Faculty of Medicine and Health, The University of Sydney Susan Wakil School of Nursing and Midwifery, Camperdown, NSW, Australia; Emergency Services, Illawarra Shoalhaven Local Health District, Wollongong Hospital, Crown St, Wollongong, NSW, Australia; Northern Sydney Local Health District, NSW, Australia; Faculty of Medicine and Health, The University of Sydney Susan Wakil School of Nursing and Midwifery, Mallet St, Camperdown, NSW, Australia.
Western Sydney Local Health District, North Parramatta, NSW 2141, Australia; Northern Sydney Local Health District, NSW, Australia; Faculty of Medicine and Health, The University of Sydney Susan Wakil School of Nursing and Midwifery, Mallet St, Camperdown, NSW, Australia.
Australas Emerg Care. 2024 Sep;27(3):198-206. doi: 10.1016/j.auec.2024.03.002. Epub 2024 Mar 26.
Emergency nurses are the first clinicians to see patients in the ED; their practice is fundamental to patient safety. To reduce clinical variation and increase the safety and quality of emergency nursing care, we developed a standardised consensus-based emergency nurse career pathway for use across Australian rural, regional, and metropolitan New South Wales (NSW) emergency departments.
An analysis of career pathways from six health services, the College for Emergency Nursing Australasia, and NSW Ministry of Health was conducted. Using a consensus process, a 15-member expert panel developed the pathway and determined the education needs for pathway progression over six face-to-face meetings from May to August 2023.
An eight-step pathway outlining nurse progression through models of care related to different ED clinical areas with a minimum 172 h protected face-to-face and 8 h online education is required to progress from novice to expert. Progression corresponds with increasing levels of complexity, decision making and clinical skills, aligned with Benner's novice to expert theory.
A standardised career pathway with minimum 180 h would enable a consistent approach to emergency nursing training and enable nurses to work to their full scope of practice. This will facilitate transferability of emergency nursing skills across jurisdictions.
急诊护士是在急诊部首先接诊患者的临床医生；他们的实践对患者安全至关重要。为了减少临床差异，提高急诊护理的安全性和质量，我们为澳大利亚农村、地区和新南威尔士州（NSW）大都市的急诊部制定了一个基于共识的标准化急诊护士职业发展道路。
对来自六个卫生服务机构、澳大利亚急诊护理学院和新南威尔士州卫生部的职业道路进行了分析。使用共识过程，一个由 15 名专家组成的小组在 2023 年 5 月至 8 月的六次面对面会议上制定了该途径，并确定了在该途径上取得进展所需的教育需求。
该途径概述了护士在与不同急诊临床领域相关的护理模式中的进展，需要完成 172 小时的面对面保护教育和 8 小时的在线教育，才能从新手进阶为专家。这种进展与不断增加的复杂性、决策能力和临床技能相对应，与 Benner 的新手到专家理论相一致。
一个标准化的职业道路，需要至少 180 小时的教育，将能够实现急诊护理培训的一致方法，并使护士能够充分发挥其执业范围。这将促进紧急护理技能在司法管辖区之间的可转移性。
