Abstract：
This research explores how emergency nurse practitioners (ENPs) become role proficient given experience variation and lack of role standardisation.
To understand how ENPs experiences in practice influence their feelings of role proficiency.
A hermeneutic phenomenological study was undertaken utilizing an interpretive standpoint. A two-phase approach was adopted with ten participants using a digital diary informing a semi-structured interview. A three-stage data analysis approach was applied.
Six themes emerged: the meaning of role proficiency, relationships, confidence, learning and knowledge, exposure and experience, and care. Models of proficiency and its development are presented.
Proficiency is defined where confidence in the components that proficiency consists of and their application to each clinical presentation is required. Proficiency is a continuum supported by regulatory mode theory. Inconsistency of role understanding gives rise to three ENP groups, resistors, maintainers, and innovators.
Role clarity is required to establish a consistent culture within organisations founded on the voice of the ENP as captured in this research. This model of proficiency be incorporated in ENP role development for current and future ENPs.
To understand how ENPs experiences in practice influence their feelings of role proficiency.
A hermeneutic phenomenological study was undertaken utilizing an interpretive standpoint. A two-phase approach was adopted with ten participants using a digital diary informing a semi-structured interview. A three-stage data analysis approach was applied.
Six themes emerged: the meaning of role proficiency, relationships, confidence, learning and knowledge, exposure and experience, and care. Models of proficiency and its development are presented.
Proficiency is defined where confidence in the components that proficiency consists of and their application to each clinical presentation is required. Proficiency is a continuum supported by regulatory mode theory. Inconsistency of role understanding gives rise to three ENP groups, resistors, maintainers, and innovators.
Role clarity is required to establish a consistent culture within organisations founded on the voice of the ENP as captured in this research. This model of proficiency be incorporated in ENP role development for current and future ENPs.
摘要：
背景：这项研究探讨了急诊护士从业人员（ENPs）在经历变化和角色标准化缺乏的情况下如何成为角色精通。
目的：了解ENPs在实践中的经历如何影响他们的角色熟练程度。
方法：利用解释性观点进行了诠释学现象学研究。采用了两个阶段的方法，十个参与者使用数字日记告知半结构化访谈。采用三阶段数据分析方法。
结果：出现了六个主题：角色熟练程度的含义，关系,信心,学习和知识，曝光和经验，和关心。介绍了熟练程度模型及其发展。
结论：熟练程度是指对熟练程度组成的成分及其在每种临床表现中的应用要求的信心。熟练程度是监管模式理论支持的连续体。角色理解的不一致导致了三个ENP组，电阻器,维护者,和创新者。
结论：角色清晰是为了在本研究中所捕获的基于ENP声音的组织内建立一致的文化。这种熟练模式可纳入当前和未来ENP的ENP角色开发中。
目的：了解ENPs在实践中的经历如何影响他们的角色熟练程度。
方法：利用解释性观点进行了诠释学现象学研究。采用了两个阶段的方法，十个参与者使用数字日记告知半结构化访谈。采用三阶段数据分析方法。
结果：出现了六个主题：角色熟练程度的含义，关系,信心,学习和知识，曝光和经验，和关心。介绍了熟练程度模型及其发展。
结论：熟练程度是指对熟练程度组成的成分及其在每种临床表现中的应用要求的信心。熟练程度是监管模式理论支持的连续体。角色理解的不一致导致了三个ENP组，电阻器,维护者,和创新者。
结论：角色清晰是为了在本研究中所捕获的基于ENP声音的组织内建立一致的文化。这种熟练模式可纳入当前和未来ENP的ENP角色开发中。
