Valdez Anna Maria
REACH Air Medical Services, San Francisco Chapter ENA, Santa Rosa, CA 95401, USA.
Adv Emerg Nurs J. 2009 Oct-Dec;31(4):337-53. doi: 10.1097/TME.0b013e3181bcb571.
The purpose of this study was to examine how and to what extent current societal and healthcare trends impact the educational needs of the emergency nurse. In addition, this study sought to draw upon that information to facilitate the development of expert consensus about the major educational priorities for emergency nurses during the time period from 2008 to 2018. A mixed methodology, qualitative-then-quantitative study design using a Delphi method was employed for this research. The 3-round Delphi study engaged a total of 50 emergency nursing experts with prior experience in emergency nursing practice and education to identify societal and healthcare trends and major educational priorities of relevance to emergency nurses. In this study, 3 rounds of questioning resulted in a total of 42 societal and healthcare priorities and 63 educational priorities with moderate to high consensus achieved in all categories. Societal and healthcare trends that were ranked as having the most significant impact on emergency nursing included emergency department overcrowding, increasing patient complexity and acuity, access to healthcare, mental and behavioral health needs, and an aging population. Educational themes or topics that were ranked as being an extremely high priority for emergency nursing included critical thinking, core emergency nursing competencies, triage, pediatric patient care, medication and patient safety, and individualized orientation programs for emergency nurses. An analysis of the highest priority educational themes indicates that emergency nursing experts are concerned with not only the content of educational programs but also the pedagogy used to provide educational opportunities to current and future emergency nurses.
本研究的目的是探讨当前社会和医疗保健趋势如何以及在多大程度上影响急诊护士的教育需求。此外，本研究试图利用这些信息，促进就2008年至2018年期间急诊护士的主要教育重点达成专家共识。本研究采用了一种混合方法，即定性-定量研究设计，并运用德尔菲法。三轮德尔菲研究共邀请了50位在急诊护理实践和教育方面有经验的急诊护理专家，以确定与急诊护士相关的社会和医疗保健趋势以及主要教育重点。在本研究中，三轮提问共得出42项社会和医疗保健重点以及63项教育重点，所有类别均达成了中度到高度的共识。被认为对急诊护理影响最大的社会和医疗保健趋势包括急诊科拥挤、患者复杂性和 acuity增加、医疗保健可及性、心理和行为健康需求以及人口老龄化。被列为急诊护理极高优先事项的教育主题或话题包括批判性思维、核心急诊护理能力、分诊、儿科患者护理、药物和患者安全以及针对急诊护士的个性化入职培训计划。对最高优先教育主题的分析表明，急诊护理专家不仅关注教育计划的内容，还关注用于为当前和未来急诊护士提供教育机会的教学方法。
