Purpose
To investigate the influence of violence experience and response of coping with violence on professional QoL among emergency department.
Methods
This cross-sectional study, included 179 subjects. Data were collected online from June 24 to July 31, 2022, and were analyzed using independent t-test, one-way ANOVA, Pearson’s correlation coefficient, and multiple regression.
Results
In the compassion satisfaction category, the problem focused coping (β=.328, p<.001) was a significant influencing factor (adj. R² =.103) (F=21.36, p<.001). In the burnout category, violence response (β=.460, p<.001), problem focused coping (β=-.306, p<.001), and violence experience (β=.151, p=.030) were significant influencing factors (adj. R² =.288) (F=24.99, p<.001). In the secondary traumatic stress category, violence response (β=.587, p<.001) and emergency department career (β=.177, p=.011) were significant influencing factors (adj. R² =.383) (F=41.90, p<.001).
Conclusion
To improve professional QoL, it is necessary to understand the current situation related to violence and prepare a coping support system and intervention to prevent violence experiences and reduce negative consequences related to violence for a safe working environment for emergency department nurses.

PURPOSE
The purpose of this study was to identify the job of emergency room (ER) nurses working in small and medium sized hospitals and to explore factors affecting their job.
METHODS
The survey data were collected between January 2014 and May 2014 and participants were 159 nurses working in Seoul, Kyunggi, Incheon, and Chungnam in hospitals of less than 500 beds.
RESULTS
The score for nurses job was 2.12/4.0, and emergency treatment (1.87/4.0) followed basic nursing (3.51/4.0) and counseling (2.32/4.0). The nursing job was significantly different depending on the age, education level, position, resident doctor(emergency medicine specialty or other) and grade of ER (regional ER or local ER). In the multiple regression, education level (beta=.18), position (beta=.24), hospital size (beta=.20), and grade of ER (beta=.21) explained 17.0% of variance in ER nurses' job in small and medium sized hospitals.
CONCLUSION
The findings indicate that ER nurses in vulnerable areas do more nursing practice including emergency treatment as well as the usual independent nursing practice. Accordingly, a systematic assignment of nursing professionals is needed to reduce loading of ER nurses in small and medium sized hospitals.

Citations

• Predictors of Clinical Performance Among Emergency Nurses: A Cross-Sectional Study
  Maha Subih, Rasmieh Al-Amer, Enas Ghaleb Bani Saleh, Imad Numan Thultheen
  SAGE Open Nursing.2024;[Epub]     CrossRef
• A Study on the Refresher Training of Physical Therapist in Gwangju and Jeonnam
  Seong-Hun Yu, Seung-Rae Kim, Sung-Hyoun Cho, Il-Yong Jang, Jin-Ah Hwang, Yong-Seong Kim, Hyun-Jin Kim
  The Journal of Korean Physical Therapy.2016; 28(3): 165.     CrossRef

PURPOSE
The purpose of this study was to demonstrate effects of a critical pathway (CP) for stroke patients seen in emergency rooms (ER).
METHODS
The CP developed by the CP committee consisted of 8 criteria: behavior of doctors and nurses, laboratory tests, Image testing, medication, treatment, activity, and nutrition. According to application of CP, a control group (n=17) and experimental group (n=17) were defined. Time was checked by the electronic medical records.
RESULTS
Use of CP for stroke patients in the ER, resulted in a decreased length of stay in ER (t=2.341, p=.026), and time required for image testing (t=2.623, p=.021), and an increased number of patients using rtPA (chi2=4.802, p=.049). Time required for neurology doctor contact, for neurology doctor to see patient in the ER, and for report of blood tests decreased, but there were no statistical significance.
CONCLUSION
Quick responses are most important in the ER, so CP for these patients is a very effective patient management tool. To reduce delay in stroke diagnosis, continuous education programs for similar symptoms are necessary. CPs for other patients in the ER should be developed, and studies on cost and satisfaction, as well as length of stay, should be done.

Citations

• Factors affecting the length of stay in the emergency department for critically Ill patients transferred to regional emergency medical center
  Hyungbok Lee, Sangrim Lee, Hyeoneui Kim
  Nursing Open.2023; 10(5): 3220.     CrossRef
• Development of a Critical Pathway for a Korean Medicine Hospital Inpatient with Stroke
  Mikyung Kim, Chang-ho Han
  Journal of Korean Medicine.2021; 42(2): 62.     CrossRef