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New training programs significantly boost nurse practitioners' confidence in performing emergency procedural skills (EPSs). This is crucial for providing safe care in remote areas. The RAST-NP program enhanced self-efficacy through hands-on practice.

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Area of Science:

  • Nursing Education
  • Emergency Medicine
  • Primary Care

Background:

  • New graduate primary care nurse practitioners (NPs) increasingly practice in remote settings.
  • Effective emergency procedural skills (EPSs) are vital for safe patient care in these areas.
  • Current academic programs may not adequately prepare NPs for essential EPSs.

Purpose of the Study:

  • To develop and pilot an expert panel-validated training program for NPs in remote practice.
  • To evaluate the impact of this training on NP self-efficacy in performing specific EPSs.
  • The program, Remote Advanced Skills Training for NPs (RAST-NP), aimed to bridge the gap in EPS preparedness.

Main Methods:

  • An expert panel identified and validated essential EPSs for inclusion in the curriculum.
  • A hybrid online-in-person curriculum was developed based on established simulation learning standards.
  • A pilot training program was delivered to 15 final-year primary care NP students over two days.

Main Results:

  • Participants reported significantly higher self-efficacy in performing all trained EPSs post-training.
  • Mean confidence scores increased from 1 to 6.15 on an 11-point scale.
  • Statistical analysis confirmed the significance of these improvements, with p-values of 0.01 or less.

Conclusions:

  • The RAST-NP training program effectively increased NP students' confidence and self-efficacy in EPSs.
  • Psychomotor practice and a combination of didactic methods were key to this improvement.
  • Increased time spent practicing kinesthetic skills correlated with higher confidence levels.