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                  <text>International Emergency Nursing Vol. 62 May 2022</text>
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                <text>International Emergency Nursing Vol. 62 May 2022&#13;
Occupational stress and its relationship with spiritual coping among emergency department nurses and emergency medical services staff </text>
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                <text>Occupational stress, Spiritual coping, Emergency Department (ED), Nurses, Emergency Medical Services (EMS), Iran</text>
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                <text>Introduction: Emergency Department (ED) nurses and Emergency Medical Services (EMS) Staff are faced with&#13;
several stressors daily, such as the COVID 19 pandemic situation, which affects the health and the quality of&#13;
services to patients. Spiritual coping with stress is an attempt to overcome the stress on the basis of what is&#13;
transcendent. The use of spiritual coping strategies helps a person to overcome tensions caused by the work&#13;
environment.&#13;
Objective: The current study aimed to investigate occupational stress and its relationship with spiritual coping among ED nurses and EMS staff.&#13;
Materials and methods: This study was descriptive-correlational research. Using convenience sampling methods,&#13;
516 ED nurses and EMS staff were enrolled in the study. The study instruments included demographic information, HSE Occupational Stress, and spiritual coping questionnaires. Data were analyzed using SPSSv.22&#13;
software and the descriptive statistics, Pearson correlation test, t-test, ANOVA, and multiple linear regression.&#13;
Results: The highest and lowest levels of occupational stress were the dimensions of “demand” (2.96 ± 0.65) and “role” (3.89 ± 0.81) respectively. Multiple linear regression analysis showed that positive spiritual coping,&#13;
negative spiritual coping, workplace, service location, type of employment, and work position were important&#13;
factors affecting the occupational stress of ED nurses and EMS staff, which accounted for 0.34% of the variance.&#13;
Conclusion: The findings showed the need to improve the work environment for ED nurses and EMS staff, including changes in physical working conditions, salaries, and better employment conditions. Training programs are recommended to reduce stress through the use of positive spiritual coping strategies.</text>
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                <text>Alireza Mirzaei, Naser Mozaffari, Aghil Habibi Soola </text>
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                <text>Elsevier Ltd.</text>
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                <text>Sri Wahyuni</text>
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                <text>International Emergency Nursing Vol. 62 May 2022</text>
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                  <text>International Emergency Nursing Vol. 62 May 2022</text>
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                <text>International Emergency Nursing Vol. 62 May 2022&#13;
Prehospital emergency nurses’ competence progress in assessing psychiatric disorders; 1-year follow-up  of a psychiatric emergency response unit </text>
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                <text>Worldwide, psychiatric conditions, self-harm, behavioral disorders, and alcohol and drug abuse are quite prevalent and pose difficult challenges for alarm operators and ambulance personnel in assessing, triaging, treating, and referring patients with various mental illnesses [1–2]. Emergency calls to alarm operators because of mental health crises have increased and account for 40% of all incoming calls to emergency medical services [3]. In a Swedish study of 6712 patients performed by the prehospital emergency medical services, psychiatric disorders such as anxiety, depression, and substance abuse were the next most common known diagnoses after circulatory diagnoses [4]. </text>
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                <text>Bodil Ivarsson, Anders Johansson, Lizbet Todorova</text>
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              <elementText elementTextId="17426">
                <text>Elsevier Ltd.</text>
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                <text>May</text>
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                <text>Sri Wahyuni</text>
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                <text>International Emergency Nursing Vol. 62 May 2022</text>
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        <name>Jurnal Internasional Keperawatan</name>
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        <name>Prehospital emergency nurses’ competence progress</name>
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                  <text>International Emergency Nursing Vol. 62 May 2022</text>
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                <text>International Emergency Nursing Vol. 62 May 2022&#13;
Do we need a pandemic to improve hygiene routines in the ambulance service? A cross-sectional study </text>
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          <element elementId="49">
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                <text>Covid-19, Emergency medical service, Ambulance service, Hygiene routines, Questionnaire</text>
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                <text>Background: We know that ambulance staff may have sparse knowledge on how to comply with care approaches&#13;
that ensure appropriate hygiene in the ambulance, but we do not know if and how the COVID-19 pandemic has&#13;
affected ambulance staff’s perceived compliance with hygiene routines.&#13;
Aim: To investigate ambulance staff’s self-reported hand hygiene (HH) perceptions and compliance; and to&#13;
explore if and how the COVID-19 pandemic has affected ambulance staff’s perceived compliance with hygiene routines.&#13;
Methods: A cross-sectional study design using the WHO-validated Perception Survey for Healthcare Workers regarding hygiene. Thematic analysis and descriptive statistics were used for analysis.&#13;
Results: 204 surveys were analysed, 92% of participants stated that their hygiene routine compliance had&#13;
improved during the COVID-19 pandemic, and some participants also described that their colleagues’ practice had improved. These improvements were reportedly driven by the need to acquire new knowledge to deal with the pandemic and sometimes with fear.&#13;
Conclusions: Experience acquired during the pandemic needs to be sustainable if we are to increase HH and hygiene routine compliance in ambulance services. Interventions aimed at changing ambulance staff’s perceived behaviour are warranted, and stakeholders should try and identify the personal motivations that lead these staff to seek self-betterment regarding HH and hygiene routine compliance. Otherwise, the risk of patients suffering from healthcare-associated infection may not decrease as wished.</text>
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                <text>H. Olsson, S. Olsson, L. Sturesson, V. Lindstrom </text>
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                <text>Sri Wahyuni</text>
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                <text>International Emergency Nursing Vol. 62 May 2022</text>
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                <text>International Emergency Nursing Vol. 62 May 2022&#13;
The effectiveness of primary care streaming in emergency departments on decision-making and patient flow and safety – A realist evaluation </text>
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                <text>The effectiveness of primary care streaming in emergency departments</text>
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                <text>Primary care streaming was implemented in UK Emergency Departments (EDs) to manage an increasing demand for urgent care. We aimed to explore its effectiveness in EDs with different primary care models and identify contexts and mechanisms that influenced outcomes: streaming patients to the most appropriate clinician or service, ED flow and patient safety. &#13;
Method: We observed streaming and interviewed ED and primary care staff during case study visits to 10 EDs in England. We used realist methodology, synthesising a middle-range theory with our qualitative data to refine and create a set of theories that explain relationships between contexts, mechanisms and outcomes.&#13;
Results: Mechanisms contributing to the effectiveness of primary care streaming were: quality of decision-making, patient flow, redeploying staff, managing patients across streams, the implementation of governance protocols, guidance, training, service evaluation and quality improvement efforts. Experienced nurses and good&#13;
teamworking and strategic and operational management were key contextual factors.&#13;
Conclusion: We recommend service improvement strategies, operational management, monitoring, evaluation and training to ensure that ED nurses stream patients presenting at an ED seeking urgent care to the most appropriate clinicians for their needs in a safe and efficient manner.</text>
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                <text>Michelle Edwards, Alison Cooper, Thomas Hughes, Freya Davies, Delyth Price, Pippa Anderson, Bridie Evans, Andrew Carson-Stevens, Jeremy Dale , Peter Hibbert, Barbara Harrington, Julie Hepburn, Aloysius Niroshan Siriwardena, Helen Snooks, Adrian Edwards</text>
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