Cognitive appraisals and coping strategies of registered nurses in the emergency department combating COVID-19: A scoping review.

OBJECTIVE: Explore the relevant evidence about stress-related cognitive appraisal and coping strategies among registered nurses in the emergency department (EDRNs) coping with the COVID-19 pandemic. METHODS: This scoping review followed the methodological framework of Arksey and O'Malley to map relevant evidence and synthesize the findings. We searched PubMed, EMBASE, CINAHL, Web of Science, and Scopus electronic databases for related studies from inception through February 2, 2022. This review further conducted study selection based on the PRISMA flow diagram and applied Lazarus and Folkman's Psychological Stress and Coping Theory to systematically organize, summarize, and report the findings. FINDINGS: Sixteen studies were included for synthesis. Most of the studies showed that the majority of EDRNs were overwhelmed by the COVID-19 pandemic. Depression, triaging distress, physical exhaustion, and intention to leave ED nursing were cited as major threats to their wellness. Additionally, comprehensive training, a modified triage system, a safe workplace, psychological support, promotion of resilience, and accepting responsibility may help EDRNs cope with pandemic-related challenges effectively. CONCLUSION: The long-lasting pandemic has affected the physical and mental health of EDRNs because they have increased their effort to respond to the outbreak with dynamically adjusted strategies. Future research should address a modified triage system, prolonged psychological issues, emergency healthcare quality, and solutions facing EDRNs during the COVID-19 or related future pandemics. CLINICAL RELEVANCE: EDRNs have experienced physical and psychological challenges during the pandemic. The ED administrators need to take action to ensure EDRNs' safety in the workplace, an up-to-date triage system, and mental health of frontline nurses to provide high-quality emergency care for combating COVID-19.

Printable temperature-responsive hybrid hydrogels with photoluminescent carbon nanodots.

Smart ink-like hybrid hydrogels that simultaneously possess semi-interpenetrating network structure, strong photoluminescence and temperature sensitivity are successfully fabricated based on the crosslink of poly(acrylamide) (PAAm) in the presence of poly(N-isopropylacrylamide) (PNIPAM) and carbon nanodots (CNDs) at room temperature. The resulting hybrid hydrogels were highly photoluminescent. The photoluminescence was sensitive to external temperature stimuli and reversible. Moreover, the hybrid hydrogels were applied as fluorescent inks for patterning using gravure printing, which may open a door towards developing smart CND based thermosensitive photoluminescent markers and sensors.

Fully printed, rapid-response sensors based on chemically modified graphene for detecting NO2 at room temperature.

Reduced graphene oxide (RGO) has proven to be effective in trace gas detection at room temperature ambient conditions. However, the slow response-recovery characteristic is a major hurdle for the RGO-based gas sensors. Herein, we report a gravure-printed chemoresistor-type NO2 sensor based on sulfonated RGO (S-RGO) decorated with Ag nanoparticles (Ag-S-RGO). Large amounts of silver nanoparticles with an average particle size of 10-20 nm were uniformly assembled on flat S-RGO surfaces. The printed Ag-S-RGO sensor possesses a high sensitivity and fast response-recovery characteristic over NO2 concentrations ranging from 0.5 to 50 ppm. Upon exposure to 50 ppm NO2 at room temperature, the Ag-S-RGO sensor shows a sensitivity of 74.6%, a response time of 12 s and a recovery time of 20 s. In addition, the Ag-S-RGO sensors exhibit satisfactory flexibility with an almost constant resistance after 1000 bending cycles. The printed and high-performance Ag-S-RGO sensors described here will be a good prospect in environmental monitoring of NO2.