian B, Iqbal J and Ahmad A
Acute Spinal Epidural Hematoma: A Serious Complication of Chiropractic Therapy-A Case Report
Ocak M, Erdem E, Unutmaz İ, Karakurt B, Güzel M, Yadigaroğlu M and Yücel M
Spinal epidural hematoma is a rare but potentially devastating condition that can result in permanent neurologic deficits if not diagnosed promptly. This case report presents a 48-year-old female patient with a medical history of systemic lupus erythematosus, renal transplantation, and hypertension who developed spinal epidural hematoma after chiropractic manipulation, leading to acute quadriplegia. The objective of this report is to highlight the potential for spinal epidural hematoma development in patients with comorbidities or underlying risk factors, such as systemic autoimmune disease, hypertension, or organ transplantation, after chiropractic manipulation and to emphasize the importance of early recognition to prevent serious neurologic sequelae.
Efficacy of Antichoking Suction Devices Versus Traditional Techniques: A Systematic Review and Meta-Analysis
Galarreta-Aperte S, Domínguez-Vías G, González-Díaz A, Lazo-Caparrós MD, Ramón-Arbués E and Gómez-Torres P
Foreign body airway obstruction is a time-critical emergency. Traditional techniques such as back blows and abdominal thrusts are widely recommended yet may be ineffective in certain populations. Antichoking suction devices such as LifeVac and Dechoker have gained popularity in out-of-hospital settings, despite limited supporting evidence.
Innovative Nurse, Quality Care: Individual Innovativeness and Caring Behaviors Among Pediatric Emergency Nurses-A Cross-Sectional Study
Esenay FI and Arıkan A
Pediatric emergency departments are high-intensity settings where nurses must make rapid decisions while delivering high-quality, compassionate care. Individual innovativeness has been identified as a potential factor influencing caring behaviors; however, its role in pediatric emergency nursing is not yet known. This study aimed to examine this relationship and the mediating role of demographic characteristics.
Comparison of Adolescent, Parent, Nurse and Physician Pain Assessment in Pediatric Emergency Departments
Menekşe D, Kabul F, Çınar N and Elmas B
The accurate and consistent assessment of pain in adolescents is very important for appropriate treatment and care. This study aimed to compare the pain assessment by parents, physicians, nurses, and adolescents in pediatric patients admitted to the emergency department for evaluation.
Effectiveness of a Tutoring Program for the Development of Competencies in Novice Nurses in a Hospital Emergency Service: Longitudinal Quasi-Experimental Study
Manero-Solanas M, Navamuel-Castillo N, López-Ibort N and Gascón-Catalán A
This study aimed to measure the effectiveness of a tutoring program designed for the development of competencies in novice nurses in a hospital emergency service. The development of nursing competencies is essential to ensure patient safety and quality care. Health care systems should implement programs that enhance competency and facilitate the professional transition of new nurses to ensure safe clinical environments.
Nursing-Led Quality Improvement Project Achieves 30-Minute Door-to-Needle Time
Powell K, Hebb A and Hackett CT
Despite efforts made within the emergency department, delays in intravenous thrombolytic time via telestroke remain.
Prehospital Interventions Provided by Helicopter Emergency Medical Services Teams: A Scoping Review
Hu X, Wu D, Jiang W and Chen C
The prehospital interventions provided by helicopter emergency medical services are crucial for improving rescue efficiency and success rates. We aimed to assess and describe the literature on prehospital rescue interventions provided by helicopter emergency medical services personnel worldwide.
Accessibility, Barriers, and Care: An Integrative Literature Review of Deaf and Hard-of-Hearing Patients in Emergency Departments
Hazelwood S, Dermer J, Wood N, Waldmann J and Neville S
Deaf and hard-of-hearing individuals encounter persistent barriers in emergency departments, where care often relies on rapid, spoken exchanges, auditory dominance, and limited willingness to adapt communication approaches. Without access to signed or visual communication, patient safety is compromised, informed consent becomes uncertain, and equitable care cannot be guaranteed.
Human Trafficking Survivor Advocate: Observational Evaluation of a Community-Based Pilot Program to Support Trafficked Persons in the Hospital Setting
Baldwin SB, Gibbs HA, LaChapelle L, Johanis A, Hancock L, Marquez S and Wirtz M
Trafficked persons commonly experience adverse health consequences. Despite presenting to hospitals, they often are not appropriately assisted. A health care system and community-based organization partnered to employ a survivor to support patients identified as victims, offering education and community resources.
The Junior Emergency Nurses' Psychological Experiences in Recognizing and Responding to Clinical Deterioration of Emergency Patients: A Qualitative Study
Zhang Y, Zhou G, Tan J and Peng L
Managing clinical deterioration in emergency departments is a critical aspect of patient safety. Junior nurses often face psychological challenges owing to their limited experience and the high-pressure environment, which can affect their performance and professional growth. Understanding these psychological experiences is essential for developing targeted support strategies. This study aimed to explore the psychological experiences of junior emergency nurses in recognizing and responding to clinical deterioration.
Staffing and Productivity in the Emergency Department
Peta D and Young Bradford J
Beneath the Personal Protective Equipment: Perspectives on Infection Prevention and Control From Emergency Department Health Care Personnel
Dasari L, Searle EF, Shum JM, Pellicane SL, Courtney A, Paras ML, Shenoy ES and Biddinger PD
Optimally following infection prevention and control practices in the emergency department can be challenging owing to patient crowding, high acuity of illness, and the presentation of patients with a wide range of undifferentiated illnesses, among other factors. Understanding how health care personnel in the emergency department perceive infection prevention and control challenges may help inform improvements in infection prevention and control practices.
Outcomes of the Use of Intuition in Nurses' Decision Making for Critical Care Patients: Scoping Review Protocol
Assis MM, Lopes MJ, Miguel S and Veludo F
Intuition plays a crucial role in nursing decision making, particularly in high-pressure environments such as emergency departments and intensive care units. Nursing decision making, especially in highly complex contexts, such as caring for patients in critical care, may involve intuition as a form of aesthetic knowledge that complements logical reasoning. Intuition enables the recognition of patterns, the anticipation of complications, and prompt action, thereby influencing the quality and safety of the care. Despite growing recognition of its relevance, the outcomes associated with the use of intuition remain insufficiently systematized, highlighting the need to map the available evidence within advanced nursing.
Associations Among Workplace Bullying, Workplace Social Capital, and Turnover Intention Among Iranian Emergency Nurses: A Cross-Sectional Study
Arminpor I, Khatooni M, Rashvand F and Momeni M
Emergency nurse turnover is troublesome and can affect the quality of patient care. Identifying factors contributing to nurse turnover is considered a key strategy to improve retention in the profession. This study aimed to determine the association among workplace bullying, workplace social capital, and turnover intention among Iranian emergency nurses.
Development and Validation of the Nurse Workplace Resilience Scale for Occupational Health During Public Health Emergencies
Hsu HC, Lee YH, Wu GH and Lin MH
Public health emergencies such as the coronavirus disease 2019 pandemic place immense demands on nurses worldwide, with high patient loads and resource constraints. Emergency nurses face extreme workloads, unpredictable patient surges, and psychological distress, yet existing resilience measures may not fully address these crises. This study developed and validated the Nurse Workplace Resilience During Emerging Infectious Diseases scale to assess and strengthen nurses' resilience, support mental well-being, and enhance preparedness in high-risk settings.