The effectiveness of nurse-initiated interventions in the Emergency Department: A systematic review

Nursing Sensitive Outcomes evaluation in the Emergency Department: An Umbrella Review

“…Quality appraisal of the reviews examining this domain was high. 25 , 27 , 28 , 32 Pooled meta-analysis performed in three studies showed overall poor heterogeneity. 25 , 27 , 28 Although one review reported removing one study for influencing heterogeneity and repeated analysis.…”

“…Study samples from systemic reviews ( n=167 ) ranged from four 25 to thirty six. 26 All nine included studies were systematic reviews of which one performed meta-analysis of RCT, 25 and two 27 , 28 also performed meta-analysis for results. While four studies could not accomplish meta-analysis due to limited data 29 or heterogeneity of studies.…”

“…The nine systematic reviews underwent methodological quality assessment using the SIGN tool and were rated from high, 25 , 27 , 28 , 32 , 33 acceptable 26 , 29 , 30 , 31 to low. 32 Comprehensive literature search was performed by all reviews.…”

“…Four studies 25 , 27 , 28 32 examined the clinical domain, which involves outcomes related to symptom control, 34 , goal assessment and monitoring of change in health status concerning patient’s illness and recovery in the ED. 21 Pain was the most investigated outcome in studies ( n=3 ) and was associated with nurse-initiated interventions.…”

“…Equitability was established when patients presenting with moderate to severe pain were more liable to receive nurse-initiated analgesia when nurses were allowed to apply this intervention. 28 Symptom relief, was reported in one study 27 and defined as control, resolution or clinical assessment of the symptom using nurse-initiated interventions. One study evaluated outcomes with pictorial discharge instructions compared to standard discharge advice.…”