Emergency Nursing Management Model for Patients with Critical Illness: A Theoretical Study

Authors

  • Yusriani Saleh Baso Akper Al Hikmah 2 Brebes
  • Basyarul Haqiqi RSU Islam Harapan Anda Tegal
  • Ady Irawan. AM Universitas Duta Bangsa Surakarta
  • Sri Yulian Hunowu Universitas Negeri Gorontalo

DOI:

https://doi.org/10.47134/phms.v3i1.533

Keywords:

Emergency Nursing, Critical Care, Nursing Models, Advanced Practice Nurses, HIRAID

Abstract

This study aims to analyze and describe theoretical models used in emergency nursing management for critically ill patients. Employing a qualitative design with a descriptive approach through systematic literature review, data were collected from academic journals, official documents, and relevant theoretical frameworks, selected based on credibility and recency. The analysis applied inductive methods involving theme identification, data reduction, conceptual categorization, and synthesis. Findings reveal that structured nursing models such as HIRAID, the AACN Synergy Model, Levine’s Conservation Model, and specialized roles like the T2 Nurse and Advanced Practice Nurses (APNs) significantly improve clinical decision-making, documentation accuracy, patient safety, and care efficiency. These models also enhance cultural responsiveness, ethical reasoning, and interprofessional collaboration. Despite these benefits, challenges such as workload pressures, ethical dilemmas, and omission of care remain barriers to optimal implementation. The study concludes that the integration of flexible, theory-based, and evidence-driven nursing models contributes meaningfully to emergency nursing practice and scientific development, while also calling for further cross-setting validation and longitudinal research to strengthen model applicability in diverse healthcare environments.

References

Abraham, D., & P, P. (2024). A Methodological Framework for Descriptive Phenomenological Research. Western Journal of Nursing Research, 47, 125–134. https://doi.org/10.1177/01939459241308071 DOI: https://doi.org/10.1177/01939459241308071

Afenigus, A., & Sinshaw, M. (2025). Ethical dilemmas and decision-making in emergency and critical care nursing in Western Amhara region, Northwest Ethiopia: A multi-method qualitative study. BMC Nursing, 24. https://doi.org/10.1186/s12912-025-02958-5 DOI: https://doi.org/10.1186/s12912-025-02958-5

Baillie, J. (2019). Commentary: An overview of the qualitative descriptive design within nursing research. Journal of Research in Nursing, 25, 458–459. https://doi.org/10.1177/1744987119881056 DOI: https://doi.org/10.1177/1744987119881056

Bandaranayake, P. (2024). Application of Grounded Theory Methodology in Library and Information Science Research: An Overview. Sri Lanka Library Review. https://doi.org/10.4038/sllr.v38i2.70 DOI: https://doi.org/10.4038/sllr.v38i2.70

Belotto, M. (2018). Data Analysis Methods for Qualitative Research: Managing the Challenges of Coding, Interrater Reliability, and Thematic Analysis. The Qualitative Report. https://doi.org/10.46743/2160-3715/2018.3492 DOI: https://doi.org/10.46743/2160-3715/2018.3492

Benjamin, E. (2024). The work of patient flow management: A grounded theory study of emergency nurses. International Emergency Nursing, 74, 101457. https://doi.org/10.1016/j.ienj.2024.101457 DOI: https://doi.org/10.1016/j.ienj.2024.101457

Bingham, A. (2023). From Data Management to Actionable Findings: A Five-Phase Process of Qualitative Data Analysis. International Journal of Qualitative Methods, 22. https://doi.org/10.1177/16094069231183620 DOI: https://doi.org/10.1177/16094069231183620

Considine, J., Kennedy, B., Murphy, M., Fry, M., Shaban, R., & Curtis, K. (2025). Methods and processes to develop and deliver a theory-informed education program for sustained behaviour change in emergency nursing. PLOS One, 20. https://doi.org/10.1371/journal.pone.0323115 DOI: https://doi.org/10.1371/journal.pone.0323115

Curtis, K., Kennedy, B., Considine, J., Lam, M., Aggar, C., Shaban, R., Hughes, J., Fry, M., Alkhouri, H., & Murphy, M. (2025). Use of the structured emergency nursing framework HIRAID® improves patient experience: A stepped-wedge cluster randomised control trial in rural, regional and metropolitan Australia. Intensive & Critical Care Nursing, 87, 103948. https://doi.org/10.1016/j.iccn.2025.103948 DOI: https://doi.org/10.1016/j.iccn.2025.103948

Curtis, K., Munroe, B., Fry, M., Considine, J., Tuala, E., Watts, M., Alkhouri, H., Elphick, T., Ruperto, K., Barrass, J., Balzer, S., Chisholm, B., Van, C., & Shaban, R. (2021). The implementation of an emergency nursing framework (HIRAID) reduces patient deterioration: A multi-centre quasi-experimental study. International Emergency Nursing, 56, 100976. https://doi.org/10.1016/j.ienj.2021.100976 DOI: https://doi.org/10.1016/j.ienj.2021.100976

Doyle, L., McCabe, C., Keogh, B., Brady, A., & McCann, M. (2019). An overview of the qualitative descriptive design within nursing research. Journal of Research in Nursing, 25, 443–455. DOI: https://doi.org/10.1177/1744987119880234

Fajardo, M., & Baun, P. (2025). Emergency Practices in Responding to Critically Ill Patients: Basis for an Evidence-Based Practice. Psychology and Education: A Multidisciplinary Journal. https://doi.org/10.70838/pemj.391007 DOI: https://doi.org/10.70838/pemj.391007

Fife, S., & Gossner, J. (2024). Deductive Qualitative Analysis: Evaluating, Expanding, and Refining Theory. International Journal of Qualitative Methods, 23. https://doi.org/10.1177/16094069241244856 DOI: https://doi.org/10.1177/16094069241244856

Horvath, S., Visekruna, S., Kilpatrick, K., McCallum, M., & Carter, N. (2023). Models of care with advanced practice nurses in the emergency department: A scoping review. International Journal of Nursing Studies, 148, 104608. https://doi.org/10.1016/j.ijnurstu.2023.104608 DOI: https://doi.org/10.1016/j.ijnurstu.2023.104608

Jimenez, S., Berbegal-Mirabent, J., & De La Torre, R. (2024). How do university libraries contribute to the research process? The Journal of Academic Librarianship. https://doi.org/10.1016/j.acalib.2024.102930 DOI: https://doi.org/10.1016/j.acalib.2024.102930

Kalpokaite, N., & Radivojevic, I. (2018). Demystifying qualitative data analysis for novice qualitative researchers. The Qualitative Report. https://doi.org/10.46743/2160-3715/2019.4120 DOI: https://doi.org/10.46743/2160-3715/2019.4120

Kennedy, B., Curtis, K., Kourouche, S., Casey, L., Hughes, D., & McCloughen, A. (2024). Development of an evidence-based strategy to implement the HIRAID® emergency nursing framework in rural emergency departments using behaviour change theory. International Emergency Nursing, 77, 101538. https://doi.org/10.1016/j.ienj.2024.101538 DOI: https://doi.org/10.1016/j.ienj.2024.101538

Mihu, L., Marques, R., & Sousa, P. (2024). Strategies for nursing care of critically ill multicultural patients: A scoping review. Journal of Clinical Nursing. https://doi.org/10.1111/jocn.17156 DOI: https://doi.org/10.1111/jocn.17156

Mou, G., & Zhang, W. (2025). Analysis of the application of specialization-green channel nursing model to emergency chest pain patients. Medicine, 104. https://doi.org/10.1097/md.0000000000043195 DOI: https://doi.org/10.1097/MD.0000000000043195

Munroe, B., Curtis, K., Fry, M., Shaban, R., Moules, P., Elphick, T., Ruperto, K., Couttie, T., & Considine, J. (2021). Increasing accuracy in documentation through the application of a structured emergency nursing framework: A multisite quasi-experimental study. Journal of Clinical Nursing. https://doi.org/10.1111/jocn.16115 DOI: https://doi.org/10.1111/jocn.16115

Provost, J., Gosselin, É., & Rochefort, C. (2025). The Omission of Nursing Care in Emergency Departments: A Conceptual Analysis Using Walker & Avant’s Methodology. Journal of Advanced Nursing. https://doi.org/10.1111/jan.17017 DOI: https://doi.org/10.1111/jan.17017

Rôlo, B., Santos, B., Duarte, I., Pires, L., & Castro, C. (2019). Humanization of nursing care in the emergency service: A systematic review. Annals of Medicine, 51, 204–204. https://doi.org/10.1080/07853890.2018.1560164 DOI: https://doi.org/10.1080/07853890.2018.1560164

Togia, A., & Malliari, A. (2017). Research Methods in Library and Information Science. https://doi.org/10.5772/intechopen.68749 DOI: https://doi.org/10.5772/intechopen.68749

Varndell, W., Fry, M., & Elliott, D. (2025). Emergency Nurses’ Perceptions and Experiences in Managing Acute Pain in Critically Ill Adult Patients: A Qualitative Study. Journal of Advanced Nursing. https://doi.org/10.1111/jan.17033 DOI: https://doi.org/10.1111/JAN.17033/v3/response1

Vieira, J., Deodato, S., & Mendes, F. (2021). Conceptual Models of Nursing in Critical Care. Critical Care Research and Practice. https://doi.org/10.1155/2021/5583319 DOI: https://doi.org/10.1155/2021/5583319

Vila-Henninger, L., Dupuy, C., Van Ingelgom, V., Caprioli, M., Teuber, F., Pennetreau, D., Bussi, M., & Gall, C. (2022). Abductive coding: Theory building and qualitative (re)analysis. Sociological Methods & Research, 53(4), 968–1001. DOI: https://doi.org/10.1177/00491241211067508

Woo, B., Lee, J., & Tam, W. (2017). The impact of the advanced practice nursing role on quality of care, clinical outcomes, patient satisfaction, and cost in the emergency and critical care settings: A systematic review. Human Resources for Health, 15. https://doi.org/10.1186/s12960-017-0237-9 DOI: https://doi.org/10.1186/s12960-017-0237-9

Yamaguchi, Y., Matsunaga-Myoji, Y., & Fujita, K. (2023). Advanced practice nurse competencies to practice in emergency and critical care settings: A scoping review. International Journal of Nursing Practice. https://doi.org/10.1111/ijn.13205 DOI: https://doi.org/10.1111/ijn.13205

Zaouk, H., Piza, M., Naz, S., De Los Santos, A., Fenech, J., Bivona, K., Cruceanu, R., & Kourouche, S. (2025). The T2 nurse—A novel role to reduce time to treatment for critically ill patients in a metropolitan emergency department. Australasian Emergency Care. https://doi.org/10.1016/j.auec.2025.05.001 DOI: https://doi.org/10.1016/j.auec.2025.05.001

Downloads

Published

2025-12-28

How to Cite

Yusriani Saleh Baso, Basyarul Haqiqi, Ady Irawan. AM, & Sri Yulian Hunowu. (2025). Emergency Nursing Management Model for Patients with Critical Illness: A Theoretical Study. Health & Medical Sciences, 3(1), 10. https://doi.org/10.47134/phms.v3i1.533

Issue

Section

Articles

Categories

Similar Articles

1 2 3 > >> 

You may also start an advanced similarity search for this article.