title: The Emergency Department Sickle Cell Assessment of Needs and Strengths (ED-SCANS): reliability and validity.
abstract: Emergency department (ED) management of adults with sickle cell disease (SCD) is complex and frustrating. The Emergency Department Sickle Cell Assessment of Needs and Strengths (ED-SCANS) is a research-based decision support and quality improvement (QI) tool to guide management of individual patients with SCD and can also be used to guide the development of ED protocols and other QI initiatives for this population. The study evaluated ED-SCANS' inter-rater reliability, face and utility validity among clinicians, and construct validity of anxiety, depression, and psychiatric or social service needs among patients. ED nurses and physicians found the ED-SCANS to be useful, relevant, and easy to use. Nurse practitioners can use the ED-SCANS to assess and manage individual patients. Clinical nurse specialists can use the ED-SCANS as a framework to guide departmental QI efforts.
authors: School of Nursing and Medicine, Duke University, Durham, NC 27713, USA. Paula.tanabe@duke.edu
authors: Paula
authors: P
authors: Tanabe
authors: Victoria L
authors: VL
authors: Thornton
authors: Zoran
authors: Z
authors: Martinovich
authors: Knox H
authors: KH
authors: Todd
authors: Ted
authors: T
authors: Wun
authors: John S
authors: JS
authors: Lyons
mesh_terms: D000328:Adult; D000755:Anemia, Sickle Cell / Q000523:psychology / Q000628:therapy*; D002985:Clinical Protocols; D004636:Emergency Service, Hospital; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D020380:Needs Assessment; D015588:Observer Variation; D015203:Reproducibility of Results; D012947:Social Work
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