Competencies in Swedish emergency departments – The practitioners’ and managers’ perspective

Andersson, Henrik; Sundström, Birgitta Wireklint; Nilsson, Kerstin; Ung, Eva Jakobsson

doi:10.1016/j.ienj.2013.06.005

Cited by 16 publications

(17 citation statements)

References 41 publications

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“…The task of emergency departments (EDs) is to provide safe emergency health care to all who need it while adopting a caring, cost-effective approach [2, 3]. Nurses are frontline workers in EDs [4] and experience challenges of overcrowding, growing admission volumes, inadequate resources, and operational inefficiencies in ED [5, 6].…”

Section: Introductionmentioning

confidence: 99%

Qualitative Inquiry into Challenges Experienced by Registered General Nurses in the Emergency Department: A Study of Selected Hospitals in the Volta Region of Ghana

Atakro

Ninnoni

Adatara

et al. 2016

Emergency Medicine International

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Registered General Nurses (RGNs) play crucial roles in emergency departments (EDs). EDs in Ghana are primarily staffed by RGNs who have had no additional formal education in emergency care. Additionally, basic, master's, or doctoral level nursing education programs provide limited content on the complexities of emergency nursing. Nurses in EDs are affected by many challenges such as growing patient population, financial pressures, physical violence, verbal abuse, operational inefficiencies, overcrowding, and work overload. There is a paucity of research on challenges experienced by RGNs in EDs in the Volta Region of Ghana. In this qualitative study, twenty RGNs in EDs from three selected hospitals in the Volta Region of Ghana were interviewed. All recorded interviews were transcribed, reviewed several times by researchers and supervisors, and analyzed using content analysis. Five thematic categories were identified. These thematic categories of challenges were lack of preparation for ED role, verbal abuse from patients relatives, lack of resources in ED, stressful and time consuming nature of ED, and overcrowding in ED. Formal education of RGNs in the advanced role of emergency care, adequate supply of resources, increased hospital management support, and motivations for RGNs working in ED are necessary to improve the practice of emergency care.

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Section: Introductionmentioning

confidence: 99%

Qualitative Inquiry into Challenges Experienced by Registered General Nurses in the Emergency Department: A Study of Selected Hospitals in the Volta Region of Ghana

Atakro

Ninnoni

Adatara

et al. 2016

Emergency Medicine International

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“…Nurses considered themselves as most competent in their diagnostic functions. Andersson et al () also found that nurses used diagnostic functions more frequently in Swedish ED. In a study conducted in Turkey, Mollaoğlu and Çelik () found that the most frequent nursing procedures were checking vitals; preparing for emergency intervention, oxygen therapy, blood or fluid infusion; and providing a safe transfer or referral.…”

Section: Introductionmentioning

confidence: 92%

“…Henrik and Kerstin () noted that it is necessary to describe competencies required in ED and to determine strategies for their improvement. It is essential that nurses have the necessary competencies to deliver safe, effective emergency health care to meet different patient needs (Andersson, Sundström, Nilsson, & Ung, ). Griffin and Melby () reported that the employment of nurses with appropriate competencies in ED has many advantages, including shortened waiting time, constant care, and the standardization of care and maintaining cost‐effectiveness.…”

Section: Introductionmentioning

confidence: 99%

“…Griffin and Melby () reported that the employment of nurses with appropriate competencies in ED has many advantages, including shortened waiting time, constant care, and the standardization of care and maintaining cost‐effectiveness. To provide holistic emergency health care, practitioners need both medical competencies, that is, disease‐oriented competencies, and caring competencies to ensure that patients' medical and care needs are met (Andersson et al, ). In a study by Hassankhani, Hasanzadeh, Powers, Zadeh, and Rajaie (), which investigated the clinical skills performed by Iranian emergency nurses, the authors determined that the clinical skills most frequently performed were in the domains of organizational and workload competencies and diagnostic function.…”

Section: Introductionmentioning

confidence: 99%

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Determination of nursing procedures and competencies in emergency departments: A cross‐sectional study

Dağ¹,

Çetin

Gözkaya

2019

Nursing & Health Sciences

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The aim of this study was to determine the nursing procedures carried out by emergency department nurses. This descriptive study was carried out between April and September 2015 in the emergency departments of two state hospitals and one university hospital in Turkey. The study population comprised 139 emergency nurses working for at least 1 year in the emergency department of one of the three hospitals. Data were gathered by using the Emergency Nursing Procedures Questionnaire, which is composed of three sections to reveal nursing procedures performed in emergency departments. The procedures most frequently performed by the participants were administration of pain medication and assessment of patient responses (3.97 ± .18). Assessment of the patient's nutritional status (1.79 ± 1.16) was among the least frequently performed nursing procedures. Emergency nurses carried out nursing care procedures less frequently and took part most frequently in procedures related to medical diagnosis and treatment. According to results of this study, these procedures and competencies will highlight what knowledge and skills emergency nurses need. They will also guide in the creation of in‐service training programs and illuminate competencies that need improvement.

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“…Besides fundamental life-saving skills, ability to use a range of technical equipment and administer a limited list of medicines [9,10], clinical competence is considered to involve an ability to ensure patient safety by solving problems, thinking critically and anticipating variables which may impact care outcomes. Emergency care workers are expected to be able to identify, analyse and act on deteriorating patients, near-misses and potential adverse events.…”

Section: Clinical Competence and Skill Definedmentioning

confidence: 99%

Workers' Clinical Skills at Out-of-Hospital Emergency Care

Salminen‐Tuomaala¹,

Leikkola²,

Mikkola³

et al. 2015

Emerg Med (Los Angel)

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Competencies in Swedish emergency departments – The practitioners’ and managers’ perspective

Cited by 16 publications

References 41 publications

Qualitative Inquiry into Challenges Experienced by Registered General Nurses in the Emergency Department: A Study of Selected Hospitals in the Volta Region of Ghana

Qualitative Inquiry into Challenges Experienced by Registered General Nurses in the Emergency Department: A Study of Selected Hospitals in the Volta Region of Ghana

Determination of nursing procedures and competencies in emergency departments: A cross‐sectional study

Workers' Clinical Skills at Out-of-Hospital Emergency Care

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