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Development of clinical competencies for emergency nurse practitioners: a pilot study
Jane O'Connell1, Glenn Gardner
1School of Nursing, Queensland University of Technology, Victoria Park Rd, Kelvin Grove, Qld 4059, Australia. j1.oconnell@qut.edu.au
This pilot study developed a draft competency framework for emergency nurse practitioners in Australia. The research provides a foundation for future studies on specialist nurse practitioner competencies.
Area of Science:
- Nursing
- Healthcare Education
- Emergency Medicine
Background:
- Australian nurse practitioner education has relied on generic standards since 2006.
- Development of specialist competencies lacks structured guidance and formal standards.
- Limited research exists internationally, with no prior Australian research on specialist nurse practitioner competencies.
Purpose of the Study:
- To pilot data collection methods for a national study on specialist competency standards for emergency nurse practitioners.
- To address the research gap in Australian specialist emergency nurse practitioner competencies.
Main Methods:
- Mixed methods research involving experienced emergency nurse practitioners.
- Focus group workshop to develop a draft specialty competency framework.
- Two-round Delphi study for consensus validation of the framework.
Main Results:
- Achieved 100% response rate in the first Delphi round and 75% in the second.
- Consistently high scoring for all items, exceeding the 80% consensus threshold.
- Lowest mean score of 4.1 (82%) in the first round indicated strong agreement.
Conclusions:
- Preliminary data on specialty competencies for Australian emergency nurse practitioners were generated.
- Collaboration with practitioners facilitated the initial development of a specialty competency framework.
- This study serves as a crucial first step toward establishing a national framework for emergency nurse practitioner competencies.
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