The impact of HIRAID on emergency nurses' self-efficacy, anxiety and perceived control: A simulated study.
Int Emerg Nurs
; 25: 53-8, 2016 Mar.
Article
in En
| MEDLINE
| ID: mdl-26360413
ABSTRACT
INTRODUCTION:
Emergency nurses must perform accurate and complete comprehensive patient assessments to establish patient treatment needs and expedite care.AIM:
To evaluate the impact of a structured approach to emergency nursing assessment following triage, on novice emergency nurses' anxiety, self-efficacy and perceptions of control.METHODS:
Thirty eight early career emergency nurses from five Australian hospitals performed an initial patient assessment in an immersive clinical simulated scenario, before and after undertaking training in HIRAID, an evidence-informed patient assessment framework for emergency nurses. Immediately following each scenario the nurses completed a questionnaire scoring anxiety, self-efficacy and perceptions of control levels. Paired sample t-tests and effect sizes were calculated.RESULTS:
Participant anxiety levels were lower after HIRAID training compared to before undertaking the training (Mean (SD) = 53.26 (10.76) vs 47.46 (9.96), P = 0.002). Self-efficacy levels in assessment performance increased (189.32 (66.48) vs 214.06 (51.35), P = 0.001). There was no change in perceptions of control (31.24 (7.38) vs 30.98 (8.38), P = 0.829).DISCUSSION:
High levels of anxiety and low levels of self-efficacy are known to be negatively correlated with clinical reasoning skills and performance.CONCLUSION:
The effect of HIRAID training on reducing anxiety and increasing self-efficacy has the potential to improve emergency nurses' assessment performance and the quality and safety of patient care.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Anxiety
/
Emergency Nursing
/
Self Efficacy
/
Nurses
/
Nursing Assessment
Type of study:
Qualitative_research
Limits:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Country/Region as subject:
Oceania
Language:
En
Journal:
Int Emerg Nurs
Journal subject:
ENFERMAGEM
/
MEDICINA DE EMERGENCIA
Year:
2016
Document type:
Article
Publication country:
ENGLAND
/
ESCOCIA
/
GB
/
GREAT BRITAIN
/
INGLATERRA
/
REINO UNIDO
/
SCOTLAND
/
UK
/
UNITED KINGDOM