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                <text>International Emergency Nursing Vol. 64 September 2022&#13;
“Like a rainy weather inside of me”: Qualitative content analysis of telephone consultations concerning back pain preceding out-of-hospital cardiac arrest </text>
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                <text>Out-of-hospital cardiac arrest, Back pain, Early warning signs, Symptoms, Emergency medical services, Communication, Qualitative content analysis, Systems theory</text>
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                <text>Introduction: Cardiac arrest patients presenting with back pain are at risk of not receiving the appropriate help when calling emergency medical services. In telephone consultations regarding patients with back pain preceding an out-of-hospital cardiac arrest, we investigated how communication between caller and call-taker&#13;
influenced the call-taker’s interpretation of back pain descriptions and decision-making about choice of response.&#13;
Method: The study was conducted using 20 recorded phone calls from 17 patients who contacted the Copenhagen Emergency Medical Services (Denmark) reporting back pain up to 24 hours before an out-of-hospital cardiac arrest. Qualitative content analysis was applied.&#13;
Results: Two main categories emerged: (1) reasons, including subcategories: reported conditions, descriptions of conditions, patient’s interpretation of condition and patient’s own remedial actions; and (2) considerations, including subcategories: assessment of the severity, call-taker’s interpretation of the condition, arguments for chosen response and conditions not facilitating further communication by the call-taker.&#13;
Conclusion: In telephone consultations regarding patients with back pain preceding an out-of-hospital cardiac arrest the communication was influenced by the communicative preconditions of the call-taker. Communication in consultations where ambulances were not dispatched was characterized by complex descriptions of symptoms&#13;
not easily fitting into the health system’s interpretations of conditions warranting an urgent response.</text>
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                <text>Britta Jensen, Henrik Vardinghus-Nielsen, Elisabeth Helen Anna Mills, Amalie Lykkemark Møller, Filip Gnesin, Nertila Zylyftari, Kristian Kragholm, Fredrik Folke, Helle Collatz Christensen, Stig Nikolaj Blomberg, Christian Torp-Pedersen, Henrik Bøggild </text>
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                <text>Sri Wahyuni</text>
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                <text>International Emergency Nursing Vol. 64 September 2022</text>
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                <text>International Emergency Nursing Vol. 64 September 2022&#13;
A cross-sectional study of assessing knowledge, attitude, and practice of COVID-19 resuscitation among health care workers in a hybrid hospital for COVID-19 in Malaysia </text>
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                <text>Background: The COVID-19 pandemic is an international public health emergency. As hospitals receive more severe forms of COVID-19 that necessitate resuscitation, emergency health care workers (HCW) must follow interim COVID-19 resuscitation guidelines.&#13;
Objective: The aim is to evaluate the levels of knowledge, attitude, and practice among emergency HCW of the COVID-19 resuscitation protocol by the European Resuscitation Council (ERC).&#13;
Methods: A cross-sectional study using a validated questionnaire was conducted among HCW in the emergency department of University of Malaya Medical Centre (UMMC), Malaysia from April to June 2021. &#13;
Results: A total of 159 respondents were included in the analysis (89% response rate). Sixty-eight percent of respondents had adequate knowledge regarding COVID-19 resuscitation. Majority of the respondents had knowledge on airborne-precaution personal protective equipment (PPE) (99%) and infection control measures&#13;
(98%). Nearly 73% were pessimistic about the COVID-19 prognosis. Seventy-three percent of respondents thought an arrested COVID-19 patient may benefit from cardiopulmonary resuscitation (CPR) and 94% were willing to administer CPR provided airborne precaution PPE was available. Ninety percent of respondents reported adherence to resuscitation guidelines. There were significant differences in the mean knowledge scores between designation, education levels, and COVID-19 training. Overall, the respondents’ level of practice was insufficient (27%), with a mean score of 53.7% (SD = 14.7). There was a lack of practice in the resuscitation of the intubated and patients who were being prone. There was insufficient practice about ventilation technique,&#13;
use of supraglottic devices, and intubation barriers. There was a positive correlation between adequate knowledge and good practice.&#13;
Conclusion: Emergency HCW have adequate knowledge, but poor compliance to the ERC COVID-19 guidelines. Emergency HCW were willing and confident to resuscitate COVID-19 patients, despite fears of nosocomial infection and expectation of poor patients’ prognosis. Ongoing education and training programs are recom-&#13;
mended to improve their knowledge, cultivate a positive attitude, and achieve good compliance with COVID-19 resuscitation guidelines.</text>
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                <text>Muhammad Khidir Mohd Kamil, Aliyah Zambri, Mohammad Aizuddin Azizah, Abdul Muhaimin Noor Azhar, Rashidi Ahmad </text>
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                <text>International Emergency Nursing Vol. 64 September 2022&#13;
Corrigendum to “Occupational stress and its relationship with spiritual coping among emergency department nurses and emergency medical services staff” [Int. Emergency Nurs. 62 (2022) 101170] </text>
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Editorial Board</text>
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The positives, the challenges and the impact; an exploration of early career nurses experiences in the Emergency Department </text>
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                <text>Background: The intense working environment of the Emergency Department (ED) is exciting and rewarding; but is renowned for high staff turnover and burnout. The wellbeing and retention of the existing workforce is imperative. The purpose of this study was to explore the experiences of early careers nurses in the ED; identify&#13;
aspects of ED they enjoyed, the challenges and explore potential coping mechanisms used to mitigate negative situations.&#13;
Methods: A qualitative design was used. Eleven semi-structured interviews were conducted with adult and paediatric emergency nurses who had worked in the ED for less than three years. Data were transcribed, open coded and analysed using thematic analysis.&#13;
Results: Four key themes emerged; (1) Drawn to emergency nursing; (2) Teamwork; (3) Time to care; and (4) Reflections on the impact.&#13;
Conclusion: Opportunities for learning and development and being able to provide good levels of patient care were identified important to participants. Challenging aspects of the job included high workloads, exposure to traumatic incidents, violence and aggression. The psychological impact included feelings of burnout, exhaustion,&#13;
flashbacks, personal growth and perspective. Teamwork, a strong support network and opportunities for formal and informal debrief were identified as helping to mitigate challenging aspects of the job.</text>
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