https://orcid.org/0000-0002-4862-4950
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Abstract
Background
The availability of clear emergency nurses’ competencies is critical for safe and effective emergency health care services. The study regarding emergency nurses’ competencies remained virtually limited.
Purpose
This study aimed to explore the emergency nurses’ competencies in the clinical emergency department (ED) context as needed by society.
Methods
This qualitative study involved focus group discussions in six groups of 54 participants from three EDs. The data were analysed using grounded theory approach including the constant comparative, interpretations, and coding procedures; initial coding, focused coding and categories.
Results
This study revealed 8 core competencies of emergency nurses: Shifting the nursing practice, Caring for acute critical patients, Communicating and coordinating, Covering disaster nursing roles, Reflecting on the ethical and legal standards, Researching competency, Teaching competencies and Leadership competencies. The interconnection of the 8 core competencies has resulted in 2 concepts of extending the ED nursing practice and demanding the advanced ED nursing role.
Conclusion
The finding reflected the community needs of nurses who work in ED settings and the need for competency development of emergency nurses.
Informed Consent Statement
Written informed consent for each individual was performed by the researcher manually.
Institutional Review Board Statement
Ethics approval was obtained from the Health Research Ethics Committee in Indonesia (No. 839/UN6C.10/PN/2017). Approval was also obtained from the director of each general hospital and the head of the EDs where the study was conducted. This research was considered to be low risk as the participants in this research were competent and capable healthcare professionals. Each participant was provided with both a verbal and a written description of the research. All of the participants signed the informed consent form prior to the commencement of the FGD process.
Acknowledgments
The authors thank all nurse participants and ED head nurses for their time and participation in this study.
Author Contributions
All authors contributed significantly to the work reported, whether in the conception, study design, execution, data acquisition, analysis, and interpretation, or in all these areas; contributed in drafting, revising, or critically reviewing the article; provided final approval of the version to be published; and agree to be accountable for all aspects of the work.
Disclosure
The authors declared no conflict of interest. The funders had no role in the design of the study; in the collection, analysis or interpretation of data or in the decision to publish the results.