Emergency nurses: procedures performed and competence in practice

Emergency nurses play an important role in identifying and managing critical illness. Thus, nurses' competence in performing a range of functions is important. This study aimed to identify the procedures performed and associated competencies of emergency nurses.

A quantitative descriptive design was used and 403 questionnaires distributed to nurses working across 11 emergency departments in Ireland. Data were collected using a researcher developed questionnaire, measuring 119 nursing procedures and corresponding competency levels. A response rate of 53% (n=214) was achieved.

Results show that activities relating to diagnostic function were conducted most often, followed by activities relating to organisation and work role competencies. Within the helping role, planning patient care was indicated as a key activity. Identifying patient care priorities was conducted most often in the domain of effective management of rapidly changing situations. Activities performed least often were those associated with administering and monitoring therapeutic interventions. Nurses judged themselves to be most competent in diagnostic function. There was a statistically significant positive relationship between nurses level of perceived competence and frequency of practice (p<0.01).

Emergency nurses in Ireland engage in a wide range of activities, many of which are described in other countries as advanced practice. Recognition needs to be given and education prioritised in deficit areas.