Factors associated with availability of anticoagulation reversal agents in rural and community emergency departments

Introduction: Moral distress is one of the prevalent problems of nursing which causes stress, that leads to nurses being unable to show a proper moral function in the critical situations. Moreover, due to the stressful conditions in emergency department, caring behaviors of nurses is of great importance. This study aimed to determine the factors associated with moral distress and caring behaviors of nurses working in emergency departments in educational-medical centers of Mazandaran University of Medical Sciences during COVID-19 pandemic. Methodology: This study was descriptive-analytical which was conducted through stratified and convenience sampling, and by participation of 188 nurses working in emergency departments in 5 educational-medical centers of Mazandaran University of Medical Sciences in 2020. Data was collected through standard three-section questionnaire of demographic information, Corley moral distress and Wolf caring behaviors of nurses, and its validity and reliability was confirmed. Data was analyzed by using descriptive (mean and standard deviation, frequency and percentage) and analytical statistics (Mann–Whitney, Kruskal-Wallis, and Spearman correlation coefficient). Finding: Moral distress mean score of nurses working in emergency was 20/97±101/60 and they had 92/4% of average moral distress. Caring behavior of nurses was 8/62±101/60. Gender and marital status variables had a significant relation with caring behavior, in a way that male nurses and married nurses had a lower score (p<0.05). the relation between moral distress and caring behavior was NOT statistically significant. Final conclusion: Nursing staff must have a good command of their caring behavior so that caring will be presented in high quality, and patients and help-seekers’ satisfaction who come to the emergency, especially in COVID-19 pandemic, will be met. Thus, it is necessary that health and medical system managers provide educational programs to draw nurses’ attention to their caring behavior dimensions, especially in emergency departments. Key words: moral distress, caring behavior, emergency department nurse, COVID-19 pandemic

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Anticoagulation Reversal Guide and Reversal Agents

Precision Anticoagulation Medicine ◽

10.1007/978-3-030-25782-8_13 ◽

2019 ◽

pp. 287-301

Author(s):

Waleed Sabry ◽

Caroline Hart ◽

Hadi Goubran

Keyword(s):

Anticoagulation Reversal ◽

Reversal Agents

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Factors Associated with Emergency Departments in Utilization of Health Services among Minorities who are Enrolled in Medicare

European Journal of Environment and Public Health ◽

10.29333/ejeph/5852 ◽

2019 ◽

Vol 3 (2) ◽

Author(s):

Linda Martinez

Keyword(s):

Health Services ◽

Emergency Departments ◽

Utilization Of Health Services ◽

Factors Associated

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Suicide following presentation to emergency departments with suicidal ideation: a population-wide study

International Journal for Population Data Science ◽

10.23889/ijpds.v4i3.1187 ◽

2019 ◽

Vol 4 (3) ◽

Author(s):

Emma Ross ◽

Aideen Maguire ◽

Denise O'Hagan ◽

Dermot O'Reilly

Keyword(s):

Emergency Departments ◽

Suicide Ideation ◽

Cox Regression ◽

Factors Associated ◽

Risk Of Death ◽

Emergency Department Staff ◽

Completed Suicide ◽

Target Prevention ◽

Self Harm ◽

The Uk

Background Little is known about the association between suicide ideation and completed suicide. As NI has the highest suicide rate in the UK and Ireland it is vital to understand who is most at risk in order to target prevention strategies effectively. Aim To explore the risk factors for completed suicide following presentation with suicide ideation. Methods The Northern Ireland Registry of Self-Harm and Suicide Ideation contains information on all presentations to all Emergency Departments in NI for self-harm and suicide ideation. Data from 2012-2015 were linked to centralised electronic data relating to primary care, prescribed medication and mortality records. Initial analyses were completed to explore the profile of those who present with suicide ideation, and logistic regression was utilised to examine the likelihood of mortality post presentation. Cox regression was utilised to examine the factors associated with completed suicide following presentation with ideation. Results The cohort consisted of 1,483,435 individuals born or resident in NI from 1st January 1970 until 31st December 2015 (maximum age in 2015, 45 years). Between 2012-2015, 4,975 (0.3%) individuals presented with suicide ideation and 583 (0.04%) individuals died by suicide. Ideation is more likely in men compared to women (OR=1.87, 95%CI 1.76,1.98), in those aged 18-24 years, and in more deprived individuals. Of those who presented with ideation, 66 (1.3%) subsequently died by suicide. In fully-adjusted models, those who presented with suicide ideation were 25 times more likely to die by suicide compared to those who did not (HR=25.0, 95%CI 19.3,32.5). Amongst suicide ideators, male gender (HR=2.67, 95% CI 1.39,5.10) and multiple presentations (HR=1.95, 95% CI 1.09,3.50) were associated with the greatest risk of death by suicide. Conclusion These findings could help emergency department staff identify individuals at greatest risk of suicide and could be utilised in the development of targeted intervention strategies.

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Factors associated with motor vehicle-related eye injuries presenting to the US emergency departments

Eye ◽

10.1038/s41433-019-0588-7 ◽

2019 ◽

Vol 34 (4) ◽

pp. 755-762

Author(s):

Sunali Goyal ◽

Mallikarjuna Rettiganti ◽

Punkaj Gupta

Keyword(s):

Emergency Departments ◽

Motor Vehicle ◽

Eye Injuries ◽

Factors Associated ◽

The Us

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Factors associated with the length of stay in emergency departments in Southern-Ethiopia

BMC Research Notes ◽

10.1186/s13104-019-4271-7 ◽

2019 ◽

Vol 12 (1) ◽

Author(s):

Getahun H/meskel Alemu ◽

Keneni Gutema Negari ◽

Kaleb Mayisso Rodamo ◽

Agete Tadewos Hirigo

Keyword(s):

Length Of Stay ◽

Emergency Departments ◽

Southern Ethiopia ◽

Factors Associated

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Factors associated with delay to narcotic analgesia in emergency departments

Australasian Emergency Nursing Journal ◽

10.1016/j.aenj.2007.09.011 ◽

2007 ◽

Vol 10 (4) ◽

pp. 192

Author(s):

Jenny Hearn ◽

Glenn Arendts ◽

Margaret Fry

Keyword(s):

Emergency Departments ◽

Factors Associated ◽

Narcotic Analgesia

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Waiting times in emergency departments: exploring the factors associated with longer patient waits for emergency care in England using routinely collected daily data

Emergency Medicine Journal ◽

10.1136/emermed-2019-208849 ◽

2020 ◽

pp. emermed-2019-208849

Author(s):

Steven Paling ◽

Jennifer Lambert ◽

Jasper Clouting ◽

Júlia González-Esquerré ◽

Toby Auterson

Keyword(s):

Emergency Departments ◽

Fixed Effects ◽

Patient Flow ◽

Waiting Times ◽

Healthcare Providers ◽

Ordinary Least Squares ◽

Hospital Length Of Stay ◽

Bed Occupancy ◽

Point Change ◽

Factors Associated

BackgroundLong lengths of stay (also called waiting times) in emergency departments (EDs) are associated with higher patient mortality and worse outcomes.ObjectiveTo add to the literature using high-frequency data from a large number of hospitals to analyse factors associated with long waiting times, including exploring non-linearities for 'tipping points'.MethodsMultivariate ordinary least squares regressions with fixed effects were used to analyse factors associated with the proportion of patients in EDs in England waiting more than 4 hours to be seen, treated and admitted or discharged. Daily situation reports (Sitrep), hospital episode statistics and electronic staffing records data over 90 days between December 2016 and February 2017 were used for all 138 English NHS healthcare providers with a major ED.ResultsHigher inpatient bed occupancy was correlated with longer ED waiting times, with a non-linear association. In a full hospital, with 100% bed occupancy, the proportion of patients who remained in the ED for more than 4 hours was 9 percentage points higher (95% CI 7.5% to 11.1%) than with an 85% occupancy level. For each percentage point change in the following factors, the proportion of ED stays over 4 hours also increased: more inpatients with hospital length of stay over 21 days (0.07%, 95% CI 0.008% to 0.13%); higher emergency admissions (0.08%, 95% CI 0.06% to 0.10%); and lower discharges relative to admissions on the same day (0.04%, 95% CI 0.02% to 0.06%), the following day (0.05%, 95% CI 0.03% to 0.06%) and at 2 days (0.05%, 95% CI 0.04% to 0.07%).ConclusionsThese results suggest that tackling patient flow and capacity in the wider hospital, particularly very high bed occupancy levels and patient discharge, is important to reduce ED waiting times and improve patient outcomes.

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