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Practice standards for emergency nursing: An international review
Tamsin Jones1, Ramon Z Shaban2, Debra K Creedy3
1School of Nursing and Midwifery, Monash University, Peninsula Campus, Building E, McMahons Road, Frankston, PO Box 527, Frankston, Vic. 3199, Australia.
Emergency nurses require specialist qualifications for advanced patient care. International practice standards show commonalities but lack specificity for graduates, suggesting a need for a universal framework.
Area of Science:
- Nursing
- Healthcare Management
- International Health
Background:
- Rising emergency department (ED) presentations and patient acuity necessitate advanced nursing skills.
- Specialist qualifications are crucial for emergency nurses to provide advanced patient care.
- This study analyzes international practice and competency standards for emergency nursing graduates.
Purpose of the Study:
- To compare international practice and competency standards for emergency nurses.
- To identify commonalities and variations in standards across five countries.
- To inform the development of future emergency nursing education and standards.
Main Methods:
- A systematic literature search was conducted using CINAHL, Scopus, Ovid MEDLINE, and Embase.
- Keywords included 'emergency nursing', 'competency', 'practice standards', and 'scope of practice'.
- Relevant professional websites and reference lists were also reviewed.
Main Results:
- Standards across Australia, Canada, New Zealand, the UK, and the US shared common domains: clinical expertise, communication, teamwork, resources/environment, and legal.
- No standards were exclusively tailored to emergency nursing graduates.
- Variability existed in the required expertise levels for the applied standards.
Conclusions:
- Existing international practice standards for emergency nurses exhibit some commonalities.
- A universal framework could guide the development of emergency nursing standards and curricula.
- Further consideration is needed for a standardized approach to emergency nursing education.
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