Designing a standardised emergency nurse career pathway for use across rural, regional and metropolitan New South Wales, Australia: A consensus process.

Advanced practice nursing Behaviuor change Career progression Education Emergency nursing Emergency service Hospital Nursing Professional Staff development’

Journal

Australasian emergency care
ISSN: 2588-994X
Titre abrégé: Australas Emerg Care
Pays: Australia
ID NLM: 101727782

Informations de publication

Date de publication:
26 Mar 2024
Historique:
received: 18 10 2023
revised: 07 03 2024
accepted: 10 03 2024
medline: 28 3 2024
pubmed: 28 3 2024
entrez: 27 3 2024
Statut: aheadofprint

Résumé

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.

Sections du résumé

BACKGROUND BACKGROUND
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.
METHODS METHODS
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.
RESULTS RESULTS
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.
CONCLUSION CONCLUSIONS
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.

Identifiants

DOI: 10.1016/j.auec.2024.03.002 PMID: 38538382
pubmed: 38538382
pii: S2588-994X(24)00021-6
doi: 10.1016/j.auec.2024.03.002
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Crown Copyright © 2024. Published by Elsevier Ltd. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of Competing Interest Authors KC, MM, MF, RZS, JC, SK are creators HIRAID® education materials which are the subject of an intellectual property agreement with the University of Sydney. RZS is Editor-in-Chief and JC and MF are Senior Editors of Australasian Emergency Care but none of them had any role to play in the peer review and editorial decision-making of this paper whatsoever. An independent Backspace Acting Editor-in-Chief managed this paper. Other authors have no competing interests to declare.

Auteurs

Kate Curtis (K)

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. Electronic address: Kate.Curtis@sydney.edu.au.

Margaret Murphy (M)

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.

Sarah Kourouche (S)

Faculty of Medicine and Health, The University of Sydney Susan Wakil School of Nursing and Midwifery, Camperdown, 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.

Dot Hughes (D)

Faculty of Medicine and Health, The University of Sydney Susan Wakil School of Nursing and Midwifery, Camperdown, 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.

Louise Casey (L)

Southern NSW LHD, 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.

Julie Gawthorne (J)

St Vincent's Health Network, Victoria St Darlinghurst, 2010, Sydney, 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.

Saartje Berendsen-Russell (S)

Sydney Local Health District, Australia; Green Light Institute, 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.

Tracey Couttie (T)

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.

Donna Skelly (D)

Southern NSW LHD, 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.

Noelene Williams (N)

Northern NSW Local Health District, 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.

Ramon Z Shaban (RZ)

Faculty of Medicine and Health, The University of Sydney Susan Wakil School of Nursing and Midwifery, Camperdown, NSW, Australia; Sydney Institute for Infectious Diseases, Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW 2006, Australia; Communicable Diseases Branch, Public Health Unit, Centre for Population Health, Western Sydney Local Health District, North Parramatta, NSW 2141, Australia; New South Wales Biocontainment Centre, New South Wales High Consequence Infectious Disease Service, Western Sydney Local Health District and New South Wales Health, NSW 2145, 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.

Margaret Fry (M)

University of Technology Sydney Faculty of Health, 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.

Ryan Kloger (R)

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.

Josephine Rheinberger (J)

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.

Christina Aggar (C)

Northern NSW Local Health District, 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; Southern Cross University, Australia.

Julie Considine (J)

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; School of Nursing and Midwifery and Centre for Quality and Patient Safety Experience in the Institute for Health Transformation, Deakin University, Geelong, VIC, Australia; Centre for Quality and Patient Safety Research - Eastern Health Partnership, Box Hill, VIC, Australia.

Classifications MeSH