J Emerg Nurs. 2022 Jan;48(1):104-116. doi: 10.1016/j.jen.2021.08.006.
The challenges related to providing continuing education and competence management for emergency nurses are not unique to any one organization, health system, or geographic location. These shared challenges, along with a desire to ensure high-quality practice of emergency nursing, were the catalyst for an international collaboration between emergency nurse leaders in Region Zealand, Denmark, and nurse leaders and educators from a large academic medical center in Boston, Massachusetts. The goal of the collaboration was to design a competency-based education framework to support high-quality emergency nursing care in Region Zealand. The core objectives of the collaboration included the following: (1) elevation of nursing practice, (2) development of a sustainable continuing education framework, and (3) standardization of training and nursing practice across the 4 emergency departments in Region Zealand.
To accomplish the core objectives, a multi-phased strategic approach was implemented. The initial phase, the needs assessment, included semi-structured interviews, a self-evaluation of skills of all regional emergency nurses, and a survey regarding nursing competency completed by emergency nurse leadership. Two hundred ninety emergency nurses completed the self-evaluation. The survey results were utilized to inform the strategic planning and design of a regional competency-based education framework.
In 18 months, and through an international collaboration, emergency nursing education, training, and evaluation tools were developed and integrated into the 4 regional emergency departments. Initial feedback indicates that the education has had a positive impact. The annual competency day program has continued through 2021 and is now fully institutionalized within the regional emergency nursing continuing education program. Furthermore, use of this innovative education framework has expanded beyond the emergency department to other regional nursing specialties.
Through this unique collaboration with regional and international participants, a sustainable, regional emergency nursing education program was developed that has elevated and standardized the practice of emergency nurses in Region Zealand, Denmark. This program development can serve as a model for region-wide or health care system-wide collaborations in other countries.
为急诊护士提供继续教育和能力管理所面临的挑战并非某个组织、医疗系统或地理位置所独有。这些共同的挑战，以及确保急诊护理高质量实践的愿望，是丹麦 Zealand 地区的急诊护士领导人和马萨诸塞州波士顿一家大型学术医疗中心的护士领导人和教育工作者之间开展国际合作的催化剂。合作的目标是设计一个基于能力的教育框架，以支持 Zealand 地区的高质量急诊护理。合作的核心目标包括：（1）提升护理实践水平，（2）开发可持续的继续教育框架，（3）在 Zealand 地区的 4 个急诊部门内实现培训和护理实践的标准化。
为了实现核心目标，采用了多阶段战略方法。初始阶段，即需求评估，包括半结构化访谈、对所有区域急诊护士技能的自我评估以及由急诊护士领导完成的护理能力调查。290 名急诊护士完成了自我评估。调查结果用于为战略规划提供信息，并设计一个区域基于能力的教育框架。
在 18 个月的时间里，通过国际合作，开发并整合了急诊护理教育、培训和评估工具，并将其纳入了 4 个区域急诊部门。初步反馈表明，教育产生了积极的影响。年度能力日项目已持续到 2021 年，并已完全纳入区域急诊护理继续教育计划。此外，这种创新教育框架的使用已扩展到急诊部门以外的其他区域护理专业。
通过与区域和国际参与者的独特合作，开发了一个可持续的区域急诊护理教育计划，该计划提高并标准化了丹麦 Zealand 地区急诊护士的实践水平。该计划的制定可以作为其他国家区域或医疗系统范围内合作的典范。
