- Email: [email protected]
The needs of families of critically ill patients in the emergency department: A literature review
2009 CENA International Conference for Emergency Nursing
179
Facilitation of an undergraduate student program in an Emergency Department
ences Index and Abstracts, The Cochrane Library, PsycINFO and the Chinese Periodicals Index. Key words including ‘critical ill patient’, ‘family needs’, and ‘emergency department’ were used to search the relevant articles. Twenty-eight papers from western countries and seventeen papers from non-western countries were found. Both original and relevant articles were included. This literature review identified the needs of families of critically ill patients using the words ‘getting information related to illness’, ‘intimate with’, ‘guarantees again’ are higher and ‘the associated with environment and the psychological support are lower.’ Critically ill patients often arrive at the emergency department suddenly. Their family members are often vulnerable. When the family’s needs cannot be met, this can result in dissatisfaction with care, possibly leading to a conflict situation in the emergency department. Emergency nurses are the first professional staff to meet and take care of critically ill patients and their families. The results of this review suggest that emergency nurses need to enhance their ability to assess families’ needs. Nurse managers and nursing educators also need to provide adequate training and education programs for emergency nurses in order to improve the quality of care provided to critically ill patients and their families.
Erin Brown ∗ , Amy Hicks The Canberra Hospital Emergency Department, Yamba Drive, Garran, ACT 2605, Australia E-mail address: [email protected] (E. Brown). The Emergency Department environment provides unparalleled challenge for students during their undergraduate degree. For this reason, staff from The Canberra Hospital Emergency Department have implemented a new structured learning program which endeavours to facilitate the transition of final year nursing student’s to becoming a novice practitioner. Prior to the development of this program, the department did not have a structured learning program dedicated to the needs of undergraduate students. For this reason, the role of Student Development Nurse (SDN) was created. This role facilitates key aspects of learning by providing qualified preceptors, conducting a weekly 1 h debrief/learning session and providing timely constructive feedback. The SDN’s provide undergraduate students with rosters, assessment tasks and liaise regularly with the Emergency Department Educator, the hospital’s Student Placement Manager and University facilitators. The volunteer preceptors chosen for this program possess attributes including enthusiasm, dedication, approachability and excellent communication skills. The preceptors were required to have finished, or are completing the institutions preceptorship program. In addition, the preceptors must liaise with the SDN’s to provide feedback on the students and their current progress. This group of preceptors have one to three years emergency nursing experience, which enables them to relate effectively to the undergraduate nursing journey. This presentation will outline the issues identified by the SDN’s relating to the educational initiatives developed and the subsequent challenges of implementation of the undergraduate student learning program. Ultimately, the aim of this program is the retention of undergraduate students as future permanent staff for the Emergency Department. Keywords: Educational program; Emergency Department; Student learning; Constructive feedback; Retention of staff; Preceptorship doi:10.1016/j.aenj.2009.08.084 The needs of families of critically ill patients in the emergency department: A literature review Li Hsiang Wang ∗ , Chin-Yen Han Chang Gung Institute of Technology, 261, Wen-hwa 1st Rd, Kwei-shan, Taoyuan 333, Taiwan, ROC E-mail address: [email protected] (L.H. Wang). This paper systematically reviews the literature on the needs of families of critically ill patients in the emergency department from the perspective of different cultures. Databases included Medline, CINAHL, Applied Social Sci-
Keywords: nursing
Critical ill family needs; Culture; Emergency
doi:10.1016/j.aenj.2009.08.085 The medication audit of Nurse Practitioner prescribing at the Alfred Emergency and Trauma Centre—–The MANPP study John Thompson, Rebecca Sedgman, Natasha Jennings ∗ , Grainne Lowe, Shin Choo The Alfred Emergency and Trauma Centre, PO Box 315, Prahran, Vic 3181, Australia E-mail address: [email protected] (J. Thompson). Aims and objectives: The medication audit of Nurse Practitioner prescribing will evaluate the current categories of medications used in daily clinical practice and to inform the need for continuing education for Nurse Practitioners. The audit will also assist in the formulation of a current drug formulary. Background: Nurse Practitioners can safely prescribe medicines to their patients. Alike their medical colleagues, dentists and optometrists, the expansion of prescribing rights to other healthcare professionals is one approach that is complimentary in providing safe, efficient and high quality care to emergency patients. Since 2006, Nurse Practitioners at the Alfred Emergency and Trauma Centre, have been prescribing independently to their patients. Design: A retrospective case series of all patients seen by the Nurse Practitioners will be examined from January 2007 to January 2009. Entries into the professional log book will be utilised grouping medications into categories, i.e. analgesics, antibiotics, local anesthetics, antiretrovirals, etc. Conclusions: It is anticipated the results will be utilised to inform the Alfred’s Emergency Department Nurse Practitioner curriculum for professional development and set trends for the quality use of medicines by Emergency Nurse
179
Facilitation of an undergraduate student program in an Emergency Department
ences Index and Abstracts, The Cochrane Library, PsycINFO and the Chinese Periodicals Index. Key words including ‘critical ill patient’, ‘family needs’, and ‘emergency department’ were used to search the relevant articles. Twenty-eight papers from western countries and seventeen papers from non-western countries were found. Both original and relevant articles were included. This literature review identified the needs of families of critically ill patients using the words ‘getting information related to illness’, ‘intimate with’, ‘guarantees again’ are higher and ‘the associated with environment and the psychological support are lower.’ Critically ill patients often arrive at the emergency department suddenly. Their family members are often vulnerable. When the family’s needs cannot be met, this can result in dissatisfaction with care, possibly leading to a conflict situation in the emergency department. Emergency nurses are the first professional staff to meet and take care of critically ill patients and their families. The results of this review suggest that emergency nurses need to enhance their ability to assess families’ needs. Nurse managers and nursing educators also need to provide adequate training and education programs for emergency nurses in order to improve the quality of care provided to critically ill patients and their families.
Erin Brown ∗ , Amy Hicks The Canberra Hospital Emergency Department, Yamba Drive, Garran, ACT 2605, Australia E-mail address: [email protected] (E. Brown). The Emergency Department environment provides unparalleled challenge for students during their undergraduate degree. For this reason, staff from The Canberra Hospital Emergency Department have implemented a new structured learning program which endeavours to facilitate the transition of final year nursing student’s to becoming a novice practitioner. Prior to the development of this program, the department did not have a structured learning program dedicated to the needs of undergraduate students. For this reason, the role of Student Development Nurse (SDN) was created. This role facilitates key aspects of learning by providing qualified preceptors, conducting a weekly 1 h debrief/learning session and providing timely constructive feedback. The SDN’s provide undergraduate students with rosters, assessment tasks and liaise regularly with the Emergency Department Educator, the hospital’s Student Placement Manager and University facilitators. The volunteer preceptors chosen for this program possess attributes including enthusiasm, dedication, approachability and excellent communication skills. The preceptors were required to have finished, or are completing the institutions preceptorship program. In addition, the preceptors must liaise with the SDN’s to provide feedback on the students and their current progress. This group of preceptors have one to three years emergency nursing experience, which enables them to relate effectively to the undergraduate nursing journey. This presentation will outline the issues identified by the SDN’s relating to the educational initiatives developed and the subsequent challenges of implementation of the undergraduate student learning program. Ultimately, the aim of this program is the retention of undergraduate students as future permanent staff for the Emergency Department. Keywords: Educational program; Emergency Department; Student learning; Constructive feedback; Retention of staff; Preceptorship doi:10.1016/j.aenj.2009.08.084 The needs of families of critically ill patients in the emergency department: A literature review Li Hsiang Wang ∗ , Chin-Yen Han Chang Gung Institute of Technology, 261, Wen-hwa 1st Rd, Kwei-shan, Taoyuan 333, Taiwan, ROC E-mail address: [email protected] (L.H. Wang). This paper systematically reviews the literature on the needs of families of critically ill patients in the emergency department from the perspective of different cultures. Databases included Medline, CINAHL, Applied Social Sci-
Keywords: nursing
Critical ill family needs; Culture; Emergency
doi:10.1016/j.aenj.2009.08.085 The medication audit of Nurse Practitioner prescribing at the Alfred Emergency and Trauma Centre—–The MANPP study John Thompson, Rebecca Sedgman, Natasha Jennings ∗ , Grainne Lowe, Shin Choo The Alfred Emergency and Trauma Centre, PO Box 315, Prahran, Vic 3181, Australia E-mail address: [email protected] (J. Thompson). Aims and objectives: The medication audit of Nurse Practitioner prescribing will evaluate the current categories of medications used in daily clinical practice and to inform the need for continuing education for Nurse Practitioners. The audit will also assist in the formulation of a current drug formulary. Background: Nurse Practitioners can safely prescribe medicines to their patients. Alike their medical colleagues, dentists and optometrists, the expansion of prescribing rights to other healthcare professionals is one approach that is complimentary in providing safe, efficient and high quality care to emergency patients. Since 2006, Nurse Practitioners at the Alfred Emergency and Trauma Centre, have been prescribing independently to their patients. Design: A retrospective case series of all patients seen by the Nurse Practitioners will be examined from January 2007 to January 2009. Entries into the professional log book will be utilised grouping medications into categories, i.e. analgesics, antibiotics, local anesthetics, antiretrovirals, etc. Conclusions: It is anticipated the results will be utilised to inform the Alfred’s Emergency Department Nurse Practitioner curriculum for professional development and set trends for the quality use of medicines by Emergency Nurse