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Le leadership infirmier en soins d’urgence : développer, mobiliser et faire rayonner les savoirs

Alexandra Lapierre, inf., Ph. D. and Gabriela Peguero-Rodriguez, inf., Ph. D.

Éditorial de la présidente de l’AIIUQ

Josiane Arsenault, inf., M. Sc., CSU(C)

Soins critiques en transformation : unir nos expertises pour mieux répondre aux besoins de la population

Maxime Dagenais, inf., M.Sc.

Perceptions du personnel infirmier et du personnel cadre sur la transition des aînés des établissements de soins de longue durée vers l’urgence : une étude à méthodes mixtes

Gabriela Peguero-Rodriguez, Viola Polomeno, Chantal Backman, Julie Chartrand and Michelle Lalonde
Problem: Several challenges are present with the transition of older adults from a long-term care facility (LTCF) to the emergency department (ED). Nurses play an important role in the LTCFs and the EDs during this transition. Objective: To describe the perceptions of nurses and managers in relation to this transition. Methods: This study used a sequential mixed methods design. An online questionnaire was distributed to LTCF and ED nurses during Phase 1 (quantitative). During Phase 2 (qualitative), semi-structured interviews were conducted with nursing management in these two settings. Descriptive statistics were used as well as t-tests, to compare the perceptions between the LTCF and the ED nurses. Thematic analysis was used for the qualitative data. Results: After the analysis of the questionnaire’s responses (n=38), the nurses from the LTCFs and the EDs had similar perceptions and considered the transition of older adults from the LTCF to the ED as not occurring effectively, and the inter-institutional communication was not efficient. Following the interviews conducted with nursing management (n=7), four themes were identified, reflecting the limitations of LTCFs in caring for the older adults, the obstacles associated with the transfer of information, the consequences of an ED stay for older adults, and the contribution of caregivers. Conclusion: Four key conclusions can be drawn: 1. transitions are influenced by the LTCF material and human resources; 2. the transfer of information is inefficient; 3. the ED environment is not adapted for the needs of older adults; and 4. the integration of caregivers is important but does present with challenges.

Les algorithmes décisionnels en soutien aux personnes infirmières novices à l’urgence

Émilie Bourdeau, inf., M.Sc., Elisa Mileto, inf., M.Sc. and Mélanie Marceau, inf., Ph.D.
Nursing decision-making in the emergency department is a complex process, particularly for novice nurses, due to their limited clinical experience. This process relies on the assessment of the patient, the analysis of intervention options, and the selection of the most appropriate course of action. In a context marked by limited human and financial resources, as well as a shortage of experienced nursing staff, the support available to novice nurses may be reduced, thereby increasing the challenges associated with clinical decision-making. This article therefore aims to better understand the issues associated with the decision-making process among novice nurses in the emergency department. To this end, it first presents the theoretical concepts related to nursing decision-making and the factors that influence it, and concludes with their application in a real emergency department setting, during which decision-making algorithms designed to support clinical decision-making were developed and implemented.

Le partenariat personne infirmière, personne blessée médullaire chronique et ses proches : un indispensable à l’urgence

Elisa Mileto, inf., M.Sc., Mélanie Bouchard, inf., B.Sc., Barbara Dagenais, inf., B.Sc., M.A.P. and Natasha Dupuis, inf., B.Sc., M.Sc.A
Individuals living with chronic spinal cord injury (SCI) represent a medically complex population that is often poorly understood in emergency care settings. Due to motor and sensory impairments, they may present with atypical and sometimes subtle clinical manifestations, posing significant diagnostic challenges. They are also at increased risk of specific complications and less common conditions that can substantially impact morbidity and mortality. This article aims to present the pathophysiology, key complications, and nursing management of individuals with chronic SCI in the emergency department. The partnership between the individual, their family, and the nursing team plays a central role in reducing risks associated with this condition.

L’intelligence artificielle à l’urgence : préserver le raisonnement clinique au coeur du soin

William Tessier, inf., M.Sc., Ph.D. (cand.), Charles Bilodeau, inf., Ph.D., Sabrina Blais, inf., M.Sc. and Josiane Provost, inf., M.Sc., Ph.D. (cand.)
Artificial intelligence (AI) is increasingly being integrated into our healthcare systems and raising major challenges for nursing practice. Although this technology promises to improve efficiency and clinical processes, it also raises significant concerns about accountability, transparency, and the preservation of clinical reasoning. This article highlights the potential benefits of AI, while also emphasising the risks associated with its implementation. Taking a reflective, critical, and ethical approach is essential to ensure the appropriate integration of AI in emergency care settings.

Exercice pratique de triage infirmier : le cas de l’accident vasculaire cérébral

Mirelle Gagnon-Gervais, inf., B.Sc. and Mélanie Marceau, inf., Ph.D.
This practical triage exercise presents a fictional clinical case illustrating the application of the 2024 updates to the Canadian Triage and Acuity Scale (CTAS). The revision was conducted jointly by the National Emergency Nurses Association (NENA) and the Canadian Association of Emergency Physicians (CAEP). Based on a clinical scenario involving an individual presenting with signs and symptoms of a wake-up stroke, this exercise aims to review the clinical assessment process and prioritization according to the updated recommendations for primary and complaint-specific modifiers within the CTAS.