RESUMEN
PURPOSE/AIMS: The aim of this study was to investigate the current practice of clinical nurse specialists working in US emergency care settings to (1) explicate the application of the Emergency Nurses Association core competencies and define the specialized clinical nurse specialist role in emergency care and (2) align current clinical nurse specialist practice in emergency settings with the National Association of Clinical Nurse Specialists core competencies and the identified substantive areas of clinical nurse specialist practice. DESIGN: This study used a quantitative exploratory descriptive approach using survey data. METHODS: A purposive convenience sample was recruited from the Emergency Nurses Association and the National Association of Clinical Nurse Specialists. Participants completed a 39-item survey based on a consensus process to develop competencies for emergency department (ED)-situated clinical nurse specialists. RESULTS: Respondents (n = 285) reported spending more than 50% of their work time in a primary clinical nurse specialist role. Significant differences in practice were found between geographic location, setting, educational preparation, title protection status, and type of institution. CONCLUSIONS: Our findings suggest that that the competencies ascribed to ED-situated clinical nurse specialists are valid in both frequency and importance. However, ED-situated clinical nurse specialists are not fully credentialed or practicing to the full extent of their education and licenses, because of professional, legislative, and environmental limitations.
Asunto(s)
Servicios Médicos de Urgencia , Enfermeras Clínicas , Humanos , Encuestas y Cuestionarios , Competencia Clínica , Proyectos de InvestigaciónAsunto(s)
Enfermería de Práctica Avanzada/métodos , Enfermería de Urgencia/métodos , Guías de Práctica Clínica como Asunto , Enfermería de Práctica Avanzada/tendencias , Educación Continua , Enfermería de Urgencia/tendencias , Humanos , Rol de la Enfermera , Investigación en Enfermería , Sociedades de Enfermería , Estados UnidosAsunto(s)
Enfermería de Urgencia/normas , Servicio de Urgencia en Hospital/normas , Guías de Práctica Clínica como Asunto , Heridas y Lesiones/enfermería , Femenino , Humanos , Control de Infecciones , Masculino , Manejo del Dolor , Calidad de la Atención de Salud , Estados Unidos , Heridas y Lesiones/terapiaAsunto(s)
Enfermería de Urgencia/normas , Servicio de Urgencia en Hospital/normas , Hipotensión Ortostática/diagnóstico , Guías de Práctica Clínica como Asunto , Signos Vitales , Determinación de la Presión Sanguínea , Femenino , Recursos en Salud , Humanos , Hipotensión Ortostática/enfermería , Masculino , Sensibilidad y EspecificidadRESUMEN
Nurses in the hospital setting must be knowledgeable about resuscitation procedures and proficient in the delivery of care during an emergency. They must be ready to implement their knowledge and skills at a moment's notice. A common dilemma for many nurses is that cardiopulmonary emergencies (Code Blues) are infrequent occurrences. Therefore, how do nurses remain competent and confident in their implementation of emergency skills while having limited exposure to the equipment and minimal experience in emergency situations? A team of nurse educators at a regional medical center in Washington State applied adult learning theory and accelerated learning techniques to develop and present a series of learning activities to enhance the staff's familiarity with emergency equipment and procedures. The series began with a carnival venue that provided hands-on practice and review of emergency skills and was reinforced with subsequent random unannounced code drills led by both educators and charge nurses.
Asunto(s)
Reanimación Cardiopulmonar/educación , Competencia Clínica , Educación Continua en Enfermería/métodos , Capacitación en Servicio/métodos , Personal de Enfermería en Hospital/educación , Adulto , Actitud del Personal de Salud , Reanimación Cardiopulmonar/enfermería , Urgencias Médicas/enfermería , Exposiciones Educacionales en Salud , Humanos , Maniquíes , Modelos Educacionales , Modelos de Enfermería , Modelos Psicológicos , Evaluación de Necesidades , Rol de la Enfermera , Personal de Enfermería en Hospital/psicología , Psicología Educacional , WashingtónRESUMEN
Health care is incredibly complex. Now, more than ever, health care providers are being called on to deliver care that is based on evidence and is consistent with current professional knowledge. Educators often struggle to find time when staff are available to participate in scheduled education. The work of nursing staff is to provide patient care. This article describes the journey of neophyte researchers who conducted a clinical trial as a strategy to implement evidence-based practice. Although educational opportunities for the staff were included as part of the trial, there were also many challenges applicable to the neophyte researcher role. Those challenges included the participants' neophyte knowledge and perception of the research process, vendor relationships, data collection methods, staff perceptions, and the culture of the institution itself.
Asunto(s)
Ensayos Clínicos como Asunto , Educación Continua en Enfermería/métodos , Enfermería Basada en la Evidencia , Investigación en Enfermería , Competencia Clínica , Humanos , Proyectos de InvestigaciónRESUMEN
This study by Carla Brim from the United States analyses why people seek non-urgent care in emergency departments during hours when community providers are available. Results indicate that lack of healthcare insurance and having public insurance are the factors most closely associated with such use of emergency departments. This information can be used to bring about change in policymaking decisions about healthcare assessments.