International Emergency Nursing国际急诊护理
International Emergency Nursing(英文缩写 INT EMERG NURS),ISSN 1755-599X,eISSN 1878-013X,中文译名:国际急诊护理 是一本学术期刊。本页汇总该期刊的最新影响因子、分区信息以及最新收录于 PubMed 的文献,帮助您快速了解期刊全貌。
发文量统计区间：2025-10-01 至 2026-09-30，按本站收录文献的发表日期统计。
期刊介绍
历年影响因子趋势
| JCR 数据年份 | 影响因子 | JCR 分区 |
|---|---|---|
| 2021 | 2.613 | Q1 |
| 2022 | 1.800 | Q3 |
| 2023 | 1.800 | Q2 |
| 2024 | 2.000 | Q2 |
| 2025 | 2.200 | Q2 |
International Emergency Nursing 最新收录文献
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1. Student paramedics' experiences of reflection: A systematic integrative literature review.
PMID:日期:2026-09-19Reflective practice is an essential skill to possess as a healthcare professional and is a fundamental part of all registered United Kingdom health professions, including paramedics. Whilst reflective practice has been studied in a variety of settings, little is known about how student paramedics experience reflection. A systematic integrative review of literature was conducted to answer the research question 'How do student paramedics experience reflection?' Bibliographic databases were systematically searched in November 2024 and again December 2025. Inclusion and exclusion criteria were applied to identify nine studies to be used for thematic analysis, with an additional three studies added from the December 2025 search, for a total of 12 studies used for analysis. Thematic analysis was carried out on the 12 studies and identified one overarching theme 'Becoming a reflective practitioner' with four contributing subthemes: 'Developing reflection as a skill'; 'Experiences that trigger reflection'; 'Emotional insight and learning'; 'Importance of facilitation for reflection'. Reflection is often assumed and underexplored in paramedic student literature. Many studies are based in simulated environments, limiting the transferability of reflective tools to practice-based learning. Alternative strategies, such as peer-to-peer debriefing, show promise but their viability in placements remains unclear. Facilitation is consistently identified as essential, with mentors playing a significant yet complex role in supporting reflection. Overall, the evidence base remains incomplete, highlighting the need for further research into student understanding, reflective experiences, and facilitation within practice-based learning.
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2. "Validity and accuracy of Manchester triage system with vignettes cases: A multicentric study".
PMID:日期:2026-09-19Triage is a critical component of emergency department practice. Evaluating triage accuracy is essential for improving and standardizing triage practice. Clinical vignettes can simplify complex triage scenarios and highlight key variables. This study aimed to assess MTS accuracy as applied by triage nurses against an expert-panel reference standard. We conducted a prospective, multicentre study from May 2024 to March 2025 across seven emergency departments in Spain. Forty validated real-case clinical vignettes were developed, and a panel of triage experts established the reference standard for priority level, flowchart and discriminator, each vignette contained all information necessary for triage. MTS version 3.6 was used. Accuracy was assessed overall and separately for each component. A total of 100 nurses participated (median age, 39.1 years). Overall accuracy was 75.98% (mean, 30.4; SD, 3.93), with 94.0% for flowchart, 80.3% for discriminator, and 83.5% for priority-level selection. Mean under-triage and over-triage rates were 10.1% and 6.3%, respectively. Nurses with >30 correctly classified vignettes had significantly more MTS experience. Specificity was 94.8% and NPV 95.9%. Interobserver agreement was substantial (Fleiss' κ = 0.681, 95% CI 0.614-0.759). Trained nurses demonstrated good MTS accuracy, high specificity, and substantial interobserver agreement under standardized vignette-based conditions.
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3. Discrepancies between predicted and actual time delays in the in-Hospital Management of Acute Cerebral Infarction: A prospective observational study.
3. 急性脑梗死院内管理中预测与实际时间延迟的差异：一项前瞻性观察性研究PMID:日期:2026-09-16Effective time management is critical to achieving successful recanalization in acute cerebral infarction. In-hospital delays, however, remain a major challenge. This study aimed to quantify discrepancies between healthcare providers' predicted and actual times spent on critical steps in acute cerebral infarction management, and to identify specific, modifiable contributors to in-hospital delay that can inform targeted process optimization. A single-center prospective observational study was conducted at a national stroke center. Thirty staff involved in acute ischemic stroke care including emergency physicians, neurologists, neurointerventionalists, neurointerventional suite nurses and medical imaging/clinical laboratory physicians were randomly selected. Participants were asked to estimate the time required for critical steps in the patient management process. These predictions were compared against the actual times recorded during clinical practice. Initial physician contact to completion of imaging was reduced by 1.83 min (95% CI: -2.97 to -0.96), representing a 26.1% reduction in time. Neurologists received consultation requests from emergency physicians to initial patient contact was shortened by-0.16 min (95% CI: -0.82 to 0.49), representing a 4.7% reduction. Physicians' actual time management took less time than predicted, while other physicians' actual time management took longer than predicted, resulting in delays. The difference between predicted and actual time from emergency physician's initial patient contact to completion of imaging examination (t(95% CI:0.77 to 2.89) = 3.53, p = 0.001); Difference between predicted and actual time from patient family consent for neuroendovascular procedure to patient transport to suite (t(95% CI:-3.51 to -0.16) = -2.24, p = 0.03); Difference between predicted and actual time from family consent for neuroendovascular procedure to patient transport to suite (t(95% CI:-4.31 to -2.02) = -5.6, p < 0.05); Difference between predicted and actual time from receiving neuroendovascular procedure orders to initial patient contact by suite nurses (t(95% CI:-3.42 to -1.85) = -6.84, p < 0.05); Difference between predicted and actual time from receiving laboratory test orders to issuing patient results (t(95% CI:-5.92 to -3.55) = -8.14, p = 0.001). Clinical healthcare providers consistently underestimate the time required for critical steps in acute cerebral infarction management and this prediction bias is a major cause of in-hospital delays. To optimize patient outcomes, stroke centers must establish more scientific and standardized time management protocols, alongside effective cross-departmental coordination mechanisms, to improve the efficiency of the entire in-hospital treatment pathway.
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5. Adaptive clinical command and operational resilience in maritime mass casualty incidents: A qualitative study.
PMID:日期:2026-09-06Maritime mass casualty incidents (MCIs) present significant operational challenges due to environmental instability, geographic isolation, and delayed sea-to-shore evacuation. Despite increasing maritime disaster risks, limited evidence exists on how emergency personnel experience and enact coordinated responses and operational resilience in island settings. A qualitative descriptive study was conducted using individual semi-structured interviews with 12 emergency physicians and emergency nurses involved in maritime MCIs coordination in southern Thailand. Data were analysed using reflexive thematic analysis, with the incident command system (ICS) providing a structural lens and adaptive clinical command informing interpretation of adaptive coordination and decision making. Three interrelated patterns relevant to operational resilience were identified: (1) operational volatility, characterised by environmental instability, delayed evacuation, and fluctuating patient surges; (2) adaptive clinical command, involving flexible triage, dynamic resource allocation, and cross-agency coordination; and (3) community-embedded interoperability, reflecting the contributions of local responders, shared training, and distributed response capacity. Together, these interrelated patterns illustrate how coordinated response is sustained under conditions of uncertainty. Operational resilience in maritime MCIs emerges from the interaction between structured command systems, adaptive frontline leadership, and distributed response capacity. Adaptive clinical command represents an important capability through which emergency physicians and nurses support situational awareness, coordination, and flexible decision-making during uncertain and resource-constrained maritime emergencies. Strengthening communication interoperability, adaptive leadership, and community-integrated preparedness may enhance disaster readiness in geographically isolated maritime settings.
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6. Healthcare practitioners' use of the HEART score for risk stratification and management of adults with acute chest pain presenting to the emergency department: A scoping review.
PMID:日期:2026-09-06Chest pain is one of the most common reasons for visits to the Emergency Department (ED) worldwide. Effective risk stratification tools are essential for distinguishing between life-threatening cardiac events and non-cardiac causes. The HEART score is a widely used clinical decision tool designed to assist in this process. This review aims to synthesise the evidence on healthcare practitioners' use of the HEART score for risk stratification and management of adults with acute chest pain presenting to the ED. A scoping review methodology, based on the Joanne Briggs Institute (JBI) framework, was employed. The review is reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-analysis for Scoping Reviews (PRISMA-ScR). The Population - Concept - Context (PCC) framework was used to inform the development of the research question and the inclusion and exclusion criteria. Six electronic databases (CINAHL, Medline, SCOPUS, PubMed, Embase, and GreyLit) were searched from January 2015 to January 2025. Screening was conducted independently by two reviewers against eligibility criteria, with regular meetings held to resolve issues and reach consensus. Data were extracted on study characteristics, use of the HEART score, methodology, patient outcomes and key findings. Fifteen studies from seven countries were included, encompassing a range of study designs and large variability in sample size. The HEART score demonstrates high inter-operator reliability, with the strongest agreement observed in objective components such as age and troponin levels, and comparatively lower agreement in more subjective elements, particularly patient history. In addition, the HEART score shows strong predictive performance for major adverse cardiac events (MACE), with consistently low event rates (0-2%) among low-risk patients and substantially higher rates observed in intermediate and high-risk groups. High sensitivity supports its safety in identifying patients suitable for early discharge. However, variation in clinician adherence was evident, with low-risk patients frequently admitted despite minimal MACE incidence. Implementation of the HEART pathway was associated with reductions in hospitalisations and diagnostic testing without compromising patient outcomes, highlighting its value in optimising ED utilisation. The HEART score is a reliable and effective risk assessment tool for assessing patients with chest pain in the ED. It demonstrates strong predictive accuracy for adverse cardiac events and supports improved patient flow. However, variability in clinician adherence, particularly among less experienced practitioners, may limit its full potential. Enhancing education, supporting clinical decision-making, and integrating the HEART score into clinical structured care pathways may optimise its use and improve patient outcomes.
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7. Model of clinical decision-making ability and handover evaluation of emergency department nurses for inbound patients.
PMID:日期:2026-09-01Emergency department handovers are vital for patient safety. However, factors influencing nurses' clinical decision-making ability in inbound handovers remain insufficiently understood. We aimed to construct a hypothetical model of factors influencing clinical decision-making ability and handover evaluation among emergency department nurses for inbound patients in the emergency department. Structural equation modelling was utilised to verify the goodness-of-fit of the model and the significance of the paths. Data were collected from 223 emergency department nurses using a structured web-based self-report survey conducted from 28 to 29 August 2023. Confirmatory factor analysis and structural equation modelling were performed. The final model showed an improved fit compared with the initial model. Clinical decision-making ability was directly influenced by knowledge-sharing behaviour, autonomy, and critical thinking disposition, and indirectly by work complexity, nursing work environment, knowledge-sharing behaviour, and autonomy. Handover evaluation was directly influenced by nursing work environment, knowledge-sharing behaviour, and clinical decision-making ability, with indirect effects from work complexity, nursing work environment, knowledge-sharing behaviour, and critical thinking disposition. We established a structural model that provides a foundation for educational programmes and interventions to enhance emergency department nurses' clinical decision-making and handover performance.
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8. Exploring patients' experiences of nursing care and participation in trauma care following thoracic injury.
PMID:日期:2026-08-31Traumatic thoracic injuries constitute a major global health burden, associated with high mortality, severe complications, and complex care needs. The acute and unpredictable nature of trauma care often limits early patient involvement despite the importance of person-centred care for safety and recovery. Although nurses provide crucial technical and holistic support, organisational pressures may hinder psychosocial care. This study aimed to explore how patients with traumatic thoracic injuries experience nursing care and participation in a trauma care unit. Sixteen semi-structured individual interviews with patients who had sustained a traumatic thoracic injury were conducted in a level 1 trauma centre. The data were analysed using thematic analysis and an inductive approach. The main findings revealed that organisational factors and relational aspects directly influenced the delivery and continuity of nursing care. Organisational factors affected the delivery and continuity of care. Relational aspects, such as attention to individual preferences and basic care needs, and recognition of the patient's capability, influenced perceptions of dignity, participation, trust, and safety. Organisational factors and relational aspects shape the quality of trauma nursing, relying not only on adequate resources and professional competence, but equally on the relational integrity of everyday clinical encounters.
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9. Factors affecting paramedics situational awareness in out of hospital emergencies: A mixed methods systematic review.
PMID:日期:2026-08-27Out-of-hospital emergency care is complex, time-critical, and demands rapid decisions that directly affect patient safety. Paramedics deliver life-saving treatment in unpredictable environments, requiring swift judgment and adaptability under pressure. Despite expertise, errors occur-especially under stress. Situational awareness (SA), the ability to perceive, interpret, and anticipate key elements, is vital for safe, effective care and coordination. Yet research on how paramedics develop and maintain SA in these challenging settings remains limited, leaving critical knowledge gaps. This mixed methods systematic review synthesizes evidence on factors influencing paramedics' SA in out-of-hospital emergency care. Following PRISMA 2020 and JBI guidelines, a comprehensive search of MEDLINE, CINAHL, PsycINFO, and EMBASE identified studies published from 2013 onward. Four recurring factors affecting SA emerged: The Individual: Cognitive Capacity & Expertise, The Systems: Information Flow & Technological Integration, The Team: Leadership & Distributed Communication, and The Context: Environmental & Scene Complexity. SA depends on the interaction between individual cognitive capacity and expertise, system-level information flow and technological integration, team-based leadership and communication, and environmental and scene complexity. The findings demonstrate that SA is not an isolated individual skill but an emergent and fragile phenomenon shaped by cognitive, organizational, and contextual demands.
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10. A quantitative retrospective bibliometric analysis of the evidence underpinning current emergency care, 1966-2025.
PMID:日期:2026-08-27Bibliometric analysis (BA) is the quantitative analysis of evidence. BAs measure and map research activity by examining publication trends in geographic distribution, journals, authors, institutions, keywords, citations, and collaboration networks. This BA mapped the multidisciplinary evidence informing emergency care (EC). This BA therefore includes the nursing discipline. A retrospective quantitative BA of EC evidence was completed using validated methods. Data were sourced from ClinicalTrials.gov and Clarivate Web of Science. VOSviewer and Microsoft Excel enabled analysis. Since 1966, n = 172,714 publications across EC disciplines have been indexed, with n = 76,017 (44%) published since 2016. Annually, an average of n = 2831 publications emerge (R = 0.702), with the United States, Germany, and England making the greatest contributions. Annals of Emergency Medicine was the leading journal. The top 1% most-cited publications (n = 92) had a mean citation rate of 291. Original articles accounted for 63.9% (n = 110,501) of publications. Analysis of 137 emergent keywords revealed that management, mortality, care, survival, and outcomes were dominant research themes. As of November 27, 2025, n = 1164 clinical trials were in progress, mostly North American (n = 575; 49.3%), being focused on drug trials (n = 310; 26.6%). This BA provides a comprehensive map of the EC multidisciplinary evidence since 1966. Despite substantial growth, investment is needed in EC-focused research, evidence synthesis, and global research capacity. Ongoing BA can inform EC nursing research priorities, funding, and knowledge translation, providing a strategic roadmap to strengthen nursing leadership, education, and translation of evidence into EC practice.