A structured framework improves clinical patient assessment and nontechnical skills of early career emergency nurses: a pre–post study using full immersion simulation

Abstract

HIRAID should be considered for integration into clinical practice to provide nurses with a systematic approach to patient assessment and potentially improve the delivery of safe patient care.

Improving Care of Critically Unwell Patients through Development of a Simulation Programme in a Malawian Hospital

“…The areas evaluated by our assessment tool were in keeping with areas previously identified as core skills for nursing staff (Carroll, 2004, Resuscitation Council, 2016, Munroe et al, 2016, adding validity to our assessment instrument, and both the format of the course and the areas of assessment were comparable to more recently published work looking at the effect of simulation training for medical students (Hogg & Miller, 2016), again adding validity to the methodology and results of this work.…”

“…The areas evaluated for subject confidence were selected based on a recent study that identified several essential skills for nurses working in the emergency setting (Munroe et al, 2016), specifically; history taking, assessment and identification of red flags, interventions, diagnostics, reassessment and communication. These areas were also identified in a meta-analysis as some of the core skills for nurses working in the acute setting (Carroll, 2004) adding validity to the assessment tool.…”

Optimising implementation of a patient‐assessment framework for emergency nurses: A mixed‐method study

“…The application of the KTA Cycle in the present study is illustrated in Figure . The Knowledge Creation phase represents the development and testing of the HIRAID assessment framework in the simulated setting as previously reported (Munroe, Buckley et al., ; Munroe, Curtis et al., ). The Action Cycle displays how the HIRAID education workshop was devised to test the effects of the HIRAID assessment framework in the simulated setting and the methods used in this study to identify facilitators and barriers and select additional and/or alternate interventions to optimise future implementation of the framework into emergency nursing practice.…”

“…Following ethics approval from the relevant Human Research and Ethics Committee (HREC approval: LNR/13/WMEAD/44), in December 2013 emergency nurses were invited to participate in the study through an expression of interest placed in six New South Wales (NSW) Hospital EDs in Australia. Sample size and participant inclusion criteria were determined by outcomes measured in the studies conducted parallel to this mixed methods study with a primary quantitative drive (Munroe, Buckley et al., ; Munroe, Curtis et al., ). As the HIRAID assessment framework was originally devised to provide new nurses to the ED with a structured approach to patient assessment, Registered Nurses with <3 years post‐registration experience currently working in an emergency department were selected to participate.…”

“…This paper presents research conducted in parallel to the evaluation of HIRAID, which used full immersion simulation to evaluate the effect of HIRAID on emergency nursing practice (Munroe, Buckley et al., ; Munroe, Curtis et al., ). Education and application of the HIRAID assessment framework by early career emergency nurses was demonstrated to improve the quality of patient assessment (Munroe, Curtis et al., ), as well as reduce anxiety and increase self‐efficacy in assessment performance (Munroe, Buckley et al., ) which are closely associated with clinical performance (Cheung & Au, ; Hollingsworth & Ford‐Gilboe, ). These findings demonstrate the potential of this framework to improve the quality of emergency nursing assessments and subsequent patient care in the clinical setting.…”