Emergency Practices in Responding to Critically Ill Patients: Basis for an Evidence-Based Practice

This study utilized a descriptive research design to assess the emergency room (ER) practices of nurses in responding to critically ill patients in selected Hospitals in Eastern Pangasinan during the second semester of Academic Year 2024–2025. A total of 60 ER nurses were selected as respondents. Data were gathered through a validated survey questionnaire composed of two parts: demographic profile and nursing practices in emergency response. Statistical tools such as frequency, percentage, weighted mean, and Analysis of Variance (ANOVA) were used to analyze the data. Ethical standards including informed consent, confidentiality, and respect for autonomy were strictly observed throughout the research process. Results revealed that most respondents were female (75%) and aged 26–35 years (58.3%). The majority were single (60%), with a bachelor’s degree in nursing (83.3%), while 16.7% held a master’s degree. In terms of position, most were staff nurses (86.7%), while others were nurse supervisors or charge nurses (13.3%). Regarding length of service, 43.3% had 1–5 years of experience in the ER, 36.7% had 6–10 years, and 20% had more than 10 years. Over half of the respondents (65%) had attended three or more relevant emergency nursing seminars or trainings.The study found that the emergency room practices of nurses in responding to critically ill patients were rated as “Often Practiced,” indicating consistent adherence to emergency response protocols. High practice areas included initial assessment, airway management, and coordination with physicians, while areas for improvement involved advanced interventions and documentation under pressure. Significant differences in emergency practices were found when grouped by years of ER experience, number of training courses attended, and the category of facility, indicating these factors play a vital role in the proficiency of ER nurses. No statistically significant differences were observed based on age, sex, civil status, educational attainment, or position. Based on the findings, it is recommended that hospital administrators enhance continuing professional development programs, particularly for nurses with fewer years of experience and limited training exposure. Investments in training and standardized protocols across facility types may bridge competency gaps and strengthen the overall quality of emergency care. Future studies may incorporate patient outcomes as additional variables to correlate with nursing practices.