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Titre : | Clinical Skills Performed By Iranian Emergency Nurses: Perceived Competency Levels and Attitudes Toward Expanding Professional Roles (2018) |
Auteurs : | Hadi Hassankhani ; Firooz Hasanzadeh ; Kelly A. Powers ; et al. |
Type de document : | Article |
Dans : | Journal of Emergency Nursing (Vol. 44, n°2, March 2018) |
Article en page(s) : | p. 156-163 |
Note générale : | https://doi.org/10.1016/j.jen.2017.06.007 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Compétence ; Infirmiere d'urgence ; Iran ; Rôle propre infirmier |
Mots-clés: | Compétences cliniques |
Résumé : |
Introduction
Emergency nurses play an important role in the care of critically ill and injured patients, and their competency to perform clinical skills is vital to safe and effective patient care. The aim of this study was to evaluate the frequency of clinical skills performed and perceived competency levels among Iranian emergency nurses. In addition, attitudes toward expanding the professional roles of Iranian emergency nurses were also assessed. Methods In this descriptive correlational study, 319 emergency nurses from 30 hospitals in northwest Iran participated. Data were collected using a self-report questionnaire. Descriptive statistics and Pearsons correlation coefficient were used to present the findings. Results Overall competency of the emergency nurses was 73.31 ± 14.2, indicating a good level of perceived competence. The clinical skills most frequently performed were in the domains of organizational and workload competencies (3.43 ± 0.76), diagnostic function (3.25 ± 0.82), and the helping role (3.17 ± 0.83). A higher level of perceived competence was found for skills within these domains. Less frequently, participants performed skills within the domains of effective management of rapidly changing situations (2.70 ± 0.94) and administering and monitoring therapeutic interventions (2.60 ± 0.97); a lower perceived level of competence was noted for these clinical skills. There was a significant correlation between frequency of performing clinical skills and perceived competency level (r = 0.651, P Discussion Higher perceived competency levels were significantly associated with more frequent performance of clinical skills. This has implications for nurse managers and educators who may consider offering more frequent experiential and educational opportunities to emergency nurses. Expansion of nurses roles could also result in increased experience in clinical skills and higher levels of competency. Research is needed to investigate nurses clinical competence using direct and observed measures. Image 1 Contribution to Emergency Nursing Practice Emergency nurses in Iran take part in an extensive variety of activities with different levels of perceived competence and are willing to perform more advanced practice roles, some of which are described in Iran and other countries as falling into physicians scope of practice. Nurse educators and clinicians must collaborate to establish models for clinical education that take into account current activities that are practiced with low levels of competence. Health care regulatory authorities are needed to provide guidance programs to support emergency nurses to be knowledgeable about relevant policies, procedures, and laws that inform their scope of practice and legal boundaries. Health care regulatory authorities, nurse educators, and clinicians should collaborate to support the ongoing advancement of emergency nursing roles and guide safe nursing practice. |
Disponible en ligne : | Non |
Exemplaires (1)
Cote | Support | Localisation | Section | Disponibilité |
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REV | Périodique papier | Woluwe | Espace revues | Consultation sur place uniquement Exclu du prêt |