关键词: Accident and Emergency Department Clinical Competency Education Emergency nursing Resuscitation Training Programs

来  源:   DOI:10.1016/j.auec.2024.06.001

Abstract:
BACKGROUND: The emergency resuscitation nurse is a challenging and specialised role at the forefront of critical care practice in the emergency department. Despite their extensive specialist knowledge and skill requirements, in Australia there is no state-wide or nationally agreed approach to how to best provide training that meets a set of fixed objectives and requisite skills for resuscitation nurses. Due to an ageing nursing population and increasing workforce attrition, an efficacious accelerated pathway to acquire specialist resuscitation nursing knowledge, is necessary.
OBJECTIVE: The aim of this review is to identify, consolidate and summarise the available evidence on the training needs for the requisite clinical and non-technical skills of emergency resuscitation nurses ELIGIBILITY CRITERIA: Papers about nurses currently working in the emergency department; including Nurse Unit Managers (NUMs), Clinical Nurse Educators (CNEs), Clinical Nurse Consultants (CNCs), Clinical Nurse Specialists (CNSs), Registered Nurses (RNs) and Enrolled Nurses (ENs) were included. The review included primary and non-primary research, including papers addressing how emergency nurses are trained. There was no date limitation set to ensure all results could be reviewed. Papers that were not published in English, included nurses who were not working in the ED, or included doctors, allied health, and other staff where population cohorts could not be distinguished, were excluded. Abstract only, editorials, conference posters or oral presentations, were also excluded.
METHODS: Searches were conducted in MEDLINE, CINAHL and EMCARE. The authors conducted extensive hand-searching of the included study reference lists as well as the grey literature to ensure that all relevant literature was captured.
METHODS: A scoping literature review was conducted.
RESULTS: Data extraction was conducted on the final 33 articles (23 peer reviewed studies and 10 competency and practice standards documents). Specific training requirements to achieve competence in the requisite clinical and non-technical skills in resuscitation nursing do not exist. A decline in competency without regular reinforcement was reported. Multi-modal approaches, incorporating diverse teaching methods, show potential in enhancing knowledge retention and skill acquisition.
CONCLUSIONS: Resuscitation nursing lacks a standardised training approach in Australia, leading to a gap in ensuring consistent skill acquisition and knowledge among nurses. Research is required to identify what resuscitation nursing skills and training are necessary to ensure practice effectively meets the needs of patients.
摘要:
背景:急诊复苏护士是急诊科重症监护实践最前沿的具有挑战性的专业角色。尽管他们广泛的专业知识和技能要求,在澳大利亚,对于如何最好地提供符合一组固定目标和复苏护士所需技能的培训,没有全州或全国商定的方法.由于护理人口老化和劳动力流失增加,获得专科复苏护理知识的有效加速途径,是必要的。
目的:这篇综述的目的是确定,巩固和总结有关紧急复苏护士资格标准的必要临床和非技术技能的培训需求的可用证据:关于目前在急诊科工作的护士的论文;包括护士单元经理(NUM),临床护士教育者(CNEs),临床护士顾问(CNCs),临床护士专家(CNSs),包括注册护士(RN)和注册护士(EN)。审查包括初级和非初级研究,包括关于如何培训急诊护士的论文。没有设置日期限制以确保可以审查所有结果。没有用英文发表的论文,包括没有在急诊室工作的护士,或者包括医生,联合健康,和其他无法区分人口群体的工作人员,被排除在外。仅抽象,社论,会议海报或口头报告,也被排除在外。
方法:在MEDLINE中进行搜索,CINAHL和EMCRE。作者对所包括的研究参考列表以及灰色文献进行了广泛的手工搜索,以确保捕获所有相关文献。
方法:进行了范围界定文献综述。
结果:对最后33篇文章(23篇同行评审研究和10篇能力和实践标准文件)进行了数据提取。不存在特定的培训要求,以实现复苏护理中必要的临床和非技术技能的能力。据报道,在没有定期加强的情况下,能力下降。多模式方法,结合不同的教学方法,显示出增强知识保留和技能获取的潜力。
结论:复苏护理在澳大利亚缺乏标准化的培训方法,导致护士在确保一致的技能获取和知识方面存在差距。需要研究以确定哪些复苏护理技能和培训是必要的,以确保实践有效地满足患者的需求。
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