Nurse-performed focused ultrasound in the emergency department: A systematic review

Varndell, W; Topacio, M; Hagness, C; Lemon, H; Tracy, D

Nurse-performed focused ultrasound in the emergency department: A systematic review

Varndell, W

Topacio, M Hagness, C Lemon, H Tracy, D

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Publication Type:: Journal Article
Citation:: Australasian Emergency Care, 2018, 21 (4), pp. 121 - 130
Issue Date:: 2018-11-01

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Field	Value	Language
dc.contributor.author	Varndell, W https://orcid.org/0000-0002-4752-9679	en_US
dc.contributor.author	Topacio, M	en_US
dc.contributor.author	Hagness, C	en_US
dc.contributor.author	Lemon, H	en_US
dc.contributor.author	Tracy, D	en_US
dc.date.available	2018-09-30	en_US
dc.date.issued	2018-11-01	en_US
dc.identifier.citation	Australasian Emergency Care, 2018, 21 (4), pp. 121 - 130	en_US
dc.identifier.issn	2589-1375	en_US
dc.identifier.uri	http://hdl.handle.net/10453/129338
dc.description.abstract	© 2018 Aim: The objective of this systematic review was to examine the characteristics and diagnostic accuracy of focused ultrasonography performed by emergency nurses. Background: Focused ultrasonography is a limited, real-time, goal-directed examination performed to answer specific clinical questions. Its use within the ED setting has increased rapidly over the past two decades. However, little is known about the accuracy of focused ultrasonography performed by emergency nurses. Design: Systematic review. Databases and data treatment: Four databases – ProQuest, Medline, SCOPUS, CINAHL – the Cochrane Library and the National Institute of Clinical Excellence were searched from date of inception to July 2018; with no language restrictions applied. Studies were identified using predetermined inclusion criteria. Data were extracted and summarised, and underwent evaluation using published valid criteria. Results: Sixteen studies met inclusion; three main applications of focused ultrasonography by emergency nurses were identified: procedural guidance, trauma, and soft tissue and musculoskeletal injuries. Overall study quality was high; 9 studies included a form of comparison group. Majority of studies examined nurse accuracy; three studies additionally investigated patient orientated outcomes that included pain, comfort and satisfaction. Conclusion: Focused ultrasonography performed by emergency nurses was found to be highly accurate, consistent and safe. Standardisation of training and professional development of emergency nurses in use of focused ultrasonography has been identified. Further research is needed to examine diagnostic accuracy of nurse-performed ultrasonography across a wider range of acute conditions commonly managed by advanced nurse roles in the emergency department setting.	en_US
dc.relation.ispartof	Australasian Emergency Care	en_US
dc.relation.isbasedon	10.1016/j.auec.2018.09.003	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Ultrasonography	en_US
dc.subject.mesh	Nurse's Role	en_US
dc.subject.mesh	Time Factors	en_US
dc.subject.mesh	Emergency Service, Hospital	en_US
dc.subject.mesh	Quality of Health Care	en_US
dc.title	Nurse-performed focused ultrasound in the emergency department: A systematic review	en_US
dc.type	Journal Article
utslib.citation.volume	4	en_US
utslib.citation.volume	21	en_US
utslib.for	1110 Nursing	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	closed_access
pubs.issue	4	en_US
pubs.publication-status	Published	en_US
pubs.volume	21	en_US

Abstract:

© 2018 Aim: The objective of this systematic review was to examine the characteristics and diagnostic accuracy of focused ultrasonography performed by emergency nurses. Background: Focused ultrasonography is a limited, real-time, goal-directed examination performed to answer specific clinical questions. Its use within the ED setting has increased rapidly over the past two decades. However, little is known about the accuracy of focused ultrasonography performed by emergency nurses. Design: Systematic review. Databases and data treatment: Four databases – ProQuest, Medline, SCOPUS, CINAHL – the Cochrane Library and the National Institute of Clinical Excellence were searched from date of inception to July 2018; with no language restrictions applied. Studies were identified using predetermined inclusion criteria. Data were extracted and summarised, and underwent evaluation using published valid criteria. Results: Sixteen studies met inclusion; three main applications of focused ultrasonography by emergency nurses were identified: procedural guidance, trauma, and soft tissue and musculoskeletal injuries. Overall study quality was high; 9 studies included a form of comparison group. Majority of studies examined nurse accuracy; three studies additionally investigated patient orientated outcomes that included pain, comfort and satisfaction. Conclusion: Focused ultrasonography performed by emergency nurses was found to be highly accurate, consistent and safe. Standardisation of training and professional development of emergency nurses in use of focused ultrasonography has been identified. Further research is needed to examine diagnostic accuracy of nurse-performed ultrasonography across a wider range of acute conditions commonly managed by advanced nurse roles in the emergency department setting.

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http://hdl.handle.net/10453/129338