Molan Emily L
University of Canberra, Disciplines of Nursing & Midwifery, Bruce, ACT 2601, Australia.
Australas Emerg Nurs J. 2013 May;16(2):45-51. doi: 10.1016/j.aenj.2013.03.001. Epub 2013 Apr 25.
Scribe nurses within metropolitan emergency departments are traditionally Registered Nurses who document the resuscitation event to provide a true and timely representation of what occurred. Enrolled Nurses undertake the scribe role in some Australian emergency department resuscitations, particularly in rural and remote health services. There is no Australian research evidence pertaining to the role of the scribe nurse within a resuscitation team. This study explored the scribe role and the nursing work involved within it to appraise whether it is appropriate to delegate the responsibility away from Registered Nurses.
Using a qualitative descriptive design, semi-structured interviews were conducted with eight Registered Nurses who had emergency department scribe nurse experience. Thematic analysis was adopted to identify common threads within the interview data.
The four themes identified were the role, scribe effectiveness, expertise and 'scribe by default'. Participants were generally positive regarding the potential for Enrolled Nurses to scribe in metropolitan emergency department resuscitation teams.
The characteristics of an effective scribe; well developed communication skills, confidence and assertiveness and resuscitation 'know how', may be the measurement of readiness for the position of scribe nurse within the resuscitation team, rather than number of years of clinical experience or designation.
大城市急诊科的抄写护士传统上是注册护士，他们记录复苏事件，以真实、及时地呈现所发生的情况。在澳大利亚的一些急诊科复苏工作中，尤其是在农村和偏远地区的医疗服务机构，登记护士承担抄写员的角色。目前尚无澳大利亚关于抄写护士在复苏团队中作用的研究证据。本研究探讨了抄写员的角色以及其中涉及的护理工作，以评估将责任从注册护士身上 delegated（原文此处可能有误，推测是“转移”之意）是否合适。
采用定性描述性设计，对八位有急诊科抄写护士经验的注册护士进行了半结构化访谈。采用主题分析法来识别访谈数据中的共同线索。
确定的四个主题是角色、抄写员有效性、专业知识和“默认抄写员”。参与者总体上对登记护士在大城市急诊科复苏团队中担任抄写员的潜力持积极态度。
一名有效抄写员的特质；良好的沟通技巧、自信和果断以及复苏“诀窍”，可能是衡量其是否准备好担任复苏团队中抄写护士职位的标准，而非临床经验年限或职称。
