Faculty of Medicine and Health, Susan Wakil School of Nursing and Midwifery, University of Sydney, Camperdown, NSW, Australia; Nursing and Midwifery, Monash University, 47-49 Moorooduc Highway, Frankston, Victoria, Australia.
Faculty of Medicine and Health, Susan Wakil School of Nursing and Midwifery, University of Sydney, Camperdown, NSW, Australia; Emergency services, Illawarra Shoalhaven Local Health District, NSW, Australia.
Nurse Educ Today. 2021 Apr;99:104811. doi: 10.1016/j.nedt.2021.104811. Epub 2021 Feb 10.
Practice standards in nursing provide minimum expectations to enable the provision of high quality and safe care. There are currently no practice standards for post-registration graduate emergency nursing programs in Australia, leading to variation in graduate attributes and clinical expectations on completion of their program.
The aim of this study was to establish consensus-based practice standards for graduate emergency nursing programs in Australia.
Delphi approach.
Australian nurses who identified as an emergency nurse and currently worked, or previously worked, in an emergency care environment.
A modified two-round Delphi method was used. The survey was divided into four sections of data collection, including demographics, graduate emergency nursing course entry requirements, graduate expectations, and clinical care capabilities. Data were analysed using descriptive statistics including calculation of content validity index (CVI).
There were 204 respondents in Round One and 153 respondents in Round Two. Respondents agreed that nurses wanting to undertake graduate studies in emergency nursing require prior experience in the emergency care environment and should be working a minimum of 0.5 full time equivalent (FTE) whilst completing their studies. Thirty-nine statements presented under graduate attributes achieved a CVI of >0.8. All 70 clinical care capability statements presented in Round Two achieved a CVI of >0.8.
This study generated the evidence to establish minimum practice standards for Australian graduate emergency nursing programs. The standards centre around three key areas: graduate entry requirements, graduate attributes and clinical care capabilities. The standards provide a clear guide for employers, educators and clinicians, and inform capabilities for early career emergency nurses.
护理实践标准提供了最低期望，以实现高质量和安全的护理。目前，澳大利亚没有注册后研究生急诊护理课程的实践标准，导致毕业生在完成课程后，其专业属性和临床预期存在差异。
本研究旨在为澳大利亚的研究生急诊护理课程制定基于共识的实践标准。
德尔菲法。
澳大利亚的护士，他们认为自己是急诊护士，目前或曾经在急诊护理环境中工作过。
采用改良的两轮德尔菲法。调查分为四个部分的数据收集，包括人口统计学、研究生急诊护理课程入学要求、毕业生期望和临床护理能力。使用描述性统计方法分析数据，包括计算内容有效性指数（CVI）。
第一轮有 204 名受访者，第二轮有 153 名受访者。受访者一致认为，希望从事急诊护理研究生学习的护士需要有急诊护理环境的先前经验，并且在完成学业期间应至少全职工作 0.5 个（FTE）。39 项在毕业生属性下呈现的陈述获得了 >0.8 的 CVI。在第二轮中提出的所有 70 项临床护理能力陈述均获得了 >0.8 的 CVI。
本研究为澳大利亚研究生急诊护理课程确立了最低实践标准。这些标准围绕三个关键领域：毕业生入学要求、毕业生属性和临床护理能力。该标准为雇主、教育者和临床医生提供了明确的指导，并为急诊护理的早期职业生涯的护士提供了能力信息。
