Table 3_Patient-needs-enhanced emergency nursing assessment framework accelerates time-critical care for non-traumatic chest pain.docx
Background<p>Non-traumatic chest pain requires rapid Emergency Department (ED) triage, yet adherence to ECG ≤10 min and early troponin targets is inconsistent, standard nursing frameworks seldom prompt patient-needs that affect timeliness and documentation. The aim of this study is to determin...
Bewaard in:
| Hoofdauteur: | |
|---|---|
| Andere auteurs: | , , , |
| Gepubliceerd in: |
2025
|
| Onderwerpen: | |
| Tags: |
Voeg label toe
Geen labels, Wees de eerste die dit record labelt!
|
| _version_ | 1849927636035305472 |
|---|---|
| author | Yan Sun (22436) |
| author2 | Xiaoxia Liu (294088) Lili Shen (554603) Fangfang Zhao (528994) Kaiyun Xu (5612129) |
| author2_role | author author author author |
| author_facet | Yan Sun (22436) Xiaoxia Liu (294088) Lili Shen (554603) Fangfang Zhao (528994) Kaiyun Xu (5612129) |
| author_role | author |
| dc.creator.none.fl_str_mv | Yan Sun (22436) Xiaoxia Liu (294088) Lili Shen (554603) Fangfang Zhao (528994) Kaiyun Xu (5612129) |
| dc.date.none.fl_str_mv | 2025-11-25T06:24:12Z |
| dc.identifier.none.fl_str_mv | 10.3389/fcvm.2025.1663769.s001 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/dataset/Table_3_Patient-needs-enhanced_emergency_nursing_assessment_framework_accelerates_time-critical_care_for_non-traumatic_chest_pain_docx/30703970 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Cardiology chest pain emergency nursing quality improvement patient-centred checklist electrocardiogram timing |
| dc.title.none.fl_str_mv | Table 3_Patient-needs-enhanced emergency nursing assessment framework accelerates time-critical care for non-traumatic chest pain.docx |
| dc.type.none.fl_str_mv | Dataset info:eu-repo/semantics/publishedVersion dataset |
| description | Background<p>Non-traumatic chest pain requires rapid Emergency Department (ED) triage, yet adherence to ECG ≤10 min and early troponin targets is inconsistent, standard nursing frameworks seldom prompt patient-needs that affect timeliness and documentation. The aim of this study is to determine whether implementing a patient-needs-enhanced Emergency Nursing Assessment Framework (ENAF), compared with usual care, increases the proportion of ED patients with non-traumatic chest pain receiving a 12-lead ECG within 10 min.</p>Methods<p>This prospective single-center quasi-experimental before-after study was conducted in the T Third Affiliated Hospital of Naval Medical University from January 2023 to January 2025 and assigned to a control group and ENAF group. The ENAF group comprised (1) eight hours of nurse training, (2) an ENAF electronic template incorporating mandatory pain, anxiety, information-need and social-support items, and (3) a triage “rapid chest-pain kit”. The primary endpoint was completion of a 12-lead ECG within 10 min of triage; secondary endpoints were door-to-troponin time, ≥2-point pain reduction at 30 min, documentation completeness, ED length of stay (LOS) and 30-day major adverse cardiac events (MACE). Multivariable logistic regression adjusted for age, sex, HEART score, arrival mode and peak ED census.</p>Results<p>Of 372 screened patients, 340 met eligibility and were analyzed (170 control, 170 ENAF). Timely ECG completion increased from 60.0% to 78.2% (adjusted odds ratio 2.31, 95% CI: 1.47–3.63; P < 0.001). Median door-to-troponin time fell from 50 to 39 min (P < 0.001); pain-relief success rose from 45.3% to 61.8% (P = 0.002). Documentation completeness improved by ten percentage points (P < 0.001) and median ED LOS decreased by 0.8 h (P = 0.01). Thirty-day MACE was similar between phases (15.3% vs. 12.9%; P = 0.49), and no serious adverse events were attributed to the protocol.</p>Conclusions<p>Augmenting ENAF with a structured clinical-needs module significantly accelerates ECG acquisition, improves other process metrics and enhances nursing documentation while maintaining patient safety. Adoption of this nurse-led approach could strengthen ED chest-pain pathways in comparable resource-constrained settings, and multicenter validation are warranted to establish generalizability.</p> |
| eu_rights_str_mv | openAccess |
| id | Manara_34a33ec0006c144f96faa16dd46fcdf7 |
| identifier_str_mv | 10.3389/fcvm.2025.1663769.s001 |
| network_acronym_str | Manara |
| network_name_str | ManaraRepo |
| oai_identifier_str | oai:figshare.com:article/30703970 |
| publishDate | 2025 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | Table 3_Patient-needs-enhanced emergency nursing assessment framework accelerates time-critical care for non-traumatic chest pain.docxYan Sun (22436)Xiaoxia Liu (294088)Lili Shen (554603)Fangfang Zhao (528994)Kaiyun Xu (5612129)Cardiologychest painemergency nursingquality improvementpatient-centred checklistelectrocardiogram timingBackground<p>Non-traumatic chest pain requires rapid Emergency Department (ED) triage, yet adherence to ECG ≤10 min and early troponin targets is inconsistent, standard nursing frameworks seldom prompt patient-needs that affect timeliness and documentation. The aim of this study is to determine whether implementing a patient-needs-enhanced Emergency Nursing Assessment Framework (ENAF), compared with usual care, increases the proportion of ED patients with non-traumatic chest pain receiving a 12-lead ECG within 10 min.</p>Methods<p>This prospective single-center quasi-experimental before-after study was conducted in the T Third Affiliated Hospital of Naval Medical University from January 2023 to January 2025 and assigned to a control group and ENAF group. The ENAF group comprised (1) eight hours of nurse training, (2) an ENAF electronic template incorporating mandatory pain, anxiety, information-need and social-support items, and (3) a triage “rapid chest-pain kit”. The primary endpoint was completion of a 12-lead ECG within 10 min of triage; secondary endpoints were door-to-troponin time, ≥2-point pain reduction at 30 min, documentation completeness, ED length of stay (LOS) and 30-day major adverse cardiac events (MACE). Multivariable logistic regression adjusted for age, sex, HEART score, arrival mode and peak ED census.</p>Results<p>Of 372 screened patients, 340 met eligibility and were analyzed (170 control, 170 ENAF). Timely ECG completion increased from 60.0% to 78.2% (adjusted odds ratio 2.31, 95% CI: 1.47–3.63; P < 0.001). Median door-to-troponin time fell from 50 to 39 min (P < 0.001); pain-relief success rose from 45.3% to 61.8% (P = 0.002). Documentation completeness improved by ten percentage points (P < 0.001) and median ED LOS decreased by 0.8 h (P = 0.01). Thirty-day MACE was similar between phases (15.3% vs. 12.9%; P = 0.49), and no serious adverse events were attributed to the protocol.</p>Conclusions<p>Augmenting ENAF with a structured clinical-needs module significantly accelerates ECG acquisition, improves other process metrics and enhances nursing documentation while maintaining patient safety. Adoption of this nurse-led approach could strengthen ED chest-pain pathways in comparable resource-constrained settings, and multicenter validation are warranted to establish generalizability.</p>2025-11-25T06:24:12ZDatasetinfo:eu-repo/semantics/publishedVersiondataset10.3389/fcvm.2025.1663769.s001https://figshare.com/articles/dataset/Table_3_Patient-needs-enhanced_emergency_nursing_assessment_framework_accelerates_time-critical_care_for_non-traumatic_chest_pain_docx/30703970CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/307039702025-11-25T06:24:12Z |
| spellingShingle | Table 3_Patient-needs-enhanced emergency nursing assessment framework accelerates time-critical care for non-traumatic chest pain.docx Yan Sun (22436) Cardiology chest pain emergency nursing quality improvement patient-centred checklist electrocardiogram timing |
| status_str | publishedVersion |
| title | Table 3_Patient-needs-enhanced emergency nursing assessment framework accelerates time-critical care for non-traumatic chest pain.docx |
| title_full | Table 3_Patient-needs-enhanced emergency nursing assessment framework accelerates time-critical care for non-traumatic chest pain.docx |
| title_fullStr | Table 3_Patient-needs-enhanced emergency nursing assessment framework accelerates time-critical care for non-traumatic chest pain.docx |
| title_full_unstemmed | Table 3_Patient-needs-enhanced emergency nursing assessment framework accelerates time-critical care for non-traumatic chest pain.docx |
| title_short | Table 3_Patient-needs-enhanced emergency nursing assessment framework accelerates time-critical care for non-traumatic chest pain.docx |
| title_sort | Table 3_Patient-needs-enhanced emergency nursing assessment framework accelerates time-critical care for non-traumatic chest pain.docx |
| topic | Cardiology chest pain emergency nursing quality improvement patient-centred checklist electrocardiogram timing |