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Emergency nursing nurse sensitive indicators: An integrative review
Sarah Borg1, Amanda Henderson2, Karen Taurima3
1Emergency Department, Queen Elizabeth II Jubilee Hospital, Corner of Kessels and Troughton Rd, Coorparoo, Queensland 4151, Australia; Department of Emergency Medicine, Princess Alexandra Hospital, Ipswich Rd, Woolloongabba, Queensland 4102, Australia; School of Nursing, Midwifery and Social Work, University of Queensland, Woolloongabba, Queensland 4102, Australia; Nursing Professional Development Unit, Princess Alexandra Hospital, 199 Ipswich Rd, Woolloongabba, Queensland 4102, Australia.
Nurse sensitive indicators (NSIs) are crucial for emergency nurses. This review identified 28 NSIs but found low consensus and quality, highlighting the need for further research to define emergency nursing outcomes.
Area of Science:
- Nursing Science
- Healthcare Quality Improvement
- Emergency Medicine
Background:
- Nurse sensitive indicators (NSIs) measure nursing care impact.
- NSIs are vital for focusing emergency nursing care in the emergency department (ED).
Purpose of the Study:
- To identify key nurse sensitive indicators (NSIs) for emergency nursing.
- Synthesize existing literature to establish relevant NSIs.
Main Methods:
- Integrative review of ten databases, grey literature, and Google Scholar.
- Systematic title/abstract review, full-text critical appraisal, and structured data analysis.
Main Results:
- Identified 28 emergency nursing NSIs from three studies.
- Found limited consensus and a broad range of non-specific technical skills.
- Included studies exhibited low quality due to design and bias.
Conclusions:
- The limited NSIs and literature suggest an evolving scope of emergency nursing.
- Further research is required to define emergency nursing NSIs.
- A clear definition of emergency nurses, including capabilities and attributes, is needed.
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