Purpose The study was conducted to identify the influencing factors the quality of work life in emergency nurses during prolonged COVID-19. Methods Data was collected on 197 emergency nurses, from November 8 to December 8, 2022. Data were analyzed based on descriptive statistics, t-test, ANOVA, Scheffé test, Pearson's correlation, hierarchical multiple regression analysis. Results There was significant positive correlation between disaster nursing core competencies, coping flexibility, and quality of work life. The primary factors that significantly affected the quality of work life of emergency nurses were disaster nursing core competencies (β=.66, p<.001) and emergency department experience (β=.19, p=.030). The explanatory power of variable was 60%. Conclusion As a result of the study, it was confirmed that disaster nursing core competencies were the factor that had the greatest impact on the quality of work life of emergency nurses. Thus, it is expected that regular simulation training and education to improve the disaster nursing core competencies of emergency nurses.
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PURPOSE This study was conducted to identify the effect of crowding and nurse staffing on time to antibiotic administration for pneumonia patients in an emergency department (ED). METHODS The sample included pneumonia patients visiting an ED from November 1, 2014 to February 28, 2015. Crowding was measured using ED occupancy rate, nurse staffing was measured as total length of stay per nurse and number of patients per nurse and the time duration was measured for the following processes: from patient arrival to prescription, from prescription to blood culture and antibiotic administration, and from blood culture to antibiotic administration. Data collected from the electronic medical records were analyzed using multivariate analyses. RESULTS The mean times from arrival to antibiotics administration, from prescription to antibiotic administration, and from blood culture to antibiotic administration were 128.31, 47.29, and 15.60 minutes, respectively. Crowding, nurse staffing, work experience of the nurse and severity of the patient influenced the time duration of each process from patient arrival to antibiotic administration. CONCLUSION The results reveal that crowding and nurse staffing affect length of time to antibiotic administration in pneumonia patients. Guidelines for safe nurse staffing in ED are required to improve patient outcomes.
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PURPOSE Professional quality of life is the quality one feels in relation to their work as a helper. The purpose of this study was to describe professional quality of life among emergency nurses. METHODS A total of 15 emergency rooms were selected in three cities. Among 263 nurses working at these emergency rooms, 178 nurses consented to participate in this cross-sectional survey. Professional Quality of Life (ProQOL) Scale version 5 was used to measure compassion satisfaction, burnout and secondary traumatic stress. Cluster analysis was used to classify nurses according to professional quality of life. RESULTS The mean scores (SD) for compassion satisfaction, burnout, and secondary traumatic stress were 32.12 (5.45), 28.27 (4.28), and 28.20 (5.07), respectively. The result of cluster analysis according to standardized score of compassion satisfaction, burnout, and secondary traumatic stress yielded three clusters. Over 50% of participants showed low professional quality of life. Nurses who were included in a cluster representing low professional quality of life were younger, had shorter periods of nursing experience, and perceivedlower social support than other cluster. CONCLUSION Education or support programs for emergency nurses are needed to enhance their professional quality of life.
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