La Trobe Rural Health School, La Trobe University, Victoria, Australia.
Nurse Educ Pract. 2012 Jan;12(1):11-5. doi: 10.1016/j.nepr.2011.05.001. Epub 2011 May 28.
Australia is a geographically unique country with large areas classed as rural. Nurses providing emergency care in rural hospitals face a number of challenges, with rural communities expecting multi-skilled nurses, prepared for a wide range of unannounced situations. Using a mixed method approach, involving questionnaires and focus groups, the study was undertaken in two rural health services in Victoria, Australia. The aim was to explore the experiences of general nurses working in rural hospital settings, with regards to their emergency department responsibilities. The findings indicate that nurses lacked confidence, which they attributed to the sporadic nature of working in the area and the diversity of people who presented. A resultant 'skills rusting' was described and nurses identified the need to be a diverse 'specialist'. Some lack of confidence, particularly in the mental health area, was related to feelings of isolation and lack of context specific education and training. While some excellent emergency specific education and training is available for rural nurses, access is limited by a multitude of constraints. This study found there is an urgent need for local emergency education and training; with nurses showing a strong preference for ongoing professional development incorporating scenario based and context specific education.
澳大利亚是一个地理位置独特的国家，大片地区被归类为农村。在农村医院提供紧急护理的护士面临着许多挑战，农村社区期望护士具备多方面技能，以便应对各种突发情况。本研究采用混合方法，包括问卷调查和焦点小组，在澳大利亚维多利亚州的两个农村卫生服务机构进行。目的是探讨在农村医院环境中工作的普通护士的经验，以及他们在急诊部门的职责。研究结果表明，护士缺乏信心，他们将其归因于在该地区工作的零星性质和就诊人群的多样性。描述了由此产生的“技能生锈”，护士们认为有必要成为一名多样化的“专家”。一些缺乏信心，特别是在心理健康领域，与孤立感以及缺乏特定情境的教育和培训有关。虽然有一些针对农村护士的优秀急诊专项教育和培训，但由于多种限制，获取机会有限。本研究发现，当地紧急教育和培训的需求十分迫切；护士们强烈希望进行包括基于场景和特定情境的教育在内的持续专业发展。
