Advanced practice nursing competence profile in emergencies: insights from Spain

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing Pub Date : 2025-04-22 DOI:10.1016/j.ienj.2025.101611

Angela Jimenez-Garcia , Miguel Angel Cuevas-Budhart , Genoveva Perez-Romero , Cristina Barneto-Valero , Rafael Montoya-Juárez , Mercedes Gomez Del Pulgar

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引用次数: 0

Abstract

Introduction

The development of Advanced Practice Nursing roles in Emergency Care is crucial due to the growing demand for healthcare services, driven by the rising prevalence of chronic diseases, the impact of the COVID-19 pandemic on healthcare systems, and the need for cost-effective solutions amid workforce shortages in various healthcare professions.

Aim

To establish a well-defined competency profile for Advanced Practice Nursing in emergency care using the Delphi method, ensuring that the identified competencies are relevant, clearly articulated, and systematically structured for effective practice in urgent and emergency settings.

Methodology

A mixed-methods design, structured in three phases, was implemented to develop a competency profile for Advanced Practice Nursing in emergency care in Spain. The first phase utilized qualitative focus groups with experienced nurses to identify foundational competencies. The second phase applied a modified Delphi method with a panel of 42 experts to refine and validate these competencies through iterative feedback and consensus-building. Finally, a quantitative approach was employed, incorporating statistical techniques such as the Content Validity Index and Cronbach’s alpha to ensure the clarity, coherence, and relevance of the competency items.

Results

The study identified eight competency units, comprising 17 competency criteria and 99 descriptors, of which 25 correspond to various competency units.

Conclusions

The validated competency units, criteria, and descriptors serve as a cornerstone for establishing a comprehensive Advanced Practice Nursing in Emergency Care framework. This framework plays a crucial role in standardizing practices, improving care quality, and ensuring that nurses are well-equipped to address the complex challenges of emergency settings.

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高级实践护理在紧急情况下的能力概况：西班牙的启示

由于慢性病患病率上升、COVID-19大流行对医疗保健系统的影响以及在各种医疗保健专业劳动力短缺的情况下需要具有成本效益的解决方案，对医疗保健服务的需求不断增长，急诊护理中高级实践护理角色的发展至关重要。目的使用德尔菲法为急诊护理高级实践建立一个明确定义的能力概况，确保所识别的能力是相关的，明确表达的，并系统地组织在紧急和紧急情况下的有效实践。方法采用混合方法设计，分三个阶段进行设计，以制定西班牙急诊护理高级实践的能力概况。第一阶段利用有经验的护士定性焦点小组来确定基本能力。第二阶段采用改进的德尔菲法，由42名专家组成的小组通过反复反馈和建立共识来完善和验证这些能力。最后，采用定量方法，结合统计技术，如内容效度指数和Cronbach’s alpha，以确保能力项目的清晰度、连贯性和相关性。结果本研究共识别出8个胜任力单元，包括17个胜任力标准和99个胜任力描述符，其中25个胜任力描述符对应不同的胜任力单元。结论经过验证的能力单元、标准和描述符是建立全面的急诊护理高级实践框架的基石。这一框架在规范做法、提高护理质量和确保护士有能力应对急诊环境中的复杂挑战方面发挥着至关重要的作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Emergency Nursing NURSING-

CiteScore

3.20

自引率

11.10%

发文量

期刊介绍： International Emergency Nursing is a peer-reviewed journal devoted to nurses and other professionals involved in emergency care. It aims to promote excellence through dissemination of high quality research findings, specialist knowledge and discussion of professional issues that reflect the diversity of this field. With an international readership and authorship, it provides a platform for practitioners worldwide to communicate and enhance the evidence-base of emergency care. The journal publishes a broad range of papers, from personal reflection to primary research findings, created by first-time through to reputable authors from a number of disciplines. It brings together research from practice, education, theory, and operational management, relevant to all levels of staff working in emergency care settings worldwide.