Botes Meghan, King Lauren Lai, Holliman Robert, de Lange Santel, Tumusiime Simon Isabwe, Kutoane Mahlomola, Quiroga Dylan, Brysiewicz Petra
Faculty of Health Sciences, Department of Nursing Education, University of the Witwatersrand, Gauteng, South Africa.
Division of Emergency Medicine, Department of Family, Community and Emergency Care, University of Cape Town, Cape Town, South Africa.
Afr J Emerg Med. 2025 Sep;15(3):100890. doi: 10.1016/j.afjem.2025.100890. Epub 2025 Jul 21.
Primary health care (PHC) nurses handle preventative care and emergencies, despite the latter not being their focus. Upskilling in basic emergency care is essential as PHC facilities serve as the first point of care. The World Health Organization and International Committee of the Red Cross developed a Basic Emergency Care (BEC) course, but its suitability for Gauteng PHC nursing staff remains unknown. This study assessed the BEC course's impact on nurses' knowledge, confidence, and competence in emergency care at selected Gauteng PHC facilities.
A pre-post intervention design was used with purposive sampling of eighty-six nurses who completed the BEC course from three emergency departments. Data collection occurred April-June 2024. Knowledge, confidence and competence were assessed using pre- and post-course surveys and knowledge tests, plus a final evaluation with 6 open-ended questions. Data analysis included descriptive statistics, correlational analyses, and inferential methods to determine statistical significance of observed variations.
The study included = 86 nurses across various categories. Knowledge scores significantly increased from 55.1% pre-test to 78.8% post-test. Self-perceived competence and confidence improved from 2.72 to 3.54 post-course. ANOVA revealed significant relationships between nurse categories and scores in pre-tests ( = 0.004) and post-tests ( < 0.001). Post-test confidence also varied significantly between categories ( = 0.046). Content analysis of open-ended responses identified four themes: "Correcting wrongs", "Extremely congested course", "Contextual relevance" and "Skills update."
The results highlight significant knowledge gains for all nurses who received BEC training. However, differences in performance between nurse categories suggest a need for further exploration and consideration of how to accommodate different categories of nurses. While nurses found the course highly useful and relevant, content loading and course duration should be considered.
初级卫生保健（PHC）护士负责预防保健和处理紧急情况，尽管后者并非他们的工作重点。由于初级卫生保健机构是首诊医疗点，提升基本急救护理技能至关重要。世界卫生组织和红十字国际委员会开发了一门基本急救护理（BEC）课程，但其对豪登省初级卫生保健护理人员的适用性尚不清楚。本研究评估了BEC课程对豪登省选定初级卫生保健机构护士的急救护理知识、信心和能力的影响。
采用干预前后设计，对来自三个急诊科完成BEC课程的86名护士进行目的抽样。数据收集于2024年4月至6月进行。通过课程前后的调查、知识测试以及6个开放式问题的最终评估来评估知识、信心和能力。数据分析包括描述性统计、相关性分析和推断方法，以确定观察到的差异的统计学意义。
该研究纳入了86名不同类别的护士。知识得分从测试前的55.1%显著提高到测试后的78.8%。自我感知的能力和信心在课程后从2.72提高到3.54。方差分析显示，护士类别与测试前得分（P = 0.004）和测试后得分（P < 0.001）之间存在显著关系。测试后不同类别之间的信心也存在显著差异（P = 0.046）。对开放式回答的内容分析确定了四个主题：“纠正错误”、“课程极度拥挤”、“情境相关性”和“技能更新”。
结果凸显了所有接受BEC培训的护士在知识方面的显著收获。然而，不同类别护士在表现上的差异表明，需要进一步探索并考虑如何适应不同类别的护士。虽然护士们认为该课程非常有用且相关，但应考虑课程内容的加载和时长。
