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Search for: limit 33 to yr=2000 -
2005
Results: 1-110
Database: CINAHL - Cumulative Index
to Nursing & Allied Health Literature
<1982 to May Week 4 2005>
Search Strategy:
--------------------------------------------------------------------------------
1 exp Complementary Therapies/ (35904)
2 exp Medicine, Herbal/ (2070)
3 exp Drugs, Chinese Herbal/ (267)
4 exp Plants, Medicinal/ (7147)
5 exp Plant Extracts/ (1223)
6 exp Herb-Drug Interactions/ (33)
7 exp Dietary Supplements/ (527)
8 exp SPIRITUALITY/ (3082)
9 (alternative adj (medicine$ or therap$)).tw.
(2370)
10 (complementary adj2 (medicine$
or therap$)).tw. (2563)
11 energy healing.tw. (26)
12 (energy adj medic$).tw. (61)
13 reiki$.tw. (97)
14 mind body.tw. (611)
15 exp Acupuncture/ (2657)
16 exp Alternative Therapies/ (35904)
17 or/1-16 (45875)
18 exp Stress, Occupational/ (5847)
19 exp Emergency Medicine/ (746)
20 exp Emergency Medical Services/
or exp Emergency Service/ (18763)
21 exp Physicians, Emergency/ (305)
22 exp Emergency Nursing/ (5464)
23 exp emergency nurse practitioners/
or exp emergency medical technicians/
(3224)
24 or/19-23 (25270)
25 18 and 24 (293)
26 17 and 25 (4)
27 from 26 keep 1-4 (4)
28 exp health personnel/ or physicians/
(123175)
29 17 and 18 and 28 (62)
30 29 not 26 (59)
31 from 30 keep 1-59 (59)
32 limit 25 to english language (288)
33 32 not (26 or 30) (285)
34 limit 33 to yr=2000 - 2005 (110)
35 from 34 keep 1-110 (110)
***************************
Citation <1>
Accession Number
2005085966.
Title
Ambulance staff and teachers the most
stressed.
Source
HCPJ. 2005 Jan; 5(1): 3.
Abbreviated Source
HCPJ. 2005 Jan; 5(1): 3.
Citation <2>
Accession Number
2005084009 NLM Unique Identifier:
15743117.
Author
Smith M.
Institution
Program Chair, Emergency Medical Services
Program, Tacoma Community College,
Tacoma, WA.
Title
Beyond the books. Check your fabric.
Source
Emergency Medical Services. 2005 Jan;
34(1): 38.
Abbreviated Source
EMERG MED SERV. 2005 Jan; 34(1): 38.
Citation <3>
Accession Number
2005080288.
Author
Harmacinski J.
Title
Emergency room violence growing concern
for nurses... reprinted with permission
of The Salem News.
Source
Massachusetts Nurse. 2005 Apr; 76(3):
8, 10.
Abbreviated Source
MASS NURSE. 2005 Apr; 76(3): 8, 10.
Citation <4>
Accession Number
2005075446.
Author
Jenkins L.
Title
Relieving the pressure.
Source
Emergency Nurse. 2005 Mar; 12(10):
9.
Abbreviated Source
EMERG NURSE. 2005 Mar; 12(10): 9.
Citation <5>
Accession Number
2005053375 NLM Unique Identifier:
15599364.
Author
Ludwig G.
Institution
Director of EMS and Fire Education,
Sanford-Brown College.
Title
Leadership sector. Does EMS mean every
marriage suffers?
Source
JEMS: Journal of Emergency Medical
Services. 2004 Dec; 29(12): 22.
Abbreviated Source
JEMS. 2004 Dec; 29(12): 22.
Citation <6>
Accession Number
2003108824.
Author
Shakespeare-Finch J. Smith S. Obst
P.
Institution
School of Psychology and Counselling,
Queensland University of Technology,
Carseldine Campus, Beams Road, Carseldine,
Queensland 4034, Australia; j.shakespeare-finch@qut.edu.au.
Title
Trauma, coping resources, and family
functioning in emergency services
personnel: a comparative study.
Source
Work & Stress. 2002 Jul-Sep; 16(3):
275-82. (31 ref)
Abbreviated Source
WORK STRESS. 2002 Jul-Sep; 16(3):
275-82. (31 ref)
Citation <7>
Accession Number
2005041412.
Author
Bell L.
Title
Effects of shift work, sleep deprivation
& stress.
Source
JEMS: Journal of Emergency Medical
Services. 2004 Oct; 29(10): 58, 60.
Abbreviated Source
JEMS. 2004 Oct; 29(10): 58, 60.
Citation <8>
Accession Number
2005031264.
Special Fields Contained
Fields available in this record: abstract,
cited references.
Author
Jonsson A. Segesten K.
Institution
School of Health Sciences, Boras University
College, Room E 525, SE-501 90 Boras,
Sweden; anders.jonsson@hb.se.
Title
Guilt, shame and need for a container:
a study of post-traumatic stress among
ambulance personnel.
Source
Accident and Emergency Nursing. 2004
Oct; 12(4): 215-23. (42 ref)
Abbreviated Source
ACCID EMERG NURS. 2004 Oct; 12(4):
215-23. (42 ref)
Abstract
Post-traumatic stress symptoms among
ambulance personnel are regarded as
a natural behaviour and reaction to
working with the severely injured,
suicides, injured children and dead
people. The findings show that post-traumatic
stress symptoms, guilt, shame and
self-reproach are common after duty-related
traumatic events. To handle these
overwhelming feelings it is necessary
to talk about them with fellow workers,
friends or family members. By using
another person as a container it is
possible to internalise the traumatic
experience. Poor and unemphatic behaviour
towards a patient and their relatives
can have its origin in untreated traumatic
experiences. Personnel in ambulance
organisations who perform defusing,
debriefing and counselling have to
be informed of the importance that
the roll of guilt and shame may play
in the developing of post-traumatic
stress symptoms.
Citation <9>
Accession Number
2005013406.
Title
Just-surveyed EDs report on new JCAHO
process.
Source
ED Nursing. 2004 May; 7(7): 78-80.
Abbreviated Source
ED NURS. 2004 May; 7(7): 78-80.
Citation <10>
Accession Number
2004150128.
Title
California may require EMS to offer
counseling.
Source
EMS Insider. 2004 Jul; 31(7): 3.
Abbreviated Source
EMS INSIDER. 2004 Jul; 31(7): 3.
Citation <11>
Accession Number
2004138181.
Special Fields Contained
Fields available in this record: abstract.
Author
Zwemer FL Jr.. Schneider S.
Institution
Department of Emergency Medicine,
University of Rochester, 601 Elmwood,
Box 655, Rochester, NY 14642; frank_zwemer@urmc.rochester.edu.
Title
The demands of 24/7 coverage: using
faculty perceptions to measure fairness
of the schedule.
Source
Academic Emergency Medicine. 2004
Jan; 11(1): 111-4. (9 ref)
Abbreviated Source
ACAD EMERG MED. 2004 Jan; 11(1): 111-4.
(9 ref)
Abstract
OBJECTIVES: Ensuring fair, equitable
scheduling of faculty who work 24-hour,
7-day-per-week (24/7) clinical coverage
is a challenge for academic emergency
medicine (EM). Because most emergency
department care is at personally valuable
times (evenings, weekends, nights),
optimizing clinical work is essential
for the academic mission. To evaluate
schedule fairness, the authors developed
objective criteria for stress of the
schedule, modified the schedule to
improve equality, and evaluated faculty
perceptions. They hypothesized that
improved equality would increase faculty
satisfaction. METHODS: Perceived stress
was measured for types of clinical
shifts. The seven daily shifts were
classified as weekday, weekend, or
holiday (plus one unique teaching-conference
coverage shift). Faculty assigned
perceived stress to shifts (ShiftStress)
utilizing visual analog scales (VAS).
Faculty schedules were measured (ShiftScores)
for two years (1998-1999), and ShiftScore
distribution of fa!
culty was determined quarterly. Schedules
were modified (1999) to reduce interindividual
ShiftScore standard deviation (SD).
The survey was performed pre- and
postintervention. RESULTS: Preintervention,
26 faculty (100% of eligible) assigned
VAS to 22 shifts. Increased stress
was perceived in progression (weekday
data, 0-10 scale) from day to evening
to night (2.07, 5.00, 6.67, respectively)
and from weekday to weekend to holiday
(day-shift data, 2.07, 4.93, 5.87).
The intervention reduced interindividual
ShiftScore SD by 21%. Postintervention
survey revealed no change in perceived
equality or satisfaction. CONCLUSIONS:
Faculty perceived no improvement despite
scheduling modifications that improved
equality of the schedule and provided
objective measures. Other predictors
of stress, fairness, and satisfaction
with the demanding clinical schedule
must be identified to ensure the success
of EM faculty.
Citation <12>
Accession Number
2004118510 NLM Unique Identifier:
15156687.
Special Fields Contained
Fields available in this record: cited
references.
Author
Hinds L.
Institution
Captain, Emergency Medical Services
Operations, Sarasota County (FL) Fire
Department.
Title
Worker wellness.
Source
Emergency Medical Services. 2004 May;
33(5): 130-1. (4 ref)
Abbreviated Source
EMERG MED SERV. 2004 May; 33(5): 130-1.
(4 ref)
Citation <13>
Accession Number
2004114953.
Author
Segerstrom J.
Institution
Vice President, International Operations,
Global Rescue Group.
Title
Rescue roundup.
Source
Advanced Rescue Technology. 2004 Apr-May;
7(2): 16, 18, 20 passim.
Abbreviated Source
ADV RESCUE TECHNOL. 2004 Apr-May;
7(2): 16, 18, 20 passim.
Citation <14>
Accession Number
2004110054.
Special Fields Contained
Fields available in this record: abstract,
cited references.
Author
Hall DS.
Institution
Clinical Nursing Researcher, University
of Kentucky Hospital, Lexington, Kentucky;
dshall1@email.uky.edu.
Title
Work-related stress of registered
nurses in a hospital setting.
Source
Journal for Nurses in Staff Development.
2004 Jan-Feb; 20(1): 6-16. (24 ref)
Abbreviated Source
J NURSES STAFF DEV. 2004 Jan-Feb;
20(1): 6-16. (24 ref)
Abstract
This qualitative, explorative study
identified work-related stressors
and coping mechanisms of registered
nurses (RNs) within a hospital setting.
A sample of 10 RNs was interviewed
about work-related stressors and observed
under normal working conditions. RNs
identified stress related to failure
to meet patients' needs, self-expectations,
workload, and inexperienced colleagues.
Staff development implications include
education of clinical nurses and administrators
in identifying systems barriers to
providing patient care, interventional
staffing, stress debriefing, patient
assessment, and active coping.
Citation <15>
Accession Number
2004090830.
Author
Bean S.
Title
Raising the profile of OH within the
police.
Source
Occupational Health. 2004 Feb; 56(2):
10.
Abbreviated Source
OCCUP HEALTH. 2004 Feb; 56(2): 10.
Citation <16>
Accession Number
2004090380.
Author
Foley T. Dick T.
Title
When warnings are ignored... October
EMS Reruns column, Treasure At Risk:
Watching Out for Discouraged Colleagues.
Source
Emergency Medical Services. 2004 Apr;
33(4): 14.
Abbreviated Source
EMERG MED SERV. 2004 Apr; 33(4): 14.
Citation <17>
Accession Number
2004059270.
Special Fields Contained
Fields available in this record: cited
references.
Author
Patrick RW.
Institution
Director, EMS Programs for York, PA-based
VFIS Education & Training Services.
Title
Health and wellness.
Source
Emergency Medical Services. 2004 Feb;
33(2): 80, 86. (4 ref 3 bib)
Abbreviated Source
EMERG MED SERV. 2004 Feb; 33(2): 80,
86. (4 ref 3 bib)
Citation <18>
Accession Number
2004059265.
Special Fields Contained
Fields available in this record: cited
references.
Author
Grider E.
Title
Guest editorial. Medics needed.
Source
Emergency Medical Services. 2004 Feb;
33(2): 64-6. (3 ref)
Abbreviated Source
EMERG MED SERV. 2004 Feb; 33(2): 64-6.
(3 ref)
Citation <19>
Accession Number
2004059195.
Author
Messer DW. Bledsoe B.
Title
Things science can't measure... May
2003 EMS... (EMS myth #3: critical
incident stress management is effective
in managing EMS-related stress).
Source
Emergency Medical Services. 2004 Feb;
33(2): 12, 14.
Abbreviated Source
EMERG MED SERV. 2004 Feb; 33(2): 12,
14.
Citation <20>
Accession Number
2004054300.
Author
Mlott K.
Title
EMS & human drama... "TY:FY
ratio" (November 2003 JEMS).
Source
JEMS: Journal of Emergency Medical
Services. 2004 Jan; 29(1): 14.
Abbreviated Source
JEMS. 2004 Jan; 29(1): 14.
Citation <21>
Accession Number
2004048327.
Author
Badger JM.
Institution
Clinical Nurse Specialist, Departments
of Nursing and Psychiatry, Rhode Island
Hospital, Providence, RI.
Title
A nurse's perspective on a nightclub
fire: fostering resilience during
a disaster response.
Source
American Journal of Nursing. 2004
Feb; 104(2): Critical Care Extra:
72AA-BB, 72EE-FF.
Abbreviated Source
AM J NURS. 2004 Feb; 104(2): Critical
Care Extra: 72AA-BB, 72EE-FF.
Citation <22>
Accession Number
2004045655.
Author
Summer C.
Title
From the publisher. Greetings from
the front.
Source
Emergency Medical Services. 2003 Dec;
32(12): 16.
Abbreviated Source
EMERG MED SERV. 2003 Dec; 32(12):
16.
Citation <23>
Accession Number
2004038825 NLM Unique Identifier:
14632977.
Special Fields Contained
Fields available in this record: abstract,
cited references.
Author
Gillespie M. Melby V.
Institution
Lecturer in Emergency Medicine, University
of Ulster, Magee Campus, Londonderry,
BT48 7JL, Northern Ireland; m.gillespie@ulster.ac.uk.
Title
Burnout among nursing staff in accident
and emergency and acute medicine:
a comparative study.
Source
Journal of Clinical Nursing. 2003
Nov; 12(6): 842-51. (48 ref)
Abbreviated Source
J CLIN NURS. 2003 Nov; 12(6): 842-51.
(48 ref)
Abstract
This study was designed to identify
the prevalence of burnout among nurses
working in Accident and Emergency
(A & E) and acute medicine, to
establish factors that contribute
to stress and burnout, to determine
the experiences of nurses affected
by it and highlight its effects on
patient care and to determine if stress
and burnout have any effects on individuals
outside the clinical setting. A triangulated
research design was used incorporating
quantitative and qualitative methods.
Maslach Burnout Inventory was used.
Nurses working in acute medicine experienced
higher levels of emotional exhaustion
than their A & E counterparts.
The overall level of depersonalization
was low. High levels of personal accomplishment
were experienced less by junior members
of staff. Stress and burnout have
far reaching effects both for nurses
in their clinical practice and personal
lives. If nurses continue to work
in their current environment without
issues being tackled, then burnout
will re!
sult. The science of nursing does
not have to be painful, but by recognition
of the existence of stress and burnout
we can take the first steps towards
their prevention.
Citation <24>
Accession Number
2004035151.
Author
Smith M.
Title
Beyond the books. A question of balance.
Source
Emergency Medical Services. 2003 Nov;
32(11): 28.
Abbreviated Source
EMERG MED SERV. 2003 Nov; 32(11):
28.
Citation <25>
Accession Number
2004021880.
Author
Richardson KL.
Title
After dust settles, nurses must care
for themselves.
Source
Nursing Spectrum (New York/New Jersey
Metro Edition). 2003 Apr 7; 15A(7):
Suppl: NJ/NY1-NJ/NY2.
Abbreviated Source
NURS SPECTRUM (NY NJ). 2003 Apr 7;
15A(7): Suppl: NJ/NY1-NJ/NY2.
Citation <26>
Accession Number
2004014666 NLM Unique Identifier:
14671770.
Special Fields Contained
Fields available in this record: abstract,
cited references.
Author
Prag PW.
Institution
Flight Nurse, AirLife, Denver.
Title
Stress, burnout, and social support:
a review and call for research.
Source
Air Medical Journal. 2003 Sep-Oct;
22(5): 18-22. (41 ref)
Abbreviated Source
AIR MED J. 2003 Sep-Oct; 22(5): 18-22.
(41 ref)
Abstract
April 20, 1999, is etched in my mind,
as it is in many Americans'. The images
burned in my memory of that day in
Columbine are the faces of 2 young
men who were keenly aware of their
surroundings, although they had life-threatening
injuries. They were exceptionally
calm during their separate and short
helicopter flights to area trauma
centers. Like many of my colleagues,
I fought to keep my composure during
a day that grew in magnitude and whose
repercussions eventually reverberated
outside our country's borders.
Citation <27>
Accession Number
2004011607.
Special Fields Contained
Fields available in this record: abstract.
Author
van der Ploeg E. Kleber RJ.
Institution
Department of Clinical Psychology,
Utrecht University, The Netherlands.
Title
Acute and chronic job stressors among
ambulance personnel: predictors of
health symptoms.
Source
Occupational and Environmental Medicine.
2003 Jun; 60 Suppl 1: i40-6. (39 ref)
Abbreviated Source
OCCUP ENVIRON MED. 2003 Jun; 60 Suppl
1: i40-6. (39 ref)
Abstract
OBJECTIVES: To predict symptomatology
(post-traumatic distress, fatigue,
and burnout) due to acute and chronic
work related stressors among ambulance
personnel. METHODS: Data were gathered
from 123 ambulance workers in The
Netherlands in a longitudinal design.
At two measurements they completed
standardised questionnaires to assess
health symptoms, such as the Impact
of Event Scale, the Maslach Burnout
Inventory, and the Checklist Individual
Strength. Acute stressors were assessed
with specific questions, and chronic
work related stressors were measured
with the Questionnaire on the Experience
and Assessment of Work. RESULTS: Most
of the ambulance workers had been
confronted with acute stressors in
their work. They also reported more
chronic work related stressors than
a reference group. Of the participants,
more than a tenth suffered from a
clinical level of post-traumatic distress,
a tenth reported a fatigue level that
put them at high risk for sick leave
and work disabi!
lity and nearly a tenth of the personnel
suffered from burnout. Best predictors
of symptomatology at time 2 were lack
of social support at work and poor
communication, such as not being informed
about important decisions within the
organisation. CONCLUSIONS: Ambulance
personnel are at risk to develop health
symptoms due to work related stressors.
Although, acute stressors are related
to health symptoms, such as fatigue,
burnout, and post-traumatic symptoms,
it was not found to predict health
symptoms in the long term. Main risk
factors have to do with social aspects
of the work environment, in particular
lack of support from the supervisor
as well as colleagues and poor communication.
When implementing workplace interventions
these social aspects need to be taken
into account.
Citation <28>
Accession Number
2004010137 NLM Unique Identifier:
12748136.
Special Fields Contained
Fields available in this record: abstract,
cited references.
Author
McPherson S. Hale R. Richardson P.
Obholzer A.
Institution
Psychotherapy Evaluation Research
Unit, Tavistock Centre, 120 Belsize
Lane, London NW3 5BA, UK; smcpherson@tavi-port.org.
Title
Stress and coping in accident and
emergency senior house officers.
Source
Emergency Medicine Journal. 2003 May;
20(3): 230-1. (12 ref)
Abbreviated Source
EMERG MED J. 2003 May; 20(3): 230-1.
(12 ref)
Abstract
OBJECTIVES: To identify levels of
psychological distress in accident
and emergency (A&E) senior house
officers (SHOs). METHODS: Questionnaire
survey given to SHOs at training sessions.
MEASURES: General Health Questionnaire
(GHQ) and the Brief COPE. RESULTS:
Over half of the 37 respondents (51%;
95% CI: 36% to 67%) scored over the
threshold for psychological distress
on the GHQ. This is considerably higher
than for other groups of doctors and
for other professional groups. Correlational
analysis revealed that the coping
style Venting was significantly related
to greater anxiety (r=0.34; p<0.05)
and depression (r=0.33; p<0.05),
while the coping style Active was
significantly related to lower anxiety
(r=-0.38; p<0.05), somatic complaints
(r=-0.46; p<0.001) and years since
qualification (r=0.40; p<0.05).
CONCLUSIONS: Replicating findings
from a study of stress in A&E
consultants, this study shows higher
levels of overt psychological distress
among A&E SHOs than among other
gr!
oups of doctors. An intervention to
improve coping strategies may be useful
for this group of doctors.
Citation <29>
Accession Number
2003164077.
Author
Sowney R.
Institution
Nurse Consultant, Accident and Emergency
Services, Mater/Royal Hospital Trusts,
Belfast.
Title
I can't stress this enough!
Source
All Ireland Journal of Nursing &
Midwifery. 2002 Nov-Dec; 2(7): 10.
Abbreviated Source
ALL IRELAND J NURS MIDWIFERY. 2002
Nov-Dec; 2(7): 10.
Citation <30>
Accession Number
2003161392.
Author
Vavra B.
Title
Editor's note. Our youngest citizens.
Source
Every Second Counts. 2003 Sep-Oct;
5(5): 3.
Abbreviated Source
EVERY SECOND COUNTS. 2003 Sep-Oct;
5(5): 3.
Citation <31>
Accession Number
2003161029.
Special Fields Contained
Fields available in this record: cited
references.
Author
Riley JM.
Institution
Clinical Advisor, Emergency Department,
Beth Israel Deaconess Medical Center,
110 Francis St., Boston, MA 02215;
EDRN13@attbi.com.
Title
Providing nursing care with federal
disaster-relief teams.
Source
Disaster Management & Response.
2003 Jul-Sep; 1(3): 76-9. (6 ref)
Abbreviated Source
DISASTER MANAGE RESPONSE. 2003 Jul-Sep;
1(3): 76-9. (6 ref)
Citation <32>
Accession Number
2003160356 NLM Unique Identifier:
12000672.
Special Fields Contained
Fields available in this record: abstract,
cited references.
Author
Edell-Gustafsson UM. Kritz EIK. Bogren
IK.
Institution
Dept of Medicine and Care, Nursing
Science, Faculty of Health Sciences,
Linkoping University, SE-581 85 Linkoping,
Sweden; ulla.edell-gustafsson@hul.liu.se.
Title
Self-reported sleep quality, strain
and health in relation to perceived
working conditions in females.
Source
Scandinavian Journal of Caring Sciences.
2002 Jun; 16(2): 179-87. (52 ref)
Abbreviated Source
SCAND J CARING SCI. 2002 Jun; 16(2):
179-87. (52 ref)
Abstract
The aims of this study were to examine
self-reported sleep quality, perceived
strain and health in relation to working
conditions; the prevalence and severity
of sleep disturbances and daytime
distress arising from poor sleep in
women on different work shifts. Furthermore,
to see whether females with gastrointestinal
symptoms, joint-, back- or muscle-pain
and who are dissatisfied with working
hours differ with regard to the above
aspects. Finally, degree of strain-related
symptoms and sleep difficulties were
tested as predictors of sleep quality
and general health outcome. Important
research questions are whether registered
nurses and those on rotating work
shifts have greater sleep problems
than others. A total of 156 females,
aged 20-59 years, working at three
different casualty departments, answered
structured questionnaires. The results
showed a persistently high rate of
psycho-physiological long-term effects
of stress related to working conditions.
Thirty-four per cent were dissatisfied
with their working hours, and exhibited
significantly more mental strain,
fatigue/excessive tiredness and inability
to relax after work because of involuntary
thoughts, in relation to working conditions
than others did.
Sixty-two females (39.7%) complained
of insufficient sleep. The sleep quality
outcome was significantly predicted
by difficulty falling asleep (odds
ratio 8.4), difficulty in falling
asleep after nocturnal awakening (odds
ratio 3.4) and perceived exhaustion
(odds ratio 2.6). Females suffering
from gastrointestinal symptoms and
joint-, back- and muscle symptoms
for several days in a week or even
everyday were especially sensitive
to worse sleep quality. Independent
of work shifts, registered nurses
exhibited a higher degree of mental
strain and prolonged recovery in comparison
with others. In conclusions, sleep
initiation difficulties, troubled
sleep and exhaustion significantly
predicted reduced sleep quality outcome
with decreased resilience to stress
and vulnerability to psycho-physiological
disorders in females working within
the health care system.
Citation <33>
Accession Number
2003157933.
Author
Taylor RM. O'Connor B. St. Leone M.
Halpern JS.
Institution
Trauma Nurse Consultant, Royal Darwin
Hospital, PO Box 41326, Causarina
NT 0811, Australia.
Title
The voice of experience: Australian
nurses caring for victims of Bali
bombing.
Source
Disaster Management & Response.
2003 Jan-Mar; 1(1): 2-7.
Abbreviated Source
DISASTER MANAGE RESPONSE. 2003 Jan-Mar;
1(1): 2-7.
Citation <34>
Accession Number
2003156933.
Title
A&E target success was the result
of a short-term fix... NT forum, 8
April, p17.
Source
Nursing Times. 2003 Apr 22-28; 99(16):
12.
Abbreviated Source
NURS TIMES. 2003 Apr 22-28; 99(16):
12.
Citation <35>
Accession Number
2003156853.
Author
Dick T.
Institution
Quality Care Coordinator, Pridemark
Paramedic Services, Arvada, CO; Boxcar414@aol.com.
Title
EMS reruns. Treasure at risk: watching
out for discouraged colleagues.
Source
Emergency Medical Services. 2003 Oct;
32(10): 34.
Abbreviated Source
EMERG MED SERV. 2003 Oct; 32(10):
34.
Citation <36>
Accession Number
2003154830 NLM Unique Identifier:
12590889.
Special Fields Contained
Fields available in this record: abstract,
cited references.
Author
Ardley C.
Title
Should relatives be denied access
to the resuscitation room?
Source
Intensive & Critical Care Nursing.
2003 Feb; 19(1): 1-10. (43 ref)
Abbreviated Source
INTENSIVE CRIT CARE NURS. 2003 Feb;
19(1): 1-10. (43 ref)
Abstract
Within a health care system that promotes
choice and autonomy, it no longer
seems appropriate to exclude relatives
from the resuscitation room. There
is a growing body of research that
suggests there are indeed many long-term
benefits to be gained from witnessing
the resuscitation of a loved one.
There seems no doubt that relatives
would like the opportunity to spend
the last few valuable minutes with
their loved one to say goodbye. However,
it is the views of many staff working
in the critical care setting that
appear to be preventing witnessed
resuscitation from becoming normal
practice. This paper considers the
staffs', the relatives' and the patients'
perspectives on witnessed resuscitation
and concludes that the majority of
relatives should not be denied access
to the resuscitation room.
Citation <37>
Accession Number
2003152583 NLM Unique Identifier:
12718942.
Special Fields Contained
Fields available in this record: cited
references.
Author
Wright B.
Title
Excitement vs burnout.
Source
Accident and Emergency Nursing. 2003
Jan; 11(1): 1. (1 ref)
Abbreviated Source
ACCID EMERG NURS. 2003 Jan; 11(1):
1. (1 ref)
Citation <38>
Accession Number
2003151703 NLM Unique Identifier:
12709525.
Special Fields Contained
Fields available in this record: abstract.
Author
Sluiter JK. van der Beek AJ. Frings-Dresen
MHW.
Institution
Coronel Institute for Occupational
and Environmental Health, AmCOGG Amsterdam
Centre for Research into Health and
Health Care, Academic Medical Centre/University
of Amsterdam, Amsterdam, Netherlands;
j.sluiter@amc.uva.nl.
Title
Medical staff in emergency situations:
severity of patient status predicts
stress hormone reactivity and recovery...
including commentary by Ursin H with
author response.
Source
Occupational and Environmental Medicine.
2003 May; 60(5): 373-5. (10 ref)
Abbreviated Source
OCCUP ENVIRON MED. 2003 May; 60(5):
373-5. (10 ref)
Abstract
BACKGROUND: Although repetitive exposure
to stressful situations is thought
to habituate the physical stress responses,
work stress is experienced by medical
personnel in emergency and intensive
care units; performance should, however,
remain stable over time. AIMS: To
investigate the neuroendocrine reactions
(reactivity during and recovery after
work) in experienced emergency caregivers
during emergency situations. METHODS:
A within subjects pre-post design
was studied in the natural work environment
of 20 municipal Dutch emergency caregivers.
A stress protocol was developed in
which the biomarker cortisol was measured
in saliva at baseline, during the
emergency period, and during recovery.
Four scenarios were tested between
subjects in which the severity of
the emergency situation and the time
of day were taken into account. RESULTS:
Greater endocrine reactions were shown
during and after the handling of patients
in direct life threatening situations
during morning hours!
compared to the handling of patients
who were not in direct life threatening
situations.
Citation <39>
Accession Number
2003137476.
Author
Polick T.
Title
Working to support first responders.
Source
Nursing Spectrum (Washington, DC/Baltimore
Metro Edition). 2003 Feb 24; 13(4):
5.
Abbreviated Source
NURS SPECTRUM (WASHINGTON DC BALTIMORE).
2003 Feb 24; 13(4): 5.
Citation <40>
Accession Number
2003131389.
Special Fields Contained
Fields available in this record: cited
references.
Author
Effinger J. Jones R. Wooster RJ.
Title
One man's myth, another man's truth...
EMS Myth #3: critical incident stress
management is effective in managing
EMS-related stress.
Source
Emergency Medical Services. 2003 Aug;
32(8): 14, 16, 19. (2 ref)
Abbreviated Source
EMERG MED SERV. 2003 Aug; 32(8): 14,
16, 19. (2 ref)
Citation <41>
Accession Number
2003122999.
Special Fields Contained
Fields available in this record: abstract,
cited references.
Author
Jonsson A. Segesten K. Mattsson B.
Institution
School of Health Sciences, Hogskolan
I Boras, SE-501 90, Sweden; Anders.Jonsson@hb.se.
Title
Post-traumatic stress among Swedish
ambulance personnel.
Source
Emergency Medicine Journal. 2003 Jan;
20(1): 79-84. (40 ref)
Abbreviated Source
EMERG MED J. 2003 Jan; 20(1): 79-84.
(40 ref)
Abstract
Objective: Emergency workers, including
ambulance personnel, must cope with
a variety of duty related stressors
including traumatic incident exposures.
Little is known about the variables
that might be associated with post-traumatic
stress symptom in high risk occupational
groups such as ambulance personnel.
This study investigated the prevalence
of post-traumatic stress disorder
among Swedish ambulance personnel.
Methods: To estimate the prevalence
of trauma related disorders, a representative
group of 362 ambulance personal from
the county of Vastra Gotaland in Sweden
was surveyed through use of a Swedish
version of Antonovsky's 13-item short
version of Sense of Coherence Scale,
to measure reactions to traumatic
events two instruments were used,
Impact of Event Scale (IES-15) and
the Post Traumatic Symptom Scale (PTSS-10).
A total of 223 of the ambulance personnel
reported that they had had experience
of what they described as traumatic
situations.
Results: Of those who reported a traumatic
situation 15.2% scored 31 or more
on the IES-15 sub scale. Scores over
31 indicate a stress reaction with
certain likelihood of post-traumatic
disorder. On the PTSS-10 subscale
12.1% scored 5 or more, which indicates
a relative strong reaction. The study
indicates that lower sense of coherence
predicts post-traumatic stress. Other
predictors for the extent of traumatic
stress were longer job experience,
age, physical and psychological workload.
Conclusions: The high prevalence of
post-traumatic stress disorder symptoms
in ambulance personnel indicates an
inability to cope with stress in daily
work. The strong relation between
post-traumatic stress and Sense of
Coherence Scale may be useful in predicting
vulnerability for post-traumatic symptoms
among recently employed ambulance
service personnel. To prevent or reduce
the upcoming of post-traumatic stress
disorder symptoms it must be possible
to take leave of absence, or for a
longer or shorter time be transferred
to non-emergency duties. This study
presents a better understanding between
post-traumatic stress and underlying
factors among ambulance personnel.
Citation <42>
Accession Number
2003122998.
Special Fields Contained
Fields available in this record: abstract,
cited references.
Author
Smith A. Roberts K.
Institution
Pre-hospital Emergency Research Unit,
Lansdowne Hospital, Cardiff CF11 8UL,
UK.
Title
Interventions for post-traumatic stress
disorder and psychological distress
in emergency ambulance personnel:
a review of the literature.
Source
Emergency Medicine Journal. 2003 Jan;
20(1): 75-8. (18 ref)
Abbreviated Source
EMERG MED J. 2003 Jan; 20(1): 75-8.
(18 ref)
Abstract
A literature review was carried out
to establish the extent of the literature
on interventions for psychological
distress and post-traumatic stress
disorder in emergency ambulance personnel.
A total of 292 articles were identified.
Of these, 10 were relevant to this
review. The primary intervention used
with this population was critical
incident stress debriefing, although
there was some debate in the literature
about the effectiveness of this intervention
and the quality of the research conducted.
More high quality research is needed
on critical incident stress debriefing
before being confident of its effectiveness.
Citation <43>
Accession Number
2003108131 NLM Unique Identifier:
11985753.
Special Fields Contained
Fields available in this record: abstract,
cited references.
Author
Eriksson C. Saveman B.
Institution
Kalmar University, S-39182 Kalmar,
Sweden; britt-inger.saveman@hik.se.
Title
Nurses' experiences of abusive/non-abusive
caring for demented patients in acute
care settings.
Source
Scandinavian Journal of Caring Sciences.
2002 Mar; 16(1): 79-85. (33 ref)
Abbreviated Source
SCAND J CARING SCI. 2002 Mar; 16(1):
79-85. (33 ref)
Abstract
Nurses caring for patients with dementia
in acute care settings often lack
specialized education in geriatric
nursing. The acute care settings do
not have an environment made for dementia
care. The staff often had a high workload,
which makes the situation stressful
and the nurses who take care of these
patients might end up in difficult
situations. The aim of this study
was to describe nurses' experiences
of difficulties related to caring
for patients with dementia in acute
care settings. Interviews were performed
with 12 nurses. Qualitative thematic
content analyses were carried out
in several steps. The results show
that the nurses experienced various
difficulties in meeting patients with
dementia in acute care settings. This
gave rise to for example frustration.
Most commonly reported was lack of
time to treat these patients satisfactorily.
The difficulties were mostly related
to the often disorderly conduct of
these patients, the ethical problems
that appeared in the !
care of these patients, and the medical
care organization. The problematic
situations described sometimes led
to abuse and neglect of these patients.
Citation <44>
Accession Number
2003097230 NLM Unique Identifier:
12658250.
Special Fields Contained
Fields available in this record: cited
references.
Author
Weibel L. Gabrion I. Aussedat M. Kreutz
G.
Title
Work-related stress in an emergency
medical dispatch center.
Source
Annals of Emergency Medicine. 2003
Apr; 41(4): 500-6. (46 ref)
Abbreviated Source
ANN EMERG MED. 2003 Apr; 41(4): 500-6.
(46 ref)
Citation <45>
Accession Number
2003097214 NLM Unique Identifier:
12776417.
Special Fields Contained
Fields available in this record: cited
references.
Author
Bledsoe BE.
Title
EMS mythology part 3.
Source
Emergency Medical Services. 2003 May;
32(5): 77-80. (29 ref)
Abbreviated Source
EMERG MED SERV. 2003 May; 32(5): 77-80.
(29 ref)
Citation <46>
Accession Number
2003096511 NLM Unique Identifier:
12468751.
Special Fields Contained
Fields available in this record: abstract.
Author
Yang Y. Koh D. Ng V. Lee CY. Chan
G. Dong F. Goh SH. Anantharaman V.
Chia SE.
Institution
Dept of Community, Occupational, and
Family Medicine, Faculty of Medicine,
MD3, National University of Singapore,
16 Medical Drive, Singapore 117597.
Title
Self perceived work related stress
and the relation with salivary IgA
and lysozyme among emergency department
nurses.
Source
Occupational and Environmental Medicine.
2002 Dec; 59(12): 836-41. (34 ref)
Abbreviated Source
OCCUP ENVIRON MED. 2002 Dec; 59(12):
836-41. (34 ref)
Abstract
AIMS: To assess and compare the self
perceived work related stress among
emergency department (ED) and general
ward (GW) nurses, and to investigate
its relation with salivary IgA and
lysozyme. METHODS: One hundred and
thirty two of 208 (63.5%) registered
female ED and GW nurses participated
in the study. A modified mental health
professional stress scale (PSS) was
used to measure self perceived stress.
ELISA methods were used to determine
the salivary IgA and lysozyme levels.
RESULTS: On PSS, ED nurses had higher
scores (mean 1.51) than GW nurses
(1.30). The scores of PSS subscales
such as organisational structure and
processes (OS), lack of resources
(RES), and conflict with other professionals
(COF) were higher in ED than in GW
nurses. ED nurses had lower secretion
rates of IgA (geometric mean (GM)
49.1 micro g/min) and lysozyme (GM
20.0 micro g/min) than GW nurses (68.2
micro g/min, 30.5 micro g/min). Significant
correlations were observed between
PSS and log IgA and ly!
sozyme secretion rates. OS, RES, and
COF were correlated with log IgA and
lysozyme levels. CONCLUSION: ED nurses,
who reported a higher level of professional
stress, showed significantly lower
secretion rates of salivary IgA and
lysozyme compared to GW nurses. Salivary
IgA and lysozyme were inversely correlated
with self perceived work related stress.
As these salivary biomarkers are reflective
of the mucosal immunity, results support
the inverse relation between stress
and mucosal immunity.
Citation <47>
Accession Number
2003090420.
Author
Kaplan D.
Institution
Vice-President of Workplace Services,
Employee Health Programs Workplace
Services (EHP), Bethesda, MD; dkaplan@ehp.com.
Title
HR toolbox: must-know personnel strategies.
Emergency backup: 6 situations for
your employee assistance program to
step in.
Source
EMS Manager & Supervisor. 2003
Jun; 5(6): 4.
Abbreviated Source
EMS MANAGER SUPERV. 2003 Jun; 5(6):
4.
Citation <48>
Accession Number
2003082635.
Special Fields Contained
Fields available in this record: abstract,
cited references.
Author
Riba S. Reches H.
Institution
National Head Nurse and Director,
Nursing Division, Israeli Ministry
of Health.
Title
When terror is routine: how Israeli
nurses cope with multi-casualty terror.
Source
Online Journal of Issues in Nursing.
2002 Sep 30; 7(3): 13p. (6 ref)
Abbreviated Source
ONLINE J ISSUES NURS. 2002 Sep 30;
7(3): 13p. (6 ref)
Abstract
The wave of terror that has befallen
the Israeli civilian population over
the past two years, striking deep
into the heart of towns and cities
all over the country, presents a unique
challenge for the health care system
in general and nursing in particular.
This article has a two-fold purpose:
(a) to describe discussions that took
place with four focus groups consisting
of emergency room nurses who had recently
cared for victims of terror, and (b)
to delineate recommendations for policy
enhancement based upon these discussions.
Qualitative analysis of the data collected
from focus group discussions revealed
four stages of personal and professional
involvement, each one eliciting a
specific response from the nurses:
call up to report for duty, waiting
for casualties to arrive, caring for
the victims, and closure of the event.
Nurses identified numerous hardships
and great anxiety along with a strong
sense of professional fulfillment.
Recommendations for policy include:
inco!
rporating stress management and debriefing
skills in post-basic ER training,
designing workshops and drills in
trauma care for non-ER nurses who
float into the ER in the wake of a
multi-casualty act of terror, and
developing leadership seminars for
head nurses in the ER departments.
(C) 2002 Online Journal of Issues
in Nursing Article published September
30, 2002
Citation <49>
Accession Number
2003082331.
Author
Hardison CD.
Title
Moving on.
Source
Emergency Medical Services. 2002 Dec;
31(12): 24.
Abbreviated Source
EMERG MED SERV. 2002 Dec; 31(12):
24.
Citation <50>
Accession Number
2003057957 NLM Unique Identifier:
12394962.
Author
Frey R. Decker K. Reinfried L. Klosch
G. Saletu B. Anderer P. Ing D. Semlitsch
HV. Seidler D. Laggner AN.
Institution
Department of Psychiatry, University
of Vienna, Vienna, Austria; Richard.Frey@akh-wien.ac.at.
Title
Effect of rest on physicians' performance
in an emergency department, objectified
by electroencephalographic analyses
and psychometric tests.
Source
Critical Care Medicine. 2002 Oct;
30(10): 2322-9. (43 ref)
Abbreviated Source
CRIT CARE MED. 2002 Oct; 30(10): 2322-9.
(43 ref)
Citation <51>
Accession Number
2003051567.
Author
Weiss GL.
Institution
Deputy Fire Chief, South Walton Fire
District, Florida.
Title
Guest editorial. The forgotten customer:
the firefighter.
Source
Advanced Rescue Technology. 2003 Feb-Mar;
6(1): 60-1.
Abbreviated Source
ADV RESCUE TECHNOL. 2003 Feb-Mar;
6(1): 60-1.
Citation <52>
Accession Number
2003046058.
Author
Flaherty L.
Institution
Emergency Nurse, Suburban Hospital,
Bethesda, MD; lflaherty@nhtsa.dot.gov.
Title
From the Feds: research, programs,
and products. Injuries and illnesses
among New York City Fire Department
rescue workers after responding to
the World Trade Center attacks.
Source
Journal of Emergency Nursing. 2003
Feb; 29(1): 50, 87-92.
Abbreviated Source
J EMERG NURS. 2003 Feb; 29(1): 50,
87-92.
Citation <53>
Accession Number
2003046049.
Special Fields Contained
Fields available in this record: abstract,
cited references.
Author
Laposa JM. Alden LE. Fullerton LM.
Title
Work stress and posttraumatic stress
disorder in ED nurses/personnel.
Source
Journal of Emergency Nursing. 2003
Feb; 29(1): 23-8, 87-92. (26 ref)
Abbreviated Source
J EMERG NURS. 2003 Feb; 29(1): 23-8,
87-92. (26 ref)
Abstract
Introduction: Work-related stress
in the emergency department previously
has been linked to depression and
burnout; however, these findings have
not been extended to the development
of anxiety disorders, such as posttraumatic
stress disorder (PTSD). Three sets
of factors have been shown to contribute
to stress in ED personnel: organizational
characteristics, patient care, and
the interpersonal environment. The
current study addressed whether an
association exists between sources
of workplace stress and PTSD symptoms.
Method: Respondents were 51 ED personnel
from a hospital in a large Canadian
urban center. The majority of respondents
were emergency nurses. Respondents
completed questionnaires measuring
PTSD and sources of work stress and
answered a series of questions regarding
work-related responses to stress or
trauma. Results: Interpersonal conflict
was significantly associated with
PTSD symptoms. The majority of respondents
(67%) believed they had received inadequate
s!
upport from hospital administrators
following the traumatic incident and
20% considered changing jobs as a
result of the trauma. Only 18% attended
critical incident stress debriefing
and none sought outside help for their
distress. Discussion: These findings
underscore the need for hospital administrations
to be aware of the extent of workplace
stress and PTSD symptoms in their
employees. Improving the interpersonal
climate in the workplace may be useful
in ameliorating PTSD symptoms.
Citation <54>
Accession Number
2003045992 NLM Unique Identifier:
12509726.
Special Fields Contained
Fields available in this record: abstract,
cited references.
Author
Moszcynski AB. Haney CJ.
Institution
Operating Nurse, Mills Memorial Hospital
Terrace, Northern British Columbia.
Title
Stress and coping of Canadian rural
nurses caring for trauma patients
who are transferred out.
Source
Journal of Emergency Nursing. 2002
Dec; 28(6): 496-504. (16 ref)
Abbreviated Source
J EMERG NURS. 2002 Dec; 28(6): 496-504.
(16 ref)
Abstract
INTRODUCTION: The present study investigated
acute stress and coping among rural
nurses who work with transfer trauma
patients. METHODS: Nineteen rural
nurses ages 34 to 53 years participated
in 4 focus groups. Each group was
asked to identify a specific stressful
situation involving transfer of trauma/accident
patients and to share their experience
of the situation. RESULTS: Stressful
situations encountered included system
problems (EG, lack of resources; time
pressures), lack of communication,
visual impact, and professional discord.
Coping responses included efforts
to alter the problem (problem-focused
coping) and efforts to control emotions
(emotion-focused coping). Social support
coping was identified as the most
helpful way of coping with trauma.
DISCUSSION: Overall the findings suggest
that rural nurses face unique stressors
not identified in the nursing literature,
which most often reflects urban settings.
Citation <55>
Accession Number
2003038974.
Author
Cotter S.
Institution
Shift Commander, Greenville County
EMS, Greenville, SC.
Title
Vehicle extrication: post-call considerations.
Source
Advanced Rescue Technology. 2002 Dec-2003
Jan; 5(6): 43-4, 46-7.
Abbreviated Source
ADV RESCUE TECHNOL. 2002 Dec-2003
Jan; 5(6): 43-4, 46-7.
Citation <56>
Accession Number
2003036306.
Title
Growing ED liability crisis is spotlighted
in survey.
Source
ED Management. 2002 Dec; 14(12): 141-2.
Abbreviated Source
ED MANAGE. 2002 Dec; 14(12): 141-2.
Citation <57>
Accession Number
2003032484.
Author
Berry S.
Title
Chill pills: 10 antidotes to EMS stress.
Source
JEMS: Journal of Emergency Medical
Services. 2002 Nov; 27(11): 42-4,
46, 48 passim.
Abbreviated Source
JEMS. 2002 Nov; 27(11): 42-4, 46,
48 passim.
Citation <58>
Accession Number
2003032468.
Author
Prutzman C Sr.. Dionne L. Gorman A.
Title
Response to "After the fall"...
September JEMS.
Source
JEMS: Journal of Emergency Medical
Services. 2002 Nov; 27(11): 16.
Abbreviated Source
JEMS. 2002 Nov; 27(11): 16.
Citation <59>
Accession Number
2003019247.
Author
Dionne L.
Title
Suicide among N.Y.'s EMS population
1992 & 2002.
Source
JEMS: Journal of Emergency Medical
Services. 2002 Sep; 27(9): 53-7.
Abbreviated Source
JEMS. 2002 Sep; 27(9): 53-7.
Citation <60>
Accession Number
2003012177.
Author
Meade DM.
Title
Guest editorial. Know when to say
when.
Source
Emergency Medical Services. 2002 Aug;
31(8): 108.
Abbreviated Source
EMERG MED SERV. 2002 Aug; 31(8): 108.
Citation <61>
Accession Number
2003014164.
Author
Summer C.
Title
From the publisher. Black Tuesday
redux.
Source
Emergency Medical Services. 2002 Sep;
31(9): 14.
Abbreviated Source
EMERG MED SERV. 2002 Sep; 31(9): 14.
Citation <62>
Accession Number
2003014195.
Title
FDNY EMS: healing, slowly.
Source
Emergency Medical Services. 2002 Sep;
31(9): 89.
Abbreviated Source
EMERG MED SERV. 2002 Sep; 31(9): 89.
Citation <63>
Accession Number
2003012545.
Author
Ufema J.
Institution
Clinical Specialist, Upper Chesapeake
Medical Center, Bel Air, MD.
Title
Insights on death & dying. Stress:
fighting battle fatigue in the ED.
Source
Nursing. 2002 Nov; 32(11): 68.
Abbreviated Source
NURSING. 2002 Nov; 32(11): 68.
Citation <64>
Accession Number
2002172679.
Special Fields Contained
Fields available in this record: abstract,
cited references.
Author
Adeb-Saeedi J.
Institution
University Lecturer, Shahid Beheshti,
Faculty of Nursing and Midwifery,
Tehran, Iran.
Title
Stress amongst emergency nurses.
Source
Australian Emergency Nursing Journal.
2002 Aug; 5(2): 19-24. (28 ref)
Abbreviated Source
AUST EMERG NURS J. 2002 Aug; 5(2):
19-24. (28 ref)
Abstract
Introduction
Recent studies have shown that health
service staff experience high levels
of occupational stress and that stress
is much greater for nurses who work
within the critical care environment
such as the emergency department.
This study was carried out to identify
sources of stress for nurses working
within the emergency department of
Tehran teaching hospitals.
Methods
A sample of 120 nurses participated
in the study and data were collected
using a two part questionnaire. Part
one related to demographic characteristics
and qualifications of the respondents,
whilst part two consisted of a list
of 25 items identified as potential
work related stressors. Each respondent
was asked to rate on a five point
Likert scale. Analysis of the data
was carried out using the statistical
package SPSS.
Results
The most common cause of stress reported
by nurses were: dealing with patients'
pain and suffering, a heavy workload
and the presence of the patients'
family in the Emergency Department
(ED).
Conclusion
Based on the study results it is suggested
that whilst it may not be possible
to decrease the demands of the job,
improving work conditions and providing
greater support to nurses may assist
in decreasing the stressors associated
with working in the emergency care
environment.
KEY WORDS
Work Related Stress, Occupational
Stress, Emergency Nursing, Tehran,
Emergency Departments.
Citation <65>
Accession Number
2002159260.
Special Fields Contained
Fields available in this record: abstract,
cited references.
Author
Adali E. Priami M.
Institution
Clinical Professor, Nursing Depart,
TEI of Athens, Greece.
Title
Burnout among nurses in intensive
care units, internal medicine wards
and emergency departments in Greek
hospitals.
Source
ICUs and Nursing Web Journal. 2002
Jul-Sep; (11): 19p. (46 ref)
Abbreviated Source
ICUS NURS WEB J. 2002 Jul-Sep; (11):
19p. (46 ref)
Abstract
The spectacular increase of the HIV
seropositive patients renders inavoidable
the contact of such patients with
the nursing personnel. The risk of
transmission of the HIV virus during
everyday practice in the health care
settings should not be underestimated.
Aim of the present study was the investigation
of compliance of the operating room
staff in Greece with the established
safety guidelines for the prevention
of HIV transmission. Collection of
data performed by means of an anonymous
questionnaire, which completed by
213 nurses working in the Athens area.
The results of the study showed that
the nursing personnel apply some of
the preventive measures when they
know that the patient is HIV seropositive,
whereas they do not comply with the
universal precautions when they ignore
the HIV status of the patient. These
data support the need for finding
and implementing interventions related
to hospital practices in order to
motivate nurses to use the currently
accepted prevent!
ive measures as a routine.
Citation <66>
Accession Number
2002155060 NLM Unique Identifier:
11971836.
Special Fields Contained
Fields available in this record: abstract,
cited references.
Author
Burbeck R. Coomber S. Robinson SM.
Todd C.
Institution
Addenbrooke's Hospital NHS Trust,
Cambridge, UK.
Title
Occupational stress in consultants
in accident and emergency medicine:
a national survey of levels of stress
at work.
Source
Emergency Medicine Journal. 2002 May;
19(3): 234-8. (27 ref)
Abbreviated Source
EMERG MED J. 2002 May; 19(3): 234-8.
(27 ref)
Abstract
OBJECTIVE: To assess levels of occupational
stress in UK accident and emergency
(A&E) consultants. METHOD: Postal
survey of complete enumeration of
UK consultants. MAIN OUTCOME MEASURES:
GHQ-12 and SCL-D, and respondents'
reported perceptions of stressors.
RESULTS: Of 371 valid respondents
(78%), 21 declined to participate.
Of the remaining 350, 154 (44.4%)
had GHQ-12 scores over the threshold
for distress, which is much higher
than found in other studies of doctors.
Levels of depression as measured by
the SCL-D at 18% (n=63) were slightly
higher than other groups. Thirty four
(10%) reported suicidal ideation.
Women had significantly higher SCL-D
scores than men (U=6604, p<0.01).
Respondents were highly satisfied
with A&E as a specialty. Protective
factors found in other occupational
groups did not apply. Only one demographic
or work related factor; number of
hours reportedly worked during previous
week by respondents in full time posts
(median=57, interquartile range=57),!
significantly correlated with either
stress outcome measure (GHQ-12 scores)
(rho=0.126, p<0.03). Logistic regression
modelling revealed "being overstretched"
(OR=1.18), "effect of hours (OR=0.82)
and stress (OR=1.58) on family life",
and "lack of recognition"
(OR=1.32) were significant predictors
of GHQ identified caseness, while
"the effect of stress on family
life" (OR=1.53), low prestige
of specialty (OR=1.20), and "dealing
with management" (OR=1.28) predicted
SCL-D scores. CONCLUSION: There are
high levels of psychological distress
among doctors working in A&E compared
with other groups of doctors. There
is likely to be an effect on staff
morale and career longevity. Interventions
to improve the working lives of A&E
consultants are required, in particular
a reduction in hours worked.
Citation <67>
Accession Number
2002130156.
Special Fields Contained
Fields available in this record: cited
references.
Author
Cheeseman B. Jerrard J.
Title
Shift work: 4 steps to the ideal shift
solution.
Source
EMS Manager & Supervisor. 2002
Jul; 4(7): 1-2. (5 ref)
Abbreviated Source
EMS MANAGER SUPERV. 2002 Jul; 4(7):
1-2. (5 ref)
Citation <68>
Accession Number
2002112902.
Special Fields Contained
Fields available in this record: abstract,
cited references.
Author
Lipton H. Everly GS Jr..
Title
Mental health needs for providers
of Emergency Medical Services for
Children (EMSC): a report of a consensus
panel.
Source
Prehospital Emergency Care. 2002 Jan-Mar;
6(1): 15-21. (15 ref)
Abbreviated Source
PREHOSPITAL EMERG CARE. 2002 Jan-Mar;
6(1): 15-21. (15 ref)
Abstract
On October 5, 2000, the select Consensus
Panel on Mental Health Needs for Providers
of Emergency Medical Services for
Children (EMSC) was convened in Washington,
DC, by the American Psychological
Association. This paper reports the
results of that two-day meeting. Major
topics addressed by the consensus
panel were the need for acute psychological
support services for providers of
EMSC, identification of especially
stressful clinical stressors for emergency
caregivers, stressors within the health
care system, adverse psychological
and behavioral reactions among EMSC
providers, a review of intervention
strategies, and recommendations for
future directions. The select panel
agreed that there exists an extraordinary
need for acute psychological support
services in venues that provide EMSC.
The panel recommended the proliferation
of state-of-the-art information to
settings that provide EMSC in order
to assist in the implementation of
acute psychological support services
to assi!
st EMSC providers as well as the pediatric
patients and their families. The Critical
Incident Stress Management (CISM)
crisis intervention program was viewed
as one such system of psychological
support services that should be pursued.
Citation <69>
Accession Number
2002111371 NLM Unique Identifier:
11842701.
Special Fields Contained
Fields available in this record: abstract.
Author
Mahony KL.
Title
Management and the creation of occupational
stressors in an Australian and a UK
ambulance service.
Source
Australian Health Review. 2001; 24(4):
135-45. (33 ref)
Abbreviated Source
AUST HEALTH REV. 2001; 24(4): 135-45.
(33 ref)
Abstract
Qualitative methods were used to explore
the aetiology of occupational stress
experienced by on-road ambulance officers.
The researcher found that the way
in which a service is organised and
its officers valued can create and
reproduce workplace stressors that
are as causative of occupational stress
as the often acknowledged occupational
specific stressors like night shifts,
irregular work hours and witnessing
human trauma and tragedy. These stressors
thought to be intrinsic to the work
of ambulance officers were found to
have an organisational dimension.
Citation <70>
Accession Number
2002111329.
Special Fields Contained
Fields available in this record: abstract,
cited references.
Author
Holleran R.
Institution
Chief Flight Nurse, Clinical Nurse
Specialist, University Hospital, Mount
Vernon, Milford Ohio.
Title
Challenges in transport nursing.
Source
Australian Emergency Nursing Journal.
2002 Apr; 5(1): 7-11. (12 ref)
Abbreviated Source
AUST EMERG NURS J. 2002 Apr; 5(1):
7-11. (12 ref)
Abstract
A transport nurse is generally a registered
nurse who has completed a curriculum
of study specific to the practice
of transport nursing and has demonstrated
clinical competencies pertinent to
the practice of transport nursing'.
Transport nursing requires specific
education and training.
It also necessitates an ability to
be flexible and adapt to a variety
of patient care settings and problems.
Transport nurses must be able to work
collaboratively with other members
of the transport team.
This paper will present a brief history
of transport nursing and suggest a
framework to prepare for practice.
Some of the challenges of transport
nurses and their solutions will also
be discussed.
Citation <71>
Accession Number
2002087539.
Author
Harbin S.
Title
An ED nurse offers insight into that
attitude... "Why ED nurses have
that attitude" (September 2001).
Source
RN. 2002 Jul; 65(7): 13-4.
Abbreviated Source
RN. 2002 Jul; 65(7): 13-4.
Citation <72>
Accession Number
2002053031.
Special Fields Contained
Fields available in this record: abstract.
Author
Kerasiotis BC.
Title
Assessment of post-traumatic stress
symptoms in emergency department nurses.
Source
(Hofstra University) ** 2001; Psy.D.
104 p.
Abstract
It is well understood through research
that human service providers who are
exposed to the end results of disastrous
events such as floods, fires, building
and bridge collapses, war, rape, murder,
and other violent crimes are susceptible
to the development of Post Traumatic
Stress Disorder. The purpose of this
study is to assess for the presence
of PTSD in ER nurses.
Although nursing is recognized as
a stressful and emotionally demanding
occupation, little is known to help
differentiate the many types of job
stressors associated with direct patient
contact as they vary from unit to
unit. This study investigated whether
nurses who work in the emergency room
of a Level 1 Trauma Center experience
symptoms of PTSD at a higher level
than those nurses who work in the
Intensive Care Unit or on a general
medicine floor. Included in the study
were 46 ER nurses, 51 ICU nurses,
and 31 general medicine floor nurses.
Symptoms of PTSD were assessed by
the Modified Posttraumatic Symptom
Scale-Self Report (MPSS-SR), social
support was assessed with the Multidimensional
Scale of Perceived Social Support
(MSPSS), depression was measured by
the Beck Depression Inventory-II (BDI-II),
anxiety was measured by the Beck Anxiety
Inventory (BAI) and dissociative symptoms
were measured by the Peritraumatic
Dissociative Experiences Questionnaire
(PDEQ).
It was hypothesized that ER nurses,
given the unpredictable events they
regularly experience, would score
significantly higher on the MPSS-SR
and on the PDEQ than the ICU or floor
nurses. This hypothesis was not supported.
It was hypothesized that ER nurses
would also have significantly higher
scores on the BAI and the BDI. This
hypothesis was partially supported,
in that all three nurse groups had
higher scores on the BAI than on the
BDI. A negative correlation between
scores on the MPSS-SR and scores on
the MSPSS was hypothesized. This hypothesis
was not supported. A negative correlation
between scores on the PDEQ and scores
on the MSPSS was also predicted. This
hypothesis was not supported. In addition,
a positive correlation between years
of experience in the emergency room
and elevated scores on the MPSS-SR
and scores on the PDEQ were predicted.
This hypothesis was also not supported.
Additional correlational analysis
performed for the overall sample revealed
significant relationships, which had
not been predicted. Positive correlations
for perceived occupational stress,
generalized job dislike and scores
on the BDI, the BAI and the MSPSS
S-R were found.
Citation <73>
Accession Number
2002052930.
Special Fields Contained
Fields available in this record: abstract.
Author
Alexander DA. Klein S.
Institution
Professor of Mental Health, University
of Aberdeen.
Title
Caring for others can seriously damage
your health... Symposium on psychiatric
issues.
Source
Hospital Medicine (London). 2001 May;
62(5): 264-7. (20 ref)
Abbreviated Source
HOSP MED (LOND). 2001 May; 62(5):
264-7. (20 ref)
Abstract
To care for others is a privilege
and a source of personal and job satisfaction.
However, caregivers must also consider
the implications of their work for
their own health and welfare.
Citation <74>
Accession Number
2002042592 NLM Unique Identifier:
11765672.
Special Fields Contained
Fields available in this record: abstract.
Author
Yang Y. Koh D. Ng V. Lee FCY. Chan
G. Dong F. Chi SE.
Institution
Department of Community, Occupational
and Family Medicine, Faculty of Medicine,
National University of Singapore,
Singapore.
Title
Salivary cortisol levels and work-related
stress among emergency department
nurses.
Source
Journal of Occupational and Environmental
Medicine. 2001 Dec; 43(12): 1011-8.
(40 ref)
Abbreviated Source
J OCCUP ENVIRON MED. 2001 Dec; 43(12):
1011-8. (40 ref)
Abstract
The objective of this study was to
assess and compare the self-perceived
work-related stress of emergency department
(ED) and general ward (GW) nurses
and to assess the relationship between
self-perceived stress and salivary
cortisol levels in these groups of
nurses. Seventy-three female ED (n
= 23) and GW (n = 50) nurses from
a general hospital completed a self-administered
questionnaire. A modified mental health
professional stress scale (PSS) was
used to measure self-perceived work-related
stress. Salivary samples were collected
at the start and end of morning shiftwork.
An enzyme-linked immunosorbent assay
method was used to determine the salivary
cortisol concentration (nmol/L). ED
nurses perceived that nursing was
more stressful (mean, 1.58; 95% confidence
interval [CI], 1.35 to 1.81) than
did GW nurses (mean, 1.30; 95% CI,
1.18 to 1.40). On the PSS subscales,
scores of organizational structure
and process, lack of resources, and
conflict with other professionals
wer!
e higher in ED nurses (all P <
0.01). The morning cortisol was significantly
lower in ED (geometric mean, 9.10;
95% CI, 6.62 to 12.42 nmol/L) than
in GW (geometric mean, 15.45; 95%
CI, 11.86 to 20.14 nmol/L) nurses.
Log morning salivary cortisol was
negatively correlated with PSS (r
= -0.255), scores of organizational
structure and process, and conflict
with other professionals (all P <
0.05). The difference between morning
and afternoon cortisol concentration
in ED nurses (geometric mean, 6.35;
95% CI 4.14 to 9.93 nmol/L) was lower
than in GW nurses (geometric mean,
12.42; 95% CI, 9.38 to 16.28 nmol/L).
The log value of the difference correlated
marginally with PSS (r = -0.21, P
= 0.07) and significantly with scores
of organizational structure and process,
lack of resources, and conflict with
other professionals (all P < 0.05).
There was no difference between the
two groups in afternoon salivary cortisol
level. ED nurses perceived more stress
compared with GW nurses. Morni!
ng salivary cortisol concentration
is better correlated with P!
SS compa
red with the morning-afternoon salivary
cortisol difference. The result raises
the possibility of using a single
morning salivary cortisol sample to
reflect self-perceived stress.
Citation <75>
Accession Number
2002038139 NLM Unique Identifier:
11755450.
Special Fields Contained
Fields available in this record: abstract.
Author
Shih F. Liao Y. Chan S. Gau M.
Institution
College of Medicine, School of Nursing,
National Taiwan University, Taipei,
Taiwan.
Title
Taiwanese nurses' most unforgettable
rescue experiences in the disaster
area after the 9-21 earthquake in
Taiwan.
Source
International Journal of Nursing Studies.
2002 Feb; 39(2): 195-206. (67 ref)
Abbreviated Source
INT J NURS STUD. 2002 Feb; 39(2):
195-206. (67 ref)
Abstract
The purpose of this study was to reveal
the most unforgettable rescue experiences
of nurses at the central site of the
9-21 Taiwan earthquake during the
crucial early recovery stage-the first
72h. A purposive sample of 46 nurses
was obtained (40 women and 6 men,
with an average age of 28). Data were
collected using semi-structured interviews
and analyzed by content analysis.
The negative aspects of most unforgettable
experiences reported by 87% of the
subjects were primarily: (a) the prevalence
of psychoneurotic syndromes (50%);
(b) the severe destruction of geographic
treasures (43%); (c) the buried-alive
bodies of whole families or village
populations (33%); (d) inadequate
care for the children and teenagers
that were left homeless (22%); (e)
deterioration of the condition of
patients with chronic health problems
(15%); and (f) manifestation of the
greedy or selfish nature of human
beings (13%). Still 76% of the subjects
reported the following positive aspects
of their r!
escue experiences: (a) feeling rewarded
from helping others (43%); (b) being
deeply touched by residents' mutual
support (33%); and (c) the good attitude
and tangible help given by other health
professionals (15%). This study highlights
a need for long-term follow-up and
attention of these nurse rescuers
in the post-rescue stage. The implementation
of a well designed "disaster
reduction" course for the health
professionals was also encouraged.
Citation <76>
Accession Number
2002036255.
Author
Howard B. Penix MA. Richardson PS.
Burkhart B. DeBerry T. Stolworthy
H.
Title
Mail box. Most, but not all, nurses
criticize that ED attitude... "Why
ED nurses have that attitude"
(September 2001).
Source
RN. 2002 Feb; 65(2): 12.
Abbreviated Source
RN. 2002 Feb; 65(2): 12.
Citation <77>
Accession Number
2002034451 NLM Unique Identifier:
11692125.
Special Fields Contained
Fields available in this record: cited
references.
Author
Hickman BJ. Mehrer R.
Institution
Flight Nurse, LifeFlight Eagle, Kansas
City, Mo.
Title
Stress and the effects of air transport
on flight crews.
Source
Air Medical Journal. 2001 Nov-Dec;
20(6): 6-9. (20 ref)
Abbreviated Source
AIR MED J. 2001 Nov-Dec; 20(6): 6-9.
(20 ref)
Citation <78>
Accession Number
2002012910.
Special Fields Contained
Fields available in this record: abstract.
Author
Holt L.
Institution
Chair, RCN, A&E Nursing Association.
Title
Emergency nursing in the UK.
Source
Emergency Nurse. 2000 Jul-Aug; 8(4):
Emergency Nursing 2000 and Beyond:
An International Conference to Celebrate
Advances in Emergency Care: 6-7.
Abbreviated Source
EMERG NURSE. 2000 Jul-Aug; 8(4): Emergency
Nursing 2000 and Beyond: An International
Conference to Celebrate Advances in
Emergency Care: 6-7.
Abstract
Lynda Holt says A&E departments
are still the hub of emergency care,
but patients can now get emergency
care in many different NHS facilities.
Citation <79>
Accession Number
2002011268.
Author
Berry S.
Title
Stanley supervisor.
Source
EMS Manager & Supervisor. 2001
Nov; 3(11): 8.
Abbreviated Source
EMS MANAGER SUPERV. 2001 Nov; 3(11):
8.
Citation <80>
Accession Number
2001112130.
Title
Ambulance crews under pressure.
Source
Emergency Nurse. 2001 Feb; 8(9): 3.
Abbreviated Source
EMERG NURSE. 2001 Feb; 8(9): 3.
Citation <81>
Accession Number
2001110287.
Author
Jerrard J.
Title
Stress arrest: 5 employee stress busters.
Source
EMS Manager & Supervisor. 2001
Oct; 3(10): 1-2.
Abbreviated Source
EMS MANAGER SUPERV. 2001 Oct; 3(10):
1-2.
Citation <82>
Accession Number
2001109078.
Author
Losavio K. Kidd S.
Title
You're not alone.
Source
FireRescue Magazine. 2001 Oct; 19(10):
63-4.
Abbreviated Source
FIRERESCUE MAG. 2001 Oct; 19(10):
63-4.
Citation <83>
Accession Number
2001107773.
Author
Losavio K.
Title
In the aftermath: coping with grief
& helplessness.
Source
JEMS: Journal of Emergency Medical
Services. 2001 Oct; 26(10): S7.
Abbreviated Source
JEMS. 2001 Oct; 26(10): S7.
Citation <84>
Accession Number
2001105803.
Special Fields Contained
Fields available in this record: cited
references.
Author
Erich J.
Title
Howling at the moon: violent patients
taking it out on EMS.
Source
Emergency Medical Services. 2001 Oct;
30(10): 45, 47-8, 50 passim. (8 ref)
Abbreviated Source
EMERG MED SERV. 2001 Oct; 30(10):
45, 47-8, 50 passim. (8 ref)
Citation <85>
Accession Number
2001093061.
Special Fields Contained
Fields available in this record: abstract.
Author
Lyttle V.
Title
Why ED nurses have that attitude.
Source
RN. 2001 Sep; 64(9): 49-50.
Abbreviated Source
RN. 2001 Sep; 64(9): 49-50.
Editor
Bauer J
Abstract
ED nurses have the reputation of being
loud, demanding, and bossy. And while
that may be true, this ED veteran
explains why.
Citation <86>
Accession Number
2001091608 NLM Unique Identifier:
11202592.
Special Fields Contained
Fields available in this record: abstract.
Author
Alagappan K. Grlic N. Steinberg M.
Pollack S.
Institution
Long Island Jewish Medical Center,
New Hyde Park, NY 10040; alagappa@lij.edu.
Title
Psychological impact on house staff
of an initial versus subsequent emergency
medicine rotation.
Source
American Journal of Medical Quality.
2001 Jan-Feb; 16(1): 17-22, insert
1p. (13 ref)
Abbreviated Source
AM J MED QUAL. 2001 Jan-Feb; 16(1):
17-22, insert 1p. (13 ref)
Abstract
The objective of this study was to
assess the psychological impact of
a 4-week emergency medicine (EM) rotation
on residents undergoing their first
EM experience. These findings were
compared to the psychological impact
the rotation had on residents with
prior EM experience. Data were obtained
from a post hoc analysis of a previous
study. Prerotation and postrotation
psychological distress levels were
assessed over a 4-week EM rotation.
Anxiety and depressive symptoms were
evaluated by the Brief Symptom Inventory
and the Dissociative Experience Scale
that together comprise a total of
14 psychometric scales. All scales
were given at the beginning and end
of the initial EM rotation for the
academic year of 1994-1995. All information
was coded and confidential. Eighteen
junior residents (9/18 EM [50%]) were
analyzed as a group and compared to
53 residents (34/51 EM [66%]) with
prior exposure to the authors' emergency
department. Residents doing their
first EM rotation (N = 18!
) showed improvement in 13 of 14 scales
(P = .002). Of the 13 scales that
improved, 3 improved significantly:
Brief Symptom Inventory = anxiety
(P = .002) and Dissociative Experience
Scale = absorption (P = .001) and
other (P = .001). Residents with prior
EM experience (N = 53) displayed worsening
in 9 of 13 scales (P = not significant)
and no change in 1. Residents undergoing
their first EM rotation showed a significant
decrease in psychological distress
over the 4-week period. Residents
with prior EM experience did not show
a similar change.
Citation <87>
Accession Number
2001083470.
Author
Erich J.
Title
Vital signs. Chaplains offer their
peers more than spiritual support.
Source
Emergency Medical Services. 2001 Aug;
30(8): 22.
Abbreviated Source
EMERG MED SERV. 2001 Aug; 30(8): 22.
Citation <88>
Accession Number
2001063149.
Special Fields Contained
Fields | 
