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Working as a nurse offers job security but also poses risks for mental health issues. This study aims to explore factors and processes that affected health and work experiences among nurses in Sweden during the COVID-19 pandemic. Semi-structured interviews were conducted with 14 nurses from high COVID-19 patient load areas (ambulance, emergency departments, ICU, infection wards, and specialized COVID-19 wards). A deductive content analysis using the SwAge model's nine determinant areas, was performed. The COREQ-checklist was adhered to. Nurses were prepared to sacrifice their health for the well-being of their patients, with many still facing the repercussions. They voiced their disappointment with healthcare organizations for providing insufficient support. The pandemic disrupted the social contract between healthcare organizations and the public, particularly in elder care. To perform effectively, nurses need adequate staffing, a safe work environment, fair compensation, manageable workloads, and recognition. Instances of deception and broken promises have undermined trust and professional well-being. During the pandemic, nurses leaned on their colleagues for support to manage stress and compensate for shortcomings. Nonetheless, nurses also reported experiencing resilience, adaptability, and flourishing. Nurses in Sweden face challenges such as undersized organizations and the need for primary care expansion to reduce hospital burdens. A better balance of resources is essential for effective performance. Improved working conditions and organizational support are crucial for retaining nurses. Identifying factors for a sustainable working life involves understanding key areas and their interactions. Healthcare organizations and managers should consider these areas to promote sustainability. [ABSTRACT FROM AUTHOR]

Background: The COVID-19 pandemic has brought various opportunities and challenges to critical care nurses, whose emergency abilities in caring for critically ill patients are related to their safety, clinical effectiveness, and improved prognosis. Currently, there is a lack of research on the actual situation and influencing factors of ICU nurses' emergency ability during the COVID-19 pandemic. Although empirical observations from different departments can provide valuable basis for the health system to formulate preventive measures, efficient training programs and future public emergencies. Design: A cross-sectional descriptive study. Methods: Data were collected from 486 subjects through electronic surveys from November 8 to 15, 2022, in seven general public hospitals (all tertiary A hospitals) in Beijing, China. Results: The emergency ability of ICU nurses hover at the intermediate level (145.42 ± 23.29). The variables of work experience, participated in PHE rescue activities, participated in PHE education, cumulative rescue more than 10 times and positive coping were associated with the emergency ability of ICU nurses. Conclusion: Despite the COVID-19 restrictions, the emergency ability of ICU nurses is acceptable, at a medium level. The ICU nurse of seniority, participated in PHE rescue activities, participated in PHE education, cumulative rescue more than 10 times had excellent emergency ability; The importance of positive coping style was also evident, which means that intervention in psychological is seen as necessary. [ABSTRACT FROM AUTHOR]

Background: Emergency departments (ED) are characterized by highly dynamic environments. This study aimed to identify determinants of resilience and mental stress among ED nurses. Methods: A cross-sectional, analytical design was employed to assess 316 emergency nurses in Kermanshah hospitals using a convenience sampling method. The Connor-Davidson Resilience Scale and the Perceived Stress Scale measured resilience and mental stress, respectively. Data were analyzed using independent t-tests, ANOVA, chi-square tests, and Pearson's correlation in SPSS version 25. Results: The average mental stress score was 26.9, and the average resilience score was 64, indicating moderate levels. Significant relationships were found between employment status, emergency responsibility, economic status, and resilience (P < 0.01). Additionally, place of residence, number of children, education, shift work, social network presence, employment status, emergency responsibility, and economic status were significantly related to psychological stress (P < 0.01). Pearson's correlation showed an inverse relationship between resilience and mental stress (r = -0.123, P = 0.029). Age was inversely related to mental stress (r = -0.408, P < 0.001), while overtime hours per month were directly related to resilience (r = 0.135, P = 0.016) and inversely related to mental stress (r = -0.482, P = 0.029). Conclusion: The research highlights the importance of considering demographic variables in managing nurses' resilience and mental pressure, emphasizing the need for hospital officials to focus on work shifts, employment status, and economic conditions. [ABSTRACT FROM AUTHOR]

Background Aim Study Design Results Conclusion Relevance to Clinical Practice Paediatric emergency and critical care require skilled nurses, but they often face a lack of motivation during continuing professional development. Motivation‐based, engaging activities in training programmes are essential to sustain interest and improve learning outcomes in these high‐stress environments.This study aims to develop, implement and evaluate the effectiveness of a Paediatric Emergency Course (PEC) using the ARCS (Attention, Relevance, Confidence, Satisfaction) Motivational Design Model to equip nurses with the knowledge and skills needed to manage paediatric patients in emergency and critical care settings.The study employed a quasi‐experimental pretest/post‐test design. The PEC was conducted from 1 June to 31 December 2023, with the participation of 57 nurses working in emergency and critical care units. To evaluate the programme's effectiveness, a paired t‐test was used for pre‐test and post‐test comparisons, and logistic regression analysis was conducted to determine the factors affecting course success (lecture test activities and motivational tactics).Pre‐lecture assessments averaged 9.55, significantly increasing to 16.88 post‐lecture (out of 22), indicating a substantial improvement in knowledge after the lecture series (t = −20.26, df = 55, p < .001; 95% CI [−8.05, −6.60]). Similarly, pre‐course scores rose from 7.21 to 17.14 post‐course (out of 25), reflecting significant gains in overall understanding and competency (t = −20.83, df = 56, p < .001; 95% CI [−10.89, −8.97]). Logistic regression analysis demonstrated that a one‐unit increase in post‐lecture test scores increased the likelihood of course success by 22.5%, with an odds ratio of 1.225 (B = .203, SE = 0.092, p = .028; 95% CI [1.023, 1.468]). Additionally, motivational design significantly influenced course success, increasing the likelihood by 433.3%, with an odds ratio of 5.333 (B = 1.674, SE = 0.363, p < .001; 95% CI [3.134, 9.074]).The PEC continuing education programme, developed using the ARCS Motivational Design Model to support the professional development of nurses in emergency and critical care, was successfully implemented. These results suggest that both knowledge acquisition and motivational factors play a substantial role in enhancing course success among participants. Significant improvements in pre‐ and post‐test results, along with high scores on the motivational design scale, demonstrated the effectiveness of the programme.The use of motivation‐enhancing tactics and strategies in training has led to successful outcomes, demonstrating that structured programmes designed with these methods can significantly improve the clinical competencies, expertise, decision‐making and patient safety of nurses working in paediatric emergency and critical care services in high‐pressure environments. [ABSTRACT FROM AUTHOR]

Background: Delays in sepsis recognition contribute to delays in antibiotic administration, which lead to increased morbidity and mortality in patients with sepsis. Our objective was to create an Emergency Department (ED) Code Sepsis Nurse-led team to reduce the time to antibiotics and mortality in patients with sepsis. Methods: This initiative was implemented at a community hospital in Southern California in response to previous undesirable sepsis outcomes. In fiscal year 2021, the ED Sepsis Nursing Team was launched with the goal of improving sepsis-related outcomes. The following interventions were implemented: First, a group of dedicated Sepsis Nurses with training specific to sepsis recognition was created, and an electronic ED-sepsis screening tool was developed and implemented. Next, the dedicated sepsis nurses designed and educated to a "Code Sepsis" activation process. The code triggered a multidisciplinary response and implementation of standing orders for blood cultures, lactate, complete blood count, complete metabolic panel, and chest x-ray or urinalysis if indicated. Finally, the Sepsis Team Registered Nurse (RN) Captain led house-wide monthly Sepsis Task Force meetings to improve unit-level engagement and to allow the team to have ownership over sharing wins and losses. Results: By Quarter 4 (Q4) of Fiscal Year 2021, door-to-antibiotic time for sepsis patients dropped from 196.7 min (Q1) to 144.7 (Q4). Additionally, mortality dropped below the health system average (10.4% vs. 13.5%), and Fiscal Year 2021 surpassed the readmissions benchmark of <1.0 at a rate of 0.5. Conclusion: An RN-led, interprofessional response to accepted sepsis identification criteria enhanced staff and physician engagement and improved sepsis outcomes for patient mortality and hospital reporting outcomes. The process was adopted with very few obstacles that were easily overcome as the understanding of the role and its significance was realized. [ABSTRACT FROM AUTHOR]

Cancer is the leading cause of death in Canada, with diagnoses increasing annually. In Alberta, many cancer cases are detected in emergency departments, often at advanced stages. Despite the significant role of emergency departments in cancer diagnosis, limited research exists on the experiences of healthcare providers in this context. This qualitative study aimed to explore the perspectives of physicians and nurses working in emergency departments in Edmonton and Calgary regarding cancer diagnosis. Semi-structured interviews were conducted with 17 physicians and nurses, recruited through convenience and snowball sampling. Data collection continued until thematic saturation was reached. Interviews were analyzed thematically using an inductive, iterative process. Three main themes emerged: the acute care focus of the emergency department, its unsuitability for cancer diagnosis, and the need for systemic improvements to better support patients with suspected cancer. Participants highlighted challenges related to high patient volumes, the emotional burden of delivering cancer diagnoses, and barriers to effective communication and patient interaction in a fast-paced, high-pressure environment. The findings suggest the need for systemic reforms, including stronger primary care and improved care coordination, to alleviate pressure on emergency departments and enhance both patient outcomes and healthcare provider well-being. [ABSTRACT FROM AUTHOR]

Objective: A competency training index system was designed in public health emergencies for community nurses. The purpose of this approach is to provide community nurses with guidelines for standardized training programs on how to respond to public health emergencies. Methods: Through semi‐structured interviews, a literature review, and team discussion, the first draft of competency training index system in public health emergencies for community nurses was formed. The Delphi method was used for two rounds of expert consultation to screen, modify and determine indicators. Finally, the analytic hierarchy process was utilized to calculate the weights of indicators at all levels. Results: A total of 15 expert consultants were included. The effective recovery rate of the two rounds of expert consultation questionnaire was 100%, the expert authority coefficient was 0.880, 0.887, and the Kendall coordination coefficient was 0.172 and 0.171 (p < 0.001). Expert opinions have determined that the final revised competency index system in public health emergencies for community nurses training consists of 2 primary indicators, 10 secondary indicators, and 46 tertiary indicators. Conclusion: The study has developed a competency training index system in public health emergencies for community nurses. This system can serve as a foundation for standardized training in community health service institutions. It is characterized by its high demand, scientific approach, reliability, and rationality. [ABSTRACT FROM AUTHOR]

Why you should read this article: • To recognise the risk factors and common presentation characteristics of people in suicidal crisis • To be aware of the vulnerability of people in suicidal crisis • To enhance your understanding of how to support people in suicidal crisis. Emergency departments (EDs) provide critical opportunities for nurses to support suicide prevention. This article details a service evaluation that was undertaken to explore the characteristics and outcomes of people in suicidal crisis at two EDs in the East of England during June 2023. Data routinely collected by the ED mental health liaison team were combined with a retrospective case note review of the local NHS mental health trust’s electronic patient records. Attendees had a mean age of 35 years and seven months, and were often diagnosed with depression or emotionally unstable personality disorder. Most had a history of self-harm and were currently known to mental health services. Suicide-specific interventions were rarely recorded by nurses and relapse behaviours were prevalent after presentation. Local and national suicide prevention strategies should encourage nurses to address gaps in support, thereby improving patients’ experiences in and beyond the ED. [ABSTRACT FROM AUTHOR]

Ultrasound guided IV catheter (USGIV) access occurs frequently in Emergency Departments (EDs). This task is often performed using large, expensive, cart-based ultrasound systems (CBUS) which are frequently needed for other ED ultrasound functions and can be cumbersome to use and store. Handheld ultrasounds (HHUs) may be able to meet this need, but it is unknown if they function interchangeably with CBUS for USGIV placement. We performed a prospective, randomized, noninferiority study to compare the success rate of HHUs to CBUSs for placing USGIVs. ED patients 18 and older needing an USGIV were approached for enrollment and randomized to receive an USGIV placed by CBUS or HHU. USGIVs were placed by any ED physician or nurse trained in placement. A placement was considered attempted upon needle entry into the skin. An USGIV was successful if it was immediately flushable with saline. Data was collected on the success of IV placement, number of attempts, IV and provider characteristics, patient demographics, and length of time the USGIV lasted. Demographics and operator and IV characteristics were analyzed using Pearson's Chi square, Fischer's Exact test, or Wilcoxon rank sum tests. Non-inferiority was assessed using the Farrington-Manning test. Results were approached per protocol and analyzed in R. 312 patients were enrolled. Patient and IV characteristics were similar between groups. There was no difference in the number of successful USGIVs placed in either group (p ≥0.9) with 146 in the CBUS group and 145 in the HHU group. There was no difference in the first attempt success rate between groups (p = 0.8) and HHU was noninferior to CBUS for successful USGIV placement (p = 0.0001). The rate of premature USGIV failure was similar between HHU and CBUS (4.0 % and 6.7 %). HHU was noninferior to CBUS for successful USGIV placement. There was no difference in the rate of first attempt success at placement or USGIV survival to a patient's ED disposition between groups. No significant additional training was required for ED providers of all levels to use the HHUs. [ABSTRACT FROM AUTHOR]

Ensuring a smooth transition from education to practice for new nurses is essential in helping stem the flow of nurses out of the profession. However, traditional nurse residency education has only included didactic education sessions. In a novel new graduate emergency Nurse Residency Program, simulation-based education was ranked as the best part of the new graduate Nurse Residency Program. The result of incorporating simulation experiences was increased satisfaction by program participants and a decrease in turnover. [ABSTRACT FROM AUTHOR]

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Background: Based on explainable DenseNet model, the therapeutic effects of optimization nursing on patients with acute left heart failure (ALHF) and its application values were discussed. Method: In this study, 96 patients with ALHF in the emergency department of the Affiliated Hospital of Xuzhou Medical University were selected. According to different nursing methods, they were divided into conventional group and optimization group. Activity of daily living (ADL) scale was used to evaluate ADL of patients 6 months after discharge. Self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were employed to assess patients' psychological state. 45 min improvement rate, 60 min show efficiency, rescue success rate, and transfer rate were used to assess the effect of first aid. Likert 5-level scoring method was adopted to evaluate nursing satisfaction. Results: The optimization group showed shorter durations for first aid, hospitalization, electrocardiography, vein channel establishment, and blood collection compared to the conventional group. However, their SBP, DBP, and HR were inferior. On the other hand, LVEF and FS were significantly better in the optimization group. After nursing intervention, SAS and SDS scores were lower in the optimization group. Additionally, the optimization group had higher 45-minute improvement rates, 60-minute show efficiency, rescue success, and transfer rates. They also performed better in 6-minute walking distance and ADL scores 6 months post-discharge. The optimization group had better compliance, total effective rates, and satisfaction than the conventional group. Conclusion: It was demonstrated that explainable DenseNet model had application values in the diagnosis of ALHF. Optimization emergency method could effectively shorten the duration of first aid, relieve anxiety, and other adverse emotions, and improve rescue success rate and short-term efficacy. Nursing intervention has a positive impact on the total effective efficiency and patient satisfaction. [ABSTRACT FROM AUTHOR]

ABSTRACT Aims Design Method Results Conclusions Reporting Method Public or Patient Contribution To analyse the level of patient satisfaction regarding the care received in triage and its relationship with the competency level of clinical nurses in a hospital setting.A cross‐sectional, prospective and multicentre study of nurses in hospital emergency triage and the patients they attended.Data were collected between October and November 2019 using two questionnaires; one collected sociodemographic factors, professional experience of the nurse and the competency assessment questionnaire for clinical nurses in the hospital setting (COM_VA). The other questionnaire recorded the age of patients, reason for consultation, pain and the Patient Satisfaction with Emergency Nursing Care Scale (CECSS). The abstract includes an indication of the chosen checklist, specifically the STROBE checklist for descriptive observational studies.The study included a sample of 624 patients and 77 nurses. The findings indicated that the nurses' level of competence, with an average score of 8.61, is significantly correlated with patient satisfaction. A total of 90.2% of patients reported being satisfied with the care they received during triage, highlighting the technical competence and empathy of the nurses as highly valued attributes. However, areas for improvement were identified, particularly in pain management and addressing the emotional needs of patients. Other factors related to nursing competence that influenced patient satisfaction included perceived safety in clinical practice and the sense of respect from the multidisciplinary team. Additionally, the intensity of pain experienced by patients during triage was a significant determinant of their overall satisfaction.The results of this study indicate that the higher the level of nursing competence, the more satisfied the patients. In addition to knowledge and skills in triage, aspects such as empathy, concern and assertive listening influence patient satisfaction, and, therefore, perceived quality of care.In preparing the manuscript, the authors adhered to the relevant EQUATOR guidelines and the STROBE checklist for descriptive observational studies.No public or patient or professional contribution outside of participation for data collection purposes.Trial Registration: N/A. This was not a clinical trial [ABSTRACT FROM AUTHOR]

Parenthood inevitably includes caring for a child suffering from mild–moderate illness requiring access to health care. Most childhood illnesses can be managed in the community, and parents are encouraged to attend the most suitable primary care service for their needs. Yet the number of children visiting emergency departments with non-urgent illness continues to rise annually, with child attendance representing over 25% of the total workload. This study investigated why parents chose to bring their child to an emergency department and explored the concerns, expectations and experiences of parents when making this decision. Parents of children aged 0–16 years presenting with non-urgent conditions were approached over an 18-month period to participate. Prior to discharge, focused interviews were used to explore the antecedent decision-making factors leading up to attendance, and parents’ experiences of urgent care were explored. Parents often experienced complex journeys prior to attending the emergency department following multiple health care contacts and referrals from other providers. For most parents, attending the department was a considered decision, often prompted by their experience of interaction with professionals. Health professionals were powerful agents controlling resources and knowledge, but they were influenced by pressures and targets within the health service. The NHS is a complicated system that parents tried to navigate, but they were thwarted by its complexity and conflicting messages. When their child was unwell parents wanted a service that was simple to access, and that would offer a standard of care that would reassure and empower them to continue to care for their child. The findings challenge assumptions that lead nurses to criticize parents for misuse of emergency care, and highlight the culpability of health professionals and systems in generating increased demand for urgent care. It is important for nurses and others to reframe their perception of parental decision-making. [ABSTRACT FROM AUTHOR]

ABSTRACT Aim Design Methods Results Conclusion Implications for the Profession and/or Patient Care Impact Reporting Method Patient or Public Contribution To identify key aspects of recovery‐oriented practice in caring for people with mental ill‐health in general emergency departments.A modified Delphi study with three rounds.A 24‐member expert panel was recruited consisting of people with lived experience of mental ill‐health, registered nurses working in emergency care, registered nurses specialised in psychiatric and mental health nursing and mental health recovery researchers. In the initial round, important aspects of recovery‐oriented practice were identified through focus group interviews. Thematic analysis generated statements that were then reformulated as a questionnaire for subsequent rounds. The experts rated each statement's perceived importance on a 5‐point Likert scale. The consensus level was set at ≥ 80%. Descriptive statistics were used to analyse the data.Consensus was reached on the importance of 39 of 73 statements, with ≥ 80% deemed ‘very important’ in recovery‐oriented practice in general emergency departments.The study emphasises the delicate balance between the essential elements of recovery‐oriented practice, their practical feasibility and the predominant biomedical perspective in general emergency department care. It proposes strategies to empower nursing staff and managers to adopt recovery‐oriented practices that enhance the quality of care for people with mental ill‐health. Enabling staff by providing the necessary prerequisites and a care environment that supports reflective practices is crucial. The responsibility for facilitating these changes needs to be a shared commitment between nursing staff and managers.The identified issues can serve as a framework for interventions, education and training to support the integration of recovery‐oriented practice in general emergency care. They can also be used to develop tools for evaluating emergency care environments and promoting alignment with recovery‐oriented principles. Problem addressed: People with mental ill‐health are at risk of being neglected, judged and dismissed in general emergency department care, creating obstacles to their mental health recovery. Main results: The Delphi study identified 39 key aspects of recovery‐oriented practice in general emergency departments, emphasising person‐centred, strength‐based, collaborative and reflective care. Impact: The research seeks to establish a foundation for developing training programmes, education and interventions and for the integration of recovery‐oriented practices in general emergency care. It thus has the potential to enhance the quality and equality of care for patients with mental ill‐health in emergency care. The impact extends to nursing staff and managers as it seeks to empower them to systematically reflect on and reevaluate established emergency department practices to ensure that every person, irrespective of their health condition, is treated with dignity and respect in emergency department settings. The CREDES guidance on conducting and reporting Delphi studies.The authors have nothing to report. [ABSTRACT FROM AUTHOR]

ABSTRACT Aim Background Design Methods Results Conclusions Implications for the Profession and/or Patient Care Impact Reporting Method Patient or Public Contribution To analyse the relationship between authentic nursing leadership and safety climates across hospital settings during the COVID‐19 pandemic.Authentic nursing leadership shapes the safety climate by fostering positive perceptions of workplace policies, processes, procedures and practices that influence how safety is prioritised and addressed within an organisation.A cross‐sectional study.Our study was conducted from December 2021 to December 2022 in six Brazilian hospitals. Participants were nursing staff working in General Medicine Units, Intensive Care Units (ICU) and Emergency Departments (ED) who provided care to patients with COVID‐19. The Authentic Leadership Questionnaire and the Safety Attitudes Questionnaire were used to measure nursing staff perceptions of authentic leadership and safety climates. Data were analysed using descriptive and inferential statistics.391 nursing staff across six hospitals participated. Self‐awareness significantly enhanced perceptions of the safety climates. Additionally, being a Registered Nurse and working in the ICU were positively associated with achieving safe climates in the working environment. In contrast, working in EDs was significantly negatively related to safety climates.The COVID‐19 pandemic underscored a lack of authentic nursing leadership and unsafe climates. Therefore, it is critical to implement educational strategies that foster authentic leadership, particularly focusing on self‐awareness, to promote more positive safety climates. Ensuring that leadership and safety climates are relationship‐focused is critical to enhancing patient outcomes.Nursing staff's perceptions of authentic leadership and safety climates are important in making more informed decisions about patient management.Since self‐awareness increases positive perceptions of safety climates, nursing staff should exercise it to guide their actions in facing future health crises.STROBE guidelines.Higher self‐awareness in relationships with others is a predictor of safety climates and can lead to enhanced patient outcomes. [ABSTRACT FROM AUTHOR]

ABSTRACT Aim Design Methods Data Sources Results Conclusion Implications for the Profession and/or Patient Care Impact Patient or Public Contribution Synthesise evidence on advanced practice nurses' impact on health services utilisation, healthcare costs, access and quality of care globally.Scoping review.A scoping review guided by the Joanna Briggs Institute Manual for Evidence Synthesis and the PRISMA‐ScR checklist.PubMed, CINHAL and Embase for articles between 2016 and 2023.Eighteen studies were included (14 from the United States, two from the Netherlands and one from Australia and New Zealand each). Outcomes included health services utilisation, healthcare costs, access, and quality of care. Most studies reported advanced practice nursing patients had fewer emergency department (9 of 11 studies), fewer hospital (re‐)admissions (9 of 10 studies) and primary care visits (3 of 3 studies). Seven (of eight) studies found advanced practice nursing care was associated with significantly lower healthcare costs. For access and quality of care, advanced practice nursing care was associated with lower consultation rates, similar mean number of patients seen, higher protocol adherence, more rural patient care and lower‐to‐similar quality delivery of chronic disease management.Majority of the studies reported that advanced practice nursing care was associated with lower emergency department visits, hospital readmissions and costs. Access to care outcomes varied under advanced practice nursing care.Advanced practice nursing care can improve patient outcomes, reduce costs and impact access and quality of care. Practices need supportive work environments for advanced practice nurses to deliver high‐quality, effective care.Addressing the need for a synthesis of up‐to‐date evidence, this review highlights the importance of advanced practice nurses in primary care. Findings can inform global workforce development strategies to address health inequalities through effective advanced practice nursing integration.No patient or public contribution is required for this study. [ABSTRACT FROM AUTHOR]

ABSTRACT Background Aim Design Methods Results Conclusions Reporting Method Patient or Public Contribution Standardised triage systems have been in place for decades with minor modifications, while nurses' skills and knowledge have significantly advanced.To determine whether nurses' clinical expertise outperforms triage systems in simulated clinical cases.A multicenter simulated observational study.The study was conducted from January 1, 2024 to March 31, 2024, in four Italian emergency departments, enrolling triage‐performing nurses. Thirty clinical cases, based on real patients representing daily emergency department influx, were reconstructed. The primary outcome was the agreement between the triage code assigned by the Manchester Triage System and the code assigned based on clinical expertise. The secondary outcome compared the predictive ability of the codes assigned by nurses regarding clinical outcomes, such as death within 72 h, the need for hospitalisation, and the need for life‐saving intervention. The study was reported in accordance with the STROBE statement.Seventy‐seven triage nurses completed the 30 vignettes. The agreement between the MTS‐assigned code and the clinical expertise triage reported a Cohen's kappa of 0.576 (95% CI: 0.564–0.598). For death within 72 h, the clinical expertise code reported better results than the Manchester Triage System. For life‐saving interventions, the Manchester Triage System reported a lower performance than clinical expertise. The variability in triage code assignment was higher for clinical expertise compared to the Manchester Triage System.Triage codes assigned by nurses based on clinical expertise perform better in terms of clinical outcomes, suggesting a need to update triage systems to incorporate nurses' knowledge and skills. However, standardised triage systems should be maintained to reduce variability and ensure consistent patient classification.The study was conducted and reported according to the STROBE statement.No patient or public contribution. [ABSTRACT FROM AUTHOR]

ABSTRACT Aim Background Design Methods Results Conclusions The aim of this discussion paper is twofold: (1) To critically examine the challenges related to resuscitations among rural nurses and how these contribute to a sense of professional isolation and (2) To discuss practical solutions and strategies that could be implemented to mitigate the effects of professional isolation.Professional isolation is not unique to rural nursing practice. It is a complex issue often observed in low‐resourced environments that are geographically distant from larger hospitals, such as small rural emergency departments. With a greater research focus placed on the recruitment and retention challenges associated with professional isolation, studies often overlook the intermediary factors contributing to this issue, such as the effect of resuscitations on rural nurses. In addition, there are few studies that have evaluated interventions or strategies to address professional isolation.A critical discussion paper.This discussion paper is based on data drawn from current evidence and is guided by the authors research experience as part of a doctoral study.Professional isolation negatively affects rural nurses' experiences of resuscitation by creating barriers to skill acquisition and professional growth and reducing career intent in rural areas. Strategies such as leadership training, rural mentorship, debriefing and cognitive aids are possible strategies that could address these challenges.The trajectory of professional isolation is contingent upon the capacity of rural nurses to have access to professional avenues that enhance connection, sharing of knowledge, skills and experiences. Addressing professional isolation is crucial for the well‐being of rural nurses and the overall sustainability and growth of the rural healthcare workforce. [ABSTRACT FROM AUTHOR]

ABSTRACT Aims Methods Result Conclusion Implications for the Profession Impact Patient and Public Contribution Health equity is actualized when all individuals can attain the highest level of health. Youth who identify as LGBTQ+ experience health disparities and scarce access to culturally congruent mental healthcare. Our nurse‐led research team recognized evidence‐based practice guidance gaps and prioritized a systematic inquiry into the lived experiences of LGBTQ+ identifying youth who needed emergency care for suicidality. Concurrently, we translated new findings into practice. The purpose of this endeavor is to implement a nimble evidence‐based practice adoption process for nursing staff to effectively address LGBTQ+ population health needs.Informed by Purnell's Cultural Competence Theory, qualitative findings from a prospective study and available literature, we developed an LGBTQ+ sensitive care curriculum for nursing staff using the American Nurses Credentialing Center's (ANCC) Nursing Continuing Education Professional Development (NCPD) Framework to address the intersectionality of cultural awareness and care provision. The curriculum was delivered and formally evaluated longitudinally with a focus on communication confidence and knowledge.The curriculum was delivered in one session to nursing staff during a 6‐month period. Program evaluations indicated curriculum acceptability and effectiveness. Participants reported improved ability to use appropriate language when communicating with patients who identify as LGBTQ+ and their families and a moderate to high change in confidence when providing care to LGBTQ+ identifying patients.Concurrent, evidence‐based efforts to uncover and apply new knowledge relevant to nursing communication with youth who identify as LGBTQ+ is possible and yield effective, positive change in nursing knowledge and confidence in providing care for these youth. Implementation science is essential to advance evidence‐based nursing practice or the full positive impact of research on patient outcomes is not likely. When the implementation science program is not incorporated early in the research process, research excellence is at risk. Evolving evidence‐based practices that enhance individualized holistic patient care delivery for LGBTQ+ individuals are strengthened when primary research, implementation science, and scaling research co‐occurrence is achievable.This implementation strategy demonstrates that early translation of health equity research on culturally congruent care for individuals identifying as LGBTQ+ can be done effectively and replicated across practice settings. Further, this work validates the importance of the relationship between nurse scientists, translational scientists, and clinical practice and education experts in the early dissemination and adoption of new knowledge. Evidence‐based practice adoption improves healthcare professionals' propensity to positively impact public health patient care outcomes.Nursing staff are equipped with the knowledge and skills to deliver equitable care. Dissemination of early research findings as an implementation science strategy supports concurrent adoption in clinical practice to advance health equity outcomes with urgency.No patient or public contribution. [ABSTRACT FROM AUTHOR]

Objective • The purpose of this study was to investigate the therapeutic effects of improved emergency nursing procedures and human-oriented nursing care to patients in the acute phase of myocardial infarction. This study is important because it aims to demonstrate the potential benefits of these nursing interventions in reducing negative feelings in patients with acute myocardial infarction and improving the success rate of first aid. Methods • A total of 180 inpatients with acute myocardial infarction hospitalized from January 2020 to December 2020 were selected as the research object and randomized into either study group or control group, with 90 cases in each. The study group received combined nursing care that included improved emergency nursing procedures and humanoriented nursing care, while the control group received conventional nursing care. The specific interventions in the study group included rapid response training, on-route care, hospital arrival protocol, humanoriented care training, psychological support measures, and a pain management protocol. The study evaluated SAS scores, mental state score, platelet index, first aid effect, thrombolysis and nursing satisfaction in comparison of the two groups. Results • Before receiving nursing care, there were no significant differences in the SAS scores between the study group and the control group (53.92±8.22 vs 54.03±8.56) (t = .09, P = .930, nonsignificant). However, after receiving care, patients in the study group had significantly lower SAS scores compared to the control group (9.21±2.67 vs 17.93±1.86) (t = 25.42, P < .001, statistically significant). Patients in the study group exhibited lower psychological scores compared to the control group in terms of depression, fear and paranoia (0.47±0.13 vs 0.76±0.12, 0.27±0.06 vs 0.46.±0.12, 0.67±0.29 vs 0.86±0.25) (t=15.55, 13.43, 4.71, all P < .001, statistically significant). Patients in the study group presented MPV levels as (12.41±1.31) and PDV level (14.26±1.23) while those had MPV level (10.02±1.21) and PDV level (18.68±1.83) in the control group (t=12.71, 19.01, both P < .001). The study group outperformed the control group in terms of first aid effects (P < .05, statistically significant). Thrombolysis was more effective in the study group compared to the control group (P < .05, statistically significant). Patients in the study group reported higher levels of satisfaction with the nursing service compared to those in the control group (P < .05, statistically significant). Conclusion • The improved emergency nursing procedure and humanoriented nursing care can significantly reduce the hard feelings of patients with acute myocardial infarction, improve the success rate of first aid, and is worthy of extensive application and promotion. Healthcare providers and hospitals can benefit from adopting these nursing approaches to reduce negative feelings, improve first aid outcomes, and ultimately enhance patient satisfaction and treatment effectiveness. [ABSTRACT FROM AUTHOR]

Objective • To explore the effect of interdisciplinary collaboration in emergency nursing using the strengthsweaknesses-opportunities-threats (SWOT) model on patients with acute myocardial infarction (AMI). Methods • Eighty AMI patients undergoing rescue treatment at Affiliated Hospital of Inner Mongolia Medical University from October 2020 to June 2022 were selected and randomly divided into the SWOT group and the control group. The patients in the control group received routine emergency nursing intervention, while those in the SWOT group were given interdisciplinary collaboration using the SWOT model. The emergency-related time, cardiac function indicators, incidence of adverse events, quality of life, and nursing satisfaction were compared between the two groups. Results • The waiting time, triage assessment time, electrocardiogram examination time, emergency treatment time, PCI duration and ICU stay time in SWOT group were significantly shorter than those in control group. The left ventricular end-systolic diameter (LVESd), left ventricular end-diastolic diameter (LVEDd), and left ventricular ejection fraction (LVEF) in the SWOT group were all superior to those in the control group. The SWOT group had a significantly lower incidence rate of adverse events than the control group. The quality of life scores of SWOT group were higher than those of control group. The nursing satisfaction in the SWOT group was higher than that in the control group. Conclusion • Interdisciplinary collaboration using the SWOT model for AMI patients can effectively shorten the rescue time, ameliorate cardiac function indicators, reduce the risk of adverse events, improve patients’ quality of life, and enhance nursing satisfaction. [ABSTRACT FROM AUTHOR]

The document explores trends in the location of death for individuals with acute myeloid leukemia (AML) in the United States from 2003 to 2020. It highlights the shift towards more deaths occurring at home or in hospice facilities, with significant disparities based on age, sex, race, ethnicity, marital status, and education. The study emphasizes the importance of individualized end-of-life care and the need to address sociocultural preferences and access to palliative care, especially for patients with hematologic malignancies like AML. Further research is recommended to understand and support diverse cultural perspectives on end-of-life decision-making. [Extracted from the article]

Mental illnesses are the leading causes of disability worldwide. Psychotic disorders occur in about 3% of people in the general population during their lifetimes. Patients experiencing acute psychosis need a medical provider who is capable of differentiating among medical, drug-induced, and psychiatric causes of the presentation to initiate the most appropriate management plan. This article focuses on the role of the acute care NP in medical clearance evaluations and initial management of adult patients experiencing acute psychosis in acute care settings. [ABSTRACT FROM AUTHOR]

ABSTRACT Aim Design Methods Data Sources Results Implications for the Profession Impact Reporting Method Patient or Public Contribution Identify and describe nurse‐administered screening tools used in emergency departments (ED) to detect elder abuse.A scoping review of literature published between 1999 and 2024 was conducted following the guidance of the Joanna Briggs Institute Manual for Evidence Synthesis and a methodological framework for scoping studies.Two reviewers, an academic faculty member and a senior undergraduate, conducted the screening and data extraction, aiming to identify studies using a nurse‐administered screening tool in the ED to detect elder abuse.The final search was conducted on 24 April 2024, using the CINAHL, MEDLINE, PsycINFO, and Cochrane Review databases.Ten studies out of 145 met the inclusion criteria, identifying six screening tools that assist healthcare providers, such as nurses, in detecting elder abuse in EDs. The results were summarised and presented according to each screening tool.Nurses in EDs are well‐positioned to identify elder abuse due to the significant time spent observing and interacting with patients. The implementation of a screening tool can support nurses in detecting elder abuse and initiating appropriate interventions.Elder abuse is a widespread public health issue projected to increase continuously with the rapidly ageing population. Incorporating nurse‐administered screening tool into EDs has demonstrated practicality and usefulness in identifying elder abuse cases. Various tools exist; however, these instruments are underutilised due to limited reliability and feasibility testing, with no definitive screening tool identified as the “gold standard” for elder abuse detection. Without formal screening, elder abuse is likely to remain undetected, leaving victims vulnerable to harmful consequences. Due to the limited testing and evaluation of a reliable ED screening tool for elder abuse, future research should focus on developing and validating a new screening tool intended specifically for use by nurses in EDs.The EQUATOR guidelines for PRISMA were met.No patient or public contributions. [ABSTRACT FROM AUTHOR]

Background: Sepsis is a frequent cause of global deaths with time critical diagnosis and treatment impacting outcomes. Prehospital emergency nurses are pivotal in assessment that influences timely diagnosis. Aim: To gain a deep understanding of nurse's experiences when caring for those with suspected sepsis. Design and Methods: A qualitative study using semi-structured interviews and inductive content analysis according to the Elo Kyngäs method. Findings: Early identification of sepsis by prehospital emergency nurses (n = 13) was augmented through a combination of clinical experience and the implementation of practice guidelines. There were three key components to practice improvement a) clinical experience, b) continuous education and c) explicit guidelines. Conclusions: Identification of sepsis in the prehospital environment can shorten the time to treatment for patients with sepsis. Early identification can be achieved by continuous education in the Emergency Medical Service (EMS), ensuring experienced personnel and including the EMS in medical guidelines. [ABSTRACT FROM AUTHOR]

Objectives: There is very little literature examining the workload and impact of nurse practitioners (NPs) working in emergency departments (ED) in regional and rural Australia. The aim of this paper was to review the ED NPs scope of practice in the ED discharge stream and patient outcomes at Cairns Hospital over a 7‐month period. Methods: This retrospective study examined the ED electronic medical record between 14 May 2019 and 31 December 2019. Cases managed by ED NPs, referrals, procedures performed, representations and disposition data were collected. Adverse events were sought from the Qld Health adverse events register (Riskman), the department complaints register and the ED M&M meeting minutes. Results: A total of 1443 patients were treated by NPs, with ages ranging from 0 to 98 years (median 40 years). Australasian Triage Score (ATS) 3 cases made up 30% of the workload. Other than ATS 3 cases, time to being seen was better than the general department. There were very few unexpected representations, complaints or adverse events. Conclusions: This study supports the view that NPs working in a regional emergency department can safely manage a variety of patients outside a fast‐track model, with a wide age range and a variety of triage categories and diagnoses. We believe this has important implications for the provision of emergency care, especially in regional and rural Australia. [ABSTRACT FROM AUTHOR]

The aim: To explore and describe workplace stress levels and health‐promoting behaviours reported by emergency nurses in China, and to investigate factors associated with workplace stress and health‐promoting lifestyle behaviours among emergency nurses. Methods: A cross‐sectional study was conducted between October 2019 and January 2020. Nurses (n = 1565) were recruited from the emergency departments of 54 hospitals within the Sichuan Province of West China. Each subject completed the Chinese versions of the Nurse Workplace Stress Scale, the Health‐Promoting Lifestyle Profile (HPLP‐II) and demographic questions. Linear regression analyses were used to identify associations between workplace stress and the health‐promoting lifestyle and risk factors correlated with these two measurements. Results: Workplace stress was negatively associated with health‐promoting behaviours. Linear regression analysis showed that gender, marital status, whether wages met expected standards and professional rank were found to be associated with health promotion behaviours; marital status, whether income met expected standards, the number of night shifts per month and health promotion behaviours were found to be associated with workplace stress. Conclusion: Higher levels of workplace stress are associated with lower levels of engagement in health‐promoting behaviours, suggesting the potential for reducing workplace stress through the adoption of healthier habits. Policies should prioritize workplace stress by promoting healthy lifestyle initiatives. Summary statement: What is already known about this topic? Emergency nurses experience high levels of workplace stress. Excessive long‐term stress may result in physical and mental illnesses.The health and quality of life of emergency nurses are profoundly affected by these stressors, and their health status is directly related to the efficiency and quality of their nursing work.Very little research has been conducted on the relationship between workplace stress and health‐promoting lifestyle behaviours in emergency nurses. What this paper adds? Workplace stress was negatively associated with health‐promoting behaviours.Married female nurses, those who did not receive the expected income, and those with lower professional ranks were found to be less likely to engage in health‐promoting behaviours.Interventions to reduce nurses' workplace stress should prioritize the promotion of health‐promoting behaviours. The implications of this paper: Hospital managers should implement active and effective measures in the nursing management of emergency departments to alleviate work pressure on nurses and encourage their healthy lifestyles.The introduction of a flexible scheduling system, taking into account night shift arrangements, can significantly reduce workplace stress caused by the number of night shifts per month.Improving the working environment for emergency nurses by providing easy access to affordable and nutritious meals and snacks and organizing physical activity can reduce stress. [ABSTRACT FROM AUTHOR]

Outpatient Palliative Care (OPC) benefits persons living with serious illness, yet barriers exist in utilization. To identify factors associated with OPC clinic utilization. Emergency Medicine Palliative Care Access is a multicenter, randomized control trial comparing two models of palliative care for patients recruited from the Emergency Department (ED): nurse-led telephonic case management and OPC (one visit a month for six months). Patients were aged 50+ with advanced cancer or end-stage organ failure and recruited from 19 EDs. Using a mixed effects hurdle model, we analyzed patient, provider, clinic and healthcare system factors associated with OPC utilization. Among the 603 patients randomized to OPC, about half (53.6%) of patients attended at least one clinic visit. Those with less than high school education were less likely to attend an initial visit than those with a college degree or higher (aOR 0.44; CI 0.23, 0.85), as were patients who required considerable assistance (aOR 0.45; CI 0.25, 0.82) or had congestive heart failure only (aOR 0.46; CI 0.26, 0.81). Those with higher symptom burden had a higher attendance at the initial visit (aOR 1.05; CI 1.00, 1.10). Reduced follow up visit rates were demonstrated for those of older age (aRR 0.90; CI 0.82, 0.98), female sex (aRR 0.84; CI 0.71, 0.99), and those that were never married (aRR 0.62; CI 0.52, 0.87). Efforts to improve OPC utilization should focus on those with lower education, more functional limitations, older age, female sex, and those with less social support. Trial Registration ClinicalTrials.gov Identifier: NCT03325985. [ABSTRACT FROM AUTHOR]

The December 2024 global research highlights from the Hong Kong Journal of Emergency Medicine feature studies from various international emergency medicine journals. One study from the African Journal of Emergency Medicine mapped emergency nursing research in WHO Afro‐region states, highlighting an increase in publications but a need for more research on interventions and outcomes. Another study from the same journal focused on workplace violence in South African emergency departments, revealing a high prevalence of workplace violence and its negative impact on healthcare workers. Additionally, a study from the Annals of Emergency Medicine found that earlier preinduction for temperature control in out-of-hospital cardiac arrest patients was associated with improved neurological outcomes and survival. [Extracted from the article]

• Virtual reality is one of the most effective methods of distraction among adult patients. • Virtual reality can effectively reduce pain in adult patients undergoing ambulatory surgery. • Virtual reality can effectively better control of hemodynamic variables in adult patients undergoing ambulatory surgery. Pain and altered hemodynamic variables are among the most common complications in patients undergoing hand laceration repair in an Emergency Department. This study aimed to evaluate the effects of using virtual reality (VR) technology on pain and hemodynamic variables in patients receiving hand laceration repair in an Emergency Department. This nonblinded randomized clinical trial included 160 patients undergoing laceration repair to their hands under local anesthetics from November 2020 to May 2021. The participants were randomly allocated to the experimental and control groups. Patients in the control group received routine care (such as ambient noise reduction, providing explanations about the surgery, and Lidocaine injection before the surgery). In the experimental group, a video containing natural landscapes and sounds was played using a semi-immersive VR headset during the surgery. Pain level and hemodynamic variables were measured immediately before and after the intervention. The pain was measured using the Critical Care Pain Observation Tool and Visual Analog Scale. Immediately after the intervention, systolic blood pressure (BP), respiration rate, and pain intensity were significantly lower in the intervention group compared with the control group (p <.05). There were no significant differences between the intervention and control groups regarding diastolic BP, mean BP, SPO2, heart rate, and muscular tension (p >.05). Semi-immersive VR is effective in managing pain and hemodynamic variables during hand laceration repair. The nurses could use the semi-immersive VR to better control of pain and hemodynamic variables during hand laceration repair. [ABSTRACT FROM AUTHOR]

Rural Australia has large geographic distances between emergency departments with variability of services and medical support. Emergency nurses must be appropriately skilled to assess and manage unpredictable and diverse presentations. HIRAID® is an evidence-based framework to support emergency nurses in assessment and care delivery. To inform implementation, the study aimed to identify the enablers and barriers to introducing HIRAID® in practice. This embedded mixed methods study was conducted in 11 rural, regional emergency departments in Southern New South Wales, Australia. Respondents completed a 22-item survey, indicating their level of agreement on statements related to practice change, free text responses were optional. Quantitative data were analysed using descriptive statistics and qualitative data using content analysis. Results were identified as barriers or enablers, then integrated and mapped to the Theoretical Domains Framework. The survey was completed by 102 (54 %) nurses. Two enablers and four barriers to implementation were identified and mapped to 10 Theoretical Domains Framework domains. Key barriers were workplace limitations, such as time and resources, and knowledge of the HIRAID® intervention. Barriers varied between facilities related to adequate support to implement and the impact on patient care. The results will inform a strategy to implement HIRAID®. [ABSTRACT FROM AUTHOR]

The emergency resuscitation nurse is a challenging and specialised role at the forefront of critical care practice in the emergency department. Despite their extensive specialist knowledge and skill requirements, in Australia there is no state-wide or nationally agreed approach to how to best provide training that meets a set of fixed objectives and requisite skills for resuscitation nurses. Due to an ageing nursing population and increasing workforce attrition, an efficacious accelerated pathway to acquire specialist resuscitation nursing knowledge, is necessary. The aim of this review is to identify, consolidate and summarise the available evidence on the training needs for the requisite clinical and non-technical skills of emergency resuscitation nurses Papers about nurses currently working in the emergency department; including Nurse Unit Managers (NUMs), Clinical Nurse Educators (CNEs), Clinical Nurse Consultants (CNCs), Clinical Nurse Specialists (CNSs), Registered Nurses (RNs) and Enrolled Nurses (ENs) were included. The review included primary and non-primary research, including papers addressing how emergency nurses are trained. There was no date limitation set to ensure all results could be reviewed. Papers that were not published in English, included nurses who were not working in the ED, or included doctors, allied health, and other staff where population cohorts could not be distinguished, were excluded. Abstract only, editorials, conference posters or oral presentations, were also excluded. Searches were conducted in MEDLINE, CINAHL and EMCARE. The authors conducted extensive hand-searching of the included study reference lists as well as the grey literature to ensure that all relevant literature was captured. A scoping literature review was conducted. Data extraction was conducted on the final 33 articles (23 peer reviewed studies and 10 competency and practice standards documents). Specific training requirements to achieve competence in the requisite clinical and non-technical skills in resuscitation nursing do not exist. A decline in competency without regular reinforcement was reported. Multi-modal approaches, incorporating diverse teaching methods, show potential in enhancing knowledge retention and skill acquisition. Resuscitation nursing lacks a standardised training approach in Australia, leading to a gap in ensuring consistent skill acquisition and knowledge among nurses. Research is required to identify what resuscitation nursing skills and training are necessary to ensure practice effectively meets the needs of patients. [ABSTRACT FROM AUTHOR]

Copyright of Revista Foco (Interdisciplinary Studies Journal) is the property of Revista Foco and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Foco (Interdisciplinary Studies Journal) is the property of Revista Foco and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background/Objectives: Nursing competence encompasses the integration of knowledge, skills, and attitudes essential for comprehensive and safe patient care. This study aimed to compare self-assessment and tutor evaluation of nurses' competencies in a hospital emergency department before and after a training intervention. Methods: A quasi-experimental design was employed, involving 63 newly hired nurses who participated in a mentorship program. The intervention included theoretical and practical sessions on critical care skills. Data were collected through self-assessment questionnaires and objective evaluations by tutors using validated rubrics. Results: The results indicated significant differences between self-assessment and tutor evaluations in pre- and post-intervention phases, particularly in competencies related to orotracheal intubation and fibrinolytic therapy for ischemic stroke. Post-intervention, discrepancies between self-assessment and tutor evaluations decreased, suggesting improved self-awareness and competence among participants. Conclusions: This study highlights the importance of combining self-assessment and external evaluation to ensure accurate competency assessment and effective educational interventions, ultimately enhancing the quality of patient care. [ABSTRACT FROM AUTHOR]

Patient safety is fundamental to healthcare. Adverse events, particularly medication errors, cause harm to patients, especially the paediatric population in the emergency department. Aim: To explore paediatric emergency nurses' perceptions of medication administration errors. Method: A qualitative, ethnomethodological, descriptive study. The participants were nurses working in the paediatric emergency department. Data were collected through in-depth individual interviews with paediatric emergency nurses. The study excluded nurses employed for less than six months. Ten individual interviews were carried out. All interviews were face-to-face and audio-recorded with the participant's consent. Interviews took between 52 min and 1 h 25 min. A questions guide was followed during the interviews. The analysis of the data was carried out according to the scheme proposed by Taylor and Bogdan. Results: The participants' discourse revealed three main categories: Safety culture, transmitted by supervisors and safety groups. Teamwork, with good communication and a positive relationship. Error management, the lack of formal support and negative feelings despite an understanding of the multifactorial nature of errors. The study identifies several challenges in the healthcare system. Emphasis was placed on the perception of errors in terms of patient harm, while near misses or dose delays or omissions are not treated as errors. Conclusions: Although institutions have implemented safety culture strategies, nurses have not fully embraced them. There is a need to promote a positive safety culture and a safe working environment that encourages communication within the team. The hospital should provide training in safe management and patient safety and develop effective protocols. This study was not registered. [ABSTRACT FROM AUTHOR]

Background/Objectives: Nursing professionals are often subject to social stereotypes that can hinder effective teamwork with other healthcare professionals and limit their professional growth. Interprofessional education (IPE) enhances teamwork skills and promotes a better understanding of other professional groups. This study aimed to identify the presence of stereotypes associated with nursing among postgraduate nursing and student physicians specializing in emergency medicine and to assess the applicability of simulation as an IPE strategy. Methods: A pilot study using high-fidelity simulation activity focusing on interdisciplinary collaboration was designed for students in the master's programs in emergency nursing and emergency medicine at the Catholic University of Murcia. The activity took place in May 2024 and involved 52 participants (24 postgraduate nursing students and 28 postgraduate student physicians). A mixed-method descriptive study was conducted using a 16-item self-administered questionnaire. Data were analyzed using the Shapiro–Wilk test for normality, Fisher's F test, and the Mann–Whitney U test to evaluate the relationship between variables (p < 0.05). Results: A total of 22 questionnaires were collected (16 from nurses postgraduate student and 6 from postgraduate physicians). Positive attitudes toward nursing stereotypes were found in 9 of the 13 items. No statistically significant differences were observed between the groups regarding most stereotypes, except for one. Negative stereotypes about nursing leadership, professional autonomy, and patient relations were more prominent among nursing students. Conclusions: Stereotypical perceptions exist among both postgraduate nursing and postgraduate student physicians, particularly in nursing leadership and autonomy. Most participants expressed satisfaction with the simulation-based IPE activity, indicating its value in improving the understanding of other professionals' roles. IPE should be incorporated into health sciences education. [ABSTRACT FROM AUTHOR]