In an effort to improve the quality and flow of care provided to children presenting to the emergency department the implementation of nurse-initiated protocols is on the rise. We review the current literature on nurse-initiated protocols, validated emergency department clinical scoring systems, and the merging of the two to create Advanced Nursing Directives (ANDs). The process of developing a...

INTRODUCTION The project Mission Woman was set up to describe how the service offered by the Emergency Department of the Hospital San Camillo-Forlanini in Rome was perceived by women victims ( or supposed to be) of violence. The objective of this investigation is to frame clients' perception about the service offered by staff in terms of sensitivity, recognition and management of the issue. The...

Hospital operating theaters often face the problem of unscheduled emergency arrivals that should be treated as soon possible. In practice different policies are used to allocate these patients rooms. These (1) keeping rooms empty and available for arrivals; (2) treating in elective rooms, postponing patients; (3) a mix two policies. The use specific policy affects performance (e.g., utilization...

OBJECTIVE Understand the conditions involved in the management of nursing care in emergency care units. METHODOLOGY Qualitative research using the methodological framework of the Grounded Theory. Data collection occurred from September 2011 to June 2012 through semi-structured interviews with 20 participants of the two emergency care units in the city of Florianopolis, Brazil. RESULTS Hinde...

introduction: development of nursing profession is faced with new challenges. role of education is important for advancement of nursing. faculty members are experienced in education, and they are authentic sources for determining of the educational challenges in nursing. the aim of this study was to determine the educational challenges in nursing from the viewpoint of faculty members of nursing...

OBJECTIVES To determine whether environmental cleaning and contamination are associated with variation in the prevalence of methicillin-resistant Staphylococcus aureus (MRSA) between nursing homes. DESIGN Prospective study of environmental contamination and cleaning quality. SETTING Nursing home. PARTICIPANTS Ten California nursing homes. MEASUREMENTS Nursing homes were categorized into...

Undergraduate emergency nursing students are often exposed to stress when helping patients in emergency situations. Emergency nursing students are vulnerable to the development of symptoms of post-traumatic stress Disorder (PTSD). Stress reactions among helpers can be regarded as a natural behavior and reaction when experiencing a traumatizing event and by the stress resulting from helping or w...