Emergency nurses' activity levels across rotating shifts.

BACKGROUND: Emergency nurses work consecutive, rotating shift patterns. However, how their occupational physical activity levels are associated between these shifts is unknown. This study aimed to examine the associations between emergency nurses' time spent in different activity levels across one shift and the following day's shift. METHODS: Fifty emergency nurses (45 female, five male) wore an ActiGraph accelerometer and completed work and sleep diaries across four weeks in 2018. A sub-sample (n = 42) also wore an activPAL inclinometer. Time spent sedentary, physically active, and in postural positions was determined. Multi-level analyses examined associations between one shift and the following day's shift. RESULTS: Additional time spent sedentary and in light-intensity physical activity during the first shift was associated with more time spent being physically active in the following day's shift for all rotations except back-to-back night shifts. However, additional time spent engaged in moderate- to vigorous-intensity physical activity during the first shift was associated with less time spent physically active in the following day's shift for afternoon-morning and morning-afternoon rotations. CONCLUSION: These findings demonstrate that shift sequences may impact emergency nurses' physical activity across shifts. Future research should identify the strategies emergency nurses use to maintain activity levels between shifts.

El triaje hospitalario / The Hospital triaje", "_i": "

El triaje hospitalario es un sistema de clasificación de pacientes basado en criterios de gravedad clínica que responde al desmesurado aumento de la demanda asistencial. En este artículo se habla de manera general sobre sus antecedentes, modelos que se han implementado a través de los años, las funciones principales y la participación de enfermería en este proceso. El triaje debe ser visto como una necesidad fundamental para la mejora continua de la calidad del Servicio de Urgencias Hospitalarias.

The hospital triage is a patient classification system based on clinical gravity criteria, as a result of the increasing healthcare demand. In this article it is generally discuss its background, the models that have been implemented over the years, the main functions and the participation of the nursing in this process. The triage must be seen as necessity for the continual improvement of the hospital emergencies service quality.

Evaluation of the nursing intervention classification for use by flight nurses.

INTRODUCTION: The purpose of the study was to determine if terminology used for nursing interventions in air transport records is consistent with the Nursing Intervention Classification (NIC) system. METHODS: A retrospective descriptive design was used to examine the terminology used in air transport records. The sample included the transport records for 46 cardiac patients transported by air. RESULTS: Of the 7958 data elements obtained from the transport records, 1435 were nursing interventions. Ninety-nine percent of the interventions could be classified into the NIC. However, 8.5% of the NIC interventions listed did not reflect the advanced level of practice demonstrated by the flight nurses. CONCLUSION: The results of the study suggest that the current version of the NIC was a useful but not a sufficient classification system for flight nurse documentation. More than 90% of the interventions could be categorized using the NIC. However, modifications are needed to reflect the advanced level of practice used by flight nurses and deal with the inconsistencies in the data classification system structure.