Cargando…

Improvement in self-reported confidence in nurses’ professional skills in the emergency department

BACKGROUND: The aim of this study was to assess nurses’ self-reported confidence in their professional skills before and after an extensive Emergency Department (ED) reform in Kanta-Häme Central Hospital. METHODS: Emergency nurses participated in transitional training commencing two years before the...

Descripción completa

Detalles Bibliográficos
Autores principales: Rautava, Veli-Pekka, Palomäki, Erika, Innamaa, Tapio, Perttu, Mika, Lehto, Päivi, Palomäki, Ari
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3599318/
https://www.ncbi.nlm.nih.gov/pubmed/23497683
http://dx.doi.org/10.1186/1757-7241-21-16
_version_ 1782262936287313920
author Rautava, Veli-Pekka
Palomäki, Erika
Innamaa, Tapio
Perttu, Mika
Lehto, Päivi
Palomäki, Ari
author_facet Rautava, Veli-Pekka
Palomäki, Erika
Innamaa, Tapio
Perttu, Mika
Lehto, Päivi
Palomäki, Ari
author_sort Rautava, Veli-Pekka
collection PubMed
description BACKGROUND: The aim of this study was to assess nurses’ self-reported confidence in their professional skills before and after an extensive Emergency Department (ED) reform in Kanta-Häme Central Hospital. METHODS: Emergency nurses participated in transitional training commencing two years before the establishment of the new organization in 2007. Training was followed by weekly practical educational sessions in the new ED. During this process nurses improved their transition skills, defined house rules for the new clinic and improved their knowledge of new technology and instruments. The main processes involving critically ill ED patients were described and modelled with an electronic flow chart software. During the transitional training nurses compiled lists of practical skills and measures needed in the ED. These were updated after feedback from physicians in primary and secondary care and head physicians in Kanta-Häme Central Hospital. The final 189-item list comprised 15 different categories, each containing from 4 to 35 items. Based on the work described above, a questionnaire was developed to reflect ED nurses’ skills in clinical measures but also to estimate the need for professional education and practical training. Nurses working in the ED were asked to fill the questionnaire in January 2007 (response rate 97%) and in January 2011 (response rate 98%). RESULTS: Nurses’ self-reported confidence in their professional skills improved significally in eight classes out of fifteen. These classes were cannulations, urinary catheterizations, patient monitoring, cardiac patients, equipment, triage and nurse practising, psychiatric patients as well as infection risk. Best results were noted in urinary catheterizations, patient monitoring and infection risk. When studying the group of nurses participating in both surveys in 2007 and 2011, improvements were observed in all fifteen categories. All but two of these changes were significant (p<0.05). CONCLUSIONS: During an extensive reform of emergency services, we noted a significant improvement in the professional skills of nurses. This improvement was especially consistent among nurses working in the ED during the whole transition process. Nurses’ education and training program in the ED may be successfully put into practice when based on co-operation between nurses and physicians dedicated to emergency services.
format Online
Article
Text
id pubmed-3599318
institution National Center for Biotechnology Information
language English
publishDate 2013
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-35993182013-03-17 Improvement in self-reported confidence in nurses’ professional skills in the emergency department Rautava, Veli-Pekka Palomäki, Erika Innamaa, Tapio Perttu, Mika Lehto, Päivi Palomäki, Ari Scand J Trauma Resusc Emerg Med Original Research BACKGROUND: The aim of this study was to assess nurses’ self-reported confidence in their professional skills before and after an extensive Emergency Department (ED) reform in Kanta-Häme Central Hospital. METHODS: Emergency nurses participated in transitional training commencing two years before the establishment of the new organization in 2007. Training was followed by weekly practical educational sessions in the new ED. During this process nurses improved their transition skills, defined house rules for the new clinic and improved their knowledge of new technology and instruments. The main processes involving critically ill ED patients were described and modelled with an electronic flow chart software. During the transitional training nurses compiled lists of practical skills and measures needed in the ED. These were updated after feedback from physicians in primary and secondary care and head physicians in Kanta-Häme Central Hospital. The final 189-item list comprised 15 different categories, each containing from 4 to 35 items. Based on the work described above, a questionnaire was developed to reflect ED nurses’ skills in clinical measures but also to estimate the need for professional education and practical training. Nurses working in the ED were asked to fill the questionnaire in January 2007 (response rate 97%) and in January 2011 (response rate 98%). RESULTS: Nurses’ self-reported confidence in their professional skills improved significally in eight classes out of fifteen. These classes were cannulations, urinary catheterizations, patient monitoring, cardiac patients, equipment, triage and nurse practising, psychiatric patients as well as infection risk. Best results were noted in urinary catheterizations, patient monitoring and infection risk. When studying the group of nurses participating in both surveys in 2007 and 2011, improvements were observed in all fifteen categories. All but two of these changes were significant (p<0.05). CONCLUSIONS: During an extensive reform of emergency services, we noted a significant improvement in the professional skills of nurses. This improvement was especially consistent among nurses working in the ED during the whole transition process. Nurses’ education and training program in the ED may be successfully put into practice when based on co-operation between nurses and physicians dedicated to emergency services. BioMed Central 2013-03-05 /pmc/articles/PMC3599318/ /pubmed/23497683 http://dx.doi.org/10.1186/1757-7241-21-16 Text en Copyright ©2013 Rautava et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Research
Rautava, Veli-Pekka
Palomäki, Erika
Innamaa, Tapio
Perttu, Mika
Lehto, Päivi
Palomäki, Ari
Improvement in self-reported confidence in nurses’ professional skills in the emergency department
title Improvement in self-reported confidence in nurses’ professional skills in the emergency department
title_full Improvement in self-reported confidence in nurses’ professional skills in the emergency department
title_fullStr Improvement in self-reported confidence in nurses’ professional skills in the emergency department
title_full_unstemmed Improvement in self-reported confidence in nurses’ professional skills in the emergency department
title_short Improvement in self-reported confidence in nurses’ professional skills in the emergency department
title_sort improvement in self-reported confidence in nurses’ professional skills in the emergency department
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3599318/
https://www.ncbi.nlm.nih.gov/pubmed/23497683
http://dx.doi.org/10.1186/1757-7241-21-16
work_keys_str_mv AT rautavavelipekka improvementinselfreportedconfidenceinnursesprofessionalskillsintheemergencydepartment
AT palomakierika improvementinselfreportedconfidenceinnursesprofessionalskillsintheemergencydepartment
AT innamaatapio improvementinselfreportedconfidenceinnursesprofessionalskillsintheemergencydepartment
AT perttumika improvementinselfreportedconfidenceinnursesprofessionalskillsintheemergencydepartment
AT lehtopaivi improvementinselfreportedconfidenceinnursesprofessionalskillsintheemergencydepartment
AT palomakiari improvementinselfreportedconfidenceinnursesprofessionalskillsintheemergencydepartment