Belinda Munroe1, Kate Curtis2, Margaret Murphy3, Luke Strachan4, Thomas Buckley5. 1. Sydney Nursing School, University of Sydney, Australia; Emergency Department, The Wollongong Hospital, Australia. Electronic address: belinda.munroe@sesiahs.health.nsw.gov.au. 2. Sydney Nursing School, University of Sydney, Australia; Emergency Department, The Wollongong Hospital, Australia; St George Hospital Trauma Service, Australia. 3. Sydney Nursing School, University of Sydney, Australia; Emergency Department, Westmead Hospital, Australia. 4. Emergency Department, Blacktown Hospital, Australia. 5. Sydney Nursing School, University of Sydney, Australia.
Abstract
INTRODUCTION: Emergency nurses must be highly skilled at performing accurate and comprehensive patient assessments. In 2008, the inaugural emergency nursing assessment framework (ENAF) was devised at Sydney Nursing School, to provide emergency nurses with a systematic approach to initial patient assessment. In 2014 the assessment framework was re-developed to reflect the most recent evidence. AIM: To describe the process and evidence used to re-develop ENAF, to provide ED nurses with an evidence-informed approach to the comprehensive assessment of patients presenting to ED after triage, so that it may be implemented and tested in the clinical (simulated) setting. METHODS: A thorough literature review was conducted to inform the re-development of ENAF. Literature review findings were reviewed and ENAF was re-developed by a panel of expert emergency nursing clinicians using the Delphi Technique. RESULTS: Modifications to ENAF were undertaken and a new, more comprehensive assessment framework was developed titled 'HIRAID'. HIRAID is informed by current evidence, comprising of seven assessment components: History; Identify Red flags; Assessment; Interventions; Diagnostics; reassessment and communication. CONCLUSION: HIRAID provides an evidence-informed systematic approach to initial patient assessment performed by emergency nurses after triage. Evaluation is now needed to determine its impact on clinician performance and patient safety.
INTRODUCTION: Emergency nurses must be highly skilled at performing accurate and comprehensive patient assessments. In 2008, the inaugural emergency nursing assessment framework (ENAF) was devised at Sydney Nursing School, to provide emergency nurses with a systematic approach to initial patient assessment. In 2014 the assessment framework was re-developed to reflect the most recent evidence. AIM: To describe the process and evidence used to re-develop ENAF, to provide ED nurses with an evidence-informed approach to the comprehensive assessment of patients presenting to ED after triage, so that it may be implemented and tested in the clinical (simulated) setting. METHODS: A thorough literature review was conducted to inform the re-development of ENAF. Literature review findings were reviewed and ENAF was re-developed by a panel of expert emergency nursing clinicians using the Delphi Technique. RESULTS: Modifications to ENAF were undertaken and a new, more comprehensive assessment framework was developed titled 'HIRAID'. HIRAID is informed by current evidence, comprising of seven assessment components: History; Identify Red flags; Assessment; Interventions; Diagnostics; reassessment and communication. CONCLUSION: HIRAID provides an evidence-informed systematic approach to initial patient assessment performed by emergency nurses after triage. Evaluation is now needed to determine its impact on clinician performance and patient safety.
Authors: Kate Curtis; Connie Van; Mary Lam; Stephen Asha; Annalise Unsworth; Alana Clements; Louise Atkins Journal: J Clin Nurs Date: 2017-04-18 Impact factor: 3.036
Authors: Kate Curtis; Petra Brysiewicz; Ramon Z Shaban; Margaret Fry; Julie Considine; Fanny Esperanza Acevedo Gamboa; Maria Holden; Tanya Heyns; Margie Peden Journal: Int Emerg Nurs Date: 2020-04-29 Impact factor: 2.142
Authors: Kate Curtis; Prabhu Sivabalan; David S Bedford; Julie Considine; Alfa D'Amato; Nada Shepherd; Margaret Fry; Belinda Munroe; Ramon Z Shaban Journal: BMC Health Serv Res Date: 2021-12-09 Impact factor: 2.655
Authors: Matthew S Leyenaar; Amir Allana; Samir K Sinha; Michael Nolan; Gina Agarwal; Walter Tavares; Andrew P Costa Journal: BMJ Open Date: 2021-11-11 Impact factor: 2.692
Authors: José Luis Martin-Conty; Francisco Martin-Rodríguez; Juan José Criado-Álvarez; Carmen Romo Barrientos; Clara Maestre-Miquel; Antonio Viñuela; Begoña Polonio-López; Carlos Durantez-Fernández; Félix Marcos-Tejedor; Alicia Mohedano-Moriano Journal: Int J Environ Res Public Health Date: 2020-06-14 Impact factor: 3.390