Belinda Munroe1, Thomas Buckley2, Kate Curtis3, Margaret Murphy4, Luke Strachan5, Jennifer Hardy2, Judith Fethney2. 1. Sydney Nursing School, University of Sydney NSW, Australia; Emergency Department, The Wollongong Hospital, Wollongong, NSW, Australia. Electronic address: bmun1400@uni.sydney.edu.au. 2. Sydney Nursing School, University of Sydney NSW, Australia. 3. Sydney Nursing School, University of Sydney NSW, Australia; Emergency Department, The Wollongong Hospital, Wollongong, NSW, Australia; Trauma Service, St George Hospital, Sydney, NSW, Australia. 4. Sydney Nursing School, University of Sydney NSW, Australia; Emergency Department, Westmead Hospital, NSW, Australia. 5. Emergency Department, Blacktown Hospital, NSW, Australia.
Abstract
INTRODUCTION: Emergency nurses must perform accurate and complete comprehensive patient assessments to establish patient treatment needs and expedite care. AIM: To evaluate the impact of a structured approach to emergency nursing assessment following triage, on novice emergency nurses' anxiety, self-efficacy and perceptions of control. METHODS: Thirty eight early career emergency nurses from five Australian hospitals performed an initial patient assessment in an immersive clinical simulated scenario, before and after undertaking training in HIRAID, an evidence-informed patient assessment framework for emergency nurses. Immediately following each scenario the nurses completed a questionnaire scoring anxiety, self-efficacy and perceptions of control levels. Paired sample t-tests and effect sizes were calculated. RESULTS: Participant anxiety levels were lower after HIRAID training compared to before undertaking the training (Mean (SD) = 53.26 (10.76) vs 47.46 (9.96), P = 0.002). Self-efficacy levels in assessment performance increased (189.32 (66.48) vs 214.06 (51.35), P = 0.001). There was no change in perceptions of control (31.24 (7.38) vs 30.98 (8.38), P = 0.829). DISCUSSION: High levels of anxiety and low levels of self-efficacy are known to be negatively correlated with clinical reasoning skills and performance. CONCLUSION: The effect of HIRAID training on reducing anxiety and increasing self-efficacy has the potential to improve emergency nurses' assessment performance and the quality and safety of patient care.
INTRODUCTION: Emergency nurses must perform accurate and complete comprehensive patient assessments to establish patient treatment needs and expedite care. AIM: To evaluate the impact of a structured approach to emergency nursing assessment following triage, on novice emergency nurses' anxiety, self-efficacy and perceptions of control. METHODS: Thirty eight early career emergency nurses from five Australian hospitals performed an initial patient assessment in an immersive clinical simulated scenario, before and after undertaking training in HIRAID, an evidence-informed patient assessment framework for emergency nurses. Immediately following each scenario the nurses completed a questionnaire scoring anxiety, self-efficacy and perceptions of control levels. Paired sample t-tests and effect sizes were calculated. RESULTS:Participantanxiety levels were lower after HIRAID training compared to before undertaking the training (Mean (SD) = 53.26 (10.76) vs 47.46 (9.96), P = 0.002). Self-efficacy levels in assessment performance increased (189.32 (66.48) vs 214.06 (51.35), P = 0.001). There was no change in perceptions of control (31.24 (7.38) vs 30.98 (8.38), P = 0.829). DISCUSSION: High levels of anxiety and low levels of self-efficacy are known to be negatively correlated with clinical reasoning skills and performance. CONCLUSION: The effect of HIRAID training on reducing anxiety and increasing self-efficacy has the potential to improve emergency nurses' assessment performance and the quality and safety of patient care.
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