Kate Curtis1, Belinda Munroe2, Connie Van3, Tiana-Lee Elphick4. 1. Susan Wakil School of Nursing and Midwifery, Sydney Nursing School, Faculty of Health and Medicine, The University of Sydney, 88 Mallett Street, Camperdown, NSW 2006, Australia; Illawarra Shoalhaven Local Health District, Wollongong Hospital, Loftus Street, Wollongong, NSW 2500, Australia; Illawarra Health and Medical Research Institute, Building 32, University of Wollongong, Northfields Avenue, Wollongong, NSW 2522, Australia; The George Institute for Global Health, Level 5, 1 King Street, Newtown, NSW 2042, Australia. 2. Illawarra Shoalhaven Local Health District, Wollongong Hospital, Loftus Street, Wollongong, NSW 2500, Australia. 3. Susan Wakil School of Nursing and Midwifery, Sydney Nursing School, Faculty of Health and Medicine, The University of Sydney, 88 Mallett Street, Camperdown, NSW 2006, Australia. 4. Illawarra Shoalhaven Local Health District, Wollongong Hospital, Loftus Street, Wollongong, NSW 2500, Australia. Electronic address: Kate.Curtis@sydney.edu.au.
Abstract
BACKGROUND: Emergency nurses are responsible for the initial assessment, management and safety of critically ill patients. HIRAID, an evidence-informed emergency nursing assessment framework, is known to improve emergency nursing patient-assessment in the simulated environment however has not been evaluated in the clinical setting. METHODS: A pre-post design was used to assess the usability and impact of HIRAID on emergency nurses self-efficacy in the emergency department (ED). Nursing and medical staff from three Australian EDs were surveyed. Descriptive and optimal pooled sample t-tests statistics were conducted. RESULTS: One hundred and two emergency nurses completed the pre-intervention self-efficacy survey and 63 completed the post-intervention self-efficacy and satisfaction survey. Forty-two and 17 medical officers completed the pre- and post-intervention satisfaction surveys, respectively. Nursing staff self-efficacy levels were unchanged pre- and post-HIRAID implementation (Mean (SD): 8.8 (0.21) vs. 8.7 (0.20)) as was medical staff satisfaction (Mean (SD):7.5 (1.43) vs. 7.8 (1.07)), although there was a trend towards improved communication. CONCLUSION: The HIRAID structured approach to patient assessment is acceptable, feasible, practical and appropriate for use in the clinical environment. Further research will demonstrate the direct effects of HIRAID on clinical performance.
BACKGROUND: Emergency nurses are responsible for the initial assessment, management and safety of critically illpatients. HIRAID, an evidence-informed emergency nursing assessment framework, is known to improve emergency nursing patient-assessment in the simulated environment however has not been evaluated in the clinical setting. METHODS: A pre-post design was used to assess the usability and impact of HIRAID on emergency nurses self-efficacy in the emergency department (ED). Nursing and medical staff from three Australian EDs were surveyed. Descriptive and optimal pooled sample t-tests statistics were conducted. RESULTS: One hundred and two emergency nurses completed the pre-intervention self-efficacy survey and 63 completed the post-intervention self-efficacy and satisfaction survey. Forty-two and 17 medical officers completed the pre- and post-intervention satisfaction surveys, respectively. Nursing staff self-efficacy levels were unchanged pre- and post-HIRAID implementation (Mean (SD): 8.8 (0.21) vs. 8.7 (0.20)) as was medical staff satisfaction (Mean (SD):7.5 (1.43) vs. 7.8 (1.07)), although there was a trend towards improved communication. CONCLUSION: The HIRAID structured approach to patient assessment is acceptable, feasible, practical and appropriate for use in the clinical environment. Further research will demonstrate the direct effects of HIRAID on clinical performance.
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: Kate Curtis; Peter Jansen; Margot Mains; Anna O'Hare; Bradley Scotcher; David Alcorn; Shizar Nahidi; Joanna Harris; Daniel Brouillard; Sarah Morton; Ramon Z Shaban Journal: Australas Emerg Care Date: 2022-01-31