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Evaluating psychiatric nursing competencies applied to emergency settings: A pilot role delineation study
Joanna J Mello1, Janice F Bell2, Elena O Siegel2
1Betty Irene Moore School of Nursing, University of California, Davis, CA, USA; Emergency Department, Davis Medical Center, University of California, Davis, CA, USA.
International Emergency Nursing
|August 24, 2015
Summary
Emergency nurses frequently use psychiatric nursing competencies, which are relevant to their practice. Enhancing the perceived importance of these skills can improve nurses
Area of Science:
- Nursing
- Emergency Medicine
- Psychiatric Care
Background:
- Emergency departments (EDs) see increasing psychiatric emergencies.
- Limited evidence identifies essential competencies for nurses caring for psychiatric patients in the ED.
Purpose of the Study:
- Define emergency nurses' specialized skills by assessing the performance frequency of recommended psychiatric nursing competencies in EDs.
- Evaluate nurses' perceived importance and self-efficacy regarding these competencies to determine their relevance.
Main Methods:
- A survey was administered to 75 emergency nurses.
- Nurses ranked the frequency, importance, and self-efficacy of 15 psychiatric nursing competencies.
- Data analysis included competency relevance and regression analysis for self-efficacy factors.
Main Results:
- Nurses frequently perform psychiatric competencies (mean scores 0.64-3.04).
- Competencies were ranked highly for importance (mean scores 1.81-3.67) and self-efficacy (mean scores 0.89-3.47).
- Frequency and importance positively predicted self-efficacy; younger age and less experience negatively impacted it.
Conclusions:
- Emergency nurses regularly utilize applicable psychiatric competencies.
- Interventions emphasizing competency importance can boost self-efficacy.
- Younger and less experienced nurses may need additional support and training.
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